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April 2007, Vol 97, No. 4 | American Journal of Public Health 667-675
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2005.083782

FRAMING HEALTH MATTERS

Effects of Soft Drink Consumption on Nutrition and Health: A Systematic Review and Meta-Analysis

Lenny R. Vartanian, PhD, Marlene B. Schwartz, PhD and Kelly D. Brownell, PhD

The authors are with the Department of Psychology, Yale University, New Haven, Conn.

Correspondence: Requests for reprints should be sent to Kelly D. Brownell, PhD, Department of Psychology, Yale University, PO Box 208205, New Haven, CT 06520-8205 (e-mail: kelly. brownell{at}yale.edu).

In a meta-analysis of 88 studies, we examined the association between soft drink consumption and nutrition and health outcomes. We found clear associations of soft drink intake with increased energy intake and body weight. Soft drink intake also was associated with lower intakes of milk, calcium, and other nutrients and with an increased risk of several medical problems (e.g., diabetes).

Study design significantly influenced results: larger effect sizes were observed in studies with stronger methods (longitudinal and experimental vs cross-sectional studies). Several other factors also moderated effect sizes (e.g., gender, age, beverage type). Finally, studies funded by the food industry reported significantly smaller effects than did non–industry-funded studies. Recommendations to reduce population soft drink consumption are strongly supported by the available science.




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