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Are there carcinogens in pop? A look at ingredients and health risks

4 min read

According to a 2022 study published in PLOS Medicine, artificial sweeteners, like those used in diet soda, may be associated with an increased risk of cancer. This raises serious questions for many people wondering: are there carcinogens in pop, both regular and diet? Understanding the specific ingredients and the science behind the headlines is crucial for making informed choices about your beverage consumption.

Quick Summary

Investigating potential carcinogens in both diet and regular soda, examining ingredients like caramel coloring, artificial sweeteners, and phosphoric acid. Compares the health risks of diet versus regular pop and offers healthier alternatives. Based on scientific studies and regulatory reports.

Key Points

  • Caramel Coloring: Some caramel colorings used in pop contain 4-Methylimidazole (4-MEI), classified as a possible carcinogen, though levels found in beverages are typically low.

  • Artificial Sweeteners: The artificial sweetener aspartame has been classified as "possibly carcinogenic to humans" by the IARC, though conflicting studies and regulatory opinions exist regarding its safety.

  • Benzene Formation: The preservative sodium benzoate, when mixed with vitamin C and exposed to heat, can form the known carcinogen benzene.

  • BVO Ban: Brominated vegetable oil (BVO), an emulsifier used in some sodas, was recently banned by the FDA due to potential health concerns linked to animal studies.

  • Primary Risk (Regular Pop): The main health concern with regular pop is its high sugar content, which drives obesity and diabetes, major risk factors for cancer.

  • Diet vs. Regular: Neither diet nor regular pop is entirely risk-free, but replacing sugary drinks with water is the healthiest choice for minimizing potential carcinogenic and metabolic risks.

  • Healthier Alternatives: Sparkling water, unsweetened tea, and fruit-infused water are excellent substitutes for pop to avoid controversial additives and high sugar levels.

In This Article

Common ingredients in pop and potential cancer links

When considering if there are carcinogens in pop, it's essential to examine the ingredients list of both regular and diet versions. While no single ingredient is definitively labeled a human carcinogen in standard pop consumption levels, several components have been scrutinized by regulatory bodies and researchers.

4-Methylimidazole (4-MEI) in caramel coloring

Caramel coloring, especially the Class III and IV varieties, is a common ingredient that gives pop its signature brown color. This coloring process can produce 4-MEI, a potential carcinogen in animals.

  • In 2012, tests conducted by the Center for Science in the Public Interest (CSPI) found varying levels of 4-MEI in popular colas, prompting some companies to reformulate their products to lower the amounts.
  • The International Agency for Research on Cancer (IARC), a part of the World Health Organization (WHO), has classified 4-MEI as “possibly carcinogenic to humans”.
  • However, regulatory bodies like the U.S. Food and Drug Administration (FDA) have stated that the low levels found in beverages do not pose an immediate health risk, though continuous research is ongoing.

Artificial sweeteners: Aspartame and Acesulfame-K

Concerns about diet pop often center on artificial sweeteners. In June 2023, the IARC classified aspartame as "possibly carcinogenic to humans". This classification was based on "limited evidence" in human studies, while the WHO's Joint Expert Committee on Food Additives (JECFA) maintained its position that aspartame is safe within accepted daily intake limits. Acesulfame-K has also been associated with increased cancer risks in some studies.

  • A 2022 French study involving over 100,000 adults found higher consumers of artificial sweeteners, particularly aspartame and acesulfame-K, had a slightly higher risk of overall cancer.
  • Other research has shown conflicting results, and a recent umbrella review of meta-analyses found no significant overall link between artificial sweeteners and cancer risk, though it noted possible associations with specific cancers warranting further research.

Other additives: Sodium benzoate and BVO

  • Sodium Benzoate: This preservative, when combined with vitamin C (ascorbic acid) and exposed to heat or light, can form benzene, a known carcinogen. In 2005, the FDA tested sodas and worked with manufacturers to reformulate products where benzene levels were above safe drinking water limits. While levels have since been reduced, long-term studies on low-level benzene exposure are still lacking.
  • Brominated Vegetable Oil (BVO): Used as an emulsifier in some citrus-flavored drinks, BVO was recently banned by the FDA in 2024 for use in food products sold in the U.S. due to potential health concerns, including links to neurological and thyroid issues in animal studies.

