Institute of Nutritional and Food Sciences -Nutritional Epidemiology, University of Bonn, Friedrich-Hirzebruch- Allee 7, 53115, Bonn, Germany.
Eur J Nutr. 2024 Oct;63(7):2827-2833. doi: 10.1007/s00394-024-03456-1. Epub 2024 Jul 5.
Our recent analysis reported decreasing trends in intake of free sugar in children and adolescents in Germany. Here we set out to update this analysis with current dietary intake (until 2023) because of the strong public health nutrition interest in sugar intake.
In total, 4,218 dietary records kept between 2010 and 2023 by 751 participants (46.0% females, 3-18 years) from the German Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) cohort were examined. Age and time trends in free sugar intake (%E/d) were analysed using polynomial mixed-effects regression models.
Median intake data indicate a decline in the intake of free sugar between 2010/2011 (16.7%E) and 2022/2023 (11.7%E). Trend analyses confirmed, that intake of free sugars decreased continuously between 2017 and 2023 (Linear trend: β = -0.4126, p < 0.0001). In addition, free sugar intake changed significantly with age (Linear trend: β = 1.2922, p < 0.0001; quadratic trend: β = -0.08613, p = 0.0094; cubic trend: β = 0.001442, p = 0.1725), i.e. the intake of free sugars increases continuously up to early adolescence (9/10 years) and decreases again thereafter.
The intake of free sugar among children and adolescents continued to decline, but still exceeded the WHO recommendations in 2023. Further measures to reduce free sugar intake would therefore be desirable, as well as continuous monitoring of sugar intake levels among this age groups.
我们最近的分析报告显示，德国儿童和青少年的游离糖摄入量呈下降趋势。由于公众对糖摄入量的强烈健康营养兴趣，我们在此用当前的饮食摄入量（截至 2023 年）更新了这一分析。
共检查了来自德国多特蒙德营养和人体测量纵向设计（DONALD）队列的 751 名参与者（46.0%为女性，年龄 3-18 岁）在 2010 年至 2023 年间记录的 4218 份饮食记录。使用多项式混合效应回归模型分析游离糖摄入量（%E/d）的年龄和时间趋势。
中位数摄入量数据表明，2010/2011 年（16.7%E）和 2022/2023 年（11.7%E）之间游离糖的摄入量有所下降。趋势分析证实，2017 年至 2023 年间，游离糖的摄入量持续下降（线性趋势：β=-0.4126，p<0.0001）。此外，游离糖摄入量随年龄显著变化（线性趋势：β=1.2922，p<0.0001；二次趋势：β=-0.08613，p=0.0094；三次趋势：β=0.001442，p=0.1725），即游离糖的摄入量在青少年早期（9/10 岁）持续增加，之后再次下降。
儿童和青少年的游离糖摄入量继续下降，但在 2023 年仍超过世卫组织的建议。因此，需要采取进一步措施减少游离糖摄入量，并持续监测这一年龄组的糖摄入量水平。
