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ABC news reports that the average American guzzles about 50 gallons of soda per person, per year. In fact, soda has become the primary source of calories in the American diet.
But the evidence is adding up that Americans' obsession with soda is catching up to them in the form of increased risk of obesity, diabetes and osteoporosis.
While soda if full of empty calories and sugar, water is 100 percent calorie-free and has many advantages over soda.
The Mayo Clinic reports that you gain weight when you eat more calories than you burn off 2. Soda, being relatively high in calories, can contribute to this energy imbalance.
According to LIVESTRONG's Daily Plate website, a 12 oz. can of Coke contains 140 calories.
On the other hand, unflavored water is calorie-free.
- The Mayo Clinic reports that you gain weight when you eat more calories than you burn off 2.
- Soda, being relatively high in calories, can contribute to this energy imbalance.
Is Coca Cola Healthy?
CNN reports that obesity is a major public health problem that's partly caused by soda intake. ABC News says consuming two 20 oz. sodas per day can lead to 52 pounds of weight gain over the course of one year.
Researcher David Ludwig of the Harvard School of Public Health says soda intake is closely linked to obesity risk. On the other hand, water, being calorie-free, does not increase the risk of obesity. In fact, website Natural News suggests that water may be able to partly offset obesity risk and facilitate weight loss 3.
- CNN reports that obesity is a major public health problem that's partly caused by soda intake.
- Researcher David Ludwig of the Harvard School of Public Health says soda intake is closely linked to obesity risk.
Sugar has been tied to a number of health problems, such as diabetes and cavities. The Daily Plate says a single can of Coke contains 39 grams of sugar, mostly in the form of high fructose corn syrup, or HFCS. However, water contains no sugar.
What Are the Benefits of Not Drinking Soda?
Diet soda seems to be just as unhealthy as the real stuff, according to website Science Daily, which reports that a heavy intake of artificial sweeteners such as:
- or NutraSweet,
- or Sweet N Low
- may contribute to weight gain 4
For many, the switch from soda to water is difficult because they miss the sweetness that soda provides. To make water more flavorful, try adding sliced lemon or a teaspoon of 100 percent fruit juice.
Appetite and Weight Loss
Science Daily reports that water intake may curb appetite--something soda doesn't do. The website says drinking 16 oz. of water before a meal is enough to reduce appetite and overeating and that if you make drinking water a habit, it can be effective for weight loss.
Is Coca Cola Healthy?
What Are the Benefits of Not Drinking Soda?
Why Are Soft Drinks Bad for Your Health?
Health Dangers of Drinking Soda
What Are the Dangers of Coke?
Club Soda Nutrition
Does Drinking Soda Hurt Cardiovascular Endurance?
Ingredients in Diet Sodas
You Stopped Drinking Soda So Why Are You Not Losing Weight?
Are There Health Benefits of Drinking Diet Soda?
- ABC News: Soda Stats--How Those Empty Calories Add Up
- Mayo Clinic: Metabolism and weight loss--How you burn calories
- Natural News: Drinking Water Could Curb Obesity
- Science Daily: Artificial Sweeteners Linked To Weight Gain
- Coca-Cola Bottle, 12 fl oz. U.S. Department of Agriculture. Published February 27, 2020.
- 2015-2020 Dietary Guidelines for Americans. U.S. Department of Health and Human Services.
- How much sugar is too much? American Heart Association.
- Freeman CR, Zehra A, Ramirez V, Wiers CE, Volkow ND, Wang GJ. Impact of sugar on the body, brain, and behavior. Front Biosci (Landmark Ed). 2018;23:2255-2266. Published 2018 Jun 1.
