Evidence map›Paper›PMID 36145117›Full record

SynthesisNutrients2022

Can Artificial Sweeteners Increase the Risk of Cancer Incidence and Mortality: Evidence from Prospective Studies.

Shoumeng Yan, Feifei Yan, Liping Liu, Bo Li, Shuxiang Liu, Weiwei Cui

Abstract readMeta-Analysis
In one paragraph

Synthesis in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Shoumeng YanSchool of Nursing, Jilin University, Changchun 130021, China.
Feifei YanDepartment of Nutrition and Food Hygiene, School of Public Health, Jilin University, Changchun 130021, China.
Liping LiuDepartment of Immunology, College of Basic Medical Sciences, Jilin University, Changchun 130021, China.
Bo LiDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130021, China.
Shuxiang LiuSchool of Nursing, Jilin University, Changchun 130021, China.
Weiwei CuiDepartment of Nutrition and Food Hygiene, School of Public Health, Jilin University, Changchun 130021, China.ORCID 0000-0002-0028-8564

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer has become a major challenge in the global disease burden. Artificial sweeteners are a class of chemical compounds that are used as food and beverage addition agent to replace sugar. However, the health effects of consuming artificial sweeteners are still unclear. This meta-analysis was performed to evaluate the role of artificial sweeteners on cancer. The databases PubMed, Cochrane Library, MEDLINE, Web of Science and EMBASE were searched up until July 2022. A Newcastle−Ottawa scale (NOS) was used to estimate the study quality. A total of 25 observational studies were included with a total of 3,739,775 subjects. The intake of artificial sweeteners had no apparent association with overall cancer incidence and mortality. However, in Europe, artificial sweeteners’ intake could increase the risk of cancer incidence (HR/RR = 1.07, 95% CI = [1.02, 1.12], I2 = 25.8%, P = 0.223), which appears to be related to a shift in nutritional behaviors in the countries. Significant results were also observed in subgroups with aspartame and a mixed intake of artificial sweeteners. Moreover, higher risk was observed for artificial sweeteners intake in all-cause mortality (HR/RR =1.13, 95% CI = [1.03, 1.25], I2 = 79.7%, p < 0.001) and a J-shaped association between them was found. More data from well-conducted studies and clinical trials are required.

Indexed as

NeoplasmsSweetening AgentsAspartameHumansIncidenceProspective StudiesSugarsAspartameSugarsSweetening Agentsartificial sweetenerscancerincidencemeta-analysismortality

Identifiers

PMID36145117
PMCPMC9506029

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.