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Heidi M Blanck - One of the best experts on this subject based on the ideXlab platform.
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Sugar-Sweetened Beverage Intake Among Pregnant and Non-pregnant Women of Reproductive Age
Maternal and Child Health Journal, 2020Co-Authors: Elizabeth A Lundeen, Sohyun Park, Jennifer A. Woo Baidal, Andrea J. Sharma, Heidi M BlanckAbstract:Objectives Frequent sugar-sweetened beverage (SSB) intake is associated with weight gain in women, and pre-pregnancy overweight and excessive gestational weight gain are linked to adverse pregnancy outcomes. SSB intake information for women of reproductive age (WRA) is limited. We described SSB intake among non-pregnant and pregnant WRA and identified correlates of daily intake. Methods Using 2017 Behavioral Risk Factor Surveillance System data, we analyzed SSB intake (regular soda, Fruit Drinks, sweet tea, sports/energy Drinks) for 11,321 non-pregnant and 392 pregnant WRA (18–49 years) in 12 states and D.C. Adjusted odds ratios (aOR) for daily (≥ 1 time/day) SSB intake (reference:
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prevalence of sugar sweetened beverage intake among adults 23 states and the district of columbia 2013
Morbidity and Mortality Weekly Report, 2016Co-Authors: Sohyun Park, Machell Town, Heidi M BlanckAbstract:The 2015-2020 Dietary Guidelines for Americans recommend that the daily intake of calories from added sugars not exceed 10% of total calories. Sugar-sweetened beverages (SSBs) are significant sources of added sugars in the diet of U.S. adults and account for approximately one third of added sugar consumption. Among adults, frequent (i.e., at least once a day) SSB intake is associated with adverse health consequences, including obesity, type 2 diabetes, and cardiovascular disease. According to the 2009-2010 National Health and Nutrition Examination Survey (NHANES), an in-person and phone follow-up survey, 50.6% of U.S. adults consumed at least one SSB on a given day. In addition, SSB intake varies by geographical regions: the prevalence of daily SSB intake was higher among U.S. adults living in the Northeast (68.4%) and South (66.7%) than among persons living in the Midwest (58.8%). In 2013, the Behavioral Risk Factor Surveillance System (BRFSS), a telephone survey, revised the SSB two-item optional module to retain the first question on regular soda and expand the second question to include more types of SSBs than just Fruit Drinks. Using 2013 BRFSS data, self-reported SSB (i.e., regular soda, Fruit Drinks, sweet tea, and sports or energy Drinks) intake among adults (aged ≥18 years) was assessed in 23 states and the District of Columbia (DC). The overall age-adjusted prevalence of SSB intake ≥1 time per day was 30.1% and ranged from 18.0% in Vermont to 47.5% in Mississippi. Overall, at least once daily SSB intake was most prevalent among adults aged 18-24 years (43.3%), men (34.1%), non-Hispanic blacks (blacks) (39.9%), unemployed adults (34.4%), and persons with less than a high school education (42.4%). States can use the data for program evaluation and monitoring trends, and information on disparities in SSB consumption could be used to create targeted intervention efforts to reduce SSB consumption.
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sugar sweetened beverage consumption among adults 18 states 2012
Morbidity and Mortality Weekly Report, 2014Co-Authors: Gayathri S Kumar, Sohyun Park, Liping Pan, Seung Hee Leekwan, Stephen Onufrak, Heidi M BlanckAbstract:Reducing consumption of calories from added sugars is a recommendation of the 2010 Dietary Guidelines for Americans and an objective of Healthy People 2020. Sugar-sweetened beverages (SSB) are major sources of added sugars in the diets of U.S. residents. Daily SSB consumption is associated with obesity and other chronic health conditions, including diabetes and cardiovascular disease. U.S. adults consumed an estimated average of 151 kcal/day of SSB during 2009-2010, with regular (i.e., nondiet) soda and Fruit Drinks representing the leading sources of SSB energy intake. However, there is limited information on state-specific prevalence of SSB consumption. To assess regular soda and Fruit drink consumption among adults in 18 states, CDC analyzed data from the 2012 Behavioral Risk Factor Surveillance System (BRFSS). Among the 18 states surveyed, 26.3% of adults consumed regular soda or Fruit Drinks or both ≥1 times daily. By state, the prevalence ranged from 20.4% to 41.4%. Overall, consumption of regular soda or Fruit Drinks was most common among persons aged 18‒34 years (24.5% for regular soda and 16.6% for Fruit Drinks), men (21.0% and 12.3%), non-Hispanic blacks (20.9% and 21.9%), and Hispanics (22.6% and 18.5%). Persons who want to reduce added sugars in their diets can decrease their consumption of foods high in added sugars such as candy, certain dairy and grain desserts, sweetened cereals, regular soda, Fruit Drinks, sweetened tea and coffee Drinks, and other SSBs. States and health departments can collaborate with worksites and other community venues to increase access to water and other healthful beverages.
