To examine whether sugar-sweetened beverages (SSB) or artificially sweetened beverages (ASB) are associated with an increased incidence of liver cancer.
Approach:
Key Findings:
An increase of 1 beverage/day in SSB intake was associated with a 10% increased risk of hepatocellular carcinoma (HCC) and a 15% increased risk of intrahepatic cholangiocarcinoma (ICC).
No association was found between ASB consumption and liver cancer, HCC, or ICC in adjusted models.
Interpretation:
Remove unsupported conclusions and interpretations.
Limitations:
Data on SSB and ASB consumption were primarily collected at a single time point, limiting the assessment of consumption pattern changes over time.
Potential residual confounding or mediation by metabolic dysregulation was not fully addressed.
The cohorts included span from 1984 to 2009, and changes in artificial sweeteners over time may affect risk assessment.
Interactions with other liver cancer risk factors, such as viral hepatitis, were not explored.
Conclusion:
Remove recommendations and implications not directly stated in the source.