School of Public Health, The University of Adelaide, Adelaide 5000, Australia.
Health Policy Centre, South Australian Health and Medical Research Institute, Adelaide 5000, Australia.
Nutrients. 2020 Mar 19;12(3):817. doi: 10.3390/nu12030817.
Reducing consumption of free sugars, such as those found in high concentrations in manufactured products such as sugar-sweetened beverages (SSBs) and 100% fruit juices, is a global public health priority. This study aimed to measure prevalence of widely available pre-packaged non-alcoholic water-based beverages (carbonated sodas, sports drinks, energy drinks, artificially-sweetened sodas, fruit juices (any type), and bottled water) and to comprehensively examine behavioral, environmental, current health, and demographic correlates of consumption. A cross-sectional, nationally-representative population survey of 3430 Australian adults (18+ years) was conducted using computer-assisted telephone (mobile and landline) interviewing. Past week prevalence of pre-packaged drinks containing free sugar was 47.3%; daily prevalence was 13.6%. Of all the pre-packaged drinks assessed, consumption of fruit juices (any type) was the most prevalent (38.8%), followed by bottled water (37.4%), soda (28.9%), artificially-sweetened soda (18.1%), sports drinks (8.1%), and energy drinks (4.2%). Higher soda consumption was associated with males, younger age, socio-economic disadvantage, frequent takeaway food consumption, availability of soda in the home, obesity, and a diagnosis of heart disease or depression. A diagnosis of Type 2 Diabetes was associated with increased likelihood of consuming artificially-sweetened sodas and decreased likelihood of consuming sugar-sweetened soda. SSB consumption is prevalent in Australia, especially among young adults and males, foreshadowing continued population weight gain and high burdens of chronic disease. To reduce consumption, Australia must take a comprehensive approach, incorporating policy reform, effective community education, and active promotion of water.
减少游离糖的摄入，例如在制造产品中大量存在的游离糖，如含糖饮料（SSB）和 100%纯果汁，是全球公共卫生的重点。本研究旨在测量广泛供应的预包装非酒精水基饮料（碳酸苏打水、运动饮料、能量饮料、人工加糖苏打水、果汁（任何类型）和瓶装水）的流行情况，并全面检查消费的行为、环境、当前健康和人口统计学相关性。使用计算机辅助电话（移动和固定电话）访谈对 3430 名澳大利亚成年人（18 岁以上）进行了横断面、全国代表性的人口调查。过去一周，含有游离糖的预包装饮料的流行率为 47.3%；每日流行率为 13.6%。在所评估的所有预包装饮料中，果汁（任何类型）的消费最为普遍（38.8%），其次是瓶装水（37.4%）、苏打水（28.9%）、人工加糖苏打水（18.1%）、运动饮料（8.1%）和能量饮料（4.2%）。苏打水消费较高与男性、年轻、社会经济劣势、经常吃外卖、家中有苏打水、肥胖以及心脏病或抑郁症诊断有关。2 型糖尿病的诊断与人工加糖苏打水的消费增加和含糖苏打水的消费减少有关。SSB 在澳大利亚很普遍，尤其是在年轻成年人和男性中，预示着持续的人口体重增加和慢性病的高负担。为了减少消费，澳大利亚必须采取综合措施，包括政策改革、有效的社区教育和积极推广水。
