1. What is Rippe Lifestyle institute?
One of the leading research, communication, and health promotion organizations in the world
Conducting gold standard clinical research into the health impact of daily lifestyle habits and practices for over 25 years

2. Hierarchy of evidence in evidence based medicine
Decreasing bias
Systematic
Reviews &
meta-analyses
RCTs
Non-randomized controlled trials (NRCT)
Cohorts studies
Case-control studies
Cross-sectional studies
Case series/time series
Expert opinion

3. Rippe Lifestyle Institute
Studied between 1,000 and 1,500 individuals
Exploring health effects of added sugars, in every instance using SSBs
Dosage ranges between the 20th and 95th percent population consumption levels (U.S. data)
Periods up to 24 weeks
Prospective, blinded, randomized controlled trials

4. No adverse effects, and no differences at different dosage levels on the following health related parameters:
Blood Lipids
Blood Pressure
Weight Gain
Weight Loss
Body Composition
Blood Glucose
Insulin
Insulin Resistance
Ectopic Fat Deposition
Energy Regulating Hormones
(Insulin, Leptin, Ghrelin)
Uric Acid
Appetite
Neurologic Response
Blood flow to hypothalamus
Cognitive response
Risk Factors for Heart Disease
Risk Factors for Diabetes
Risk Factors for the Metabolic Syndrome
Findings have been:
Presented in 30 academic articles published in peer reviewed journals
Presented at 57 peer reviewed academic medical and scientific conferences.

5. Conclusions
No adverse health effects from added sugars found at multiple levels of human consumption within the normal range in RCTs lasting up to 24 weeks.
No differences between sugar sweetened beverages and other sources of calories on any of these parameters.
There is an urgent need for South African specific data