Heilmann Anja, Ziller Sebastian
Department of Epidemiology and Public Health, University College London, WC1E 6BT, London, Großbritannien.
Abteilung Prävention und Gesundheitsförderung, Bundeszahnärztekammer (BZÄK), Berlin, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2021 Jul;64(7):838-846. doi: 10.1007/s00103-021-03349-2. Epub 2021 May 20.
Health promotion strategies can make a significant contribution to the prevention of non-communicable diseases. The most important non-communicable diseases affecting the mouth and teeth are dental caries and periodontal disease. Sugar is a causal factor in the development of dental caries, obesity and obesity-related diseases. Sugar is therefore recognised as an important commercial determinant of health and a public health priority. However, existing strategies to reduce sugar consumption often focus on individual behaviour change while ignoring the role of the wider social and commercial environment.In this article we describe the current recommendations on sugar intake made by the World Health Organization, existing data on sugar intake in Germany as well as the social and commercial factors that influence sugar consumption. Important public health principles will be outlined, followed by a discussion of appropriate sugar reduction strategies. Examples for upstream and downstream approaches to prevention are presented and opportunities for dental health professionals to influence policy and practice highlighted.
健康促进策略对预防非传染性疾病可做出重大贡献。影响口腔和牙齿的最重要的非传染性疾病是龋齿和牙周病。糖是龋齿、肥胖及肥胖相关疾病发展的一个致病因素。因此，糖被视为健康的一个重要商业决定因素和公共卫生重点。然而，现有的减少糖消费的策略往往侧重于个人行为改变，而忽视了更广泛的社会和商业环境的作用。在本文中，我们描述了世界卫生组织关于糖摄入量的当前建议、德国糖摄入量的现有数据以及影响糖消费的社会和商业因素。将概述重要的公共卫生原则，随后讨论适当的减糖策略。介绍了预防的上游和下游方法示例，并强调了牙科保健专业人员影响政策和实践的机会。
