New evidence: Sugary soft drinks could increase cancer risk, no matter your weight

22 Feb 2018

Drinking sugary soft drinks could increase cancer risk, regardless of body size, reveals new research from Cancer Council Victoria and University of Melbourne.

People who regularly drank sugary soft drinks were found to be more at-risk of several types of cancer than those who didn’t, according to the study, published in the Public Health Nutrition journal today.

"These particular cancers are commonly associated with obesity, however our research found this risk existed for all participants, no matter their size," said Associate Professor Allison Hodge of Cancer Council Victoria’s Cancer Epidemiology and Intelligence Division.

The findings are based on a research study of more than 35,000 Australians who developed 3283 cases of obesity-related cancers.

"We were surprised to find this increased cancer risk was not driven completely by obesity.

"Our study found that the more sugary soft drinks participants drank, the higher their risk of cancer. This was not the case with those who drank diet soft drinks, suggesting sugar is a key contributor," said A/Prof Hodge.

"Even people who were not overweight had an increased cancer risk if they regularly drank sugary soft drinks."

The caramel colouring (4-methylimidazole) used in cola drinks, and artificial sweeteners, did not seem to affect cancer risk, she said.

"Interestingly, though, we found those who regularly drank diet soft drinks were just as likely to be obese as those who regularly drank sugary soft drinks, which still carries health risks".

Cancer Council Victoria CEO Todd Harper said these findings provide yet another reason for people to cut back their consumption of sugar-sweetened soft drinks.

"Sugary drinks, including soft drinks, are already known to be a cause of obesity, which greatly increases the risk of 13 types of cancer," he said.

"And cancer is just one of many chronic health conditions associated with sugary drink consumption– including increased risk of type 2 diabetes, heart disease, and tooth decay.".

"We need more people to understand the connection and make the switch to water."

The study looked at adult soft drink consumption, but the problem is likely even more significant in younger Australians, according to Obesity Policy Coalition Executive Manager Ms Jane Martin.

"Younger Australians are consuming significantly more sugary drinks than older people, they are widely available and often discounted" Ms Martin said.

"Big brands bombard kids with marketing for these unhealthy sugary drinks, including through sport, which can set kids up for a lifetime of health problems."

"A 20% health levy on sugary drinks can help deter people from these cheap and very unhealthy drinks, and help recover some of the significant costs associated with obesity and the increasing burden this puts on our public health care system."

Ms Martin also said people should still be cautious about drinking artificially-sweetened drinks, as these have also been associated with weight gain and obesity, which is in turn associated with cancer.

A/Prof Hodge said she would like to see these findings confirmed among other populations, and understand why – and the extent to which – sugar seems to increase cancer risk.

"This is one of the first studies to identify an association between sugary soft drinks and cancer risk, and so we hope this study will encourage more research in this area going forward," she said.

About the research:

Title: Consumption of sugar-sweetened and artificially sweetened soft drinks and risk of obesity-related cancers.

This research, from Cancer Council Victoria’s Cancer Epidemiology and Intelligence Division and University of Melbourne’s Centre for Epidemiology and Biostatistics, looked at whether more frequent consumption of sugar-sweetened soft drinks would be associated with increased risk of 11 obesity-related cancers:

  • Liver
  • Aggressive prostate
  • Ovary
  • Gallbladder
  • Kidney
  • Colorectum
  • Oesophagus
  • Postmenopausal breast
  • Pancreas
  • Endometrium
  • Gastric cardia

Artificially sweetened soft drinks were also assessed for comparison. The research found that higher consumption of both sugar-sweetened and artificially sweetened soft drinks was associated with higher waist circumference, although cancer risk was only higher among those who drank more sugar-sweetened soft drinks.

Authors: Allison M Hodge, Julie K Bassett, Roger L Milne, Dallas R English, and Graham G Giles.

Cancer Council Victoria is a non-profit organisation and has been leading the fight against all cancers for 82 years. We focus on cancer research, patient support, cancer prevention and advocacy. Please visit for further information.