Estimated Reductions in Added Sugar Intake among US Children and Youth in Response to Sugar Reduction Targets |
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| Affiliation: | 1. Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts;2. New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention, New York, New York;3. CJC Consulting, Los Angeles, California;4. Department of Biostatistics, Johns Hopkins Biostatistics Center, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland;5. Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts;6. Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts;7. Department of Food Science and Nutrition, University of Thessaly, Thessaly, Greece;8. Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland;1. Gretchen Swanson Center for Nutrition, Omaha, NE;2. Department of Health and Human Development, Montana State University, Bozeman, MT;3. Oregon Health & Science University-Portland State University School of Public Health, Portland, OR;4. Geisinger Commonwealth School of Medicine, Scranton, PA;1. Department of Human Nutrition, Winthrop University, Rock Hill, SC;2. Family Medicine, North Central Family Medical Center, Rock Hill, SC;3. Department of Nutrition and Health Care Management, Appalachian State University, Boone, NC;4. Department of Nutrition Science, East Carolina University, Greenville, NC;1. Boden Collaboration for Obesity, Nutrition, Exercise and Eating Disorders, University of Sydney, Sydney, New South Wales, Australia;2. Blackbird Initiative, Órama Institute, Flinders University, Adelaide, South Australia, Australia;3. Metabolism and Obesity Services, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia;4. Nutrition and Dietetics Department, St Vincent’s Hospital, Sydney, New South Wales, Australia;1. Department of Medicine, NYU Langone Health, New York, New York;2. Department of Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania;3. School of Computing and Information Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania;4. Department of Biostatistics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania;5. Division of Pediatric Surgery, Children’s Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania;6. Department of Immunology, Children’s Hospital Research Institute, Pittsburgh, Pennsylvania |
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| Abstract: | BackgroundIn 2021, the National Salt and Sugar Reduction Initiative (NSSRI) released voluntary sugar reduction targets for packaged foods and drinks in the United States.ObjectiveThe 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.DesignThis 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/settingThe study sample included 23,248 children and youth (aged 2 to 19 years).Main outcome measuresThe main outcome measure was the percent of daily calories from added sugar for foods and beverages in NSSRI categories.Statistical analyses performedFoods 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.ResultsFrom 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.ConclusionsAlthough 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. |
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| Keywords: | Added sugar food supply NHANES child and adolescent health |
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