Skip to content

Is it bad to have a can of Coke Zero everyday? A health deep-dive

4 min read

According to a 2019 study published in the journal Stroke, drinking two or more artificially sweetened beverages daily could significantly increase the risk of heart disease and stroke in women over 50. So, is it bad to have a can of Coke Zero everyday, or is moderate consumption safe for most? This article explores the evidence.

Quick Summary

This guide examines the long-term health implications of daily Coke Zero consumption, focusing on artificial sweeteners, metabolic impact, dental health, and cardiovascular risk. We weigh the evidence.

Key Points

  • Daily Consumption Isn't Recommended: While occasional Coke Zero is fine, consistent daily intake is not considered a healthy habit by many experts.

  • Artificial Sweeteners are Contentious: The sweeteners aspartame and acesulfame potassium have been linked in some observational studies to metabolic issues, cardiovascular risks, and changes in the gut microbiome, though definitive evidence is mixed.

  • Not a Weight Loss Miracle: Despite zero calories, diet sodas may contribute to weight gain by confusing hunger signals and increasing cravings for sweets.

  • Dental Damage is a Certainty: The phosphoric acid in Coke Zero is highly acidic and can erode tooth enamel over time with regular exposure.

  • Healthier Alternatives Exist: For daily hydration, switching to water, sparkling water, or unsweetened teas is a much better option for your long-term health.

In This Article

What's in a can of Coke Zero?

Unlike its full-sugar counterpart, Coke Zero is formulated with artificial sweeteners to provide a sweet taste without the calories. A standard can contains carbonated water, phosphoric acid, and the artificial sweeteners aspartame and acesulfame potassium. It also includes caffeine, caramel color, and natural flavorings. While the lack of sugar and calories might seem appealing, it's the long-term effects of these substitute ingredients that concern health experts.

The key components of Coke Zero include:

  • Aspartame: An artificial sweetener 200 times sweeter than sugar, comprised of the amino acids aspartic acid and phenylalanine. It is one of the most studied food additives.
  • Acesulfame Potassium (Ace-K): Another artificial sweetener often blended with aspartame to enhance sweetness.
  • Phosphoric Acid: Adds a tart flavor but is also a significant contributor to dental enamel erosion.
  • Caffeine: A stimulant that can affect sleep and heart rate, especially in large doses.

The Potential Risks of Daily Consumption

For a healthy person, an occasional Coke Zero is unlikely to cause serious harm. The potential issues arise with a consistent, daily habit. Here are some of the concerns highlighted by research.

Metabolic and Weight Management Concerns

Despite being calorie-free, diet sodas have a complicated relationship with weight. Some observational studies have linked daily diet soda consumption to a higher risk of weight gain, increased abdominal circumference, and metabolic syndrome. One theory is that the intense sweetness of artificial sweeteners can confuse the brain, leading to increased cravings for sweet, high-calorie foods. Furthermore, some studies suggest that artificial sweeteners may negatively impact the gut microbiome, which plays a critical role in metabolic health. While some controlled studies show a modest weight loss effect from substituting regular soda with diet versions, the overall evidence is mixed and complex. The World Health Organization (WHO) has advised against relying on artificial sweeteners for long-term weight control.

Dental and Bone Health

Both regular and diet sodas are highly acidic, and this acidity can be detrimental to dental health. Coke Zero contains phosphoric acid, which can wear down tooth enamel over time. This can lead to increased tooth sensitivity and cavities. For bone health, some studies suggest that the phosphorus in soda may decrease bone mineral density, potentially increasing the risk of osteoporosis, particularly in older adults.

Cardiovascular and Brain Health

Several large observational studies have found a correlation between daily diet soda intake and an increased risk of heart-related issues. This includes a higher risk of stroke, heart attack, and atrial fibrillation (AFib). For instance, a 2017 study found that diet soda intake was associated with a higher risk of both stroke and dementia. While these studies show correlation, not direct causation, they raise significant concerns about long-term, high-frequency consumption.

