Added sugars displaced the use of vital nutrients in the national food stamp program survey
Added sugars displaced the use of vital nutrients in the national food stamp program survey
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DOI：
10.1093/jn/137.2.453
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发表时间：
2007-02-01
影响因子：
4.2
通讯作者：
Amialchuk, Aliaksandr
中科院分区：
文献类型：
--
作者：
Bhargava, Alok;Amialchuk, Aliaksandr
最近美国添加糖消费量的增加可以减少重要营养素的摄入并增加总体能量摄入量。一个全面的框架是必要的，以解决围绕添加糖对营养素摄入量的影响，同时控制饮食知识，行为因素和总能量摄入量，特别是在低收入家庭的争议。本文分析了1996- 1997年国家食品券计划调查中913户家庭1周添加糖可用性（或使用）的直接决定因素。此外，家庭对蛋白质、纤维、钙、铁、β-胡萝卜素、维生素A、C、E、B-6和B-12、叶酸和钾的使用可以通过社会经济和行为因素以及添加糖的使用来解释。进行线性规划分析，以评估食品价格对添加糖使用的影响。参与妇女、婴儿和儿童补充食品计划、食品券福利和低脂饮食消费与低添加糖使用相关（P < 0.05）。此外，更多地使用添加糖显着降低了家庭对蛋白质、铁、维生素A、C、B-6和B-12的使用;和钾。行为和社会经济变量，如采用低脂饮食，消费水果和蔬菜，在杂货店省钱，购物旅行的频率，不吃饭和食品不安全往往是营养素使用的重要预测因素。总的来说，结果表明，在膳食指南中应不鼓励添加糖，因为它们对饮食质量的不利影响在低收入人群中很明显。
Recent increases in consumption of added sugars in the US can reduce intake of vital nutrients and increase the overall energy intakes. A comprehensive framework is necessary for addressing the controversy surrounding the effects of added sugars on nutrient intakes while controlling for dietary knowledge, behavioral factors, and total energy intakes, especially among low-income households. This paper analyzed the proximate determinants of 1-wk availability (or use) of added sugars by 913 households participating in the National Food Stamp Program Survey conducted in 1996-97. In addition, households' use of protein; fiber; calcium; iron; p-carotene; vitamins A, C, E, B-6, and B-12; folic acid; and potassium were explained by socioeconomic and behavioral factors and by added sugars use. Linear programming analyses were conducted for assessing the effects of food prices on added sugars use. Participation in Supplemental Food Program for Women, Infants and Children program, food stamp benefits, and consumption of low-fat diets were associated (P < 0.05) with lower added sugars use. Furthermore, greater use of added sugars significantly lowered households' uses of protein, iron, vitamins A, C, B-6, and B-12; and potassium. Behavioral and socioeconomic variables such as adopting a low-fat diet, consuming fruits and vegetables, saving money at grocery stores, frequency of shopping trips, skipping meals, and food insecurity were often important predictors of nutrient use. Overall, the results indicated that added sugars should be discouraged in dietary guidelines, because their adverse effects on diet quality were evident in this low-income population.