Soda and stroke bad outcomes… one more time

By Dr. Alan Kadish NMD

It seems that there is barely a day that passess when we “discover” other reason to kick the habit.

This study links the use of sugar sweetened beverages to higher stroke risk, inflammation and host of diseases in the making. Curiously they refer to their findings even though  32,ooo+ folks were surveyed by stating:  ” This finding warrants confirmation by other large studies” due to it’s being an observational study….

Let’s dive in and check the language and the reality. Although the study was observational, meaning the investigators did not assign the group, the barrage of information and other studies support the contention that sugar consumption is just plain a bad idea. The blood studies back up their claims and many observational studies more that illustrate a trend. And for those wanting to be in the know…. the more you drink the higher the risk.

Check out the real amount of sugar in your drinks by referencing the work at: Cutyoursugar.org

The major role of inflammation and disease alone, seen again in this study only amplifies the rationale that for good health avoid sugar products.

Does this mean no deserts ? No, it means that the use of limited natural sweetening agents, principally whole fruit and not concentrated fruit concoctions. Use significant moderation and forego the 2nd piece or ….this would still probably satisfy most folks sweet tooth desires. If not let’s evaluate the hormones and check for other blood sugar issues. Keep in mind that over time you can develop a change of habits.

Why did I add this caveat….because in many studies it’s been found that our taste buds have become acclimated to the expectation of higher sweetening levels, from the sugary foods. Most importantly when you withdraw from their input your taste buds recover and find the stimulation more than adequate. Takes a few weeks but I challenge you to see the difference. I typically ask my patients to eliminate the sugary products for a two week time frame. Then try a sip of their previous sugar laden beverage……more than telling and no longer as appetizing or desired.

To your long term health….. Want to optimize your health ? Call the Center of Health 541.773.3191

 

STUDY LINKS SUGAR-SWEETENED BEVERAGES TO STROKE RISK

By Greg Arnold, DC, CSCS, March 24, 2015, from “Sweetened beverage consumption is associated with increased risk of stroke in women and men” in the June 2014 issue of the Journal of Nutrition.
 
In a 2014 study (1), researchers followed 32,575 women between the ages of 49 and 83 and 35,884 men between the ages of 45 and 79 initially without cardiovascular disease, cancer, or diabetes. The consumption of sweetened beverages was assessed using a food-frequency questionnaire (2) and included sugar-sweetened and artificially sweetened soft drinks and juice drinks. The researchers defined sweetened beverage consumption with the question ‘‘How many soft drinks or sweetened juice drinks do you drink per day or per week?’’ In addition, subjects reported their average consumption of 96 foods and beverages during the past year.
 
Over an average follow-up of 10.3 years, compared to the lowest intakes of sweetened beverages per day (less than 0.5 servings, 200 milliliters of liquid per serving), those with the highest intakes per day (> 2 servings) had a 19% increased risk of all types of stroke (p < 0.01) and a 22% increased risk for a type of stroke called cerebral infarction (p < 0.01).
 
When suggesting how sugar-sweetened beverage consumption may increase stroke risk, the researchers pointed to a “positive association” between sweetened beverage consumption and metabolic syndrome (3) as well as increased levels of LDL cholesterol, blood sugar, and an inflammatory protein called high-sensitivity C-reactive protein (4). Finally, researchers cited the Health Professionals Follow-Up Study where “sweetened beverage consumption was positively associated with plasma triglycerides, C-reactive protein, IL-6…and inversely associated with HDL cholesterol, lipoprotein(a), and leptin (5).”
 
For the researchers, “These findings suggest that sweetened beverage consumption is positively associated with the risk of stroke.” They did conclude that “This finding warrants confirmation by other large studies” due to some weaknesses in their study design, specifically that their study was an observational study, leaving them unable to rule out “the possibility of residual confounding due to unmeasured or imprecise measurement of other risk factors for stroke.” In addition, the self-administered questionnaire used to assess sugar-sweetened beverage consumption was measured only once which “will inevitably lead to some measurement error in the assessment of sweetened beverage consumption.
 
References:
1.     Larsson SC. Sweetened beverage consumption is associated with increased risk of stroke in women and men. J Nutr. 2014 Jun;144(6):856-60. doi: 10.3945/jn.114.190546. Epub 2014 Apr 9.
2.     Messerer M, Johansson SE,Wolk A. The validity of questionnaire-based micronutrient intake estimates is increased by including dietary supplement use in Swedish men. J Nutr. 2004;134:1800–5
3.     Malik VS, Popkin BM, Bray GA, Despres JP, Willett WC, Hu FB. Sugar sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis. Diabetes Care. 2010;33:2477–83
4.     Aeberli I, Gerber PA, Hochuli M, Kohler S, Haile SR, Gouni-Berthold I, Berthold HK, Spinas GA, Berneis K. Low to moderate sugar-sweetened beverage consumption impairs glucose and lipid metabolism and promotes inflammation in healthy young men: a randomized controlled trial. Am J Clin Nutr. 2011;94:479–85
5.     de Koning L, Malik VS, Kellogg MD, Rimm EB, Willett WC, Hu FB. Sweetened beverage consumption, incident coronary heart disease, and biomarkers of risk in men. Circulation. 2012;125:1735–1741, S1731

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Dr. Kadish is an unusual physician often referred to as a "doctor detective". His expertise is the evaluation and treatment of complex disorders, typically after other physicians have been stumped, is renowned. He provides care for all family members and has additional training in autistic spectrum disorders and chronic complex diseases.