It is inaccurate to say that a diet high in refined sugar cannot cause adult-onset diabetes, since a diet high in refined sugar can make a person overweight, a person to adult-onset diabetes.
What this question is testing
Conclusion
The author is pushing back on someone who said high-sugar diets cannot cause adult-onset diabetes.
Evidence
Their pushback works in two steps: sugar can make you overweight, and being overweight can predispose you to diabetes. So sugar can cause diabetes — just indirectly, through the weight detour.
Evaluate
For Parallel questions, what matters is the shape of the argument, not the topic. The shape here is: Find the answer with that exact same shape — a rejection of a "cannot cause" claim, supported by a two-link chain.
Goal
Pick the answer that denies an absolute "cannot cause" claim and bridges with two "can cause" steps.
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