Katherine L Tucker - One of the best experts on this subject based on the ideXlab platform.
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excess free fructose apple juice high fructose corn syrup and childhood asthma risk the national children s study
Nutrition Journal, 2020Co-Authors: Luanne Robalo Dechristopher, Katherine L TuckerAbstract:Recent research provides consistent evidence that the unexplained doubling of childhood asthma prevalence (1980–1995), its continued climb and 2013 plateau, may be associated with the proliferation of high-fructose-corn-syrup (HFCS) in the US food supply. The HFCS used in soft Drinks has been shown to contain a higher fructose-to-glucose ratio than previously thought. This coincides with a preference shift from orange to apple juice among young children. Apple juice naturally contains a high (≥2:1) fructose-to-glucose ratio. Thus, children have received high excess-free-fructose doses, the fructose type associated with fructose malabsorption. Unabsorbed excess-free-fructose in the gut may react with dietary proteins to form immunogens that bind asthma mediating receptors, and/or alter the microbiota towards a profile linked to lung disorders. Studies with longitudinal childhood data are lacking. Therefore, we tested the hypothesis that excess-free-fructose intake is associated with childhood asthma risk. Cox regression models were used to analyze prospective early childhood data (12–30 months of age) from the National Children’s Study. Intake frequencies for soda/sports/Fruit Drinks, and 100% juices were used for analyses. Greater consumption of 100% juice, soda/sports/Fruit Drinks, and any combination, was associated with ~two (P = 0.001), ~ 2.5 (P = 0.001), and ~ 3.5 times (P < 0.0001) higher asthma incidence. Given these results, prior research and case-study evidence, it is reasonable to suggest that the two-fold higher asthma risk associated with 100% juice consumption is due to apple juice’s high fructose-to-glucose ratio, and that the ~ 2.5/~ 3.5 times higher risk associated with soda/sports/Fruit Drinks intake is with the excess-free-fructose in HFCS.
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excess free fructose high fructose corn syrup and adult asthma the framingham offspring cohort
British Journal of Nutrition, 2018Co-Authors: Luanne Robalo Dechristopher, Katherine L TuckerAbstract:There is growing evidence that intakes of high-fructose corn syrup (HFCS), HFCS-sweetened soda, Fruit Drinks and apple juice - a high-fructose 100 % juice - are associated with asthma, possibly because of the high fructose:glucose ratios and underlying fructose malabsorption, which may contribute to enteral formation of pro-inflammatory advanced glycation end products, which bind receptors that are mediators of asthma. Cox proportional hazards models were used to assess associations between intakes of these beverages and asthma risk, with data from the Framingham Offspring Cohort. Diet soda and orange juice - a 100 % juice with a 1:1 fructose:glucose ratio - were included for comparison. Increasing intake of any combination of HFCS-sweetened soda, Fruit Drinks and apple juice was significantly associated with progressively higher asthma risk, plateauing at 5-7 times/week v. never/seldom, independent of potential confounders (hazard ratio 1·91, P<0·001). About once a day consumers of HFCS-sweetened soda had a 49 % higher risk (P<0·011), moderate apple juice consumers (2-4 times/week) had a 61 % higher risk (P<0·007) and moderate Fruit drink consumers had a 58 % higher risk (P<0·009), as compared with never/seldom consumers. There were no associations with diet soda/orange juice. These associations are possibly because of the high fructose:glucose ratios, and fructose malabsorption. Recommendations to reduce consumption may be inadequate to address asthma risk, as associations are evident even with moderate intake of these beverages, including apple juice - a 100 % juice. The juice reductions in the US Special Supplemental Nutrition Program for Women, Infants, and Children in 2009, and the plateauing/decreasing asthma prevalence (2010-2013), particularly among non-Hispanic black children, may be related. Further research regarding the consequences of fructose malabsorption is needed.
