TY - JOUR
T1 - Burdens of type 2 diabetes and cardiovascular disease attributable to sugar-sweetened beverages in 184 countries
AU - Global Dietary Database
AU - Lara-Castor, Laura
AU - O’Hearn, Meghan
AU - Cudhea, Frederick
AU - Miller, Victoria
AU - Shi, Peilin
AU - Zhang, Jianyi
AU - Sharib, Julia R.
AU - Cash, Sean B.
AU - Barquera, Simon
AU - Micha, Renata
AU - Mozaffarian, Dariush
AU - Hakeem, Rubina
AU - Mirzaei, Masoud
AU - Nikiema, Laetitia
AU - Manary, Mark
AU - Geleijnse, Johanna M.
AU - Balfour, David
AU - Mitchell, Claudette
AU - Elmadfa, Ibrahim
AU - Meyer, Alexa
AU - Zello, Gordon
AU - Ersino, Getahun
AU - Henry, Carol
AU - Fisberg, Regina
AU - Skeaff, Sheila
AU - Ng, Shu Wen
AU - Adair, Linda
AU - Jimenez, Elizabeth Yakes
AU - Zugravu, Corina Aurelia
AU - Moy, Foong Ming
AU - Serra-Majem, Lluis
AU - Gunnarsdottir, Ingibjorg
AU - Thorsdottir, Inga
AU - Steingrimsdottir, Laufey
AU - Stuetz, Wolfgang
AU - Eleraky, Laila
AU - Freese, Riitta
AU - Erkkola, Maijaliisa
AU - Korkalo, Liisa
AU - Haque, Aminul
AU - Krebs, Nancy F.
AU - Hambidge, K. Michael
AU - Long, Julie M.
AU - Jayawardena, Ranil
AU - Waidyatilaka, Indu
AU - Nöthlings, Ute
AU - Alexy, Ute
AU - Strand, Tor
AU - Sharma, Sangita
AU - Suarez-Ortegon, Milton Fabian
N1 - Publisher Copyright:
© The Author(s) 2025.
PY - 2025/2
Y1 - 2025/2
N2 - The consumption of sugar-sweetened beverages (SSBs) is associated with type 2 diabetes (T2D) and cardiovascular diseases (CVD). However, an updated and comprehensive assessment of the global burden attributable to SSBs remains scarce. Here we estimated SSB-attributable T2D and CVD burdens across 184 countries in 1990 and 2020 globally, regionally and nationally, incorporating data from the Global Dietary Database, jointly stratified by age, sex, educational attainment and urbanicity. In 2020, 2.2 million (95% uncertainty interval 2.0–2.3) new T2D cases and 1.2 million (95% uncertainty interval 1.1–1.3) new CVD cases were attributable to SSBs worldwide, representing 9.8% and 3.1%, respectively, of all incident cases. Globally, proportional SSB-attributable burdens were higher among men versus women, younger versus older adults, higher- versus lower-educated adults, and adults in urban versus rural areas. By world region, the highest SSB-attributable percentage burdens were in Latin America and the Caribbean (T2D: 24.4%; CVD: 11.3%) and sub-Saharan Africa (T2D: 21.5%; CVD: 10.5%). From 1990 to 2020, the largest proportional increases in SSB-attributable incident T2D and CVD cases were in sub-Saharan Africa (+8.8% and +4.4%, respectively). Our study highlights the countries and subpopulations most affected by cardiometabolic disease associated with SSB consumption, assisting in shaping effective policies and interventions to reduce these burdens globally.
AB - The consumption of sugar-sweetened beverages (SSBs) is associated with type 2 diabetes (T2D) and cardiovascular diseases (CVD). However, an updated and comprehensive assessment of the global burden attributable to SSBs remains scarce. Here we estimated SSB-attributable T2D and CVD burdens across 184 countries in 1990 and 2020 globally, regionally and nationally, incorporating data from the Global Dietary Database, jointly stratified by age, sex, educational attainment and urbanicity. In 2020, 2.2 million (95% uncertainty interval 2.0–2.3) new T2D cases and 1.2 million (95% uncertainty interval 1.1–1.3) new CVD cases were attributable to SSBs worldwide, representing 9.8% and 3.1%, respectively, of all incident cases. Globally, proportional SSB-attributable burdens were higher among men versus women, younger versus older adults, higher- versus lower-educated adults, and adults in urban versus rural areas. By world region, the highest SSB-attributable percentage burdens were in Latin America and the Caribbean (T2D: 24.4%; CVD: 11.3%) and sub-Saharan Africa (T2D: 21.5%; CVD: 10.5%). From 1990 to 2020, the largest proportional increases in SSB-attributable incident T2D and CVD cases were in sub-Saharan Africa (+8.8% and +4.4%, respectively). Our study highlights the countries and subpopulations most affected by cardiometabolic disease associated with SSB consumption, assisting in shaping effective policies and interventions to reduce these burdens globally.
UR - https://www.scopus.com/pages/publications/85214369271
U2 - 10.1038/s41591-024-03345-4
DO - 10.1038/s41591-024-03345-4
M3 - Article
AN - SCOPUS:85214369271
SN - 1078-8956
VL - 31
SP - 552
EP - 564
JO - Nature Medicine
JF - Nature Medicine
IS - 2
M1 - e003585
ER -
SDG 3 Good Health and Well-being