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6<br />

Carbonating the World<br />

four years, they found that weight gain was greatest (about 4.5 kg or 10 pounds)<br />

among women who went from drinking no more than one SSB a week to at least<br />

one a day. 51 Similarly, among roughly 4,000 men and women in the Framingham<br />

Offspring Study, those who consumed at least one soft drink a day had a 35 percent<br />

higher risk of obesity over the next four years, compared to those who drank no soft<br />

drinks. 52<br />

“Would you drink 12 teaspoons of sugar?<br />

Sugar is sweet, diabetes is not.” Billboard<br />

supporting a soda tax in Mexico.<br />

Source: El Poder del Consumidor.<br />

SSBs and Type 2 Diabetes<br />

Type 2 diabetes used to be called “adult-onset,” but its name was changed when<br />

it began showing up in younger and younger people. It is a particularly diabolical<br />

disease, because, before it kills, it causes blindness, amputations, and other effects.<br />

A recent study conducted by the University of Washington’s Institute for Health<br />

Metrics and Evaluation reported that the prevalence of diabetes worldwide rose by<br />

a remarkable 45 percent between 1990 and 2013. 53 Rising rates of diabetes in both<br />

rich and poor countries are imposing huge health-care costs.<br />

Robert Lustig, a professor of pediatric endocrinology at the University of California,<br />

San Francisco, charges that sugar drinks are a particularly potent cause of<br />

diabetes. He said, “When people ate 150 calories more every day, the rate<br />

of diabetes went up 0.1 percent. But if those 150 calories came from a can<br />

of fizzy drink, the rate went up 1.1 percent. Added sugar is 11 times more<br />

potent at causing diabetes than general calories.” 54<br />

In the Nurses’ Health Study, which tracked more than 90,000 American<br />

women for eight years, those who consumed at least one SSB per day had<br />

an 83 percent higher risk of being diagnosed with type 2 diabetes than<br />

those who consumed less than one SSB per month. 55 Among 43,580 men<br />

and women in the Singapore Chinese Health Study, those who consumed<br />

at least two soft drinks a week had a 42 percent higher risk of diabetes<br />

than those who rarely consumed soft drinks. 56 After adjustment for BMI<br />

and calorie intake, the risk was 34 percent higher among those who drank<br />

at least two soft drinks a day (meaning that soft drinks promoted diabetes<br />

by means in addition to increasing body weight). Finally, a meta-analysis,<br />

which included those two studies and six additional ones involving more<br />

than 310,000 people in total, found that people who consumed at least<br />

one to two servings of SSBs per day had a 26 percent higher risk of type 2<br />

diabetes than those who consumed less than one serving per month. 57<br />

SSBs and Cardiovascular Disease<br />

For many years, researchers, especially in the United States, pinned much of<br />

the blame for heart disease on the saturated fat, trans fat, and cholesterol in<br />

foods. But research both old and new began shining a spotlight on sugar and<br />

sugar drinks as another important cause.

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