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Sugar-free doesn't get you off scot-free

Last night on my way home, I drove past a billboard that showed three cans of Diet Coke on a table. The caption was: The 3-Hour Meeting. The thing is, I know people who can (and do) drink a can of diet soda per hour. But if you suggest to a diet-sodaholic that six or eight diet sodas a day might be excessive, they’re likely to argue that there’s nothing wrong with drinking that much. After all, it’s got no calories. It’s practically the same as drinking water, right?

Maybe not.  Evidence is mounting that diet sodas are anything but health-neutral.  First off, diet sodas  don’t appear to help you manage your weight, which is presumably their raison-d'etre, right? Studies show that the more diet soda you drink the more likely you are to be overweight or obese.  Now, this study doesn’t show that diet soda makes you fat. It might be that people drink diet soda because they are already overweight. But it does suggest that drinking diet soda doesn’t help you get any thinner.

And there’s other research suggesting that artificial sweeteners may disrupt your brain's ability to regulate caloric intake, leading you to overeat and gain weight.  There's also some suggestion that diet sodas increase your appetite and cravings for sweets. So instead of satisfying your sweet tooth with a “harmless” calorie-free beverage, you may actually be stoking your cravings for sugar. (I wonder if that’s why so many diet soda drinkers develop what they describe as “addictions” to the beverages?) 

Secondly, diet (and regular) sodas contain phosphates, which can leech calcium out of bones. These days, most teens and young adults are drinking copious amounts of soda during the years when they need to accumulate a lifetime store of bone mass. As a result, they are much more likely to suffer from osteoporosis, and to experience the effects of thinning bones much earlier in life.

And now, research shows that those who drink one or more soda per day (whether diet or regular) are 40% more likely to develop metabolic syndrome, a collection of risk factors that put you on the fast track to heart disease and diabetes.

A harmless indulgence? It hardly seems like it. (And I haven't even mentioned the controversy over the purported toxicity of artificial sweeteners like Splenda and Equal.)

If none of this gives you second thoughts about drinking diet soda, you’re not alone. Here’s at least one writer who feels that sodas are merely the latest victims of the “food police.” 

Personally, I think I’ve seen enough to convince me that anything more than occasional soda is just not worth it. I prefer making my own fizzy drinks with seltzer and fruit juice anyway.  In fact, I just found this cool little gizmo that you can use to make selzer water at home.  It uses a big CO2 cartridge to carbonate filtered, spring or tap water. It's a little like those old-fashioned soda siphons except that one cartridge (which is about the size of a 1 liter bottle of soda) charges about 100 bottles of water and can then be exchanged for a full one, sort of like the propane tank on your gas grill. 

I just bought one for the house and we really like it. It’s cheaper than buying even store-brand seltzer, plus we’re not putting all those plastic bottles in the recycling bin every week.  It's called a Soda-Club Home Soda Maker if you want to check it out.

COMMENTS:

Posted by: Elsa McKeithan | Aug 21, 2007 7:00:29 PM

Re: seltzer maker "It's called a if you want to check it out."
It's called a what?
I'm interested in getting one.

Posted by: Cristina | Aug 21, 2007 9:21:28 PM

Keep in mind that it is usually just caramel colored soft drinks like colas that contain phosphates. Many clear or vibrantly colored sodas do not contain phosphates.

Posted by: Monica Reinagel | Aug 22, 2007 9:44:43 AM

Hi Elsa, not sure why the link isn't appearing for you. It's called a Sosa Club Home Soda Maker and you can check it out here:
http://sodaclubusa.com

Posted by: Monica Reinagel | Aug 22, 2007 4:36:54 PM

Cristina, good point.

To see if your favorite soda contains phosphates, look for "phosphoric acid" in the ingredient list.

Posted by: jillcarley | Aug 27, 2007 9:30:41 AM

Do diet drinks such as a white tea
which has 13-18 mg of caffeine(I believe), count towards the daily goal
of 6-8, 8 ounces of water? Thank you.

Posted by: John | Aug 27, 2007 10:01:29 AM

Overall, I'm skeptical. But taking them point by point:

Making you crave more sugar/food - I don't see the relevance. We're each responsible for the total calories we ingest and burn off. If you want to eat a twinkie, forego something else. No one's responsibility but your own. May very well be that that's more difficult for some than others but it IS simple. I can only speak for my own self-discipline.

Calcium depletion? - I'll take my chances.

