Department of Nutrition Science, Purdue University, Stone Hall, Room 143A, 700 West State Street, West Lafayette, IN 47906, USA.
Nutrition Impact LLC, 9725 D Drive North, Battle Creek, MI 49014, USA.
Nutrients. 2018 Jan 17;10(1):102. doi: 10.3390/nu10010102.
High intake of added sugars is associated with excess energy intake and poorer diet quality. The objective of this cross-sectional study ( = 16,806) was to estimate usual intakes and the primary food sources of added sugars across the range of intakes (i.e., deciles) among U.S. children (2-8 years), adolescents and teens (9-18 years), and adults (≥19 years) using the National Health and Nutrition Examination (NHANES) data from 2009-2012. The percent energy contributed by added sugars was 14.3 ± 0.2% (2-8 years), 16.2 ± 0.2% (9-18 years), and 13.1 ± 0.2% (≥19 years), suggesting the highest intakes are among adolescents and teens. However, the primary foods/beverages that contribute to added sugars were remarkably consistent across the range of intakes, with the exception of the lowest decile, and include sweetened beverages and sweet bakery products. Interestingly across all age groups, even those in the lowest decile of added sugars exceed the 10% guidelines. Additional foods contributing to high intakes were candy and other desserts (e.g., ice cream) in children and adolescents, and coffee and teas in adults. Tailoring public health messaging to reduce intakes of these identified food groups may be of utility in designing effective strategies to reduce added sugar intake in the U.S.
高摄入量的添加糖与摄入过多的能量和较差的饮食质量有关。本横断面研究（n=16806）的目的是使用 2009-2012 年国家健康和营养检查（NHANES）数据估计美国儿童（2-8 岁）、青少年和青少年（9-18 岁）以及成年人（≥19 岁）在不同摄入范围内（即十分位数）添加糖的常用摄入量和主要食物来源。添加糖所贡献的能量百分比为 14.3±0.2%（2-8 岁）、16.2±0.2%（9-18 岁）和 13.1±0.2%（≥19 岁），表明青少年的摄入量最高。然而，除了最低十分位数外，对添加糖摄入量有显著贡献的主要食物/饮料在不同摄入范围内非常一致，包括甜饮料和甜面制品。有趣的是，在所有年龄段中，即使是添加糖摄入量最低的十分位数，也超过了 10%的指导原则。在儿童和青少年中，其他高摄入量的食物还包括糖果和其他甜点（如冰淇淋），而在成年人中则是咖啡和茶。针对这些确定的食物组制定减少摄入量的公共卫生信息可能有助于设计减少美国添加糖摄入量的有效策略。
