Letter by Chiu Regarding Article, “Sugar- and Artificially Sweetened Beverages and the Risks of Incident Stroke and Dementia. A Prospective Cohort Study”
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To the Editor:
In their recent study published in Stroke, Pase et al1 concluded that artificially sweetened beverage (ASB) consumption was associated with a higher risk of stroke and dementia. Additionally, the authors also asserted that sugar-sweetened beverages (SSBs) were not associated with stroke or dementia.
The findings in their study do not necessarily support their conclusions.
The authors stratified Framingham Heart Study cohort subjects based on their history of consumption of either ASB or SSB. The authors noted hazard ratios of 2.96 for ischemic stroke, and 2.89 for Alzheimer disease for subjects who consumed ASB, compared with subjects who did not consume ASB. There was no increased hazard in the incidences of ischemic stroke or Alzheimer disease for subjects with SSB consumption compared with those with no SSB consumption.
It is important to note that the cohort …