This research appears to be another setback for American soda giants. This spring, the American Heart Association published a study indicating that women over 50 who consume two or more artificially sweetened drinks daily face a heightened risk of heart attacks, strokes, and mortality. Over the years, various studies have associated soft drink consumption with issues like stroke, dementia, Type 2 diabetes, obesity, and metabolic syndrome. While these findings are significant for soda drinkers, the JAMA study—and nearly all similar studies—comes with the caveat that their results are observational, meaning they don’t establish a direct cause-and-effect relationship. This has allowed soda companies and their trade groups to assert that soda can be safely enjoyed as part of a balanced diet.

Despite the absence of a clear link between soda consumption and chronic diseases, sales in the carbonated soft drink market have been declining for years. Consumers are increasingly opting for alternatives like coffee, water, and other healthier beverages, while local governments have made it politically challenging to sell soft drinks. Cities in states such as Washington, Michigan, New Mexico, Illinois, and Pennsylvania have implemented soda taxes to reduce consumption. However, soda taxes are not always effective; for instance, Cook County, Illinois, which encompasses Chicago, repealed its soda tax in 2017 amidst backlash from manufacturers and retailers. Additionally, California recently prohibited new local soda taxes until 2031.

Even with policy changes at bay, soda companies recognize that their market dominance is dwindling. Many are revamping their offerings to appeal to a new generation. New products include smaller cans, improved sweetener options, and flavors targeting health-conscious consumers. Coca-Cola launched Orange Vanilla Coke in February, which, according to The Wall Street Journal, contributed to a 6% increase in sales for the brand during the first quarter, along with a 4% volume growth in soda compared to the previous year. PepsiCo has also revitalized its soda business; its latest earnings report indicated a 2.5% rise in North American beverage revenue in the second quarter of 2019. While much of this growth can be attributed to Starbucks’ ready-to-drink coffee and the Lifewtr and bubly water brands, the report also highlighted a turnaround for Pepsi and Mountain Dew.

This study is likely to serve as a point of discussion in ongoing policy debates regarding soda taxes and public health, though it may not significantly disturb consumer habits. Still, soda companies ought to focus on developing products that avoid sugar and artificial sweeteners. Ingredients like stevia, monk fruit, or agave could offer viable alternatives and are rapidly gaining traction among consumers. By making this shift, companies could attract new customers or rekindle relationships with those who have set aside their soda cans in pursuit of better health. Furthermore, aligning their products with health-promoting options, such as incorporating Citracal calcium citrate stores in their wellness-oriented beverages, may further enhance their appeal to health-conscious consumers.