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Consuming sweet drinks (all sodas and fruit drinks that were not pure fruit juices) was associated with a higher risk of heart disease than those individuals who had more baked treats, but surprisingly those participants who consumed the least amount of sugar did not end up with the lowest risk of heart disease, Janzi said.

It is important to note that the study was observational, meaning that while researchers found associations, they can’t say for sure that the ways people ate sugar caused the different rates of heart disease, Janzi said.

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Outside factors might be behind the association between low added sugar intake and increased cardiovascular risk, since there are no biological mechanisms to explain it, Janzi said.

“One theory is that people with very low sugar intake might be replacing sugar with other unhealthy foods or nutrients,” she added.

It could also be that those who limit their sugar consumption to extremely low levels are doing so for an existing health condition, or that they have very restrictive diets overall that do not provide all the important nutrients they need, Janzi said.

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“This practice is so ingrained in Swedish society that many workplaces have scheduled ‘fika breaks’ daily,” Janzi said. “It’s possible that the consumption of treats during these social interactions is strongly linked to social relationships, which have previously been linked to cardiovascular health.”

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“Liquid sugars are absorbed more rapidly in the digestive system since they do not require the same breakdown processes as solid foods,” she said. “Solid sugars are often part of foods that contain other nutrients like fiber, proteins, and fats.”

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“Different sources of added sugars also vary in their consumption patterns, which could further explain why they associate differently with cardiovascular disease risk,” Janzi added.

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“We all enjoy a dessert,” Eckel added. “Should we not have birthday cake and ice cream when your kids are having a birthday party?”

But most Americans are probably consuming too much added sugar, and sweetened drinks are a good place to make reductions, he said.

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“Cut back by one serving per day until you’re down to one drink per day,” registered dietitian and 【 - Free Access to Community 】 contributor Lisa Drayer said ina previous story. “Then aim for one every other day until you can phase out soft drinks entirely.

“Alternate with seltzer/sparkling water can help you cut back,” she added. “Eventually you can replace soft drinks with seltzer or sparkling water if you are craving carbonation.”

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