Metabolic syndrome? Never heard of this one before but it sounds serious. But 40% increase from what? If it's from .0001 to .0014, again, I'll take my chances. If it's from 0.4 to 0.56, okay, I'll be genuinely concerned. In the absense of information, I'll take my chances (and accept the responsibility).

In sum, from what's been presented here (and other places), there's not enough to make me change my behavior. Maybe at the margin there's something to be said for this but let's first get total cals / fat / sodium / exercise under control.

Posted by: VJ West | Aug 27, 2007 11:26:46 AM

Metabolic Syndrome is a condition that is really a collection of health problems. It is diabetes, high blood pressure, arthritis and artheriosclerosis....clogged arteries. Typically the body shape that llooks like an apple with the weight localized in the middle. It is just as prevalent in men as in women. If your triglycerides are high and good cholesterol is low, if you have a prediabetic condition, shortness of breath or little twinges of pain in your chest, a snap-crackle-pop in the knees and back when you get up in the morning...you're already there.

Posted by: Monica Reinagel | Aug 27, 2007 1:26:08 PM

John,

you're right: metabolic syndrome is very serious...and about 1 in 4 American adults have it (most of them, without knowing it).

Here's more information: http://www.aafp.org/afp/20040615/2875.html

Posted by: Mary | Aug 27, 2007 5:03:02 PM

"snap-crackle-pop in the knees". I don't think this has anything to do with metabolic syndrome. Sounds like oseoarthritis to me. Do take the apple vs. pear shape warning tho. My wonderful sister-in-law wouldn't, and now she "flunked" her stress test and is scheduled for a cardiac cath. No fun. If only she had taken care of herself. I love her dearly.

Posted by: jpatti | Sep 10, 2007 9:35:53 AM

I've never cared for water much and can't do juice because I'm diabetic, but I wanted to cut my soda intake down as Diet Pepsi just shouldn't be that big a part of anyone's diet.

So, I am using juice to make my own flavored waters. I mix 1/2 cup cranberry juice (the real stuff, not "cocktail") or 1/2 cup lemon juice, with water to a total volume of 2 liters and add just enough stevia added to cut the sourness a bit. It comes in at 2g carb/glass for the cranberry and 1g for the lemon, so really it's not much carbier than my coffee with cream. And it tastes pretty good!

Posted by: j | Aug 25, 2008 5:17:06 PM

I remember talking to an orthopedic surgeon about this subject some years ago. Carbonation in general can prevent the absorption of calcium, so whether it's a home made drink or diet pepsi, you're not out of hot water yet. Personally I don't find I crave sweets after drinking a diet soda. I kind of feel like I've had too much "sweet." Anyway, here is some more info about the link between diet and osteoporosis from this linkhttp://www.consumerhealthdigest.com/---------

Preventing Osteoporosis - High Risk Factors:

Carbonated soft drinks – these contain a large amount of phosphorous and research has shown a link between too much phosphorous and calcium loss. Teenagers in particular are at extreme risk. Carbonation also neutralizes stomach acid making it harder for you to absorb calcium.

Excessive phosphorous in your diet will create poor bone structure. Phosphorous can be found in processed food, soft drinks and processed meat.
Excess intake of caffeine, alcohol and sugar will cause calcium to be lost from the body.

Cigarette smoking is also a significant risk factor for preventing osteoporosis - the bone mineral contents of smokers significantly lower than in men and women who don’t smoke. Also twice as many women with osteoporosis smoke compared to those women who don’t have osteoporosis.

Antacids and pharmaceuticals such as anti-seizure drugs and diuretics can result in decreased absorption of calcium. Diuretics are commonly used to treat high blood pressure, swelling of the lower legs and congestive heart disease. Discuss this osteoporosis prevention measure with your health care professional.

Fluoride - evidence suggests that drinking water with fluoride will increase your risk of hip fractures. We have high amounts of fluoride in our drinking water and toothpaste and when eating a normal diet the average person can exceed the recommended dose. If you’re at risk of osteoporosis or want to prevent it, we’d recommend you spend some money on a water filter that removes fluoride.

Posted by: David G | Dec 29, 2008 5:23:37 PM

This just in... Koreans have found a strong link between phosphates and lung cancer in experiments with mice..
http://www.medscape.com/viewarticle/586013

I love my diet pepsi but maybe it's time to think again...

Posted by: Liz O | Jan 5, 2009 12:34:28 PM

I recently discovered that I drink about 7 Caffeine Free Diet Mtn. Dews per day. Guess I need to cut down, but I really don't like plain water. Can replacing diet soda with plain water increase weight loss? That might be worth the switch.

