Sources of Added Sugars Intake Among the U.S. Population: Analysis by Selected Sociodemographic Factors Using the National Health and Nutrition Examination Survey 2011–18

Ricciuto, Laurie; Fulgoni, Victor L.; Gaine, P. Courtney; Scott, Maria O.; DiFrancesco, Loretta

doi:10.3389/fnut.2021.687643

Cited by 38 publications

(60 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similar variations have been documented in other time-trend analyses of NHANES data ( 7 , 8 , 10 , 11 , 13 , 14 , 18 ). Overall, the different levels of decline resulted in disparities in added sugars intakes by race and ethnicity and by income, such that by 2018, intakes were highest among Black children, adolescents, and teens and among those in the low PIR group, similar to the results of other studies ( 15 , 16 , 38 ). In contrast, by 2018, added sugars intakes were similar among those receiving and not receiving food assistance, concordant with the results of studies comparing diet quality between these 2 groups ( 17 ).…”

Section: Discussionsupporting

confidence: 83%

Trends in Added Sugars Intake and Sources Among US Children, Adolescents, and Teens Using NHANES 2001–2018

Ricciuto

Fulgoni²,

Gaine³

et al. 2022

The Journal of Nutrition

Self Cite

View full text Add to dashboard Cite

Background Over the past 2 decades there has been an increased emphasis on added sugars intake in the Dietary Guidelines for Americans (DGA), which has been accompanied by policies and interventions aimed at reducing intakes, particularly among children, adolescents and teens. Objective The present study provides a comprehensive time trends analysis of added sugars intake and contributing sources in the diets of U.S. children, adolescents and teens (2–18 y) from 2001–2018, focusing on variations according to sociodemographic factors (age, sex, race and ethnicity, income), food assistance and health-related factors (physical activity, body weight status). Methods Data from 9 consecutive 2-y cycles of the National Health and Nutrition Examination Survey (NHANES) were combined and regression analyses were conducted to test for trends in added sugars intake and sources from 2001–2018 for the overall age group (2–18 y) and for 2 age subgroups (2–8 and 9–18 y). Trends were also examined on subsamples stratified by sex, race and ethnicity (Hispanic, non-Hispanic Asian, non-Hispanic Black, non-Hispanic White), income (household poverty income ratio), food assistance, physical activity and body weight status. Results From 2001–2018, added sugars intake decreased significantly (P < 0.01) from 15.6 to 12.6% kcal among children (2–8 y) and from 18.4 to 14.3% kcal among adolescents and teens (9–18 y), mainly due to significant declines in added sugars from sweetened beverages, which remained the top source. Declines in added sugars intake were observed for all strata, albeit to varying degrees. Conclusions Declines in added sugars intake were observed among children, adolescents and teens from 2001–2018, regardless of sociodemographic factors, food assistance, physical activity or body weight status, but variations in the magnitude of decline suggest persistent disparities related to race and ethnicity and income. Despite these declines, intakes remain above the DGA recommendation, and thus continued monitoring is warranted.

show abstract

Section: Discussionsupporting

confidence: 83%

Trends in Added Sugars Intake and Sources Among US Children, Adolescents, and Teens Using NHANES 2001–2018

Ricciuto

Fulgoni²,

Gaine³

et al. 2022

The Journal of Nutrition

Self Cite

View full text Add to dashboard Cite

show abstract

“…Functional beverages are a nonalcoholic beverage category that promotes their health‐enhancing benefits attributed to herbs, vitamins, minerals, amino acids, and prebiotics or probiotics. Functional beverages include energy drinks, sports drinks, enhanced waters and juices, and nondairy plant‐based beverages (i.e., almond, cashew, coconut, oat, rice, soy, and blended nut milks) 20 that may contain excessive added sugars 2,3,6 …”

Section: Trends In Us Expert Beverage Recommendations Population Inta...mentioning

confidence: 99%

“…1 Many corporate-funded marketing campaigns deliver competing messages that encourage people to buy and consume sugary beverages that contribute to poor diet quality, dental caries, obesity, type 2 diabetes, and cardiovascular disease in the United States (U.S.) and other countries. [2][3][4][5] Sugary beverage products are the primary source of added sugars in Americans' diets and include carbonated soft drinks (i.e., soda) and sports and energy drinks; sweetened fruit drinks, juices, and nectars; enhanced waters; sweetened teas and coffees; and sweetened cow's milk and plant-based nondairy milks. 2,3 Consumption patterns of sugary beverages vary by age, income, race, and ethnicity.…”

Section: Introductionmentioning

confidence: 99%

“…[2][3][4][5] Sugary beverage products are the primary source of added sugars in Americans' diets and include carbonated soft drinks (i.e., soda) and sports and energy drinks; sweetened fruit drinks, juices, and nectars; enhanced waters; sweetened teas and coffees; and sweetened cow's milk and plant-based nondairy milks. 2,3 Consumption patterns of sugary beverages vary by age, income, race, and ethnicity. On average, half to two thirds of American adults and nearly two thirds of U.S. children consume at least one sugary beverage each day that contributes 130 or more calories to their daily energy intake.…”

