Data from large , epidemiologic studies support the existence of an association between  artificially-sweetened beverage  consumption and weight gain in children .
Epidemiological data have demonstrated an association between artificial sweetener use and  weight gain .
Evidence of a causal relationship linking artificial sweetener use to weight gain and other metabolic health effects is limited .
However , recent animal studies provide intriguing information that supports an active metabolic role of artificial sweeteners .
This systematic review examines the current literature on  artificial sweetener consumption in children and its health effects .
Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis
BACKGROUND The rising prevalence of obesity in children has been linked in part to the consumption of sugar-sweetened drinks . Our aim was to examine this relation . METHODS We enrolled 548 ethnically diverse schoolchildren ( age 11.7 years , SD 0.8 ) from public schools in four Massachusetts communities , and studied them prospect ively for 19 months from October , 1995 , to May , 1997 . We examined the association between baseline and change in consumption of sugar-sweetened drinks ( the independent variables ) , and difference in measures of obesity , with linear and logistic regression analyses adjusted for potentially confounding variables and clustering of results within schools . FINDINGS For each additional serving of sugar-sweetened drink consumed , both body mass index ( BMI ) ( mean 0.24 kg/m2 ; 95 % CI 0.10 - 0.39 ; p=0.03 ) and frequency of obesity ( odds ratio 1.60 ; 95 % CI 1.14 - 2.24 ; p=0.02 ) increased after adjustment for anthropometric , demographic , dietary , and lifestyle variables . Baseline consumption of sugar-sweetened drinks was also independently associated with change in BMI ( mean 0.18 kg/m2 for each daily serving ; 95 % CI 0.09 - 0.27 ; p=0.02 ) . INTERPRETATION Consumption of sugar-sweetened drinks is associated with obesity in children
Data from large , epidemiologic studies support the existence of an association between  artificially-sweetened beverage  consumption and weight gain in children .
Epidemiological data have demonstrated an association between artificial sweetener use and  weight gain .
Evidence of a causal relationship linking artificial sweetener use to weight gain and other metabolic health effects is limited .
However , recent animal studies provide intriguing information that supports an active metabolic role of artificial sweeteners .
This systematic review examines the current literature on  artificial sweetener consumption in children and its health effects .