Abt Associates Inc., Durham, NC 27703, USA. Bernadette
Crit Rev Food Sci Nutr. 2010 Mar;50(3):228-58. doi: 10.1080/10408391003626223.
In the Institute of Medicine (IOM) macronutrient report the Committee recommended a maximal intake of < or = 25% of energy from added sugars. The primary objectives of this study were to utilize National Health and Nutrition Examination Survey (NHANES) to update the reference table data on intake of added sugars from the IOM report and compute food sources of added sugars. We combined data from NHANES with the United States Department of Agriculture (USDA) MyPyramid Equivalents Database (MPED) and calculated individual added sugars intake as percent of total energy then classified individuals into 8 added sugars percent energy categories, calculated usual intake with the National Cancer Institute (NCI) method, and compared intakes to the Dietary Reference Intakes (DRIs). Nutrients at most risk for inadequacy based on the Estimated Average Requirements (EARs) were vitamins E, A, C, and magnesium. Nutrient intake was less with each 5% increase in added sugars intake above 5-10%. Thirteen percent of the population had added sugars intake > 25%. The mean g-eq added sugars intake of 83.1 g-eq/day and added sugars food sources were comparable to the mid-1990s. Higher added sugars intakes were associated with higher proportions of individuals with nutrient intakes below the EAR, but the overall high calorie and the low quality of the U.S. diet remained the predominant issue. With over 80% of the population at risk for select nutrient inadequacy, guidance may need to focus on targeted healthful diet communication to reach the highest risk demographic groups for specific life stage nutrient inadequacies.
在医学研究所（IOM）的宏量营养素报告中，委员会建议将添加糖的能量摄入量最高限制在 25%以下。本研究的主要目的是利用国家健康和营养调查（NHANES）更新 IOM 报告中关于添加糖摄入量的参考表数据，并计算添加糖的食物来源。我们将 NHANES 数据与美国农业部（USDA）的 MyPyramid 等效数据库（MPED）相结合，并计算了个体添加糖的摄入量占总能量的百分比，然后将个体分为 8 个添加糖能量百分比类别，用国家癌症研究所（NCI）的方法计算常用摄入量，并与膳食参考摄入量（DRIs）进行比较。根据估计平均需求量（EARs），最有可能不足的营养素是维生素 E、A、C 和镁。随着添加糖摄入量每增加 5%，营养素的摄入量就会减少 5-10%。13%的人口添加糖摄入量>25%。83.1 克当量/天的平均添加糖摄入量和添加糖的食物来源与 20 世纪 90 年代中期相当。较高的添加糖摄入量与营养素摄入量低于 EAR 的个体比例较高有关，但美国高热量、低质量的饮食仍然是主要问题。超过 80%的人口面临特定营养素不足的风险，因此，指导方针可能需要侧重于有针对性的健康饮食沟通，以针对特定生命阶段营养素不足的高风险人群。
