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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