Excessive sugar intake linked with unhealthy fat deposits

June 29, 2020

Science Daily/European Society of Cardiology

Sugar consumption is linked with larger fat deposits around the heart and in the abdomen, which are risky for health. That's the finding of a study published today in the European Journal of Preventive Cardiology, a journal of the European Society of Cardiology (ESC).

"When we consume too much sugar the excess is converted to fat and stored," said study author Ms. So Yun Yi, a PhD student at the University of Minnesota School of Public Health. "This fat tissue located around the heart and in the abdomen releases chemicals into the body which can be harmful to health. Our results support limiting added sugar intake."

Excess sugar consumption is a worldwide problem. The six countries with the highest sales of sugary drinks per capita are Chile, Mexico, Argentina, Peru, the US, and Saudi Arabia. The demand for sugar is expected to increase in Asia, Africa, and Russia.

This observational study examined both sugar-sweetened beverages (such as soft drinks, fruit drinks, energy drinks) and sugar added to foods and beverages for sweetness (for example when cooking or in processed foods). The researchers analysed the association between long-term sugar consumption and fat stores around the heart and other organs.

Data were obtained from Coronary Artery Risk Development in Young Adults (CARDIA), an ongoing cohort study in the US that includes centres in Alabama, California, Illinois, and Minnesota. A total of 3,070 healthy participants aged 18 to 30 were included in this study.

Food and beverage intakes were measured three times over a 20-year period (1985 to 2005). After 25 years (in 2010) computed tomography (CT) scans of the chest and abdomen were performed to measure fat volumes in the abdomen and around the heart.

The researchers found that sugar intake over the 20-year period was related to fat volumes later in life. Higher intakes of both sugar-sweetened beverages and added sugar were related to greater fat stores around organs in a stepwise fashion.

"Our findings provide more evidence that consuming too much added sugar and sugary drinks is related to a higher amount of fat tissue," said study author Dr. Lyn Steffen of the University of Minnesota School of Public Health. "And, we know that fat deposits are connected with higher risks of heart disease and diabetes."

She advised reducing the amount of added sugar consumed each day. "Have water instead of sugary drinks and choose healthier snacks over foods rich in added sugar like cakes," she said. "Read food labels to check the amount of added sugar in what you are buying. Look for ingredients like syrups, glucose, fructose, sucrose, and maltose. Being more aware of hidden sugar will help you cut back."

Dr. Steffen said: "On top of our individual efforts, governments, food manufacturers, restaurants, schools, and workplaces have a role to play in increasing consumer awareness of the sugar content in foods and beverages and offering healthier alternatives."

https://www.sciencedaily.com/releases/2020/06/200629120243.htm

Drinks with added sugars linked to lipid imbalance, which increases CVD risk

February 26, 2020

Science Daily/American Heart Association

Drinking 12 ounces of sugary drinks more than once per day is linked to lower levels of high-density lipoprotein cholesterol (HDL-C), ("good" cholesterol), and higher levels of triglycerides, in middle aged and older adults, both of which have been shown to increase risk of cardiovascular disease. These results are from a new observational study published today in the Journal of the American Heart Association, the open access journal of the American Heart Association.

In previous studies, added sugars have been shown to increase cardiovascular disease risk. Beverages such as sodas, sports drinks and fruit-flavored drinks are the largest source of added sugars for Americans.

"For some time, we have known sugary drinks can have a negative effect on Americans' health status, yet the assumption for many is that they only contribute to weight gain," said Eduardo Sanchez, M.D., M.P.H., chief medical officer for prevention and chief of the Center for Health Metrics and Evaluation at the American Heart Association. "This research reinforces our understanding of the potential negative impact sugary drinks have on blood cholesterol, which increases heart disease risk. It is yet one more reason for all of us to cut back on sodas and other sugar-sweetened beverages."

Researchers hypothesized that dyslipidemia could be one pathway by which sugary drinks may increase cardiovascular disease risk. An estimated 40% to 50% of U.S. adults are affected by dyslipidemia, an unhealthy imbalance of cholesterol and triglyceride levels in the blood, which increases the risk of cardiovascular disease.

To determine the association between sugary drinks on triglyceride and cholesterol levels, researchers studied observational medical data of up to 5,924 participants from the Offspring and Generation 3 cohorts of the Framingham Heart Study, who were followed for an average of 12.5 years between 1991 and 2014. The Offspring cohort of the Framingham Heart Study includes the children of original participants in the Framingham Heart Study, and the Generation 3 cohort includes grandchildren of the original participants in the Framingham Heart Study.

For this study, the beverages were defined as: 12 ounces of sugary drinks, such as sodas, fruit-flavored drinks, sports drinks, presweetened coffees and teas; 12 ounces of low-calorie sweetened beverages, including naturally and artificially sweetened "diet" sodas or other flavored drinks; or 8 ounces of 100% fruit juices, including orange, apple, grapefruit and other juices derived from whole fruits with no added sugars. Study participants were classified into five groups according to how often they drank the different beverage types ranging from low intake (<1 serving per month) to high intake (>1 serving per day).

Researchers analyzed how the different drink types and their consumption levels correlated with changes in cholesterol and triglyceride levels over approximately four-year periods. They found that:

• Drinking sugar-sweetened beverages (more than 12 ounces per day) was associated with a 53% higher incidence of high triglycerides and a 98% higher incidence of low HDL cholesterol (the "good" cholesterol) compared to those who drank less than one serving per month;

• Drinking low-calorie sweetened beverages did not appear to be associated with increased dyslipidemia risk among the people who regularly drank low-calorie sweetened beverages; and

• Regularly drinking up to 12 ounces of 100% fruit juice per day was not associated with adverse changes in cholesterol or dyslipidemia, though further research is needed to warrant this finding.

"Reducing the number of or eliminating sugary drink consumption may be one strategy that could help people keep their triglyceride and HDL cholesterol at healthier levels," said lead study author Nicola McKeown, Ph.D., a nutrition epidemiologist at the Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University in Boston. "And, while our study didn't find negative consequences on blood lipids from drinking low-calorie sweetened drinks, there may be health consequences of consuming these beverages on other risk factors. Water remains the preferred and healthiest beverage."

While previous cross-sectional studies have had similar findings, this study reaffirms those findings with prospective data. One potential limitation of the study is that participants self-reported their dietary intake.

The American Heart Association recommends people eliminate sugary drink consumption to improve heart health and to reduce the risk of cardiovascular disease.

The National Institutes of Health, the American Heart Association and the U.S. Department of Agriculture's Agricultural Research Service supported the study.

https://www.sciencedaily.com/releases/2020/02/200226072110.htm