Intake of free sugar among children and adolescents in Germany declines - current results of the DONALD study.

IF 4.1 2区医学 Q2 NUTRITION & DIETETICS European Journal of Nutrition Pub Date : 2024-10-01 Epub Date: 2024-07-05 DOI:10.1007/s00394-024-03456-1

Ines Perrar, Ute Alexy, Ute Nöthlings

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Abstract

Purpose: Our recent analysis reported decreasing trends in intake of free sugar in children and adolescents in Germany. Here we set out to update this analysis with current dietary intake (until 2023) because of the strong public health nutrition interest in sugar intake.

Methods: In total, 4,218 dietary records kept between 2010 and 2023 by 751 participants (46.0% females, 3-18 years) from the German Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) cohort were examined. Age and time trends in free sugar intake (%E/d) were analysed using polynomial mixed-effects regression models.

Results: Median intake data indicate a decline in the intake of free sugar between 2010/2011 (16.7%E) and 2022/2023 (11.7%E). Trend analyses confirmed, that intake of free sugars decreased continuously between 2017 and 2023 (Linear trend: β = -0.4126, p < 0.0001). In addition, free sugar intake changed significantly with age (Linear trend: β = 1.2922, p < 0.0001; quadratic trend: β = -0.08613, p = 0.0094; cubic trend: β = 0.001442, p = 0.1725), i.e. the intake of free sugars increases continuously up to early adolescence (9/10 years) and decreases again thereafter.

Conclusion: The intake of free sugar among children and adolescents continued to decline, but still exceeded the WHO recommendations in 2023. Further measures to reduce free sugar intake would therefore be desirable, as well as continuous monitoring of sugar intake levels among this age groups.

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德国儿童和青少年的游离糖摄入量下降 - DONALD 研究的最新结果。

目的：我们最近的分析报告显示，德国儿童和青少年的游离糖摄入量呈下降趋势。由于公众对糖的摄入量有着浓厚的健康营养兴趣，因此我们在此根据当前的膳食摄入量（至 2023 年）对这一分析进行了更新：方法：我们对德国多特蒙德营养和人体测量纵向设计（DONALD）队列中的 751 名参与者（46.0% 为女性，3-18 岁）在 2010 年至 2023 年期间的 4218 份膳食记录进行了研究。使用多项式混合效应回归模型分析了游离糖摄入量（%E/d）的年龄和时间趋势：结果：摄入量中位数数据显示，2010/2011 年（16.7%E）至 2022/2023 年（11.7%E）期间游离糖摄入量有所下降。趋势分析证实，游离糖的摄入量在 2017 年至 2023 年期间持续下降（线性趋势：β = -0.4126，p 结论：游离糖的摄入量在 2022 年至 2023 年期间持续下降：儿童和青少年的游离糖摄入量持续下降，但到 2023 年仍超过世界卫生组织的建议。因此，最好采取进一步措施减少游离糖的摄入量，并对这一年龄组的糖摄入水平进行持续监测。

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来源期刊

European Journal of Nutrition 医学-营养学

CiteScore

10.20

自引率

2.00%

发文量

295

审稿时长

6 months

期刊介绍： The European Journal of Nutrition publishes original papers, reviews, and short communications in the nutritional sciences. The manuscripts submitted to the European Journal of Nutrition should have their major focus on the impact of nutrients and non-nutrients on immunology and inflammation, gene expression, metabolism, chronic diseases, or carcinogenesis, or a major focus on epidemiology, including intervention studies with healthy subjects and with patients, biofunctionality of food and food components, or the impact of diet on the environment.