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Sugar sweetened drinks have faced criticism for years, with diet versions often viewed as safer. A new study ties both sugar-filled and artificially sweetened drinks to elevated chances of metabolic dysfunction-associated steatotic liver disease (MASLD), the severe liver disorder previously named nonalcoholic fatty liver disease. This occurs when fat accumulates in the livers of individuals who rarely or never drink alcohol.
Regular soda's high sugar levels mean consuming over 9 ounces daily raises MASLD risk by 50%, triggering liver fat buildup. Diet soda correlates with a 60% increased risk, and these drinks are also tied to greater mortality from liver disease.
Diet sodas are promoted for weight control, yet they may trigger insulin resistance and weight gain, leading to fat accumulation in the liver. They also may disrupt gut bacteria, affecting metabolism and boosting inflammation.
Your body handles all sugars in a comparable way, yet the liver mainly processes fructose. Excess intake, particularly from sodas and similar sources, can drive fat buildup in the liver.
For the study, researchers analyzed data from more than 100,000 people without initial liver disease, with a median follow-up exceeding 10 years. Participants detailed their intake of sugary and low/no-sugar drinks, while MRI scans assessed liver fat levels.
Throughout the follow-up, 949 participants developed MASLD, and 103 died from liver-related causes. Researchers found that swapping one daily serving of either drink for water lowered MASLD risk by 13-15%, while switching from sugary to diet beverages provided no advantage.
Researchers discovered that replacing either beverage type with water daily reduced MASLD risk. When thirst strikes, grab a glass of water. Choosing water instead of sugary or diet drinks is the best way to protect your liver.
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