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“It’s time to pay attention to, and take priority actions to deal with, this tragic preventable suffering,” Mozaffarian said in an email.

Because the study did not test a behavior or intervention against a control group, the new study’s researchers can’t say that the sugar sweetened beverages are causing diabetes and cardiovascular disease –– they can only estimate the impact.

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But the finding of sugary beverages as harmful makes sense, as many studies have shown a link between such drinks and poor health impacts, Mozaffarian said.

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“Liquid sugars are absorbed more rapidly in the digestive system since they do not require the same breakdown processes as solid foods,” Janzi said in an email. “Solid sugars are often part of foods that contain other nutrients like fiber, proteins, and fats.”

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“Different sources of added sugars also vary in their consumption patterns, which could further explain why they associate differently with cardiovascular disease risk,” Janzi said.

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“Growing research shows that both natural and artificial low-calorie sweeteners are not innocuous and may cause health harms, so these should be considered a short-term, less harmful alternative, not a long-term solution,” he said.

For example, artificial sweeteners might be a good substitute in moderation for people with diabetes, who may be accustomed to sugary drinks, Smithson said.

“By providing a diabetes-friendly way to prepare foods people are used to eating, we can meet people where they are in offering support to effectively manage their diabetes,” she said.

But instead of relying on artificial sweeteners, Mozaffarian advises switching to unsweetened drinks all together, such as seltzer, unsweetened tea or coffee, or just plain water.

Hydration is important for managing blood pressure, blood sugar, internal temperature and digestion, Smithson said.

“Thebest hydrating beverage is water,”she said in an email. “If a person doesn’t like plain water, they can jazz up their beverage by drinkinginfused waterwith slices of lemon, lime, or fresh herbs, or using sparkling waters that contain no added sugar.”

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