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The use of two or more dietary drinks per day is associated with a high risk of stroke, heart attacks



ATLANTA (CNN) – Bader news for diode soda lovers: the use of two or more artificial sweetened drinks per day with an increased risk of stroke, heart attacks and early death in women over 50, according to a new study by the American Heart Association and the American Stroke Association.

The risks were highest for women who did not have anamnesis of heart disease or diabetes, and women who were obese or African-American.

Previous studies have shown a relationship between food and stomach, dementia, type 2 diabetes, obesity and metabolic syndrome that can lead to heart disease and diabetes

"This is another confirmatory study showing interactions. 39 between artificial sweetened drinks and vascular risks. Although we can not show causal relationships, it is a yellow flag to draw attention to these findings, said Dr. Ralph Sacco, president of the American Academy of Neurology, who did not take part in the last one research.

"What are these dietary drinks?" asked the main author of the study, Yasmin Mossavar-Rahmani, an associate professor of clinical epidemiology and health at the Alberta Einstein Medical College in the Bronx, New York. "It's something about sweeteners? Do they do something for our intestine to be healthy and metabolized? We need to answer these questions. "

More than 80,000 postmenopausal women in the United States participating in the Women's Health Initiative, a long-term national study, asked how often they drank one to twenty portions of dietary beverages with dietary drinks during the last According to Mossawar-Rahmani, their health care outcomes were tracked an average of 1

1.9 years.

"Previous studies focused on a larger picture of cardiovascular disease," she said. "Our research centered Moose on the most common type of stroke, ischemic stroke and its subtypes, one of which was a blockage of small blood vessels. Another interesting thing in our study is that we considered who is more vulnerable. "

After controlling for lifestyle factors, the study found that women who consumed two or more artificially sweetened drinks daily were up 31 percent more often had a stroke based on a thrombus, 29 percent more likely to have had heart problems and 16 percent more likely to die of any reason than women who drank dietary drinks less than once a week or even at all.

The analysis then looked at women who did not had a history of heart disease and diabetes "Women who at the beginning of our study had no heart disease or diabetes and who had obesity were twice as likely to have a bone."

"Women who at the beginning of our study did not have any heart disease or diabetes and had obesity were twice as likely to have a bone. on the basis of an ischemic stroke, "- said Mossavar-Rahmani

. There was no such relationship with women who had a normal weight or overweight. Overweight is defined as a body mass index of 25 to 30, and obesity is over 30.

"African American women without a history of heart disease or diabetes were approximately four times more likely to have a stroke based on a bunch," Mossavar-Rahmani said. , but the risk of a stroke does not apply to white women.

"White women had different risks," she said. "They were 1.3 times more likely to have coronary heart disease."

The study also looked at various subtypes of ischemic stroke that doctors use to determine treatment and drug selection. They found that occlusion of small arteries, a common type of stroke caused by clogging of the smallest arteries inside the brain, is almost 2.5 times more common in women who did not have heart disease or diabetes, but were heavy consumers of dietary drinks.

This result is fair regardless of race or weight

This study, as well as other studies on the relationship between dietary drinks and vascular diseases, are observational and can not show causes and consequences. This is a serious constraint, researchers say, because it's impossible to determine whether this association is associated with a particular artificial sweetener, type of drink, or other hidden health issue.

There are no protective effects of natural hormones, "said North Carolina's cardiologist Dr. Kevin Campbell, who can help increase the risk of heart disease and stroke.

has not yet been diagnosed as hypertension or diabetes, but is justified by weight loss, "thus, women who have gone through the study are taking dietary drinks, says Dr. Carey Peterson, Calorie Board's medical adviser, International Low-Discrimination Association

However, said Sacco, who is also the head of neurology at the Miller University of Medicine at the University of Miami, the more Tweets appear with the same associations, "the more you begin to question.

(Photo: Firdaus Khaled, Shutterstock)

Critics also point to the potential benefits of artificially sweetened beverages to reduce weight, which is a critical issue for the epidemic of obesity in the United States and around the world.

For example, two meta-analyzes of existing non-sugary sweeteners research at the World Health Organization named these studies "Low quality and" unconvincing, "said William Dermodi Jr., President of Mass Media and Public Affairs for the American Beverage Association, a trade organization.

"Regulators throughout the world consider safe low-calorie sweeteners," said Dermody, "and there is a significant amount of research showing that these sweeteners are a useful tool to help people reduce their intake of sugar.

"We support the call of the WHO to help people lower their diet in sugar, and we do our part by creating innovative beverages with less sugar or zero sugar, clear labeling of calories, responsible marketing practices and smaller packaging sizes."

American Heart Association issued last year's advice that the short-term use of low-calorie and artificial sweetened beverages instead of sugary can "be an effective strategy" to help reduce weight in adults, but not children.

The guide is aimed at t "It's hard to switch directly from sugary drinks to water," said Rachel Johnson, professor of Hawaiian University of Nutrition, chair of writing group for this scientific advisor. "Low caloric sweetened beverages can be a useful tool to help people make this transition."

In general, Johnson said, "There is a solid science that the consumption of sweet drinks is associated with adverse health effects. be careful to restrict your consumption until we learn more about how they can affect the risk of stroke in humans. " Marketing corporation, data group and consulting. In 2016, bottled water exceeded carbonated soft drinks to become the first beverage in volume and continued to dominate the market in 2017 and 2018. of a total of 12.2 billion gallons of carbonated beverages, according to the Beverage Marketing Corporation. "For hard-drinkers of dietary drinks and anyone who thinks to turn to them for weight loss." We can not just eat soda with your diet all day. Unlimited quantities are not harmless. "

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