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Global, Regional, and National Consumption of Sugar-Sweetened Beverages, Fruit Juices, and Milk: A Systematic Assessment of Beverage Intake in 187 Countries.

Singh GM, Micha R, Khatibzadeh S, Shi P, Lim S, Andrews KG, Engell RE, Ezzati M, Mozaffarian D, Global Burden of Diseases Nutrition and Chronic Diseases Expert Group (NutriCoD - PLoS ONE (2015)

Bottom Line: There was significant heterogeneity in consumption of each beverage by region and age.Our analysis highlights the enormous spectrum of beverage intakes worldwide, by country, age, and sex.These data are valuable for highlighting gaps in dietary surveillance, determining the impacts of these beverages on global health, and targeting dietary policy.

View Article: PubMed Central - PubMed

Affiliation: Friedman School of Nutrition Science and Health Policy, Tufts University, Boston, MA, United States of America.

ABSTRACT

Background: Sugar-sweetened beverages (SSBs), fruit juice, and milk are components of diet of major public health interest. To-date, assessment of their global distributions and health impacts has been limited by insufficient comparable and reliable data by country, age, and sex.

Objective: To quantify global, regional, and national levels of SSB, fruit juice, and milk intake by age and sex in adults over age 20 in 2010.

Methods: We identified, obtained, and assessed data on intakes of these beverages in adults, by age and sex, from 193 nationally- or subnationally-representative diet surveys worldwide, representing over half the world's population. We also extracted data relevant to milk, fruit juice, and SSB availability for 187 countries from annual food balance information collected by the United Nations Food and Agriculture Organization. We developed a hierarchical Bayesian model to account for measurement incomparability, study representativeness, and sampling and modeling uncertainty, and to combine and harmonize nationally representative dietary survey data and food availability data.

Results: In 2010, global average intakes were 0.58 (95%UI: 0.37, 0.89) 8 oz servings/day for SSBs, 0.16 (0.10, 0.26) for fruit juice, and 0.57 (0.39, 0.83) for milk. There was significant heterogeneity in consumption of each beverage by region and age. Intakes of SSB were highest in the Caribbean (1.9 servings/day; 1.2, 3.0); fruit juice consumption was highest in Australia and New Zealand (0.66; 0.35, 1.13); and milk intake was highest in Central Latin America and parts of Europe (1.06; 0.68, 1.59). Intakes of all three beverages were lowest in East Asia and Oceania. Globally and within regions, SSB consumption was highest in younger adults; fruit juice consumption showed little relation with age; and milk intakes were highest in older adults.

Conclusions: Our analysis highlights the enormous spectrum of beverage intakes worldwide, by country, age, and sex. These data are valuable for highlighting gaps in dietary surveillance, determining the impacts of these beverages on global health, and targeting dietary policy.

No MeSH data available.


Global non-alcoholic caloric beverage consumption in 21 regions by age.A) SSBs, B) Fruit juice, C) Milk. Consumption levels are shown in four age groups for each region and each region is color-coded as shown in the legend.
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pone.0124845.g002: Global non-alcoholic caloric beverage consumption in 21 regions by age.A) SSBs, B) Fruit juice, C) Milk. Consumption levels are shown in four age groups for each region and each region is color-coded as shown in the legend.

Mentions: SSB consumption generally followed an inverse age gradient, highest in adults under age 40, and lowest in adults over age 60 (Fig 2A and Table 2). There was a steep inverse age gradient in regions in Latin America and the Caribbean and in high-income North America, which was attenuated in regions of lower SSB consumption, such as East and South Asia By age and sex, regional consumption of SSBs was highest in men aged 20–39 in the Caribbean at 3.4 (95%UI: 2.0, 5.6) servings/day (Table C in S1 File). Men and women under age 60 in the Caribbean and Central Latin America also consumed over 1.5 servings/day of SSBs. Regional intake of SSBs was lowest in women over age 60 in East Asia (0.12, 95%UI: 0.09, 0.15 servings/day).