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intake of high fructose corn syrup sweetened soft Drinks Fruit Drinks and apple juice is associated with prevalent coronary heart disease in u s adults ages 45 59 y
BMC Nutrition, 2017Co-Authors: Luanne Robalo Dechristopher, Jaime Uribarri, Katherine L TuckerAbstract:Intake of high excess free fructose (EFF) beverages, including high fructose corn syrup (HFCS), sweetened soft Drinks, Fruit Drinks, and apple juice, may be associated with childhood asthma, adult idiopathic chronic bronchitis/ COPD, and autoimmune arthritis, possibly due to underlying fructose malabsorption. Fructose malabsorption may contribute to the intestinal in situ formation of advanced glycation end-products (enFruAGEs) that travel to other tissues and promote inflammation. Chronic respiratory conditions and arthritis are comorbidities of coronary heart disease (CHD). The objective of this study was to investigate the association between intake of high EFF beverages and CHD. In this cross sectional study (NHANES 2003–2006) of adults, aged 45–59 y, n = 1230, the exposure variables were non-diet soft Drinks, and any combination of high EFF beverages including non-diet soft Drinks, Fruit Drinks, and apple juice. Analyses of diet soft Drinks, diet Fruit Drinks, and orange juice (non/low EFF beverages) were included for comparison. The outcome was self-reported history of coronary heart disease and/or angina (CHD). Rao Scott Ҳ2 was used for prevalence differences and logistic regression for associations, adjusted for age, sex, race-ethnicity, BMI, socio-economic status, health insurance coverage, smoking, physical activity level, hypertension, energy intake, Fruit and vegetable intake, glycated hemoglobin, pre-diabetes, and diabetes. Intake of any combination of HFCS sweetened soft Drinks, Fruit Drinks, and apple juice (tEFF) was significantly associated with CHD in adults aged 45–59 y. Adults consuming tEFF ≥5 times/wk. were 2.8 times more likely to report CHD than ≤3 times/mo consumers (OR 2.82; 95% CI 1.16–6.84; P = 0.023), independent of all covariates. HFCS sweetened soft Drinks, Fruit Drinks, and apple juice may contribute to CHD, a common comorbidity of chronic respiratory conditions and autoimmune arthritis, possibly due to the high ratio of fructose to glucose in these beverages. Underlying fructose malabsorption may contribute to the intestinal in situ formation of pro-inflammatory enFruAGEs, that are eventually absorbed and induce inflammation of the coronary arteries. Additional research is needed.
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intake of high fructose corn syrup sweetened soft Drinks Fruit Drinks and apple juice is associated with prevalent arthritis in us adults aged 20 30 years
Nutrition & Diabetes, 2016Co-Authors: Luanne Robalo Dechristopher, Jaime Uribarri, Katherine L TuckerAbstract:Intake of high-fructose corn syrup sweetened soft Drinks, Fruit Drinks and apple juice is associated with prevalent arthritis in US adults, aged 20–30 years
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Intake of high-fructose corn syrup sweetened soft Drinks, Fruit Drinks and apple juice is associated with prevalent arthritis in US adults, aged 20–30 years
Nutrition & Diabetes, 2016Co-Authors: Luanne Robalo Dechristopher, Jaime Uribarri, Katherine L TuckerAbstract:Objective: There is a link between joint and gut inflammation of unknown etiology in arthritis. Existing research indicates that regular consumption of high-fructose corn syrup sweetened (HFCS) soft Drinks, but not diet soft Drinks, may be associated with increased risk of seropositive rheumatoid arthritis (RA) in women, independent of other dietary and lifestyle factors. One unexplored hypothesis for this association is that fructose malabsorption, due to regular consumption of excess free fructose (EFF) and HFCS, contributes to fructose reactivity in the gastrointestinal tract and intestinal in situ formation of enFruAGEs, which once absorbed, travel beyond the intestinal boundaries to other tissues and promote inflammation. In separate studies, the accumulation of advanced glycation end-products has been associated with joint inflammation in RA. Objective of this study was to assess the association between EFF beverages intake and non-age, non-wear and tear-associated arthritis in US young adults. Methods: In this cross sectional study of 1209 adults aged 20–30y, (Nutrition and Health Examination Surveys 2003–2006) exposure variables were high EFF beverages, including HFCS sweetened soft Drinks, and any combination of HFCS sweetened soft Drinks, Fruit Drinks (FD) and apple juice, referred to as tEFF. Analyses of diet soda and diet FD were included for comparison. The outcome was self-reported arthritis. Rao Scott Ҳ^2 was used for prevalence differences and logistic regression for associations, adjusted for confounders. Results: Young adults consuming any combination of high EFF beverages (tEFF) ⩾5 times/week (but not diet soda) were three times as likely to have arthritis as non/low consumers (odds ratios=3.01; p ⩽0.021; 95% confidence intervals=1.20–7.59), independent of all covariates, including physical activity, other dietary factors, blood glucose and smoking. Conclusion: EFF beverage intake is significantly associated with arthritis in US adults aged 20–30 years, possibly due to the intestinal in situ formation of enFruAGEs.
