Ricciuto Laurie, Fulgoni Victor L, Gaine P Courtney, Scott Maria O, DiFrancesco Loretta
Department of Nutritional Sciences, University of Toronto, Toronto, ON M5S 1A1, Canada.
Nutrition Impact, LLC, Battle Creek, MI 49014, USA.
Nutrients. 2023 Jul 25;15(15):3285. doi: 10.3390/nu15153285.
Added sugars intake from sweetened beverages among children, adolescents, and teens is a public health concern. This study examined the relationships between added sugars intake from specific types of beverages with added sugars and from the rest of the diet (excluding beverages with added sugars) and micronutrient adequacy among US children, adolescents, and teens. Data from eight consecutive 2 y cycles of NHANES were combined (2003-04 through 2017-18), and regression analysis was conducted to test for trends in quantiles of added sugars intake from each beverage source (soft drinks, fruit drinks, sport and energy drinks, coffee and tea, and flavored milk) and the rest of the diet (excluding those beverages) and micronutrient adequacy among children (2-8 y) and adolescents and teens (9-18 y). Among those aged 2-8 y, higher added sugars from flavored milk were associated with lower percentages below the estimated average requirement (EAR) for calcium. Among those aged 9-18 y, higher added sugars from soft drinks or coffee and tea were associated with higher percentages below the EAR for magnesium and vitamins A and C. In contrast, higher added sugars from fruit drinks or flavored milk were associated with lower percentages below the EAR (higher percentages above the adequate intake (AI)) for vitamin C (fruit drinks) and calcium, magnesium, phosphorus, vitamin A, and potassium (flavored milk). Regarding the rest of the diet, higher added sugars were associated with lower percentages below the EAR (higher percentages above the AI) for most micronutrients examined. The results suggest that the relationship between added sugars intake and micronutrient adequacy depends on the added sugar sources and their nutrient composition. Continued monitoring of sweetened beverage consumption, including beverage type, and the association with added sugars intake, micronutrient adequacy, and diet quality is warranted, given the changes in consumption and product development over time.
儿童、青少年和十几岁青少年从甜味饮料中摄入添加糖是一个公共卫生问题。本研究调查了美国儿童、青少年和十几岁青少年从特定类型的添加糖饮料以及其余饮食（不包括添加糖饮料）中摄入的添加糖与微量营养素充足状况之间的关系。将来自美国国家健康与营养检查调查（NHANES）连续8个两年周期（2003 - 04年至2017 - 18年）的数据进行合并，并进行回归分析，以检验各饮料来源（软饮料、果汁饮料、运动和能量饮料、咖啡和茶以及调味牛奶）和其余饮食（不包括这些饮料）中添加糖摄入量的分位数趋势，以及儿童（2 - 8岁）、青少年和十几岁青少年（9 - 18岁）的微量营养素充足状况。在2 - 8岁的人群中，调味牛奶中较高的添加糖与低于钙估计平均需求量（EAR）的百分比降低有关。在9 - 18岁的人群中，软饮料或咖啡和茶中较高的添加糖与低于镁、维生素A和维生素C的EAR的百分比升高有关。相比之下，果汁饮料或调味牛奶中较高的添加糖与低于维生素C（果汁饮料）、钙、镁、磷、维生素A和钾（调味牛奶）的EAR的百分比降低（高于适宜摄入量（AI）的百分比升高）有关。关于其余饮食，较高的添加糖与所检查的大多数微量营养素低于EAR的百分比降低（高于AI的百分比升高）有关。结果表明，添加糖摄入量与微量营养素充足状况之间的关系取决于添加糖的来源及其营养成分。鉴于随着时间推移消费和产品发展的变化，持续监测甜味饮料的消费情况，包括饮料类型，以及与添加糖摄入量、微量营养素充足状况和饮食质量之间的关联是有必要的。
