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Background In 2015, the World Health Organization (WHO) published the guideline “Sugars intake for adults and children” [1]. In this guideline, the WHO recommends a daily free sugar intake of less than 10% of total energy intake in both adults and children in order to reduce noncommunicable diseases (NCDs), with a particular focus on the prevention and control of unhealthy weight gain and dental caries. Free sugars refer both to added sugars and sugars naturally present in, for example, pure fruit juice, but not to sugars in intact fruits. Based on this guideline, a few countries consider pure fruit juice (without any added ingredients) nutritionally similar to sugar-sweetened beverages (SSBs), such as sodas with added sugars, in their dietary guidelines. However, most countries state in their dietary guidelines that pure fruit juice can (partially) replace whole fruit [2]. Artificially sweetened beverages (ASBs), which contain no or less sugars or calories, are not included in dietary guidelines worldwide. Current scientific evidence is mainly focused on SSBs and their health effects, while studies on pure fruit juices and ASBs are more scarce and inconsistent. The conflicting dietary guidelines for pure fruit juice and the absence of dietary guidelines for ASBs emphasize the need for more research on the health effect of these types of beverages.

Sugar intake and all-cause mortality—differences between sugar-sweetened beverages, artificially sweetened beverages, and pure fruit juices