Posted by: Janine White | Jan 14, 2009 1:16:41 PM

Although there is some evidence that some artificial sweetners are not helpful for weight loss and may be toxic, Dr. Hull is hardly a reliable source. She also pedals nutritional recommendations based on hair analysis, which are known to be unreliable for current health analysis except for few cases of heavy metal poisoning that would already have obvious symptoms.

http://www.quackwatch.org/01QuackeryRelatedTopics/hair.html

Posted by: Wayne | Feb 8, 2009 7:44:20 PM

Water haters- try bottled water with Ocean Spray or Crytal Light flavor packs, only 5 calories per serving. There are even some "store" brands available. Very Tasty and some have added minerals and vitamins...I am a former 6 pack a day soda man and this did the trick for me. I have one Dr. Pepper or Coke every week or so as a treat.

Posted by: Bob S | Mar 23, 2009 5:40:00 PM

Studies show. Yeah, yeah, yeah. What studies? When was the Scientific Method applied to this? I am so tired, and I would think that you would know better, of these pseudo-scientific studies that have no scientific basis. Tomatoes prevent prostate problems studies show. 8 years or so later - Never Mind. No Proof. Let's all stop jumping on the train of the latest untested 'study' and get back to FACTS and the rigorous testing of the hypotheses. I call these other studies, Scare Studies, to get the attention of readers.

Posted by: Margaret W | Mar 23, 2009 8:18:40 PM

a diet high in phosphorus/phosphates (like the intake of copius amounts of diet or regular soda) affects the body's ability to absorb calcium. One side effect of this condition is renal (kidney) stones. the pain and agony from them is worth reducing your intake of any kind of carbonated beverage!

Posted by: kiki | Mar 24, 2009 4:35:41 PM

what about cancer and aspartame or cyclamine? is trere any relationship between lung's function and increased transaminaces with their consumption??

Posted by: Paul | Mar 29, 2009 11:03:33 PM

What about "club soda"?

Monica's Response: I have never seen any evidence or reports that club soda is associated with any ill effects. Some types of club soda contain sodium so if you're watching your salt intake, you need to check the label.

Posted by: Rene Porcile | Apr 2, 2009 3:51:32 AM

Your body needs water. Why would anybody pay money for sugared carbonated water, that takes valuable calcium from my bones and can cause digestive problems, diabetes, kidney stones...& the list goes on. The only reason anyone would drink these things is because fast food industries have brainwashed them into believing it's better than water. I drink 70 oz. of water a day, soy milk, sometimes fruit juices.

Fast food industries are selling ice to the Eskimos. Careful, it's your body, why take chances. Stay healthy and water is what the body needs.

Posted by: Rene Porcile | Apr 2, 2009 6:48:28 PM

I've read sodas can deplete our water supply from our bodies, just like hard liquor. Also, keep in mind that over 40 grams of sugars per day can cause over 36 different health problems including cancer. check out the article at: http://tr.im/i0lX

Do you eat fast foods? Processed foods? And do you feel loyal to those companies? Or do you sometimes feel you have no alternatives? Well, check this out - http://tr.im/hQBS - cause you do have a choice.

Attract more of what you want,
Rene

Posted by: Kim | Apr 7, 2009 2:47:18 PM

For 15 years i never drank any water at all...Not pure water..I thought I hated it...I only drank diet soda and i would drink a 12 pack per day...It is absoultley crazy to think water tastes bad..
I quit drinking diet coke and begun drinking water...In as little as 3 weeks I lost 12 lbs. I could think more clear, I snapped out of a depression state that I had been in for as long as i can remember...All to once I just snapped out of it...I felt more energetic...Healthy.. and Happy..I hadnt felt that way in a long, long time...
I cant believe I hated water...Water is essential for beauty, health..CLEAN, PURE WATER..and I hated It...that is crazy..now i love it...diet soda is evil....I changed so much, mood, appearance, everything in 3 weeks...THREE WEEKS...i felt like a new person..
diet soda i believe is toxic

Posted by: kcb | Jun 26, 2009 6:50:25 PM

Be careful about quackwatch! They are biased and their evaluative ability is limited by this. There have been some hair analysis labs and methods evaluated to be inaccurate and this has a lot to do with methods of collection, washing at the labs, and a isunderstanding of how to read results. Hair analysis has helped many people get a clearer idea of their endocrine function and establish their health (with the help of a qualified health care professional, of course).
Aritificial sweeteners are nasty and should be avoided. This is very basic.
--From a Registered Dietitian

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