
Two soft drinks a day may increase risk of early death
Peer reviewed by Natalie HealeyLast updated by Milly EvansLast updated 4 Sept 2019
Meets Patient’s editorial guidelines
- DownloadDownload
- Share
- Language
- Discussion
- Audio Version
- Add to preferred sources on Google
A study has suggested that drinking soft drinks, including sugar-free, increases the risk of death.
The findings, published in the journal Jama Internal Medicine, found that drinking both sugary and artificially sweetened ('diet') soft drinks was associated with a higher risk of death.
The study looked at around 452,000 people from 10 European countries including Denmark, France, Greece, Germany, Italy, the Netherlands, Norway, Spain, Sweden and the UK.
The researchers looked at data from food questionnaires or interviews from 1992 to 2000. Participants were followed up an average of sixteen years later. In this time, 41,693 deaths were recorded.
The researchers found that when drinking two or more glasses of soft drinks a day, compared to drinking less than one a month, all types of soft drinks were associated with an increased risk of death from all causes. Those consuming two or more glasses were found to have an increased risk of circulatory diseases and those consuming just one glass a day had a higher risk of dying from digestive diseases.
Drinking soft drinks was not found to increase the risk of dying from cancer.
The study is the largest of its kind. The researchers say that their findings support ongoing public health initiatives to encourage healthy eating and reduce soft drink consumption. But this research only shows a correlation between soft drinks and early death. It does not prove fizzy beverages cause early death. Additionally, the findings relied on participants reporting their soft drink intake, which may not be reliable.
"Our results for sugar-sweetened soft drinks provide further support to limit consumption and to replace them with other healthier beverages, preferably water," study coauthor Neil Murphy, a scientist at the International Agency for Research on Cancer, told Reuters. "For artificially sweetened soft drinks, we now need a better understanding of the mechanisms that may underlie this association and research such as ours will hopefully stimulate these efforts."
This study was published in Jama Internal Medicine.
Patient picks for Healthy eating

Diet and nutrition
What is snackification, and why is it taking over our kitchens?
Snackification is all about eating smaller amounts more often. With busy schedules and the rise of weight loss medicines, many people are swapping three square meals for smaller, more frequent bites. This shift is even shaping how brands approach food and mealtimes. But is it actually healthy? We asked an expert to break down the pros and cons of this growing eating habit.
by Victoria Raw

Diet and nutrition
How to stop your sugar cravings
Many of us fancy something sweet from time-to-time, and often raid the cupboard for biscuits or chocolate after dinner. However, it’s easy to get into the habit of eating too many sugary foods - which is harmful for your health. So can you curb your cravings?
by Lynn Stephen
About the authorView full bio

Milly Evans
Editor
Milly writes on a range of health topics, with a particular interest in health inequality and sexual health.
About the reviewerView full bio

Natalie Healey
Freelance journalist
BSc (Hons) Biomedical Science
She is a London-based health journalist who has been writing about science and medicine for several years. She is the former head of editorial at Patient.
Article history
The information on this page is peer reviewed by qualified clinicians.
Article also available in English, German, Spanish, French, Italian, Portuguese, Hindi, Hebrew, Arabic, and Swedish.
4 Sept 2019 | Latest version

Ask, share, connect.
Browse discussions, ask questions, and share experiences across hundreds of health topics.

Feeling unwell?
Assess your symptoms online for free
Sign up to the Patient newsletter
Your weekly dose of clear, trustworthy health advice - written to help you feel informed, confident and in control.
By subscribing you accept our Privacy Policy. You can unsubscribe at any time. We never sell your data.
More in diet and nutrition
- 10 sources of plant-based protein for bone health
- 7 easy and delicious noodle recipes for students
- A hybrid approach to eating: your guide to the pegan diet
- Biotin: do vitamins for hair growth really work?
- Can collagen supplements boost your health?
- Can taking supplements help manage diabetes?
- Fatty liver diet: foods to eat and avoid
- How healthy is flavoured water?
- How to avoid ultra processed foods when you're vegan
- UpdatedHow to build muscle on a vegan diet
- PCOS diet: What to eat to manage symptoms
- Size matters: why our oversized portions are contributing to the obesity crisis
- Ultra-processed foods: Are dairy-free milks like oat or soya good for us?
- What is clean eating and how can you start?
- What is the anti-inflammatory diet?
- What is the Eatwell Guide? A balanced diet explained
- What is the Korean diet?
- What vitamins do I need?
- Which foods can reduce your stress and anxiety?
- Why ultra-processed foods are so addictive - and how to cut down