Food is Medicine Institute, Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA
Institute of Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
BMJ. 2024 Aug 7;386:e079234. doi: 10.1136/bmj-2024-079234.
To quantify global intakes of sugar sweetened beverages (SSBs) and trends over time among children and adolescents.
Population based study.
Global Dietary Database.
Children and adolescents aged 3-19 years in 185 countries between 1990 and 2018, jointly stratified at subnational level by age, sex, parental education, and rural or urban residence.
In 2018, mean global SSB intake was 3.6 (standardized serving=248 g (8 oz)) servings/week (1.3 (95% uncertainly interval 1.0 to 1.9) in south Asia to 9.1 (8.3 to 10.1) in Latin America and the Caribbean). SSB intakes were higher in older versus younger children and adolescents, those resident in urban versus rural areas, and those of parents with higher versus lower education. Between 1990 and 2018, mean global SSB intakes increased by 0.68 servings/week (22.9%), with the largest increases in sub-Saharan Africa (2.17 servings/week; 106%). Of 185 countries included in the analysis, 56 (30.3%) had a mean SSB intake of ≥7 servings/week, representing 238 million children and adolescents, or 10.4% of the global population of young people.
This study found that intakes of SSBs among children and adolescents aged 3-19 years in 185 countries increased by 23% from 1990 to 2018, parallel to the rise in prevalence of obesity among this population globally. SSB intakes showed large heterogeneity among children and adolescents worldwide and by age, parental level of education, and urbanicity. This research should help to inform policies to reduce SSB intake among young people, particularly those with larger intakes across all education levels in urban and rural areas in Latin America and the Caribbean, and the growing problem of SSBs for public health in sub-Saharan Africa.
量化全球儿童和青少年摄入含糖饮料（SSB）的情况及其随时间的变化趋势。
基于人群的研究。
全球饮食数据库。
1990 年至 2018 年期间，185 个国家中年龄在 3-19 岁的儿童和青少年，按亚国家层面的年龄、性别、父母教育程度和城乡居住情况进行联合分层。
2018 年，全球 SSB 平均摄入量为 3.6（标准化份量=248 克（8 盎司））份/周（南亚为 1.3（95%不确定区间为 1.0 至 1.9），拉丁美洲和加勒比地区为 9.1（8.3 至 10.1））。与年轻儿童和青少年相比，年龄较大的儿童和青少年、城市地区的儿童和青少年、父母教育程度较高的儿童和青少年的 SSB 摄入量更高。1990 年至 2018 年期间，全球 SSB 平均摄入量增加了 0.68 份/周（22.9%），其中撒哈拉以南非洲地区的增幅最大（2.17 份/周；106%）。在所分析的 185 个国家中，56 个（30.3%）的 SSB 平均摄入量≥7 份/周，代表着 2380 万儿童和青少年，占全球年轻人的 10.4%。
本研究发现，185 个国家中 3-19 岁儿童和青少年的 SSB 摄入量从 1990 年到 2018 年增加了 23%，与全球这一人群肥胖患病率的上升同步。全球儿童和青少年的 SSB 摄入量存在很大差异，且因年龄、父母教育程度和城乡情况而异。这项研究应该有助于为减少年轻人的 SSB 摄入量制定政策提供信息，特别是在拉丁美洲和加勒比地区，以及撒哈拉以南非洲地区，SSB 摄入量在所有教育水平的城市和农村地区都较大，这对公共卫生构成了越来越大的威胁。
