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Soft drink consumption has been associated not only with weight gain and obesity but also with excess mortality in U.S. studies. In this prospective cohort study from 10 European countries, ≈450,000 participants (mean age, 51) completed questionnaires on dietary and clinical risk factors, including consumption of sugar-sweetened and artificially sweetened soft drinks. Participants with known heart disease, cancer, or diabetes were excluded. Mean follow-up was 16 years.
In adjusted analyses, mortality (mostly from cancer and cardiovascular causes) was 17% higher for participants who consumed 2 or more glasses of soft drinks daily compared with those who consumed less than 1 glass monthly. The mortality association was slightly stronger for ar…