Luanne Robalo Dechristopher - One of the best experts on this subject based on the ideXlab platform.
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excess free fructose apple juice high fructose corn syrup and childhood asthma risk the national children s study
Nutrition Journal, 2020Co-Authors: Luanne Robalo Dechristopher, Katherine L TuckerAbstract:Recent research provides consistent evidence that the unexplained doubling of childhood asthma prevalence (1980–1995), its continued climb and 2013 plateau, may be associated with the proliferation of high-fructose-corn-syrup (HFCS) in the US food supply. The HFCS used in soft Drinks has been shown to contain a higher fructose-to-glucose ratio than previously thought. This coincides with a preference shift from orange to apple juice among young children. Apple juice naturally contains a high (≥2:1) fructose-to-glucose ratio. Thus, children have received high excess-free-fructose doses, the fructose type associated with fructose malabsorption. Unabsorbed excess-free-fructose in the gut may react with dietary proteins to form immunogens that bind asthma mediating receptors, and/or alter the microbiota towards a profile linked to lung disorders. Studies with longitudinal childhood data are lacking. Therefore, we tested the hypothesis that excess-free-fructose intake is associated with childhood asthma risk. Cox regression models were used to analyze prospective early childhood data (12–30 months of age) from the National Children’s Study. Intake frequencies for soda/sports/Fruit Drinks, and 100% juices were used for analyses. Greater consumption of 100% juice, soda/sports/Fruit Drinks, and any combination, was associated with ~two (P = 0.001), ~ 2.5 (P = 0.001), and ~ 3.5 times (P < 0.0001) higher asthma incidence. Given these results, prior research and case-study evidence, it is reasonable to suggest that the two-fold higher asthma risk associated with 100% juice consumption is due to apple juice’s high fructose-to-glucose ratio, and that the ~ 2.5/~ 3.5 times higher risk associated with soda/sports/Fruit Drinks intake is with the excess-free-fructose in HFCS.
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excess free fructose high fructose corn syrup and adult asthma the framingham offspring cohort
British Journal of Nutrition, 2018Co-Authors: Luanne Robalo Dechristopher, Katherine L TuckerAbstract:There is growing evidence that intakes of high-fructose corn syrup (HFCS), HFCS-sweetened soda, Fruit Drinks and apple juice - a high-fructose 100 % juice - are associated with asthma, possibly because of the high fructose:glucose ratios and underlying fructose malabsorption, which may contribute to enteral formation of pro-inflammatory advanced glycation end products, which bind receptors that are mediators of asthma. Cox proportional hazards models were used to assess associations between intakes of these beverages and asthma risk, with data from the Framingham Offspring Cohort. Diet soda and orange juice - a 100 % juice with a 1:1 fructose:glucose ratio - were included for comparison. Increasing intake of any combination of HFCS-sweetened soda, Fruit Drinks and apple juice was significantly associated with progressively higher asthma risk, plateauing at 5-7 times/week v. never/seldom, independent of potential confounders (hazard ratio 1·91, P<0·001). About once a day consumers of HFCS-sweetened soda had a 49 % higher risk (P<0·011), moderate apple juice consumers (2-4 times/week) had a 61 % higher risk (P<0·007) and moderate Fruit drink consumers had a 58 % higher risk (P<0·009), as compared with never/seldom consumers. There were no associations with diet soda/orange juice. These associations are possibly because of the high fructose:glucose ratios, and fructose malabsorption. Recommendations to reduce consumption may be inadequate to address asthma risk, as associations are evident even with moderate intake of these beverages, including apple juice - a 100 % juice. The juice reductions in the US Special Supplemental Nutrition Program for Women, Infants, and Children in 2009, and the plateauing/decreasing asthma prevalence (2010-2013), particularly among non-Hispanic black children, may be related. Further research regarding the consequences of fructose malabsorption is needed.