Global, Regional, and National Consumption of Sugar-Sweetened Beverages, Fruit Juices, and Milk: A Systematic Assessment of Beverage Intake in 187 Countries.

Singh GM, Micha R, Khatibzadeh S, Shi P, Lim S, Andrews KG, Engell RE, Ezzati M, Mozaffarian D, Global Burden of Diseases Nutrition and Chronic Diseases Expert Group (NutriCoD - PLoS ONE (2015)

Global non-alcoholic caloric beverage consumption in 21 regions by age.A) SSBs, B) Fruit juice, C) Milk. Consumption levels are shown in four age groups for each region and each region is color-coded as shown in the legend.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4526649&req=5

pone.0124845.g002: Global non-alcoholic caloric beverage consumption in 21 regions by age.A) SSBs, B) Fruit juice, C) Milk. Consumption levels are shown in four age groups for each region and each region is color-coded as shown in the legend.
Mentions: SSB consumption generally followed an inverse age gradient, highest in adults under age 40, and lowest in adults over age 60 (Fig 2A and Table 2). There was a steep inverse age gradient in regions in Latin America and the Caribbean and in high-income North America, which was attenuated in regions of lower SSB consumption, such as East and South Asia By age and sex, regional consumption of SSBs was highest in men aged 20–39 in the Caribbean at 3.4 (95%UI: 2.0, 5.6) servings/day (Table C in S1 File). Men and women under age 60 in the Caribbean and Central Latin America also consumed over 1.5 servings/day of SSBs. Regional intake of SSBs was lowest in women over age 60 in East Asia (0.12, 95%UI: 0.09, 0.15 servings/day).

Bottom Line: There was significant heterogeneity in consumption of each beverage by region and age.Our analysis highlights the enormous spectrum of beverage intakes worldwide, by country, age, and sex.These data are valuable for highlighting gaps in dietary surveillance, determining the impacts of these beverages on global health, and targeting dietary policy.

View Article: PubMed Central - PubMed

Affiliation: Friedman School of Nutrition Science and Health Policy, Tufts University, Boston, MA, United States of America.

ABSTRACT

Background: Sugar-sweetened beverages (SSBs), fruit juice, and milk are components of diet of major public health interest. To-date, assessment of their global distributions and health impacts has been limited by insufficient comparable and reliable data by country, age, and sex.

Objective: To quantify global, regional, and national levels of SSB, fruit juice, and milk intake by age and sex in adults over age 20 in 2010.

Methods: We identified, obtained, and assessed data on intakes of these beverages in adults, by age and sex, from 193 nationally- or subnationally-representative diet surveys worldwide, representing over half the world's population. We also extracted data relevant to milk, fruit juice, and SSB availability for 187 countries from annual food balance information collected by the United Nations Food and Agriculture Organization. We developed a hierarchical Bayesian model to account for measurement incomparability, study representativeness, and sampling and modeling uncertainty, and to combine and harmonize nationally representative dietary survey data and food availability data.

Results: In 2010, global average intakes were 0.58 (95%UI: 0.37, 0.89) 8 oz servings/day for SSBs, 0.16 (0.10, 0.26) for fruit juice, and 0.57 (0.39, 0.83) for milk. There was significant heterogeneity in consumption of each beverage by region and age. Intakes of SSB were highest in the Caribbean (1.9 servings/day; 1.2, 3.0); fruit juice consumption was highest in Australia and New Zealand (0.66; 0.35, 1.13); and milk intake was highest in Central Latin America and parts of Europe (1.06; 0.68, 1.59). Intakes of all three beverages were lowest in East Asia and Oceania. Globally and within regions, SSB consumption was highest in younger adults; fruit juice consumption showed little relation with age; and milk intakes were highest in older adults.

Conclusions: Our analysis highlights the enormous spectrum of beverage intakes worldwide, by country, age, and sex. These data are valuable for highlighting gaps in dietary surveillance, determining the impacts of these beverages on global health, and targeting dietary policy.

No MeSH data available.