In recent years, zero-sugar or zero-calorie carbonated beverages have become very popular among consumers. However, recent studies have raised concerns that alternative sweeteners in these drinks may have adverse health effects. Some research has suggested a potential link with atherosclerosis and cardiovascular diseases, causing controversy.
Zero-calorie sodas use alternative sweeteners like aspartame and erythritol to provide sweetness without sugar. This characteristic makes them highly preferred by consumers who want to opt for a “healthier” option while enjoying sweet flavors. The domestic zero-calorie soda market expanded 7.8 times in just five years, from 163 billion KRW (approximately $126.47 million) in 2018 to 163 billion KRW (approximately $126.47 million) in 2019.

Experts have assessed that alternative sweeteners do not pose significant health problems when consumed below certain levels. However, recent studies have raised concerns by showing results that aspartame may potentially cause atherosclerosis and cardiovascular diseases. In an experiment conducted by Swedish researchers, mice were fed food containing 0.15% aspartame for 12 weeks. The results showed increased fat formation in the arteries and elevated inflammation levels in mice that consumed aspartame.
The World Health Organization (WHO) also highlights these research findings. WHO has warned that long-term consumption of sugar-free sweeteners may increase the risk of cerebrovascular and cardiovascular diseases, as well as diabetes. Studies show that artificial sweeteners may negatively affect metabolism by altering the gut microbiome.
As a result, experts advise caution when consuming zero-calorie drinks. While these drinks with alternative sweeteners can be chosen for short-term weight management or to reduce sugar intake, it’s important to maintain appropriate consumption levels for long-term health.

While consumers tend to perceive zero-calorie sodas as a healthy choice, avoiding excessive consumption is advisable as research on alternative sweeteners’ side effects continues.
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