Sucrose-sweetened beverages increase fat storage in the liver, muscle, and visceral fat depot: a 6-mo randomized intervention study
Open accessAbstract
Background The consumption of sucrose-sweetened soft drinks (SSSDs) has been associated with obesity, the metabolic syndrome, and cardiovascular disorders in observational and short-term intervention studies. Too few long-term intervention studies in humans have examined the effects of soft drinks.Objective We compared the effects of SSSDs with those of isocaloric milk and a noncaloric soft drink on changes in total fat mass and ectopic fat deposition (in liver and muscle tissue).Design Overweight subjects (n = 47) were randomly assigned to 4 different test drinks (1 L/d for 6 mo): SSSD (regular cola), isocaloric semiskim milk, aspartame-sweetened diet cola, and water. The amount of intrahepatic fat and intramyocellular fat was measured with (1)H-magnetic resonance spectroscopy. Other endpoints were fat mass, fat distribution (dual-energy X-ray absorptiometry and magnetic resonance imaging), and metabolic risk factors.Results The relative changes between baseline and the end of 6-mo intervention were significantly higher in the regular cola group than in the 3 other groups for liver fat (132-143%, sex-adjusted mean; P < 0.01), skeletal muscle fat (117-221%; P < 0.05), visceral fat (24-31%; P < 0.05), blood triglycerides (32%; P < 0.01), and total cholesterol (11%; P < 0.01). Total fat mass was not significantly different between the 4 beverage groups. Milk and diet cola reduced systolic blood pressure by 10-15% compared with regular cola (P < 0.05). Otherwise, diet cola had effects similar to those of water.Conclusion Daily intake of SSSDs for 6 mo increases ectopic fat accumulation and lipids compared with milk, diet cola, and water. Thus, daily intake of SSSDs is likely to enhance the risk of cardiovascular and metabolic diseases. This trial is registered at clinicaltrials.gov as NCT00777647.
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High fructose corn syrup and other processed carbohydrates such as sucrose have been associated with fat accumulation.
“HFCS, and other processed carbohydrates such as sucrose, have been associated with fat accumulation [21, 22].”
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- Authors
- Maersk, M., Belza, A., Stødkilde-Jørgensen, H., Ringgaard, S., Chabanova, E., Thomsen, H., Pedersen, S. B., Astrup, A., & Richelsen, B.
- Affiliations
- Aarhus University Hospital (DK)
- ORCID
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2012-02
- Volume
- 95
- Issue
- 2
- Pages
- 283-289
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W2102312935
- Cited by
- 603
- References
- 46
- Citations by year
- 2026: 18 · 2025: 23 · 2024: 27 · 2023: 50 · 2022: 36 · 2021: 36 · 2020: 36 · 2019: 41 · 2018: 46 · 2017: 45 · 2016: 56 · 2015: 56 · 2014: 58 · 2013: 55 · 2012: 19
- FWCI
- 34.59
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
- Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- milk, ectopic fat deposition, intrahepatic fat, visceral fat, fat mass, blood triglycerides, total cholesterol, systolic blood pressure, overweight, metabolic risk factors, cardiovascular risk
- MeSH terms
- Adult, Animals, Aspartame, Beverages, Blood Pressure, Energy Intake, Cardiovascular Diseases, Cholesterol, Female, Humans, Liver, Male, Metabolic Diseases, Middle Aged, Milk, Magnetic Resonance Spectroscopy, Obesity, Sweetening Agents, Time, Triglycerides, Absorptiometry, Photon, Outcome Assessment, Health Care, Muscle, Skeletal, Dietary Sucrose, Intra-Abdominal Fat, Body Fat Distribution, Lipid Metabolism
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