Sweetened Tea Doesn’t Offer The Same Health Benefits

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New investigation reveals that drinking unsweetened beverage regular could thief you unrecorded longer, while adding sweetener aliases sweeteners whitethorn trim those benefits.

Woman adding sweetener into aromatic teaStudy: The associations of unsweetened, sugar-sweetened, and artificially sweetened beverage depletion pinch all-cause and cause-specific mortality successful 195,361 UK Biobank participants: a ample prospective cohort study. Image credit: New Africa/Shutterstock.com

Unsweetened beverage depletion importantly lowers nan consequence of all-cause mortality, cancer, and cardiovascular diseases (CVD) compared to sugar-sweetened and artificially sweetened tea. A caller study successful Frontiers successful Nutrition examined whether nan depletion of unsweetened, sugar-sweetened, and artificially sweetened beverage influences all-cause mortality and cause-specific mortality.

How does beverage depletion impact wide health?

Tea is simply a celebrated portion worldwide. More than 2 cardinal group devour beverage daily, and nan per capita yearly depletion exceeds 100 liters successful galore countries, including nan UK and China.

Tea contains secondary metabolites, specified arsenic phenol and flavonoids, pinch antioxidant properties. Many studies person documented nan wellness benefits of tea, including its protective domiciled against aggregate diseases, specified arsenic crab and cardiovascular disease. Moderate beverage depletion has besides been linked to a reduced consequence of all-cause mortality.

Recent studies person shown accrued depletion of sugar-sweetened beverages (SSBs) worldwide, starring to higher regular added sweetener intake. Some individuals besides for illustration to person saccharine beverage arsenic portion of their regular intake. Therefore, it is basal to find whether beverage consumed pinch added sweetener aliases artificial sweeteners affects its wide wellness benefits.

Previous studies person indicated that excessive sweetener consumption, peculiarly from SSBs, increases nan consequence of type 2 diabetes, obesity, CVD, and cancer. Although artificially sweetened beverages were antecedently considered a healthier replacement to SSBs, caller studies person contradicted this belief. For instance, nan World Health Organization (WHO) has classified aspartame, a communal artificial sweetener, arsenic a imaginable carcinogen to humans.

About nan study

To analyse nan associations betwixt unsweetened, sugar-sweetened, and artificially sweetened beverage depletion and all-cause and cause-specific mortality, researchers analyzed information from 195,361 participants successful large-scale prospective cohort studies of nan UK Biobank.

The UK Biobank cohort contains much than 500,000 participants, recruited betwixt 2006 and 2010 from aggregate dedicated centers successful England, Wales, and Scotland. All participants were betwixt 37 and 73 years of property and provided their health-related information.

Participants who completed an online 24-hour callback questionnaire astatine slightest erstwhile betwixt April 2009 and June 2012 were considered. Participants who were pregnant, mislaid follow-up, had incomplete data, aliases had utmost power intake were excluded.

The selected individuals provided accusation astir their beverage consumption, including nan type of tea, nan number of cups, and nan usage of added sweetener aliases artificial sweeteners, done a touchscreen questionnaire. Based connected beverage depletion habits, participants were categorized into 4 groups: non-consumers, unsweetened beverage consumers, sugar-sweetened beverage consumers, and artificially sweetened beverage consumers. Tea consumers drank beverage astatine slightest once, arsenic reflected successful nan 5 24-hour dietary assessments. Participants who drank different types of tea, specified arsenic unsweetened, sugar-sweetened, aliases artificially sweetened tea, were classified arsenic overlapping consumers and were excluded. Participants' demographic and health-related factors were obtained.

A ‘standard drink’ was defined arsenic astir 250 mL (about 8.5 ounces); astir of nan beverage consumed successful nan cohort was achromatic tea.

Study findings

A full of 195,361 participants were considered to analyse all-cause mortality, 186,934 for CVD mortality, and 178,057 for crab mortality. Approximately 82% of nan full study cohort were beverage consumers. Most participants consumed unsweetened beverage (81.6%), followed by sugar-sweetened beverage (12.2%) and artificially sweetened beverage (6.2%).

On average, 1.4 teaspoons of artificial sweeteners and 1.1 teaspoons of sweetener were estimated to beryllium added per beverage drink. Interestingly, participants successful nan “non-consumer” group had a higher assemblage wide scale (BMI) than beverage consumers. Unsweetened beverage consumers were much apt to person a little BMI, higher acquisition attainment, little basal metabolic rate, and grounds healthier manner behaviors.

Sugar-sweetened beverage consumers were chiefly male, had higher full power intake, and little consequence consumption. Typically, older participants pinch higher BMI and those who were existent aliases erstwhile smokers were much inclined to portion artificially sweetened tea. These participants were much often overweight and had hypertension, CVD, diabetes, and long-standing illness.

After adjusting for aggregate covariates, Cox proportional hazards study revealed a significant, inverse, dose-dependent relation betwixt beverage depletion and all-cause mortality. This narration followed a U-shaped curve pinch nan strongest effects observed astatine 3.5 to 4.5 cups daily. The existent study observed nary important alteration successful nan relation betwixt unsweetened beverage and all-cause mortality by caffeine metabolism genotype.

Compared to non-consumers, individuals who consumed 3.5 to 4.5 drinks per time of unsweetened beverage had a 20% little consequence of all-cause mortality. A akin level of unsweetened beverage depletion was besides associated pinch a 14% and 27% little consequence of crab and CVD mortality, respectively. Sugar-sweetened and artificially sweetened beverage depletion were not importantly associated pinch all-cause, CVD, aliases crab mortality.

An inverse relation betwixt unsweetened beverage depletion and all-cause mortality was observed crossed astir subgroups, isolated from participants pinch debased beingness activity, non-White ethnicity, and those pinch diabetes. Sensitivity study indicated that nan observed associations were robust nether various scenarios, including removal of early death, adjusting for fare quality, and caffeine metabolism genetics.

Conclusions

Consumption of unsweetened beverage astatine a mean level, i.e., 3.5 to 4.5 drinks/day, wherever 1 portion contained astir 250ml of tea, was importantly associated pinch a little consequence of all-cause mortality. In contrast, nary important associations were observed betwixt sugar-sweetened and artificially sweetened beverage and mortality outcomes.

This suggests that adding sweetener aliases artificial sweeteners whitethorn alter, but not needfully reverse, tea's wellness benefits.

Since achromatic beverage was nan predominant type consumed successful nan study, nan observed benefits are apt driven by achromatic beverage specifically. Similar investigation must see a divers organization from different geographic regions and ethnicities successful nan future, and nan effect of beverage depletion connected nan wellness of individuals pinch overlapping drinking behaviors must beryllium assessed. Future studies should besides measure whether akin associations are seen pinch greenish aliases herbal teas.

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Journal reference:

  • Hao, H. et al.  (2025). The Associations of Unsweetened, Sugar-sweetened, and Artificially Sweetened Tea Consumption pinch All-cause and Cause-specific Mortality successful 195,361 UK Biobank Participants: A Large Prospective Cohort Study. Frontiers successful Nutrition. 12, 1649279. Accessed August 6, 2025. https://doi.org/10.3389/fnut.2025.1649279. https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2025.1649279/full
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