- Pasiakos SM, McLellan TM, Lieberman HR. The effects of protein supplements on muscle mass, strength, and aerobic and anaerobic power in healthy adults: a systematic review. Sports Med. 2015;45(1):111-131. doi:10.1007/s40279-014-0242-2
- Blom WA, Lluch A, Stafleu A, et al. Effect of a high-protein breakfast on the postprandial ghrelin response. Am J Clin Nutr. 2006;83(2):211-220. doi:10.1093/ajcn/83.2.211
- Tipton KD. Nutritional Support for Exercise-Induced Injuries. Sports Med. 2015;45 Suppl 1:S93-S104. doi:10.1007/s40279-015-0398-4
- Kerstetter JE, Kenny AM, Insogna KL. Dietary protein and skeletal health: a review of recent human research. Curr Opin Lipidol. 2011;22(1):16-20. doi:10.1097/MOL.0b013e3283419441
- Paddon-Jones D, Short KR, Campbell WW, Volpi E, Wolfe RR. Role of dietary protein in the sarcopenia of aging. Am J Clin Nutr. 2008 May;87(5):1562S-1566S. doi: 10.1093/ajcn/87.5.1562S. PMID: 18469288.
- Maughan RJ, Griffin J. Caffeine ingestion and fluid balance: a review. J Hum Nutr Diet. 2003 Dec;16(6):411-20. doi: 10.1046/j.1365-277x.2003.00477.x. PMID: 19774754.
- Lete I, Allué J. The Effectiveness of Ginger in the Prevention of Nausea and Vomiting during Pregnancy and Chemotherapy. Integr Med Insights. 2016;11:11-17. Published 2016 Mar 31. doi:10.4137/IMI.S36273
- Laura Helm, Ian A. Macdonald, Impact of beverage intake on metabolic and cardiovascular health, Nutrition Reviews, Volume 73, Issue suppl_2, 1 September 2015, Pages 120–129, https://doi.org/10.1093/nutrit/nuv049
- Ma J, Jacques PF, Meigs JB, et al. Sugar-Sweetened Beverage but Not Diet Soda Consumption Is Positively Associated with Progression of Insulin Resistance and Prediabetes. J Nutr. 2016;146(12):2544-2550. doi:10.3945/jn.116.234047
- Rippe JM, Angelopoulos TJ. Relationship between Added Sugars Consumption and Chronic Disease Risk Factors: Current Understanding. Nutrients. 2016;8(11):697. Published 2016 Nov 4. doi:10.3390/nu8110697
- Bucher Della Torre S, Keller A, Laure Depeyre J, Kruseman M. Sugar-Sweetened Beverages and Obesity Risk in Children and Adolescents: A Systematic Analysis on How Methodological Quality May Influence Conclusions. J Acad Nutr Diet. 2016;116(4):638-659. doi:10.1016/j.jand.2015.05.020
- Bray GA, Nielsen SJ, Popkin BM. Consumption of high-fructose corn syrup in beverages may play a role in the epidemic of obesity [published correction appears in Am J Clin Nutr. 2004 Oct;80(4):1090]. Am J Clin Nutr. 2004;79(4):537-543. doi:10.1093/ajcn/79.4.537
- Vartanian LR, Schwartz MB, Brownell KD. Effects of soft drink consumption on nutrition and health: a systematic review and meta-analysis. Am J Public Health. 2007;97(4):667-675. doi:10.2105/AJPH.2005.083782
- Pollock NK, Bundy V, Kanto W, et al. Greater fructose consumption is associated with cardiometabolic risk markers and visceral adiposity in adolescents [published correction appears in J Nutr. 2013 Jan;143(1):123]. J Nutr. 2012;142(2):251-257. doi:10.3945/jn.111.150219
- Elffers TW, de Mutsert R, Lamb HJ, et al. Body fat distribution, in particular visceral fat, is associated with cardiometabolic risk factors in obese women. PLoS One. 2017;12(9):e0185403. Published 2017 Sep 28. doi:10.1371/journal.pone.0185403
- Yudkin J. Sugar and ischaemic heart disease. Practitioner. 1967;198(187):680-683.
