Evidence map›Paper›PMID 40991280›Full record

ArticleJAMA psychiatry2025

Soft Drink Consumption and Depression Mediated by Gut Microbiome Alterations.

Sharmili Edwin Thanarajah, Adèle H Ribeiro, Jaehyun Lee, Nils R Winter, Frederike Stein, Rachel N Lippert, Ruth Hanssen, Carmen Schiweck, Leon Fehse, Mirjam Bloemendaal and 30 more

Abstract readMulticenter Study
In one paragraph

Article in JAMA psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
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

40 authors.

Sharmili Edwin ThanarajahDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University, Frankfurt am Main, Germany.
Adèle H RibeiroInstitute of Medical Informatics, University of Münster, Münster, Germany.
Jaehyun LeeDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University, Frankfurt am Main, Germany.
Nils R WinterInstitute for Translational Psychiatry, University of Münster, Münster, Germany.
Frederike SteinDepartment of Psychiatry and Psychotherapy, Marburg University, Marburg, Germany.
Rachel N LippertDepartment of Neurocircuit Development and Function, German Institute of Human Nutrition Potsdam Rehbruecke, Nuthetal, Germany.
Ruth HanssenMax Planck Institute for Metabolism Research, Cologne, Germany.
Carmen SchiweckDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University, Frankfurt am Main, Germany.
Leon FehseInstitute of Medical Informatics, University of Münster, Münster, Germany.
Mirjam BloemendaalDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University, Frankfurt am Main, Germany.
Mareike AichholzerDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University, Frankfurt am Main, Germany.
Aicha BouzouinaDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University, Frankfurt am Main, Germany.
Carmen UckermarkDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University, Frankfurt am Main, Germany.
Marius WelzelInstitute of Medical Informatics, University of Münster, Münster, Germany.
Jonathan ReppleDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University, Frankfurt am Main, Germany.
Silke MaturaDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University, Frankfurt am Main, Germany.
Susanne MeinertInstitute for Translational Psychiatry, University of Münster, Münster, Germany.
Corinna BangInstitute of Clinical Molecular Biology, Christian-Albrechts-University of Kiel, Kiel, Germany.
Andre FrankeInstitute of Clinical Molecular Biology, Christian-Albrechts-University of Kiel, Kiel, Germany.
Ramona LeeningsInstitute for Translational Psychiatry, University of Münster, Münster, Germany.
Maximilian KonowskiInstitute for Translational Psychiatry, University of Münster, Münster, Germany.
Jan ErnstingInstitute for Translational Psychiatry, University of Münster, Münster, Germany.
Lukas FischInstitute for Translational Psychiatry, University of Münster, Münster, Germany.
Carlotta BarkhauInstitute for Translational Psychiatry, University of Münster, Münster, Germany.
Florian Thomas-OdenthalDepartment of Psychiatry and Psychotherapy, Marburg University, Marburg, Germany.
Paula UsemannDepartment of Psychiatry and Psychotherapy, Marburg University, Marburg, Germany.
Lea TeutenbergDepartment of Psychiatry and Psychotherapy, Marburg University, Marburg, Germany.
Benjamin StraubeDepartment of Psychiatry and Psychotherapy, Marburg University, Marburg, Germany.
Nina AlexanderDepartment of Psychiatry and Psychotherapy, Marburg University, Marburg, Germany.
Hamidreza JamalabadiDepartment of Psychiatry and Psychotherapy, Marburg University, Marburg, Germany.
Igor NenadicDepartment of Psychiatry and Psychotherapy, Marburg University, Marburg, Germany.
Andreas LügeringMVZ Portal 10, Center for Liver, Stomach and Intestinal Diseases, Münster, Germany.
Robert NitschInstitute for Translational Neuroscience, University of Münster, Münster, Germany.
Sarah Kittel-SchneiderDepartment of Psychiatry and Neurobehavioural Science, University College Cork, Cork, Ireland.
John F CryanAPC Microbiome, University College Cork, Cork, Ireland.
Andreas ReifDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University, Frankfurt am Main, Germany.
Tilo KircherDepartment of Psychiatry and Psychotherapy, Marburg University, Marburg, Germany.
Dominik HeiderInstitute of Medical Informatics, University of Münster, Münster, Germany.
Udo DannlowskiInstitute for Translational Psychiatry, University of Münster, Münster, Germany.
Tim HahnInstitute for Translational Psychiatry, University of Münster, Münster, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Soft drink consumption is linked to negative physical and mental health outcomes, but its association with major depressive disorder (MDD) and the underlying mechanisms remains unclear. Objective: To examine the association between soft drink consumption and MDD diagnosis and severity and whether this association is mediated by changes in the gut microbiota, particularly Eggerthella and Hungatella abundance. Design, Setting, and Participants: This multicenter cohort study was conducted in Germany using cross-sectional data from the Marburg-Münster Affective Cohort. Patients with MDD and healthy controls (aged 18-65 years) recruited from the general population and primary care between September 2014 and September 2018 were analyzed. Data analyses were conducted between May and December 2024. Main Outcomes and Measures: Primary analyses included multivariable regression and analysis of variance (ANOVA) models examining the association between soft drink consumption and MDD diagnosis and symptom severity, controlling for site and education, and Eggerthella and Hungatella abundance, controlling for site, education, and library size. Mediation analyses tested whether microbiota abundance mediated the soft drink-MDD link. Results: A total of 405 patients with MDD (275 female patients [67.9%]; mean [SD] age, 36.37 [13.33] years) and 527 healthy controls (345 female controls [65.5%]; mean [SD] age, 35.33 [13.13] years) were included. Soft drink consumption predicted MDD diagnosis (odds ratio [OR], 1.081; 95% CI, 1.008-1.159; P = .03) and symptom severity (P < .001; partial η2 [ηp2], 0.012; 95% CI, 0.004-0.035), with stronger effects in women (diagnosis: OR, 1.167; 95% CI, 1.054-1.292; P = .003; severity: P < .001; ηp2, 0.036; 95% CI, 0.011-0.062). In women, consumption was linked to increased Eggerthella (P = .007; ηp2, 0.017; 95% CI, 0.0002-0.068), but not Hungatella abundance. Mediation analyses confirmed that Eggerthella significantly mediated the soft drink-MDD association (diagnosis: P = .011; severity: P = .005), explaining 3.82% and 5.00% of the effect, respectively. Conclusions and Relevance: In this cohort study, it was found that soft drink consumption may contribute to MDD through gut microbiota alterations, notably involving Eggerthella. Public health strategies to reduce soft drink intake may help mitigate depression risk, especially among vulnerable populations; in addition, interventions for depression targeting the microbiome composition appear promising.

Indexed as

Carbonated BeveragesGastrointestinal MicrobiomeMajor Depressive DisorderAdolescentAdultAgedCase-Control StudiesCohort StudiesCross-Sectional StudiesFemaleGermanyHumansMaleMiddle AgedSeverity of Illness IndexYoung Adult

Identifiers

PMID40991280
PMCPMC12461599

What OpenQuestion holds

Textmetadata
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.