Diet vs. regular pop: A comparison of risks

Feature Regular Pop Diet Pop Winner Reasoning
Sugar Content Very High (e.g., 10-13 teaspoons per 12oz can) Zero Diet Reduces calorie intake and avoids sugar-related metabolic risks.
Weight Gain High risk due to high sugar and empty calories Variable (some studies show conflicting results) Tie Diet soda may still disrupt metabolic processes and trigger sweet cravings.
Metabolic Syndrome/Diabetes High risk due to insulin spikes from high sugar content Some studies show an association, though often weaker than with regular pop. Regular (worse) Diet soda is not a complete solution, and can still be associated with higher risk of diabetes.
Dental Health High risk of cavities and enamel erosion due to sugar and acid High risk of enamel erosion due to acidity, but no cavities from sugar. Diet (slightly) While diet pop avoids sugar-related decay, its acidity remains a significant dental concern.
Liver Health High risk of fatty liver disease Recent studies suggest potentially higher risk than regular soda for fatty liver disease. Regular (worse) Both types of beverages can cause fat accumulation in the liver, but diet soda appears to pose an even higher risk of liver-related deaths, according to one study.
Heart Health Increased risk due to sugar-related inflammation and metabolic issues Some studies show an increased risk, but mechanisms are less clear. Tie Both have been associated with increased heart disease risk, warranting caution.

Healthier alternatives to pop

For those seeking to reduce their intake of pop and its potentially harmful ingredients, numerous healthier alternatives exist:

  • Water: The most basic and healthiest choice for hydration. Add slices of lemon, lime, or cucumber for a hint of natural flavor.
  • Sparkling Water: Provides the carbonated sensation without the sugar or artificial sweeteners. A splash of 100% juice can add flavor.
  • Unsweetened Tea or Coffee: Offers a flavor kick and potential health benefits from antioxidants.
  • Kombucha: A fermented tea that contains probiotics, which are beneficial for gut health.
  • Coconut Water: A natural source of electrolytes, often lower in sugar than fruit juice.
  • Vegetable Juice: Offers vitamins and minerals, though some store-bought versions can be high in sodium.

Conclusion: Understanding the full context of pop and cancer

While the search for a simple "yes or no" answer to whether there are carcinogens in pop is understandable, the reality is far more complex. The primary health concern with regular pop is its high sugar content, which contributes to obesity, diabetes, and other chronic conditions, which in turn increase cancer risk. For diet pop, the debate over artificial sweeteners and their potential role in cancer continues, with conflicting findings across different studies. Ingredients like caramel coloring and sodium benzoate have also raised red flags, leading to some product reformulations.

The takeaway is not to panic over a single can but to consider your overall consumption patterns. Regular, heavy intake of either regular or diet pop is associated with various health risks that can indirectly or directly impact cancer risk. The most definitive and widely accepted guidance is that water and other naturally low-sugar beverages remain the healthiest choices for hydration and overall well-being. This approach minimizes exposure to controversial additives and high sugar loads, providing a more robust path to reducing health risks.


Disclaimer

This article provides general information and is not a substitute for professional medical advice. Always consult a healthcare professional for personalized guidance regarding diet and health concerns.

Frequently Asked Questions

Some types of caramel coloring used in pop can contain a byproduct called 4-Methylimidazole (4-MEI), which the IARC has classified as “possibly carcinogenic to humans.” However, regulatory bodies have stated that the low levels found in sodas do not pose a significant risk with normal consumption, and some manufacturers have reduced 4-MEI levels in their products.

The International Agency for Research on Cancer (IARC) classified aspartame as “possibly carcinogenic to humans” based on limited human evidence. However, the WHO's JECFA committee still considers it safe within acceptable daily limits, and other studies on artificial sweeteners have shown conflicting results regarding cancer risk.

The biggest cancer risk factor in regular pop is its high sugar content, which leads to weight gain and obesity. Obesity is a well-established risk factor for several types of cancer, so the indirect link through poor metabolic health is a major concern.

Both diet and regular pop carry health risks. While diet pop eliminates the risk associated with high sugar intake, some studies suggest potential issues with artificial sweeteners and metabolic function. For overall health, neither is recommended over water.

BVO, an emulsifier used in some fruit-flavored drinks, was banned by the FDA in 2024 because animal studies linked it to neurological, thyroid, and other health problems. The ban was implemented to remove potential health risks associated with its consumption.

Regulatory bodies like the FDA and WHO's JECFA base their assessments on available scientific evidence. However, science evolves, and different agencies may interpret the evidence differently or focus on different aspects, as seen with aspartame. Staying informed about new research is always a good practice.

The healthiest and most recommended alternative to pop is water. Other healthy options include sparkling water with natural flavors, unsweetened tea, or kombucha.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.