Estimated Reductions in Added Sugar Intake among US Children and Youth in Response to Sugar Reduction Targets.


Journal

Journal of the Academy of Nutrition and Dietetics
ISSN: 2212-2672
Titre abrégé: J Acad Nutr Diet
Pays: United States
ID NLM: 101573920

Informations de publication

Date de publication:
08 2022
Historique:
received: 30 05 2021
revised: 03 01 2022
accepted: 11 02 2022
pubmed: 20 2 2022
medline: 27 7 2022
entrez: 19 2 2022
Statut: ppublish

Résumé

In 2021, the National Salt and Sugar Reduction Initiative (NSSRI) released voluntary sugar reduction targets for packaged foods and drinks in the United States. The objectives of this study were to describe trends in added sugar intake from NSSRI foods and beverages among children and youth and estimate possible reductions if industry were to meet the targets. This study consisted of cross-sectional and trend analyses of demographic and 24-hour dietary recall data from eight survey cycles (2003-2004 to 2017-2018) of the National Health and Nutrition Examination Survey. The study sample included 23,248 children and youth (aged 2 to 19 years). The main outcome measure was the percent of daily calories from added sugar for foods and beverages in NSSRI categories. Foods and beverages reported by participants were mapped to one of the NSSRI's categories or coded as a non-NSSRI item. Trends over time in added sugar intake were assessed using regression models. To assess possible reductions in added sugar intake if industry were to meet the targets, sales-weighted mean percent reductions for 2023 and 2026 targets were applied to NSSRI items in the 2017-2018 National Health and Nutrition Examination Suvey data. Results were examined overall and by demographic characteristics. From 2003-2004 to 2017-2018, added sugar intake from NSSRI foods and beverages declined, but consumption remained high. During 2017-2018, NSSRI categories accounted for 70% of US child and youth added sugar intake. If industry met the NSSRI targets, US children and youth would consume 7% (2023 targets) to 21% (2026 targets) less added sugar. Although added sugar intake from NSSRI foods and drinks has declined over the past decade, added sugar intake from all sources remains high and consumption of added sugar from certain NSSRI categories has remained steady over time. If met, the NSSRI targets are expected to result in meaningful reductions in added sugar intake for US children and youth.

Sections du résumé

BACKGROUND
In 2021, the National Salt and Sugar Reduction Initiative (NSSRI) released voluntary sugar reduction targets for packaged foods and drinks in the United States.
OBJECTIVE
The objectives of this study were to describe trends in added sugar intake from NSSRI foods and beverages among children and youth and estimate possible reductions if industry were to meet the targets.
DESIGN
This study consisted of cross-sectional and trend analyses of demographic and 24-hour dietary recall data from eight survey cycles (2003-2004 to 2017-2018) of the National Health and Nutrition Examination Survey.
PARTICIPANTS/SETTING
The study sample included 23,248 children and youth (aged 2 to 19 years).
MAIN OUTCOME MEASURES
The main outcome measure was the percent of daily calories from added sugar for foods and beverages in NSSRI categories.
STATISTICAL ANALYSES PERFORMED
Foods and beverages reported by participants were mapped to one of the NSSRI's categories or coded as a non-NSSRI item. Trends over time in added sugar intake were assessed using regression models. To assess possible reductions in added sugar intake if industry were to meet the targets, sales-weighted mean percent reductions for 2023 and 2026 targets were applied to NSSRI items in the 2017-2018 National Health and Nutrition Examination Suvey data. Results were examined overall and by demographic characteristics.
RESULTS
From 2003-2004 to 2017-2018, added sugar intake from NSSRI foods and beverages declined, but consumption remained high. During 2017-2018, NSSRI categories accounted for 70% of US child and youth added sugar intake. If industry met the NSSRI targets, US children and youth would consume 7% (2023 targets) to 21% (2026 targets) less added sugar.
CONCLUSIONS
Although added sugar intake from NSSRI foods and drinks has declined over the past decade, added sugar intake from all sources remains high and consumption of added sugar from certain NSSRI categories has remained steady over time. If met, the NSSRI targets are expected to result in meaningful reductions in added sugar intake for US children and youth.

Identifiants

pubmed: 35182788
pii: S2212-2672(22)00075-2
doi: 10.1016/j.jand.2022.02.008
pmc: PMC10280787
mid: NIHMS1904393
pii:
doi:

Substances chimiques

Sugars 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

1455-1464.e5

Subventions

Organisme : NHLBI NIH HHS
ID : R01 HL130735
Pays : United States

Informations de copyright

Copyright © 2022 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

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Auteurs

Kelsey A Vercammen (KA)

Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts. Electronic address: kev266@mail.harvard.edu.

Erin A Dowling (EA)

New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention, New York, New York.

Andrea L Sharkey (AL)

New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention, New York, New York.

Christine Johnson Curtis (C)

CJC Consulting, Los Angeles, California.

Jiangxia Wang (J)

Department of Biostatistics, Johns Hopkins Biostatistics Center, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

Erica L Kenney (EL)

Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

Renata Micha (R)

Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts; Department of Food Science and Nutrition, University of Thessaly, Thessaly, Greece.

Dariush Mozaffarian (D)

Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts.

Alyssa J Moran (AJ)

Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

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