Gestational diabetes & diabetes in pregnancy

Preconception and pregnancy artificially sweetened beverage consumption and its association with adverse pregnancy outcomes: findings from the Australian longitudinal study on women’s health

Diabetes Res Clin PractPublished Prospective cohort study

Authors' conclusion

Frequent ASB consumption during pregnancy is associated with a higher risk of GDM, while its association with HDP and PTB remains inconclusive.

Study context

Population
Women from the Australian Longitudinal Study on Women's Health (ALSWH)
Participants
3,653 women
Exposure
Frequent artificially sweetened beverage (ASB) consumption vs none, preconception and during pregnancy
Outcome
Adverse pregnancy outcomes: GDM, hypertensive disorder of pregnancy (HDP), preterm birth (PTB)
Methodological detailslongitudinal, generalized linear mixed model, augmented inverse probability weighting
  • Longitudinal
  • Generalized linear mixed model
  • Augmented inverse probability weighting

Main finding

As reported in the abstract

during pregnancy
Each group vs noneEstimate (95 % CI)
Frequent ASB
aRR for GDM 1.88(1.12–3.14)
Frequent ASB
aRR for HDP 1.59(0.86–2.93)
Frequent ASB
aRR for PTB 1.22(0.36–3.99)
Frequent ASB
average treatment effect (ATE) 0.06 (95 % CI 0.01–0.11)

Observational data: associations, not effects.

Further findings

Incidence of gestational diabetes mellitus (GDM), hypertensive disorder of pregnancy (HDP) and preterm birth (PTB) by exposure window

Preconception exposure group: GDM, HDP, PTB
9.1 %, 6.7 %, 4.3 %
Pregnancy exposure group: GDM, HDP, PTB
8.6 %, 7.5 %, 4.0 %

Preconception ASB exposure and all outcomes

Association remains uncertain

Original publication

Preconception and pregnancy artificially sweetened beverage consumption and its association with adverse pregnancy outcomes: findings from the Australian longitudinal study on women’s health. Diabetes Res Clin Pract. Published 21 August 2025. doi:10.1016/j.diabres.2025.112422

Composed by AI from the published abstract and checked against it. How Briefs are made →

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