Sundborn G, Merriman T R, Thornley S, Metcalf P, Jackson R
Pac Health Dialog. 2014 Mar;20(1):22-30.
The epidemic of unhealthy weight is now in its third decade. The multitude of initiatives designed to address this issue (globally) have predominantly been ineffective as the prevalence of unhealthy weight has continued to rise. Public health professionals have proposed an 'endgame' for tobacco smoking in New Zealand by 2025, which has received widespread support. Similarly, here, to control the prevalence of unhealthy weight, we consider whether a similar approach to tobacco is justified to restrict the intake of sweetened beverages.
This paper reviews the evidence relating sugar sweetened beverages to unhealthy weight and adverse health effects. Current initiatives aimed at reducing sugar sweetened beverage consumption both internationally and in New Zealand are reviewed.
Epidemiological evidence consistently links sugar-sweetened drink intake with unhealthy weight and other risk factors for cardiovascular disease, such as diabetes, gout, and raised blood pressure. Food disappearance data suggests that sugar intake continues to increase in New Zealand, and that a subtle addiction to sugar may underlie this trend. A number of successful initiatives to reduce sugary drink intake are described. IMPLICATION/CONCLUSION: We argue that an 'endgame' to the consumption of sugar-sweetened beverages be supported as a means to address the issue of unhealthy weight at a population level. Finally, a preliminary draft endgame plan is presented for consideration, dialogue and debate.
不健康体重的流行已进入第三个十年。尽管全球采取了众多旨在解决这一问题的举措，但由于不健康体重的患病率持续上升，这些举措大多没有效果。公共卫生专业人员提议到2025年在新西兰实现吸烟“终结目标”，这一提议得到了广泛支持。同样，在这里，为了控制不健康体重的患病率，我们探讨对含糖饮料的摄入量采取类似控烟的方法是否合理。
本文回顾了有关含糖饮料与不健康体重及不良健康影响之间关系的证据。对目前国际上和新西兰旨在减少含糖饮料消费的举措进行了综述。
流行病学证据一致表明，摄入含糖饮料与不健康体重以及心血管疾病的其他风险因素有关，如糖尿病、痛风和血压升高。食品消失数据表明，新西兰的糖摄入量持续增加，对糖的轻微成瘾可能是这一趋势的潜在原因。文中描述了一些减少含糖饮料摄入量的成功举措。
启示/结论：我们认为应支持实现含糖饮料消费的“终结目标”，以此作为在人群层面解决不健康体重问题的一种手段。最后，提出了一份终结目标计划初稿，供各方考虑、对话和辩论。
