Diet Sodas and Metabolic Risks?

The Framingham Heart Study has just released new results suggesting that people who drink one or more 12-ounce sodas a day have a greater chance of developing “multiple metabolic risk factors” such as obesity, high blood pressure (hypertension), high blood sugar (diabetes), or low HDL-cholesterol (the good kind). The story made headlines in USA Today and other publications because diet sodas–which have no calories–were associated with the same level of risk as that of sodas made with corn sweeteners. As might be expected, soda industry officials find this result ridiculous but I think it makes sense if you think of sodas–diet and not–as an indicator of poor dietary habits. Plenty of evidence suggests that many (although certainly not all) people who habitually drink sodas of any kind consume more calories, have worse diets, and are more likely to be overweight than people who do not. For some individuals, using artificial sweeteners helps maintain weight. But on a population basis, the huge increase in use of artificial sweeteners since the early 1980s has occurred precisely in parallel with rising rates of obesity. So lots of people must be making up for the calories they save in diet sodas by eating other junk foods. When it comes to food, I don’t care for anything artificial so I try to avoid artificial sweeteners as much as I can. And you?