Financial Conflicts of Interest and Reporting Bias Regarding the Association between Sugar-Sweetened Beverages and Weight Gain: A Systematic Review of Systematic Reviews

Ref ID 8
First Author M. Bes-Rastrollo
Journal PLOS MEDICINE
Year Of Publishing 2014
URL https://doi.org/10.1371/journal.pmed.1001578
Keywords • Public health
• Sponsorship bias
• Allegiance
• Author
Problem(s) • Financial conflicts of interest of review authors
• Spin or subjective interpretation of findings
Article Type Empirical
Article Subtype Meta-epidemiological analysis
First Author Country Spain
Aim To assess whether financial industry funding or the disclosure of potential conflicts of interest influenced the results of published systematic reviews indexed across several databases up to 31 August 2013 conducted in the field of sugar-sweetened beverages and weight gain or obesity. Systematic review conclusions were independently classified by two researchers into two groups: those that found a positive association and those that did not.
Level of Investigation Descriptive
Summary of Findings 17 systematic reviews (with 18 conclusions) of sugar-sweetened beverages and weight gain or obesity were included. In six of the systematic reviews a financial conflict of interest with some food industry was disclosed. Among those reviews without any reported conflict of interest, 83.3% of the conclusions (10/12) were that sugar-sweetened beverage consumption could be a potential risk factor for weight gain. In contrast, the same percentage of conclusions, 83.3% (5/6), of those systematic reviews disclosing some financial conflict of interest with the food industry were that the scientific evidence was insufficient to support a positive association between sugar-sweetened beverage consumption and weight gain or obesity. Those reviews with conflicts of interest were five times more likely to present a conclusion of no positive association than those without them (relative risk: 5.0, 95% CI: 1.3–19.3).
Number of systematic reviews included 17
Number of eligible systematic reviews assessed 405
Treatment impacted Yes
Treatment impacted description Systematic review conclusions were independently classified by two researchers into two groups: those that found a positive association and those that did not. This was correlated with disclosures of vested interests for the review teams.
Interpretation impacted Yes
Interpretation impacted description Reviews with conflicts of interest were five times more likely to present a conclusion of no positive association than those without them (relative risk: 5.0, 95% CI: 1.3–19.3).