We estimated the adjusted HRs by comparing the middle values of each quintile (Q) with the lowest quintile as reference (Q5, Q4, Q3, and Q2 vs Q1).35, 38 To examine the association
between added sugar intake and CVD mortality by different cut points, ie, less than 10 % by the World Health Organization (in line with the American Heart Association's recommendation) 4,5 and less than 25 % by the Institute of Medicine, 3 we estimated the adjusted HRs by comparing participants who consumed 25 % or more, more than 10 %, and less than 25 % of their calories from added sugar with those who consumed less than 10 % of their calories from added sugar.
The biological mechanisms underlying the association
between added sugar intake and CVD risk are not completely understood.
However, when we adjusted for overall diet quality as reflected by HEI and its individual components, the results did not change appreciably, suggesting that the association
between added sugar intake and CVD mortality was not explained by overall diet quality.
In the present study, the positive association
between added sugar intake and CVD mortality remained significant after adjusting for the conventional CVD risk factors, such as blood pressure and total serum cholesterol.
Randomized clinical trials and epidemiologic studies have shown that individuals who consume higher amounts of added sugar, especially sugar - sweetened beverages, tend to gain more weight7 and have a higher risk of obesity,2,8 - 13 type 2 diabetes mellitus,8,14 - 17 dyslipidemias, 18,19 hypertension, 20,21 and cardiovascular disease (CVD).14, 22 Most previous studies have focused on sugar - sweetened beverages but not total added sugar, and none of these studies has used nationally representative samples to examine the relationship
between added sugar intake and CVD mortality.
Not exact matches
Associations
between dietary
added sugar intake and micronutrient
intake: a systematic review
According to the current study, the per capita availability of
sugars and sweeteners fell 16 %
between 1980 and 2011, which was a fall that was equivalent to a per capita reduction of added - sugars intake by ~ 230 g / y for 30 y. Between 1995 and 2011, the reported intake of added sugars (grams per day) in national dietary surveys declined 18 % in adult men but remained essentially unchanged in adult women (42
between 1980 and 2011, which was a fall that was equivalent to a per capita reduction of
added -
sugars intake by ~ 230 g / y for 30 y.
Between 1995 and 2011, the reported intake of added sugars (grams per day) in national dietary surveys declined 18 % in adult men but remained essentially unchanged in adult women (42
Between 1995 and 2011, the reported
intake of
added sugars (grams per day) in national dietary surveys declined 18 % in adult men but remained essentially unchanged in adult women (42 g / d).
More marked changes were observed in children aged 2 — 18 y. Data from national grocery sales indicated that per capita
added -
sugars intakes derived from carbonated soft drinks fell 26 %
between 1997 and 2011 (from 23 to 17 g / d) with similar trends for noncarbonated beverages.
Compared with our 2011 article (15), the current analysis provides novel data on changes in recorded
intakes of total
sugars,
added sugars, SSB, carbonated soft drinks, juices, confectionery, and alcohol in Australian adults and children
between the 2 most recent national dietary surveys.
In the current study, we provide novel data on changes in the availability of
added and refined
sugars and in recorded
intakes of total
sugars,
added sugars, SSB, carbonated soft drinks, juices, confectionery, and alcohol consumption in Australian adults and children
between the 2 most recent national dietary surveys in 1995 and 2011 — 2012.
Research suggests a strong link
between excess
sugar intake, weight gain, and obesity, and beverages are the largest source of
added sugar in the American diet, says Brownell, who is also a professor of psychology, epidemiology, and public health.
Further studies are needed to examine potential interactions
between genetic susceptibility and
added sugar intake in relation to CVD risk.
The IOM panel concluded that there is no clear evidence or consistent association
between increased
intake of
added sugars and BMI.
Because the observed association
between percentage of calories from
added sugar and CVD mortality appeared to be nonlinear (P <.05 for linearity), we used the Box - Cox transformation, with λ = 2.5 when estimating the usual percentage of calories from
added sugar using the NCI method.35 To present the results, we calculated the 10th, 30th, 50th, 70th, and 90th percentiles» distribution of the estimated
added sugar intake as the middle value of each quintile.
As a matter of fact, removing sugary beverages from one's diet can eliminate
between 33 — 47 % of our
added sugar intake, according to reports from the CDC and the National Health and Nutrition Examination Survey.