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A review of total & added sugar intakes and dietary sources in Europe. 欧洲总糖和添加糖摄入量及膳食来源回顾。
IF 5.4 Pub Date : 2017-01-21 DOI: 10.1186/s12937-016-0225-2
Véronique Azaïs-Braesco, Diewertje Sluik, Matthieu Maillot, Frans Kok, Luis A Moreno

Public health policies, including in Europe, are considering measures and recommendations to limit the intake of added or free sugars. For such policies to be efficient and monitored, a precise knowledge of the current situation regarding sugar intake in Europe is needed. This review summarizes published or re-analyzed data from 11 representative surveys in Belgium, France, Denmark, Hungary, Ireland, Italy, Norway, The Netherlands, Spain and the UK. Relative intakes were higher in children than in adults: total sugars ranged between 15 and 21% of energy intake in adults and between 16 and 26% in children. Added sugars (or non-milk extrinsic sugars (NMES), in the UK) contributed 7 to 11% of total energy intake in adults and represented a higher proportion of children's energy intake (11 to 17%). Educational level did not significantly affect intakes of total or added sugars in France and the Netherlands. Sweet products (e.g. confectionery, chocolates, cakes and biscuits, sugar, and jam) were major contributors to total sugars intake in all countries, genders and age groups, followed by fruits, beverages and dairy products. Fruits contributed more and beverages contributed less to adults' total sugars intakes than to children's. Added sugars were provided mostly by sweet products (36 to 61% in adults and 40 to 50% in children), followed by beverages (12 to 31% in adults and 20 to 34% in children, fruit juices excluded), then by dairy products (4 to 15% in adults and 6 to 18% in children). Caution is needed, however, as survey methodologies differ on important items such as dietary data collection, food composition tables or estimation of added sugars. Cross-country comparisons are thus not meaningful and overall information might thus not be robust enough to provide a solid basis for implementation of policy measures. Data nevertheless confirm that intakes of total and added sugars are high in the European countries considered, especially in children, and point to sweet products and beverages as the major contributors to added sugar intakes.

欧洲等地的公共卫生政策正在考虑采取措施和建议,限制添加糖或游离糖的摄入量。要使这些政策有效并得到监督,就需要准确了解欧洲糖摄入量的现状。本综述总结了比利时、法国、丹麦、匈牙利、爱尔兰、意大利、挪威、荷兰、西班牙和英国 11 项代表性调查中已公布或重新分析的数据。儿童的相对摄入量高于成人:成人总糖摄入量占能量摄入量的 15% 至 21%,儿童占 16% 至 26%。添加糖(在英国称为非奶外糖(NMES))占成人总能量摄入量的 7% 至 11%,占儿童能量摄入量的比例较高(11% 至 17%)。在法国和荷兰,教育水平对总糖或添加糖的摄入量影响不大。在所有国家、性别和年龄组中,甜食产品(如糖果、巧克力、蛋糕和饼干、糖和果酱)是总糖摄入量的主要来源,其次是水果、饮料和乳制品。与儿童相比,成人的糖总摄入量中水果所占比例较高,饮料所占比例较低。添加糖主要来自甜食产品(成人为36%至61%,儿童为40%至50%),其次是饮料(成人为12%至31%,儿童为20%至34%,果汁除外),然后是乳制品(成人为4%至15%,儿童为6%至18%)。不过,由于调查方法在膳食数据收集、食物成分表或添加糖估算等重要项目上存在差异,因此需要谨慎。因此,跨国比较没有意义,总体信息也可能不够可靠,无法为政策措施的实施提供坚实的基础。不过,数据证实,在所考虑的欧洲国家中,总糖和添加糖的摄入量都很高,尤其是儿童,并指出甜味产品和饮料是导致添加糖摄入量的主要因素。
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期刊
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