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intake of high fructose corn syrup sweetened soft Drinks Fruit Drinks and apple juice is associated with prevalent coronary heart disease in u s adults ages 45 59 y
BMC Nutrition, 2017Co-Authors: Luanne Robalo Dechristopher, Jaime Uribarri, Katherine L TuckerAbstract:Intake of high excess free fructose (EFF) beverages, including high fructose corn syrup (HFCS), sweetened soft Drinks, Fruit Drinks, and apple juice, may be associated with childhood asthma, adult idiopathic chronic bronchitis/ COPD, and autoimmune arthritis, possibly due to underlying fructose malabsorption. Fructose malabsorption may contribute to the intestinal in situ formation of advanced glycation end-products (enFruAGEs) that travel to other tissues and promote inflammation. Chronic respiratory conditions and arthritis are comorbidities of coronary heart disease (CHD). The objective of this study was to investigate the association between intake of high EFF beverages and CHD. In this cross sectional study (NHANES 2003–2006) of adults, aged 45–59 y, n = 1230, the exposure variables were non-diet soft Drinks, and any combination of high EFF beverages including non-diet soft Drinks, Fruit Drinks, and apple juice. Analyses of diet soft Drinks, diet Fruit Drinks, and orange juice (non/low EFF beverages) were included for comparison. The outcome was self-reported history of coronary heart disease and/or angina (CHD). Rao Scott Ҳ2 was used for prevalence differences and logistic regression for associations, adjusted for age, sex, race-ethnicity, BMI, socio-economic status, health insurance coverage, smoking, physical activity level, hypertension, energy intake, Fruit and vegetable intake, glycated hemoglobin, pre-diabetes, and diabetes. Intake of any combination of HFCS sweetened soft Drinks, Fruit Drinks, and apple juice (tEFF) was significantly associated with CHD in adults aged 45–59 y. Adults consuming tEFF ≥5 times/wk. were 2.8 times more likely to report CHD than ≤3 times/mo consumers (OR 2.82; 95% CI 1.16–6.84; P = 0.023), independent of all covariates. HFCS sweetened soft Drinks, Fruit Drinks, and apple juice may contribute to CHD, a common comorbidity of chronic respiratory conditions and autoimmune arthritis, possibly due to the high ratio of fructose to glucose in these beverages. Underlying fructose malabsorption may contribute to the intestinal in situ formation of pro-inflammatory enFruAGEs, that are eventually absorbed and induce inflammation of the coronary arteries. Additional research is needed.
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intake of high fructose corn syrup sweetened soft Drinks Fruit Drinks and apple juice is associated with prevalent arthritis in us adults aged 20 30 years
Nutrition & Diabetes, 2016Co-Authors: Luanne Robalo Dechristopher, Jaime Uribarri, Katherine L TuckerAbstract:Intake of high-fructose corn syrup sweetened soft Drinks, Fruit Drinks and apple juice is associated with prevalent arthritis in US adults, aged 20–30 years
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Intake of high-fructose corn syrup sweetened soft Drinks, Fruit Drinks and apple juice is associated with prevalent arthritis in US adults, aged 20–30 years
Nutrition & Diabetes, 2016Co-Authors: Luanne Robalo Dechristopher, Jaime Uribarri, Katherine L TuckerAbstract:Objective: There is a link between joint and gut inflammation of unknown etiology in arthritis. Existing research indicates that regular consumption of high-fructose corn syrup sweetened (HFCS) soft Drinks, but not diet soft Drinks, may be associated with increased risk of seropositive rheumatoid arthritis (RA) in women, independent of other dietary and lifestyle factors. One unexplored hypothesis for this association is that fructose malabsorption, due to regular consumption of excess free fructose (EFF) and HFCS, contributes to fructose reactivity in the gastrointestinal tract and intestinal in situ formation of enFruAGEs, which once absorbed, travel beyond the intestinal boundaries to other tissues and promote inflammation. In separate studies, the accumulation of advanced glycation end-products has been associated with joint inflammation in RA. Objective of this study was to assess the association between EFF beverages intake and non-age, non-wear and tear-associated