AHA 饮食咨询对代谢综合征患者添加糖摄入量的影响。

Effect of AHA dietary counselling on added sugar intake among participants with metabolic syndrome.

机构信息

Department of Cardiology, Shanghai East Hospital, Key Laboratory of Arrhythmias, Ministry of Education, Tongji University School of Medicine, Tongji University, Shanghai, 200120, China.

Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, 01655, USA.

出版信息

Eur J Nutr. 2018 Apr;57(3):1073-1082. doi: 10.1007/s00394-017-1390-6. Epub 2017 Mar 28.

DOI:10.1007/s00394-017-1390-6

PMID:28353070

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6749615/

Abstract

BACKGROUND

High added sugar consumption has been associated with the development of metabolic syndrome (MetS). The American Heart Association (AHA) diet is designed to prevent and treat MetS; however, it remains unclear whether the AHA diet is effective on decreasing added sugar consumption. The aim of our study was to evaluate the effect of the AHA dietary counselling on added sugar consumption among participants with MetS.

METHODS

The AHA dietary counselling was conducted among 119 participants with MetS from June 2009 to January 2014 (ClinicalTrials.gov: NCT00911885). Unannounced 24-hour recalls were collected at baseline, 3, 6 and 12 months. Added sugar consumption patterns over time were examined using linear mixed models.

RESULTS

After 1-year dietary counselling, intake of added sugars decreased by 23.8 g/day (95% CI 15.1, 32.4 g/day); intake of nonalcoholic beverages dropped from the leading contributor of added sugar intake to number 7 (from 11.9 to 4.4%); the Alternative Healthy Eating Index (AHEI) score increased by 5.4 (95% CI 2.9, 8.0); however, added sugar intake for 48% participants still exceeded the recommendation. Added sugar intake per meal among different meal type was similar (24.2-25.8%) at baseline. After the 1-year dietary counselling, breakfast became the major resource of added sugar intake (33.3%); the proportion of added sugar intake from snacks decreased from 25.8% (CI 23.1, 28.5%) to 20.9% (CI 19.6, 22.3%).

CONCLUSION

Although the consumption of added sugars in participants with MetS decreased after the 1-year AHA dietary counselling, added sugar intake from majority of participants still exceeds recommended limits. Actions of successful public health strategies that focus on reducing added sugar intake are needed.

摘要

背景

高糖摄入与代谢综合征（MetS）的发展有关。美国心脏协会（AHA）饮食旨在预防和治疗 MetS；然而，AHA 饮食在减少添加糖摄入方面是否有效仍不清楚。我们的研究旨在评估 AHA 饮食咨询对 MetS 患者添加糖摄入的影响。

方法

AHA 饮食咨询于 2009 年 6 月至 2014 年 1 月期间在 119 名 MetS 患者中进行（ClinicalTrials.gov：NCT00911885）。在基线、3、6 和 12 个月时收集了未宣布的 24 小时回忆。使用线性混合模型检查随时间变化的添加糖消费模式。

结果

经过 1 年的饮食咨询，添加糖的摄入量减少了 23.8g/天（95%CI 15.1，32.4g/天）；非酒精饮料的摄入量从添加糖摄入量的主要来源下降到第 7 位（从 11.9 到 4.4%）；替代健康饮食指数（AHEI）评分增加了 5.4（95%CI 2.9，8.0）；然而，48%的参与者的添加糖摄入量仍超过建议量。不同餐型的每餐添加糖摄入量相似（24.2-25.8%）。经过 1 年的饮食咨询，早餐成为添加糖摄入的主要来源（33.3%）；零食中添加糖摄入量的比例从 25.8%（CI 23.1，28.5%）下降到 20.9%（CI 19.6，22.3%）。