Association Between Consumption of Sugar-Sweetened and Artificially Sweetened Beverages and Risk of Type 2 Diabetes Among University Students
DOI:
https://doi.org/10.70749/ijbr.v4iS1.3127Keywords:
Sugar-sweetened beverages, Type 2 diabetes mellitus, University students, Blood glucose, Metabolic riskAbstract
The increasing consumption of sugar-sweetened and artificially sweetened beverages among young adults has become a growing public health concern due to its association with obesity, insulin resistance, and type 2 diabetes mellitus. This study aimed to evaluate the relationship between beverage consumption patterns and glucose tolerance among university students. A cross-sectional study was conducted among 200 students of the University of Agriculture Peshawar, including 100 male and 100 female participants. Data were collected using standardized tools for anthropometric assessment, blood glucose analysis, blood pressure measurement, and dietary intake records. The findings revealed that 82.5% of the participants had normal blood glucose levels; however, male students demonstrated higher mean fasting blood glucose levels (93.50 ± 8.67 mg/dl) compared to female students (83.00 ± 8.39 mg/dl). Male participants also showed higher mean systolic (115.7 ± 9.6 mmHg) and diastolic blood pressure (79.4 ± 8.4 mmHg) than females (12.8 ± 8.7 mmHg and 74.5 ± 8.6 mmHg), respectively. Daily soda consumption was reported by 28% of respondents, while 30.5% preferred other sweetened beverages. Regular intake of sugar-sweetened beverages was associated with elevated blood glucose levels, increased body mass index, and greater waist circumference, indicating higher metabolic risk among frequent consumers. The study concludes that excessive consumption of sweetened beverages may contribute to the development of obesity, metabolic syndrome, and type 2 diabetes among university students. Public health interventions focusing on reducing sweetened beverage intake and promoting healthier dietary behaviors are strongly recommended to improve long-term metabolic health outcomes in young adults.
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1. ABDEL-MEGEID, F. Y., ABDELKAREM, H. M. & EL-FETOUH, A. M. 2011. Unhealthy nutritional habits in university students are a risk factor for cardiovascular diseases. Saudi Med J, 32, 621-627.
https://doi.org/10.15537/1658-3175.5319
2. AL OTAIBI, H. H. 2017. Sugar sweetened beverages consumption behavior and knowledge among university students in Saudi Arabia. Age (Mean, sd), 21, 4.61.
https://doi.org/10.18178/joebm.2017.5.4.507
3. APOLZAN, J. W., CARMICHAEL, O. T., KIRBY, K. M., RAMAKRISHNAPILLAI, S. R., BEYL, R. A. & MARTIN, C. K. 2021. The effects of the form of sugar (solid vs. beverage) on body weight and fMRI activation: A randomized controlled pilot study. Plos one, 16, e0251700.
https://doi.org/10.1371/journal.pone.0251700
4. ASHRAF, A., ISHFAQ, K., ASHRAF, M. U. & ZULFIQAR, Z. 2019. Parenting style as a cognitive factor in developing big-five personality traits among youth: A study of public university in Multan, Pakistan. Review of Education, Administration & Law, 2, 103-112.
https://doi.org/10.47067/real.v2i2.14
5. BIPASHA, M. S., RAISA, T. S., & GOON, S. 2017. Sugar sweetened beverages consumption among university students of Bangladesh. Int. J. Public Health Sci, 6, 157-163.
https://doi.org/10.11591/ijphs.v6i2.6635
6. BLEICH, S. N. & WANG, Y. C. 2011. Consumption of sugar-sweetened beverages among adults with type 2 diabetes. Diabetes care, 34, 551-555.
https://doi.org/10.2337/dc10-1687
7. CHOI, J. W. J., FORD, E. S., GAO, X. & CHOI, H. K. 2008. Sugar‐sweetened soft drinks, diet soft drinks, and serum uric acid level: the Third National Health and Nutrition Examination Survey. Arthritis Care & Research: Official Journal of the American College of Rheumatology, 59, 109-116.
https://doi.org/10.1002/art.23245
8. EBRAHIMPOUR-KOUJAN, S., SANEEI, P., LARIJANI, B. & ESMAILLZADEH, A. 2020. Consumption of sugar sweetened beverages and dietary fructose in relation to risk of gout and hyperuricemia: a systematic review and meta-analysis. Critical reviews in food science and nutrition, 60, 1-10.
https://doi.org/10.1080/10408398.2018.1503155
9. EL OUARDI, M., GARCIA-LLORENS, G. & VALLS-BELLES, V. 2025. Childhood Obesity and Its Physiological Association with Sugar-Sweetened, Free-Sugar Juice, and Artificially Sweetened Beverages. Beverages, 11, 137.
https://doi.org/10.3390/beverages11050137
10. EZZAT, S. 2016. Factor associated with soft and energy drinks consumption by university students in Alexandria Egypt. International Journal of Food, Nutrition, and Public Health, 8, 75-88.
https://doi.org/10.47556/j.ijfnph.8.2.2016.2
11. FEDERATION., W. O. 2023. Global Atlas on Childhood Obesity. .
12. GE, C., XIONG, J., ZHU, R., HONG, Z. & HE, Y. 2025. Global burden of high sugar-sweetened beverage consumption among young adults. Diabetology & Metabolic Syndrome, 17, 259.
