Evidence map›Paper›PMID 41065711›Full record

ArticleGlobal health action2025

Trends in sales of sugar-sweetened beverages and associated type 2 diabetes burden in nine African countries: an ecological time-series analysis.

Caroline H Karugu, Gershim Asiki, Senzo Mthembu, Samuel Iddi, Peter M Kaberia, Shukri F Mohamed, Richard E Sanya, Sylvia Kiwuwa-Muyingo, Stefanie Vandevijvere, Charles Agyemang

Abstract read
In one paragraph

Article in Global health action, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Caroline H KaruguChronic Diseases Management Unit, African Population Health Research Center, Nairobi, Kenya.ORCID 0000-0002-6914-9714
Gershim AsikiChronic Diseases Management Unit, African Population Health Research Center, Nairobi, Kenya.ORCID 0000-0002-9966-1153
Senzo MthembuInstitute for Global Health, University College London, London, UK.ORCID 0000-0003-1981-9553
Samuel IddiChronic Diseases Management Unit, African Population Health Research Center, Nairobi, Kenya.ORCID 0000-0002-2366-2774
Peter M KaberiaWest Africa Region Office, African Population Health Research Center, Dakar, Senegal.ORCID 0000-0002-8082-4549
Shukri F MohamedChronic Diseases Management Unit, African Population Health Research Center, Nairobi, Kenya.ORCID 0000-0002-8693-1943
Richard E SanyaChronic Diseases Management Unit, African Population Health Research Center, Nairobi, Kenya.ORCID 0000-0001-6348-9075
Sylvia Kiwuwa-MuyingoData Synergy and Evaluation Unit, African Population Health Research Center, Nairobi, Kenya.ORCID 0000-0002-9978-5690
Stefanie VandevijvereSciensano, Service of Lifestyle and Chronic Diseases, Brussels, Belgium.ORCID 0000-0003-3225-7524
Charles AgyemangDepartment of Public and Occupational Health, Amsterdam Public Health, University of Amsterdam Medical Centers, Amsterdam, The Netherlands.ORCID 0000-0002-3882-7295

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSugar-sweetened beverages (SSBs) are recognized contributors to the global rise in non-communicable diseases. While the link between SSB intake and adverse health outcomes is well established, long-term data from African countries are limited.

objectiveTo assess trends in SSB sales and their associations with type 2 diabetes (T2D) burden across nine African countries from 2010 to 2024.

methodsWe conducted an ecological time-series analysis using national-level data from Cameroon, Côte d'Ivoire, Ethiopia, Ghana, Kenya, Morocco, Nigeria, South Africa, and Uganda. Annual changes in per capita and total SSB sales, national T2D prevalence, and the number of adults with T2D were analyzed. Country-specific multivariate Vector Autoregressive (MVAR) models estimated associations between SSB sales and T2D outcomes.

resultsSSB sales rose across all countries, with the sharpest per capita increases in Cameroon (+173.8%), Nigeria (+119.1%), and Côte d'Ivoire (+88.5%). T2D trends varied: Ethiopia, Morocco, and South Africa showed rising prevalence and case numbers, while Ghana and Nigeria showed declines. Per capita SSB sales were significantly associated with adult T2D burden in Ghana (β = 0.41,

conclusionsRising SSB sales may be contributing to the T2D burden in African countries. This calls for context-specific regulatory measures, such as fiscal taxes and front-of-pack labels.

Indexed as

CommerceDiabetes Mellitus, Type 2Sugar-Sweetened BeveragesAdultAfricaFemaleHumansMalePrevalenceecological analysisnon-communicable diseasessugar-sweetened beveragestype 2 diabetesultra-processed foods

Identifiers

PMID41065711
PMCPMC12512766

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.