Soda Linked to Pancreatic Cancer February 9, 2010
 Consuming two or more soft drinks per week increases the risk of developing pancreatic cancer by nearly twofold compared to individuals who did not consume soft drinks, according to a report in Cancer Epidemiology, Biomarkers & Prevention, a journal of the American Association for Cancer Research.
Although relatively rare, pancreatic cancer remains one of the most deadly, and only 5% of people who are diagnosed are alive five years later.
Mark Pereira, senior author on the study and associate professor in the School of Public Health at the University of Minnesota, says people who consume soft drinks on a regular basis, defined as primarily carbonated sugar-sweetened beverages, tend to have a poor behavioral profile overall.
However, the effect of these drinks on pancreatic cancer may be unique.
"The high levels of sugar in soft drinks may be increasing the level of insulin in the body, which we think contributes to pancreatic cancer cell growth," says Pereira.
For the current study, Pereira and colleagues followed 60,524 men and women in the Singapore Chinese Health Study for 14 years. During that time, there were 140 pancreatic cancer cases. Those who consumed two or more soft drinks per week (averaging five per week) had an 87% increased risk compared with individuals who did not.
No association was seen between fruit juice consumption and pancreatic cancer.
Pereira says that these results from Singapore are likely applicable to the United States. Susan Mayne, associate director of the Yale Cancer Center and professor of epidemiology at the Yale School of Public Health, says these study results are intriguing but have some key limitations that should be considered in any interpretation.
"Although this study found a risk, the finding was based on a relatively small number of cases and it remains unclear whether it is a causal association or not. Soft drink consumption in Singapore was associated with several other adverse health behaviors such as smoking and red meat intake, which we can't accurately control for," says Mayne, an editorial board member of Cancer Epidemiology, Biomarkers & Prevention.
Pereira points out that the findings are biologically plausible, held up in non-smokers, remained similar after taking other dietary habits into account and are consistent with findings in Caucasian populations.
Source: American Association for Cancer Research
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