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    1. >Using the end of UK sugar rationing in September 1953 as a natural experiment, they drew on data from 63,433 UK Biobank participants (average age 55 years) born between October 1951 and March 1956 with no history of heart disease.
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      >In total, the study included 40,063 participants exposed to sugar rationing and 23,370 who were not.
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      >Linked health records were then used to track rates of cardiovascular disease (CVD), heart attack, heart failure, irregular heart rhythm (atrial fibrillation), stroke, and cardiovascular death, adjusting for a range of genetic, environmental, and lifestyle factors.
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      >An external control group of non-UK born adults who did not experience sugar rationing or similar policy changes around 1953 were also assessed for more reliable comparisons.
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      >The results show that longer exposure to sugar rationing was associated with progressively lower cardiovascular risks in adulthood, partly due to reduced risks of diabetes and high blood pressure.
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      >Compared with people never exposed to rationing, those exposed in utero plus 1–2 years had a 20% reduced risk of CVD, as well as reduced risks of heart attack (25%), heart failure (26%), atrial fibrillation (24%), stroke (31%), and cardiovascular death (27%).
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      >People exposed to rationing in utero and during early life also showed progressively longer delays (up to two and a half years) in the age of onset of cardiovascular outcomes compared with those not exposed to rationing.
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      >Sugar rationing was also associated with small yet meaningful increases in healthy heart function compared with those never rationed.
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      >The authors point out that during the rationing period, sugar allowances for everyone, including pregnant women and children, were limited to under 40 g per day – and no added sugars were permitted for infants under 2 years old – restrictions consistent with modern dietary recommendations.

      [Exposure to sugar rationing in first 1000 days after conception and long term cardiovascular outcomes: natural experiment study | The BMJ](https://www.bmj.com/content/391/bmj-2024-083890)

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