- Liu S, Willett WC, Stampfer MJ, et al. A prospective study of dietary glycemic load, carbohydrate intake, and risk of coronary heart disease in US women. Am J Clin Nutr. 2000;71(6):1455-1461. doi:10.1093/ajcn/71.6.1455
- Cohen L, Curhan G, Forman J. Association of sweetened beverage intake with incident hypertension. J Gen Intern Med. 2012;27(9):1127-1134. doi:10.1007/s11606-012-2069-6
- Welsh JA, Sharma A, Cunningham SA, Vos MB. Consumption of added sugars and indicators of cardiovascular disease risk among US adolescents. Circulation. 2011;123(3):249-257. doi:10.1161/CIRCULATIONAHA.110.972166
- Assy N, Nasser G, Kamayse I, et al. Soft drink consumption linked with fatty liver in the absence of traditional risk factors. Can J Gastroenterol. 2008;22(10):811-816. doi:10.1155/2008/810961
- Jiantao Ma, Caroline S. Fox, Paul F. Jacques, Elizabeth K. Speliotes, Udo Hoffmann, Caren E. Smith, Edward Saltzman, Nicola M. McKeown,Sugar-sweetened beverage, diet soda, and fatty liver disease in the Framingham Heart Study cohorts. Journal of Hepatology 63;2(2015). https://doi.org/10.1016/j.jhep.2015.03.032.
- Avena NM, Bocarsly ME, Hoebel BG. Animal models of sugar and fat bingeing: relationship to food addiction and increased body weight. Methods Mol Biol. 2012;829:351-365. doi:10.1007/978-1-61779-458-2_23
- Avena NM, Rada P, Hoebel BG. Evidence for sugar addiction: behavioral and neurochemical effects of intermittent, excessive sugar intake. Neurosci Biobehav Rev. 2008;32(1):20-39. doi:10.1016/j.neubiorev.2007.04.019
- Choi HK, Willett W, Curhan G. Fructose-rich beverages and risk of gout in women. JAMA. 2010;304(20):2270-2278. doi:10.1001/jama.2010.1638
- Choi HK, Curhan G. Soft drinks, fructose consumption, and the risk of gout in men: prospective cohort study. BMJ. 2008;336(7639):309-312. doi:10.1136/bmj.39449.819271.BE
- Jamnik J, Rehman S, Blanco Mejia S, et al. Fructose intake and risk of gout and hyperuricemia: a systematic review and meta-analysis of prospective cohort studies. BMJ Open. 2016;6(10):e013191. Published 2016 Oct 3. doi:10.1136/bmjopen-2016-013191
- Tooth. American Dental Association. https://www.mouthhealthy.org/en/az-topics/t/tooth.
- Cheng R, Yang H, Shao MY, Hu T, Zhou XD. Dental erosion and severe tooth decay related to soft drinks: a case report and literature review. J Zhejiang Univ Sci B. 2009;10(5):395-399. doi:10.1631/jzus.B0820245
- Hanover LM, White JS. Manufacturing, composition, and applications of fructose. Am J Clin Nutr. 1993;58(5 Suppl):724S-732S. doi:10.1093/ajcn/58.5.724S
- Meghan B. Azad, Ahmed M. Abou-Setta, Bhupendrasinh F. Chauhan, et al. Nonnutritive sweeteners and cardiometabolic health: a systematic review and meta-analysis of randomized controlled trials and prospective cohort studies. CMAJ Jul 2017, 189 (28) E929-E939; DOI: 10.1503/cmaj.161390
- Fowler, S.P., Williams, K., Resendez, R.G., Hunt, K.J., Hazuda, H.P. and Stern, M.P. (2008), Fueling the Obesity Epidemic? Artificially Sweetened Beverage Use and Long‐term Weight Gain. Obesity, 16: 1894-1900. doi:10.1038/oby.2008.284
- Fowler SP, Williams K, Hazuda HP. Diet soda intake is associated with long-term increases in waist circumference in a biethnic cohort of older adults: the San Antonio Longitudinal Study of Aging. J Am Geriatr Soc. 2015;63(4):708-715. doi:10.1111/jgs.13376
Brian East Dean is a registered dietitian who has been writing since 2007 on all things nutrition and health. His work has appeared in top health portals around the Web, such as Metabolism.com, and in the academic publication "Nutrition Today." He holds a Master of Science in nutrition from Tufts University in Boston.