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.
Health
World Cup Emotion Can Strain the Heart, Cardiologists Warn Fans at Risk
As the World Cup begins, medical experts are cautioning football fans with underlying heart conditions that the emotional intensity of matches can place unexpected strain on the cardiovascular system.
Cardiologists say that the excitement, tension, and anxiety generated during high-stakes games can trigger physical reactions similar to intense exercise, raising heart rate, blood pressure, and stress hormones.
“Intense emotions, whether positive or negative, can act as ‘precipitating risk factors’ for cardiovascular events such as heart attack,” said Paola Santalucia, a cardiologist and board member of the European Heart Network.
She explained that moments of extreme excitement, such as a decisive penalty shootout or a last-minute goal, may pose risks for people already living with heart disease. Those with additional risk factors, including hypertension, obesity, or smoking habits, are also advised to be cautious during emotionally charged matches.
Research using wearable devices has shown that during major football events, some fans experience heart rates climbing as high as 150 beats per minute. That level is comparable to sprinting and reflects how strongly the body reacts to emotional stress.
A study examining supporters during the 2025 German Cup final found that even watching from home can significantly affect physiological responses. “They still had an increase in heart rate that compares to walking, even though they didn’t walk,” said Christian Deutscher, professor of sports economics at Bielefeld University and co-author of the study.
He noted that the most intense reactions often occur not during goals themselves, but during moments of uncertainty such as VAR checks, penalty shootouts, or shots striking the post. These unpredictable situations, he said, are what drive the strongest emotional and physical responses among fans.
Deutscher also pointed out that stadium spectators may experience even greater strain due to environmental factors such as heat and alcohol consumption.
However, experts emphasize that football itself is not inherently dangerous. Instead, it is the body’s natural response to excitement that can create temporary stress.
“The adrenergic stimulation is at its max: extreme high blood pressure, high heart rate, and adrenaline, cortisol, skyrocketing,” said Dan Atar, professor of cardiology at Oslo University Hospital. In rare cases, he added, this surge can contribute to the rupture of arterial plaque in vulnerable individuals, potentially leading to a heart attack.
Atar stressed that such events can occur in everyday situations as well, including physical exertion like shoveling snow. “It is in no way dangerous to watch a football game,” he said. “All this is physiologic. It’s not dangerous to be excited.”
Still, he acknowledged that combining emotional stress with alcohol, heat, and pre-existing conditions can increase risk for some viewers.
Doctors advise those at higher risk to continue prescribed medications, limit alcohol intake, avoid smoking, and watch for warning signs such as chest pain or irregular heartbeat.
“The key message is not to avoid enjoying the match, but to do so with moderation and awareness,” Santalucia said.
Health
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