Evidence map›Paper›PMID 36750287›Full record

SynthesisBMJ open2023

Health and economic burden of disease of sugar-sweetened beverage consumption in four Latin American and Caribbean countries: a modelling study.

Andrea Alcaraz, Ariel Esteban Bardach, Natalia Espinola, Lucas Perelli, Federico Rodriguez Cairoli, Althea La Foucade, Cid Manso de Mello Vianna, Giovanni Guevara, Kimberly-Ann Gittens-Baynes, Paula Johns and 5 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
5.2field-weighted citation impact, top 4% of its field
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

12 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. The triple cost of tobacco and sugary drinks: health, economy and the environment.Revista peruana de medicina experimental y salud publica · 2025
    Article
  6. Article
  7. Gender differences in the burden of near vision loss in China: An analysis based on GBD 2021 data.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
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

15 authors at 5 institutions in 4 countries.

Andrea AlcarazHealth Techonology Assessment and Economic Evaluation Department, Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina aalcaraz@iecs.org.ar.ORCID 0000-0002-4260-8239
Ariel Esteban BardachHealth Techonology Assessment and Economic Evaluation Department, Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.
Natalia EspinolaHealth Techonology Assessment and Economic Evaluation Department, Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.
Lucas PerelliHealth Techonology Assessment and Economic Evaluation Department, Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.
Federico Rodriguez CairoliHealth Techonology Assessment and Economic Evaluation Department, Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.ORCID 0000-0002-3029-4439
Althea La FoucadeCentre for Health Economics, The University of the West Indies at St Augustine, St Augustine, Tunapuna-Piarco, Trinidad and Tobago.
Cid Manso de Mello ViannaHealth Economics Department, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Giovanni GuevaraUniversidad Católica de El Salvador, Santa Ana, El Salvador.
Kimberly-Ann Gittens-BaynesCentre for Health Economics, The University of the West Indies at St Augustine, St Augustine, Tunapuna-Piarco, Trinidad and Tobago.
Paula JohnsACT Promoção da Saúde, Sao Paulo, Brazil.
Vyjanti BeharryCentre for Health Economics, The University of the West Indies at St Augustine, St Augustine, Tunapuna-Piarco, Trinidad and Tobago.
Darío Javier BalánHealth Techonology Assessment and Economic Evaluation Department, Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.
Alfredo PalaciosHealth Techonology Assessment and Economic Evaluation Department, Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.
Federico AugustovskiHealth Techonology Assessment and Economic Evaluation Department, Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.
Andres Pichon-RiviereHealth Techonology Assessment and Economic Evaluation Department, Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.
Instituto de Efectividad Clínica y Sanitaria · ARConsejo Nacional de Investigaciones Científicas y Técnicas · ARUniversity of the West Indies · TTUniversidad Católica de El Salvador · SVUniversidade Federal do Rio de Janeiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOverweight and obesity are important contributors to the non-communicable disease burden. The consumption of sugar-sweetened beverages (SSBs) has been associated with an increased risk of type 2 diabetes mellitus (T2DM), cardiovascular disease, cancer and other conditions. The objective of this study was to estimate the burden of disease attributable to the consumption of SSBs and the costs to the healthcare systems in Argentina, Brazil, El Salvador, and Trinidad and Tobago.

designFollowing a systematic review of models, a comparative risk assessment framework was developed to estimate the health and economic impact associated with the consumption of SSBs.

settingArgentina, Brazil, El Salvador, and Trinidad and Tobago.

participantsOverall population. PRIMARY AND SECONDARY OUTCOME MEASURES: The model estimated the effects of SSB consumption on health through two causal pathways: one mediated by body mass index (BMI) and health conditions associated with BMI and another that reflected the independent effects of SSB consumption on T2DM and cardiovascular diseases.

resultsThe model results indicated that for all four countries, in 1 year, SSB consumption was associated with 18 000 deaths (3.2% of the total disease-related deaths), seven million disease events (3.3% of the total disease-related events), a half-million DALYs and US$2 billion in direct medical costs. This included 1.5 million cases of overweight and obesity in children/adolescents (12% of the excess weight cases) and 2.8 million cases in adults (2.8%); 2.2 million cases of type 2 diabetes (19%); 200 000 cases of heart disease (3.8%); 124 000 strokes (3.9%); 116 000 cases of musculoskeletal disease (0.2%); 102 000 cases of kidney disease (0.9%); and 45 000 episodes of asthma (0.4%). The Trinidad and Tobago population were the most affected by disease events.

conclusionsThe study results indicate that the consumption of SSBs is associated with a significant burden of disease and death in Latin America and the Caribbean.

Indexed as

Diabetes Mellitus, Type 2Pediatric ObesitySugar-Sweetened BeveragesAdolescentAdultBeveragesChildCost of IllnessHumansLatin AmericaOverweightGeneral diabetesHEALTH ECONOMICSNUTRITION & DIETETICSPUBLIC HEALTH

Identifiers

PMID36750287
PMCPMC9906178
OpenAlexW4319344933

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.