Meta-analysiscited by the Tayebat archiveabstract only checked A-SOD-20 standard review

Sugary drinks and weight gain: meta-analysis

Sugar-sweetened beverages and weight gain in children and adults: a systematic review and meta-analysis.

Overview

Malik VS et al.. Am J Clin Nutr 2013 · PMID 23966427 · DOI 10.3945/ajcn.113.058362

Adding sugary drinks increased adult weight by about 0.85 kg in trials; cohorts show weight gain per serving.

Does the study support the specific claim? Yes · Methodological quality: high

Original publication

Plain-language summary

Study explained simply
What did the researchers want to find out?

Do SSBs promote weight gain?

How was the study done?

Systematic review and meta-analysis of cohorts and RCTs.

How many people, animals or samples were studied?

32 articles (cohorts n=25,745 children/174,252 adults; RCTs n=2,772/292); Children and adults

What was actually found?

Cohorts: per daily serving BMI +0.06 (children) and +0.22 kg/year (adults, random effects); RCTs: children BMI -0.17 (-0.39 to 0.05) with reduction; adults +0.85 kg (0.50-1.20) with SSB addition.

How large was the observed effect?

+0.85 kg (RCTs adults)

What do the results mean in everyday life?

Sugary drinks add weight.

What are the study's limitations?

Child RCT estimate imprecise (random effects CI crosses 0); Overlap with other reviews

What does it say about Elawady's specific claim?

Supports C-SOD-02.

Do the results apply to Germany and Europe?

High.

What can explicitly not be concluded from this study?

Long-term size of effect.

Scientific in-depth review

1. Full reference

Authors
Malik VS, Pan A, Willett WC, Hu FB
Journal
Am J Clin Nutr
Year
2013
Identifier
PMID 23966427 DOI 10.3945/ajcn.113.058362 · PMC3778861
Verification
verified – PubMed E-utilities efetch, 2026-10-25
Retracted
no
Corrections
none
Extent checked
abstract only
Conflicts of interest and funding

No COI statement; NIH grants

2. Research question

Do SSBs promote weight gain?

3. Study design and population

Study design
Meta-analysis – Systematic review and meta-analysis of cohorts and RCTs.
Population

Children and adults

Country

Multinational

Period

Literature to March 2013

Sample size

32 articles (cohorts n=25,745 children/174,252 adults; RCTs n=2,772/292)

Inclusion and exclusion criteria

not stated in abstract

4. Methods and endpoints

Exposure / intervention

SSB intake or SSB addition/reduction

Comparator

Lower intake/control

Endpoints

BMI, weight

Statistical methods

Random/fixed effects

5. Actual results

Results

Cohorts: per daily serving BMI +0.06 (children) and +0.22 kg/year (adults, random effects); RCTs: children BMI -0.17 (-0.39 to 0.05) with reduction; adults +0.85 kg (0.50-1.20) with SSB addition.

Absolute risks

not applicable

Authors' conclusion

Evidence that SSB consumption promotes weight gain in children and adults.

6. Strengths

  • Includes RCTs and cohorts

7. Weaknesses

  • Child RCT estimate imprecise (random effects CI crosses 0)
  • Overlap with other reviews

8. Risk of bias

Orienting tool
AMSTAR 2
Type of assessment
simplified assessment (abstract only)
Full formal assessment
no
Overall risk of bias
some concerns
Rationale

Single group of authors; heterogeneity.

9. Assessment of the statistical interpretation

Small effects per serving; consistent direction.

10. Relevance to the specific claim

Supports C-SOD-02.

11. Independent contrary findings

None.

12. Transferability to Germany and Europe

High.

13. Overall methodological judgement

Good evidence.

Multidimensional assessment
Multidimensional assessment
Authenticity of the sourceverified
Methodological qualityhigh
Risk of biassome concerns
Precision of resultsmoderate
Directnessdirect
Reproducibilityreplicated
Consistency with the overall evidenceconsistent
Regional transferabilityhigh
Adequacy of the interpretation (by the archive)not applicable

14. Open questions

None.

15. Linked fact checks

Use by the Tayebat archive

Note: according to the archive, the studies were compiled by the archive operators. Whether Dr. Elawady himself cited this study is not established.

What the archive says about the study

Listed in the archive bibliography only (no archive interpretation card).

A. What was actually studied?

SSB and weight.

B. What did the authors find?

As above.

C. What conclusions do the authors themselves draw?

As above.

D. What does the archive derive from it?

Supports weight claim.

E. Is this derivation scientifically justified?

Consistent.

Adequacy of the interpretation (by the archive)
not applicable