https://doi.org/10.1186/s13098-025-01845-y
13. GENITSARIDI, I., SALPEA, P., SALIM, A., SAJJADI, S. F., TOMIC, D., JAMES, S., THIRUNAVUKKARASU, S., ISSAKA, A., CHEN, L. & BASIT, A. 2026. of the IDF Diabetes Atlas: global, regional, and national diabetes prevalence estimates for 2024 and projections for 2050. The Lancet Diabetes & Endocrinology, 14, 149-156.
https://doi.org/10.1016/s2213-8587(25)00299-2
14. HIRANO, T. 2025. Clinical significance of small dense low‐density lipoprotein cholesterol measurement in type 2 diabetes. Journal of Diabetes Investigation, 16, 370-383.
https://doi.org/10.1111/jdi.14398
15. IMAMURA, F., O’CONNOR, L., YE, Z., MURSU, J., HAYASHINO, Y., BHUPATHIRAJU, S. N. & FOROUHI, N. G. 2015. Consumption of sugar sweetened beverages, artificially sweetened beverages, and fruit juice and incidence of type 2 diabetes: systematic review, meta-analysis, and estimation of population attributable fraction. Bmj, 351.
https://doi.org/10.1136/bmj.h3576
16. KHOSA, Z., BAZAI, M. Y., MEHMOOD, T., MEHBOOB, M., ZUBAIR, M., SHARIF, M., SANA, H. & MURAD, S. 2019. Adolescent obesity and overweight prevalence amongst urban population of Pakistan. Journal of Advances in Medicine and Medical Research, 31, 1-5.
https://doi.org/10.9734/jammr/2019/v31i530296
17. LARA-CASTOR, L., O’HEARN, M., CUDHEA, F., MILLER, V., SHI, P., ZHANG, J., SHARIB, J. R., CASH, S. B., BARQUERA, S. & MICHA, R. 2025. Burdens of type 2 diabetes and cardiovascular disease attributable to sugar-sweetened beverages in 184 countries. Nature medicine, 31, 552-564.
https://doi.org/10.1016/j.cdnut.2024.103510
18. LIN, L., CHEN, P., ZHANG, Y., LONG, J., WANG, W., SUN, X. & ZHANG, X. 2025. Burden of type 2 diabetes mellitus and risk factor attribution among older adults: A global, regional, and national analysis from 1990 to 2021, with projections up to 2040. Diabetes, Obesity and Metabolism, 27, 4330-4343.
https://doi.org/10.1111/dom.16471
19. LIU, S., MANSON, J. E., BURING, J. E., STAMPFER, M. J., WILLETT, W. C. & RIDKER, P. M. 2002. Relation between a diet with a high glycemic load and plasma concentrations of high-sensitivity C-reactive protein in middle-aged women. The American journal of clinical nutrition, 75, 492-498.
https://doi.org/10.1093/ajcn/75.3.492
20. MBUGUA, S. M., KIMANI, S. T. & MUNYOKI, G. 2017. Metabolic syndrome and its components among university students in Kenya. BMC public health, 17, 909.
https://doi.org/10.1186/s12889-017-4936-x
21. PREVENTION., C. F. D. C. A. 2021. Get the Facts: Sugar-Sweetened Beverages and Consumption; CDC: Atlanta, GA, USA, 2021. .
22. RASHIDI, A. A., BAKAVOLI, A. R. H., AVAN, A., AGHASIZADE, M., GHAZIZADEH, H., TAYEFI, M., KHAYYATZADEH, S. S., EBRAHIMI, M., MOOHEBATI, M. & SAFARIAN, M. 2018. Dietary intake and its relationship to different body mass index categories: a population-based study. Journal of research in health sciences, 18, e00426.
23. SABIR, F. M. H., A; ELAMIN, I 2016. Prevalence of Metabolic Syndrome among Young Sudanese University Students Using Three Different Criteria of WHO, IDF and NCEP-ATP III. Pediatric Neonatal Nurses, 2, 2470-0983.
https://doi.org/10.16966/2470-0983.112
24. SABIR, M., HASSAN, A. & ELAMIN, I. 2016. Prevalence of metabolic syndrome among young Sudanese university students using three different criteria of WHO, IDF and NCEP-ATP III. Pediatr Neonatal Nurs, 2, 2470-0983.
25. SHARMA, R., KUMARI, V., SHARMA, M. K. & KUMAR, P. 2025. New approaches to prevention and treatment of cardiovascular and metabolic disorders. Парадигма, 15-21.
26. SINGH, G. M., MICHA, R., KHATIBZADEH, S., LIM, S., EZZATI, M. & MOZAFFARIAN, D. 2015. Estimated global, regional, and national disease burdens related to sugar-sweetened beverage consumption in 2010. Circulation, 132, 639-666.
https://doi.org/10.1161/circulationaha.114.010636
27. STANHOPE, K. L. 2016. Sugar consumption, metabolic disease and obesity: The state of the controversy. Critical reviews in clinical laboratory sciences, 53, 52-67.
https://doi.org/10.3109/10408363.2015.1084990
28. STEFAN, D. S. & CINTEZA, E. 2025. How are sports drinks and soft drinks different from energy drinks? Energy Drinks. Elsevier.
https://doi.org/10.1016/b978-0-443-13803-4.00003-3
29. UZDIL, Z., KAYA, S. & ÇAKıROĞLU, F. P. 2021. Evaluation of nutritional habits of university students: a cross-sectional study during the covid-19 pandemic. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 9, 10-18.
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