arthritis in US young adults. Methods: In this cross sectional study of 1209 adults aged 20–30y, (Nutrition and Health Examination Surveys 2003–2006) exposure variables were high EFF beverages, including HFCS sweetened soft Drinks, and any combination of HFCS sweetened soft Drinks, Fruit Drinks (FD) and apple juice, referred to as tEFF. Analyses of diet soda and diet FD were included for comparison. The outcome was self-reported arthritis. Rao Scott Ҳ^2 was used for prevalence differences and logistic regression for associations, adjusted for confounders. Results: Young adults consuming any combination of high EFF beverages (tEFF) ⩾5 times/week (but not diet soda) were three times as likely to have arthritis as non/low consumers (odds ratios=3.01; p ⩽0.021; 95% confidence intervals=1.20–7.59), independent of all covariates, including physical activity, other dietary factors, blood glucose and smoking. Conclusion: EFF beverage intake is significantly associated with arthritis in US adults aged 20–30 years, possibly due to the intestinal in situ formation of enFruAGEs.
Sohyun Park - One of the best experts on this subject based on the ideXlab platform.
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Sugar-Sweetened Beverage Intake Among Pregnant and Non-pregnant Women of Reproductive Age
Maternal and Child Health Journal, 2020Co-Authors: Elizabeth A Lundeen, Sohyun Park, Jennifer A. Woo Baidal, Andrea J. Sharma, Heidi M BlanckAbstract:Objectives Frequent sugar-sweetened beverage (SSB) intake is associated with weight gain in women, and pre-pregnancy overweight and excessive gestational weight gain are linked to adverse pregnancy outcomes. SSB intake information for women of reproductive age (WRA) is limited. We described SSB intake among non-pregnant and pregnant WRA and identified correlates of daily intake. Methods Using 2017 Behavioral Risk Factor Surveillance System data, we analyzed SSB intake (regular soda, Fruit Drinks, sweet tea, sports/energy Drinks) for 11,321 non-pregnant and 392 pregnant WRA (18–49 years) in 12 states and D.C. Adjusted odds ratios (aOR) for daily (≥ 1 time/day) SSB intake (reference:
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prevalence of sugar sweetened beverage intake among adults 23 states and the district of columbia 2013
Morbidity and Mortality Weekly Report, 2016Co-Authors: Sohyun Park, Machell Town, Heidi M BlanckAbstract:The 2015-2020 Dietary Guidelines for Americans recommend that the daily intake of calories from added sugars not exceed 10% of total calories. Sugar-sweetened beverages (SSBs) are significant sources of added sugars in the diet of U.S. adults and account for approximately one third of added sugar consumption. Among adults, frequent (i.e., at least once a day) SSB intake is associated with adverse health consequences, including obesity, type 2 diabetes, and cardiovascular disease. According to the 2009-2010 National Health and Nutrition Examination Survey (NHANES), an in-person and phone follow-up survey, 50.6% of U.S. adults consumed at least one SSB on a given day. In addition, SSB intake varies by geographical regions: the prevalence of daily SSB intake was higher among U.S. adults living in the Northeast (68.4%) and South (66.7%) than among persons living in the Midwest (58.8%). In 2013, the Behavioral Risk Factor Surveillance System (BRFSS), a telephone survey, revised the SSB two-item optional module to retain the first question on regular soda and expand the second question to include more types of SSBs than just Fruit Drinks. Using 2013 BRFSS data, self-reported SSB (i.e., regular soda, Fruit Drinks, sweet tea, and sports or energy Drinks) intake among adults (aged ≥18 years) was assessed in 23 states and the District of Columbia (DC). The overall age-adjusted prevalence of SSB intake ≥1 time per day was 30.1% and ranged from 18.0% in Vermont to 47.5% in Mississippi. Overall, at least once daily SSB intake was most prevalent among adults aged 18-24 years (43.3%), men (34.1%), non-Hispanic blacks (blacks) (39.9%), unemployed adults (34.4%), and persons with less than a high school education (42.4%). States can use the data for program evaluation and monitoring trends, and information on disparities in SSB consumption could be used to create targeted intervention efforts to reduce SSB consumption.