Section: Introductionmentioning

confidence: 99%

“…18 These transnational companies have operated in self-regulated markets where national governments have allowed sugary beverage products to be extensively marketed to drive consumer demand and brand loyalty through integrated marketing communications (IMC) strategies * to encourage sugary beverages linked to obesity and noncommunicable diseases (NCDs). [2][3][4][5][6][7] Between 2003 and 2016, per capita sugary beverage intake and heavy sugary beverage consumption (≥500 calories daily) declined among U.S. children and adults. 2,3,19 Sugary beverage intake remained highest among Black, Mexican American, and non-Mexican Latinx consumers during this period.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

How have media campaigns been used to promote and discourage healthy and unhealthy beverages in the United States? A systematic scoping review to inform future research to reduce sugary beverage health risks

et al. 2022

View full text Add to dashboard Cite

Sugary beverage consumption is associated with many health risks. This study used a proof-of-concept media campaign typology to examine U.S. beverage campaigns that promoted healthy beverages and encouraged or discouraged sugary beverages. We used a three-step systematic scoping review to identify, organize, analyze, and synthesize evidence.Step 1 used Preferred Reporting Items for Systematic Review and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR) guidelines to search four electronic databases and gray literature through 2021. Step 2 categorized relevant media campaigns using a media campaign typology. Step 3 examined campaign evaluation outcomes. We identified 280 campaigns organized into six campaign typology categories. The media landscape was dominated by corporate marketing campaigns for branded sugary beverages (65.8%; n = 184) followed by public awareness (9.6%; n = 27), public policy (8.2%; n = 23), social marketing (7.1%; n = 20), corporate social responsibility (5.7%; n = 16), and countermarketing (3.6%; n = 10) campaigns. Evaluations for 20 unique campaigns implemented over 30 years (1992-2021) across 14 states showed reduced sugary beverage or juice and increased water or low-fat milk sales and intake. Positive short-term cognitive and mid-term retail and behavioral changes were reported. There was limited evidence for long-term policy, social norm, and population health outcomes. Future research is needed to use media campaigns in strategic communications to reduce sugary beverage health risks for Americans.

show abstract

Assessment of Calories Purchased After Calorie Labeling of Prepared Foods in a Large Supermarket Chain

et al. 2022

View full text Add to dashboard Cite

IMPORTANCE Calorie labels for prepared (ie, ready-to-eat) foods are required in large chain food establishments in the US. Large evaluations in restaurants suggest small declines in purchases of prepared foods after labeling, but to the authors' knowledge, no studies have examined how this policy influences supermarket purchases.OBJECTIVE To estimate changes in calories purchased from prepared foods and potential packaged substitutes compared with control foods after calorie labeling of prepared foods in supermarkets. DESIGN, SETTING, AND PARTICIPANTSThis controlled interrupted time series compared sales 2 years before labeling implementation (April 2015-April 2017) with sales 7 months after labeling implementation (May 2017-December 2017). Data from 173 supermarkets from a supermarket chain with locations in Maine, Massachusetts, New Hampshire, New York, and Vermont were analyzed from March 2020 to May 2022. INTERVENTION Implementation of calorie labeling of prepared foods in April 2017.MAIN OUTCOMES AND MEASURES Purchased items were classified as prepared foods, potential packaged substitutes for prepared foods, or all other (ie, control) foods. The primary outcome was mean weekly calories per transaction purchased from prepared foods, and the secondary outcome was mean weekly calories per transaction purchased from similar packaged items (for substitution analyses). Analyses of prepared and packaged foods were stratified by food category (bakery, entrées and sides, or deli meats and cheeses). RESULTS Among the included 173 supermarkets, calorie labeling was associated with a mean 5.1% decrease (95% CI, −5.8% to −4.4%) in calories per transaction purchased from prepared bakery items and an 11.0% decrease (95% CI, −11.9% to −10.1%) from prepared deli items, adjusted for changes in control foods; no changes were observed for prepared entrées and sides (change = 0.3%; 95% CI, −2.5% to 3.0%). Labeling was also associated with decreased calories per transaction purchased from packaged bakery items (change = −3.9%; 95% CI, −4.3% to −3.6%), packaged entrées and sides (change = −1.2%; 95% CI, −1.4% to −0.9%), and packaged deli items (change = −2.1%; 95% CI, −2.4% to −1.7%). CONCLUSIONS AND RELEVANCEIn this longitudinal study of supermarkets, calorie labeling of prepared foods was associated with small to moderate decreases in calories purchased from prepared bakery and deli items without evidence of substitution to similar packaged foods.

show abstract

Sources of Added Sugars Intake Among the U.S. Population: Analysis by Selected Sociodemographic Factors Using the National Health and Nutrition Examination Survey 2011–18

Cited by 38 publications

References 25 publications

Trends in Added Sugars Intake and Sources Among US Children, Adolescents, and Teens Using NHANES 2001–2018

Trends in Added Sugars Intake and Sources Among US Children, Adolescents, and Teens Using NHANES 2001–2018

How have media campaigns been used to promote and discourage healthy and unhealthy beverages in the United States? A systematic scoping review to inform future research to reduce sugary beverage health risks

Assessment of Calories Purchased After Calorie Labeling of Prepared Foods in a Large Supermarket Chain

Contact Info

Product

Resources

About