Schwangere Frauen, die 5 oder mehr Diät -Getränke pro Woche trinken, richten sich auf ein um 88% höheres Risiko für Schwangerschaftsdiabetes, und findet eine große neue Studie, die künstliche Süßstoffe mit Schwangerschaftskomplikationen verbindet. Die Forscher stellten eine Dosis-Wirkungs-Beziehung fest: Je mehr Diätgetränke konsumiert werden, desto größer ist das Risiko.

I’ve linked to the news release in the post above. In this comment, for those interested, here’s the link to the peer reviewed journal article:

https://www.sciencedirect.com/science/article/pii/S016882272500436X

From the linked article:

Diet drinks linked to 88% higher risk of gestational diabetes

**Pregnant women who drink five or more diet beverages a week face up to an 88% higher risk of gestational diabetes, according to a major new study linking artificial sweeteners to pregnancy complications**.

Women reported how often they drank ASBs before and during pregnancy and the researchers used advanced statistical models to adjust for confounders such as age, body mass index (BMI), smoking, diet, and family history of conditions like diabetes and high blood pressure or hypertension. Intake of ASBs was categorized into four categories: no or rare (less than once a month), mild, moderate, and frequent (five or more drinks a week).

Frequent ASB consumption during pregnancy was linked to an 88% higher risk of GDM compared to no/rare consumption. **The researchers noted a dose-response relationship: the more diet drinks consumed, the greater the risk of gestational diabetes**. This effect seemed to be partly explained by higher BMI among women who drank more ASBs. Women who frequently drank ASBs possibly had an increased risk of hypertensive disorders of pregnancy, but the results weren’t statistically conclusive. There was no clear link found between ASB consumption and preterm birth.

>Women in the frequent intake group (five or more drinks per week) had a higher pre-pregnancy BMI, were more likely to be current smokers and risky drinkers, reported poorer/fairer health, and were less likely to meet the recommended daily servings of fruit compared to women in the other ASB intake group

>Preconception dietary risk factors, along with other risks, can establish patterns that affect the well-being of the mother and their baby’s long-term health.

>There are limitations to the study. Women self-reported their drink consumption, which may be inaccurate. Only diet sodas and diet cordials were considered, but artificial sweeteners are found in many foods, so the findings may underestimate the risk associated with exposure to ASBs. Drink habits may have changed during pregnancy but weren’t tracked. Different artificial sweeteners (aspartame, sucralose, etc.) may have different effects, but this wasn’t assessed.

#Importantly, because the study was observational, it can’t say ASBs directly caused complications.

It seems quite obvious that women who change to diet soda during pregnancy, or already drink diet soda, are more likely to have diabetes or pre-diabetes to begin with.

I would think that those drinking diet beverages are more likely to be overweight.