Health
Study Links Sugary and ‘Diet’ Drinks to Higher Risk of Liver Disease
Drinks marketed as “diet” or low-sugar alternatives may not be as harmless as they seem. A major new study has found that consuming even one sugary or artificially sweetened beverage per day can significantly raise the risk of developing metabolic dysfunction-associated steatotic liver disease (MASLD), formerly known as non-alcoholic fatty liver disease.
The research, presented this week at the United European Gastroenterology (UEG) Week in Berlin, tracked 123,788 participants in the United Kingdom over a 10-year period. All participants were free of liver disease at the start of the study. Researchers monitored their beverage consumption using repeated 24-hour dietary questionnaires and found concerning associations between regular consumption of both sugar-sweetened and artificially sweetened drinks and liver health.
Over the course of the decade, 1,178 participants developed MASLD, while 108 died from liver-related causes. The findings revealed that drinking sugar-sweetened beverages (SSBs) increased the risk of MASLD by 50 percent, while consuming low- or no-sugar sweetened beverages (LNSSBs) — commonly marketed as “diet” or “zero” drinks — raised the risk by 60 percent.
Lead researcher Lihe Liu said the results challenge long-held assumptions about the safety of “diet” drinks. “SSBs have long been under scrutiny, while their ‘diet’ alternatives are often seen as the healthier choice,” Liu explained. “Our study shows that LNSSBs were actually linked to a higher risk of MASLD, even at modest intake levels such as a single can per day. These findings highlight the need to reconsider their role in diet and liver health, especially as MASLD emerges as a global health concern.”
MASLD develops when fat accumulates in the liver, leading to inflammation, fatigue, abdominal discomfort, and, in severe cases, liver failure. The condition has become one of the fastest-growing causes of chronic liver disease worldwide. A 2025 meta-analysis of 92 studies estimated that 38 percent of the global population now suffers from MASLD — a 50 percent increase in just two decades.
The researchers outlined several biological mechanisms that may explain the link. Sugary drinks, they said, cause rapid spikes in blood glucose and insulin, promote weight gain, and raise uric acid levels — all of which contribute to liver fat buildup. Artificially sweetened drinks may disrupt gut bacteria, increase appetite for sweet foods, and interfere with insulin regulation.
To lower risk, the study recommends replacing sugary or diet beverages with water and maintaining a healthy lifestyle through exercise and balanced nutrition. “Water remains the best choice as it removes the metabolic burden and prevents fat accumulation in the liver while hydrating the body,” Liu said.
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Uzbekistan to Launch Nationwide State Medical Insurance System in 2026
Uzbekistan will begin introducing a nationwide state medical insurance system from 2026, part of a broader overhaul of the country’s healthcare financing and service delivery. The reform will introduce digital referrals, a national health insurance fund, and a guaranteed package of essential medical services funded through the state budget. Officials say the changes aim to improve efficiency, expand access, and reduce informal payments.
“State health insurance is a social protection system designed to guarantee access to quality healthcare services,” said Zokhid Ermatov, executive director of the State Health Insurance Fund.
Discussions about state medical insurance in Uzbekistan began in 2017, but implementing such a system required years of preparation. The State Health Insurance Fund was formally established in December 2020, and pilot programmes launched in the Syrdarya region in 2021 tested new financing mechanisms, regulatory frameworks, and digital health systems. In November 2025, the Cabinet of Ministers approved regulations governing how medical care funded through the state budget will be provided in public and private medical institutions, with the rules set to come into force on January 1, 2026.
At the centre of the new model is stronger primary healthcare. Patients will first visit their assigned family clinic, where doctors provide consultations, prescribe tests, and determine whether specialist care is needed. If necessary, patients will receive an electronic referral to hospitals or specialists. Emergency and urgent care will remain available without referrals.
The reform introduces a patient-centred financing model, where healthcare providers are paid by the State Health Insurance Fund based on services delivered. Primary healthcare will be funded through capitation payments, while hospital treatment will follow case-based payments, a structure designed to improve efficiency and treatment outcomes.
A fully digital referral system will allow patients to choose hospitals from a list of institutions contracted with the State Health Insurance Fund using a government portal or mobile app. Referrals will remain valid for 60 days, and waiting lists and hospitalisations will be managed through a unified electronic health information system.
The insurance system guarantees essential healthcare services, including family doctor consultations, diagnostic tests, outpatient treatment, preventive screening, some medicines, hospital care, and certain rehabilitation services. Patients will not be charged additional fees for services included in the approved package.
Funding for the program will come primarily from the state budget, ensuring citizens do not pay direct insurance contributions. Priority access will be given to socially vulnerable groups, including children with disabilities, orphans, pensioners, pregnant women, unemployed citizens, and low-income families. The State Health Insurance Fund will allocate resources across regions to strengthen medical services and reduce inequalities.
International organisations have praised Uzbekistan’s approach, noting that general tax financing and universal coverage can improve financial protection and ensure predictable healthcare funding. Jessika Yin, Health Policy Adviser at the World Health Organization in Uzbekistan, said the reforms align with global trends toward universal health coverage.
If implemented successfully, Uzbekistan’s state medical insurance system could represent a major step toward universal healthcare, ensuring that people receive care without facing financial hardship.
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