The Aspartame Controversy and Cancer Risk

The World Health Organization's International Agency for Research on Cancer (IARC) classified aspartame as "possibly carcinogenic to humans" (Group 2B) in 2023. This means there is limited evidence suggesting a potential link. However, other health organizations, including the U.S. Food and Drug Administration (FDA), maintain that aspartame is safe for consumption within established acceptable daily intake (ADI) levels. The ADI is an amount that is very difficult to reach by simply drinking one can of Coke Zero per day, but the classification highlights ongoing debate and the call for more research.

Coke Zero vs. Regular Coke: A Comparison

While the article focuses on Coke Zero, it's helpful to understand how it compares to its sugary counterpart. Neither offers nutritional benefits, but they pose different health challenges.

Feature Coke Zero (Zero Sugar) Regular Coca-Cola
Calories ~0 kcal ~140 kcal (for a 12 fl oz can)
Sugar 0g 39g (for a 12 fl oz can)
Sweeteners Artificial (Aspartame, Acesulfame Potassium) Sugar (High-Fructose Corn Syrup)
Associated Weight Gain Linked to appetite confusion and increased cravings Directly from high sugar content
Metabolic Risk Observational studies link to metabolic syndrome Strong link to obesity, diabetes, and heart disease
Dental Risk High acidity leads to enamel erosion High sugar and high acidity both damage teeth

Healthier Alternatives for Daily Hydration

Given the potential risks of daily diet soda consumption, opting for healthier beverages is the best choice for long-term well-being. This is especially true for those trying to reduce their dependence on sweet flavors.

  • Water: The most important and healthiest choice for hydration.
  • Flavored Seltzer or Infused Water: For those who enjoy carbonation, adding fruit slices or herbs to seltzer offers a flavorful, sugar-free, and sweetener-free alternative.
  • Unsweetened Tea or Coffee: Provides a caffeine boost without the additives found in soda.
  • Kombucha: A fermented tea that contains probiotics for gut health, though some varieties can be high in sugar.
  • Herbal Tea: A wide variety of caffeine-free options to help with hydration.

Conclusion

While a single can of Coke Zero a day is not likely to be acutely harmful for most healthy individuals, a consistent daily habit is not recommended. The cumulative, long-term effects of the artificial sweeteners, acids, and other ingredients on metabolic health, gut bacteria, and dental enamel raise valid health concerns. Although Coke Zero is a sugar-free alternative to regular soda, it should not be considered a truly "healthy" option. The best approach for overall wellness is moderation and a gradual transition toward healthier, more nutritious beverages. Consulting a healthcare provider for personalized advice is always a good idea.

For more information on the effects of diet soda, see this detailed resource from Healthline. Healthline

Frequently Asked Questions

While unlikely to be acutely harmful for a healthy person, consistent daily consumption is not recommended due to potential long-term risks associated with artificial sweeteners and acidity, including metabolic issues, dental erosion, and cardiovascular concerns.

There is no single "biggest" risk, but the most frequently cited concerns are potential links to metabolic syndrome and cardiovascular issues, as well as dental enamel erosion caused by phosphoric acid.

Some observational studies suggest a correlation between diet soda consumption and weight gain or increased waist circumference, potentially due to altered gut bacteria or confusion of the brain's hunger signals. However, research is mixed, and causality is not definitively proven.

Regulatory bodies like the FDA consider aspartame safe within the established acceptable daily intake (ADI), an amount very difficult to exceed with a can a day. However, the WHO's classification of aspartame as 'possibly carcinogenic' and ongoing studies warrant a cautious approach to daily intake.

Healthier alternatives include water, sparkling water infused with fruit, unsweetened teas, and kombucha. These provide hydration and flavor without artificial sweeteners or high acidity.

Research suggests that artificial sweeteners may disrupt the balance of gut bacteria, which could negatively impact metabolic health. However, studies are still ongoing and have yielded conflicting results.

Yes, although it lacks sugar, Coke Zero contains phosphoric acid which is highly acidic. This acid can erode tooth enamel over time, leading to sensitivity and decay, similar to sugary sodas.

References

  1. 1
  2. 2
  3. 3

Medical Disclaimer

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