- This study concurs with other studies that physically active adolescents
who drink cola beverages have a higher risk of bone fractures.
- The association observed may be because of the phosphoric acid content
in cola drinks.
- Although studies cannot attribute a causative relationship between
carbonated beverage consumption and bone fractures, they suggest that
carbonated beverages may displace more nutritious beverages in the adolescent
- Observational studies often have prognostic factors that are not known
or measured, which may result in a difference in outcomes (calcium intake,
genetics, puberty status).
- Studies that assess harm have the potential for recall bias.
G. Teenaged girls, carbonated beverage consumption and bone fractures.
Arch Pediatr Adol Med 2000;154:610-3.
C, Robson PJ, Murray L, et al. Carbonated soft drink consumption and
bone mineral density in adolescence: the Northern Ireland Young Hearts
project. J Bone Min Res 2003;18:1563-9.