Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN 55454, USA.
Am J Public Health. 2013 Mar;103(3):501-7. doi: 10.2105/AJPH.2011.300562. Epub 2012 Jun 14.
We described 27-year secular trends in added-sugar intake and body mass index (BMI) among Americans aged 25 to 74 years.
The Minnesota Heart Survey (1980-1982 to 2007-2009) is a surveillance study of cardiovascular risk factors among residents of the Minneapolis-St Paul area. We used generalized linear mixed regressions to describe trends in added-sugar intake and BMI by gender and age groups and intake trends by weight status.
BMI increased concurrently with added-sugar intake in both genders and all age and weight groups. Percentage of energy intake from added sugar increased by 54% in women between 1980 to 1982 and 2000 to 2002, but declined somewhat in 2007 to 2009; men followed the same pattern (all P < .001). Added-sugar intake was lower among women than men and higher among younger than older adults. BMI in women paralleled added-sugar intake, but men's BMI increased through 2009. Percentage of energy intake from added sugar was similar among weight groups.
Limiting added-sugar intake should be part of energy balance strategies in response to the obesity epidemic.
我们描述了 1980-1982 年至 2007-2009 年期间,25-74 岁美国人群中添加糖摄入量和体重指数(BMI)的 27 年长期变化趋势。
明尼苏达心脏调查(1980-1982 年至 2007-2009 年)是对明尼阿波利斯-圣保罗地区居民心血管危险因素的监测研究。我们使用广义线性混合回归来描述不同性别和年龄组添加糖摄入量和 BMI 的趋势,以及不同体重状况的摄入量趋势。
在男性和所有年龄组和体重组中,BMI 与添加糖的摄入量同时增加。女性从 1980 年到 1982 年到 2000 年到 2002 年的能量摄入中添加糖的比例增加了 54%,但在 2007 年到 2009 年有所下降;男性则呈现相同的模式(均<0.001)。女性的添加糖摄入量低于男性,而年轻人的摄入量高于老年人。女性的 BMI 与添加糖摄入量平行,但男性的 BMI 一直增加到 2009 年。添加糖在能量摄入中所占的比例在不同体重组之间相似。
限制添加糖的摄入量应该是应对肥胖流行的能量平衡策略的一部分。