Department of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, WA, USA.
Center for Alaska Native Health Research, Institute of Arctic Biology, Department of Biology and Wildlife, University of Alaska, Fairbanks, AK, USA.
Int J Circumpolar Health. 2024 Dec;83(1):2336286. doi: 10.1080/22423982.2024.2336286. Epub 2024 Apr 1.
Sugars from sugar-sweetened beverages (SSBs) are an important risk factor for tooth decay. The study goal was to determine if there was variation in added sugar intake across communities and between and within households. In this cross-sectional study, intakes of total sugar, added sugar, and sugar-sweetened beverages (SSBs) were estimated for 282 Alaska Native children ages 0-10 years from 131 households in three Yukon-Kuskokwim (YK) Delta communities using biomarker equations based on hair carbon and nitrogen isotope ratios previously developed for the Yup'ik population. ANOVA was used to assess associations between each predictor (community and household) and outcome (estimated total sugars, added sugars, and SSB intake). Between- and within-household variation was estimated using a linear mixed-effects model with a random intercept for households with three or more children. There was no significant difference in mean estimated total sugar ( = 0.29), added sugar ( = 0.24), or SSB intake ( = 0.40) across communities. Significant variations were observed between and within households, with within-household variation amounting to 59% of the between-household variation. Added sugar intake in Alaska Native children from the three study communities is higher than the recommended maximum, and the variation is greater within households than between households.
糖份来自含糖饮料 (SSB)，是导致蛀牙的一个重要危险因素。本研究旨在确定在不同社区、家庭之间和家庭内部，添加糖摄入量是否存在差异。在这项横断面研究中，使用基于之前为尤皮克人群开发的头发碳氮同位素比值的生物标志物方程，对来自育空-科尤库克三角洲(YK) 三个社区的 131 户家庭中的 282 名 0-10 岁阿拉斯加原住民儿童的总糖、添加糖和含糖饮料 (SSB) 摄入量进行了估计。方差分析用于评估每个预测因素（社区和家庭）与结果（估计的总糖、添加糖和 SSB 摄入量）之间的关系。使用具有三个或更多孩子的家庭的随机截距的线性混合效应模型来估计家庭内部和家庭之间的差异。社区之间的平均估计总糖（ = 0.29）、添加糖（ = 0.24）或 SSB 摄入量（ = 0.40）没有显著差异。在家庭之间和家庭内部观察到显著的差异，家庭内部的差异量占家庭之间差异的 59%。来自三个研究社区的阿拉斯加原住民儿童的添加糖摄入量高于推荐的最高值，且家庭内部的差异大于家庭之间的差异。
