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Systematic review with meta analysis
Sugar sweetened beverages are associated with greater incidence of diabetes but there is a paucity of evidence on healthfulness of artificially-sweetened beverages and fruit juices
  1. Gitanjali M Singh
  1. Friedman School of Nutrition Science & Policy, Tufts University, Boston, Massachusetts, USA
  1. Correspondence to: Dr Gitanjali M Singh, Friedman School of Nutrition Science & Policy, Tufts University, 150 Harrison Avenue, Boston, MA 02111, USA; Gitanjali.Singh{at}

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Sugar-sweetened beverages (SSBs), artificially-sweetened beverages (ASBs) and fruit juices (FJs) are widely consumed globally and while SSBs have been extensively examined through observational studies and trials, the health effects of ASBs and FJs remain unclear. Imamura and colleagues have carried out the most comprehensive meta-analysis yet on the effects of SSB, ASB and FJ consumption on type 2 diabetes (T2D).


Following PRISMA guidelines, the authors searched PubMed, Embase, Ovid and Web of Knowledge through May 2013 for observational studies examining the impacts of SSBs, ASBs and FJs on the incidence of T2D. The authors screened identified articles in duplicate, including articles on prospective cohort studies of adult populations with an average follow-up of at least 2 years in which beverage consumption and T2D incidence were assessed. Bias in included studies …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.