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sugar sweetened beverage consumption among adults 18 states 2012
Morbidity and Mortality Weekly Report, 2014Co-Authors: Gayathri S Kumar, Sohyun Park, Liping Pan, Seung Hee Leekwan, Stephen Onufrak, Heidi M BlanckAbstract:Reducing consumption of calories from added sugars is a recommendation of the 2010 Dietary Guidelines for Americans and an objective of Healthy People 2020. Sugar-sweetened beverages (SSB) are major sources of added sugars in the diets of U.S. residents. Daily SSB consumption is associated with obesity and other chronic health conditions, including diabetes and cardiovascular disease. U.S. adults consumed an estimated average of 151 kcal/day of SSB during 2009-2010, with regular (i.e., nondiet) soda and Fruit Drinks representing the leading sources of SSB energy intake. However, there is limited information on state-specific prevalence of SSB consumption. To assess regular soda and Fruit drink consumption among adults in 18 states, CDC analyzed data from the 2012 Behavioral Risk Factor Surveillance System (BRFSS). Among the 18 states surveyed, 26.3% of adults consumed regular soda or Fruit Drinks or both ≥1 times daily. By state, the prevalence ranged from 20.4% to 41.4%. Overall, consumption of regular soda or Fruit Drinks was most common among persons aged 18‒34 years (24.5% for regular soda and 16.6% for Fruit Drinks), men (21.0% and 12.3%), non-Hispanic blacks (20.9% and 21.9%), and Hispanics (22.6% and 18.5%). Persons who want to reduce added sugars in their diets can decrease their consumption of foods high in added sugars such as candy, certain dairy and grain desserts, sweetened cereals, regular soda, Fruit Drinks, sweetened tea and coffee Drinks, and other SSBs. States and health departments can collaborate with worksites and other community venues to increase access to water and other healthful beverages.
Stephanie Cruz - One of the best experts on this subject based on the ideXlab platform.
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Alaska Native Children Do Not Prefer Sugar-Sweetened Fruit Drinks to Sugar-Free Fruit Drinks
Journal of the Academy of Nutrition and Dietetics, 2019Co-Authors: Donald L. Chi, Scarlett E. Hopkins, Lloyd Mancl, Eliza Orr, Susan E. Coldwell, Kirsten Senturia, Cameron L. Randall, Stephanie CruzAbstract:Abstract Background Alaska Native children, including children of Yup'ik descent, consume large volumes of sugar-sweetened Fruit Drinks, which contain added sugars that contribute to obesity, diabetes, and dental caries. To date, taste preference evaluations have not been conducted on commercially available sugar-free Fruit Drinks. Objective The study tested the hypothesis that children would have equal preference for sugar-free and sugar-sweetened Fruit Drinks. Design This was an experimental two-alternative forced-choice paired preference test. Participants/setting The study focused on a convenience sample of Yup'ik children, aged 7 to 10 years, recruited and enrolled from the Yukon-Kuskokwim Health Corporation dental clinic in Bethel, AK (N=89). Intervention Children evaluated four different commercially available sugar-free Fruit Drinks paired with the sugar-sweetened versions of each flavor. Order of flavor pair presentation was alternated across children, and order of presentation within each of the four pairs was randomized across pairs. Main outcome measures The outcome was taste preference for the sugar-free versus the sugar-sweetened version of a Fruit drink. Statistical analyses performed A test of equivalence was run across all four flavors and separately for each flavor using two one-sided tests. Results The data failed to demonstrate equivalence of the sugar-free and sugar-sweetened Fruit Drinks across all four flavors (P=0.51) or separately for each flavor. However, this was not because of a preference for sugar-sweetened Drinks. The preference for sugar-free Drinks overall and for each flavor was >50%. Although the lower bounds of the 90% CIs were within the range of equivalence (40% to 60%), the upper bounds were outside the range of equivalence (>60%). According to post hoc analyses, similar preferences were observed for Yup'ik and non-Yup'ik children, boys and girls, and children of different ages. Conclusions Taste preference findings suggest that sugar-free Fruit Drinks may be a well-tolerated alternative to sugar-sweetened Fruit Drinks for Yup'ik children in Alaska Native communities.
