Effect of AHA dietary counselling on added sugar intake among participants with metabolic syndrome.

Effect of AHA dietary counselling on added sugar intake among participants with metabolic syndrome.
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DOI:
10.1007/s00394-017-1390-6
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发表时间:
2018-04
影响因子:
5
通讯作者:
Ma Y
Ma Y
中科院分区:
医学2区
文献类型:
--
作者:
Zhang L;Pagoto S;May C;Olendzki B;L Tucker K;Ruiz C;Cao Y;Ma Y

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高添加糖的消耗与代谢综合征(MetS)的发展有关。美国心脏协会(AHA)饮食旨在预防和治疗代谢综合征,然而,目前尚不清楚AHA饮食是否能有效减少添加糖的摄入。我们研究的目的是评估AHA饮食咨询对MetS参与者添加糖摄入量的影响。从2009年6月至2014年1月,在119名MetS参与者中进行了AHA饮食咨询(ClinicalTrials.gov:)。在基线、3个月、6个月和12个月时收集未宣布的24小时召回。使用线性混合模型检查随时间推移的添加糖消费模式。经过一年的饮食咨询,添加糖的摄入量减少了23.8克/天(95% CI:15.1,32.4 g/天);非酒精饮料的摄入量从添加糖摄入量的主要贡献者下降到第7位(从11.9%到4.4%);替代健康饮食指数(AHEI)评分增加了5.4(95% CI:2.9,8.0);然而,48%的参与者的添加糖摄入量仍然超过了建议。基线时,不同膳食类型的每餐添加糖摄入量相似(24.2%-25.8%)。经过一年的膳食咨询,早餐成为添加糖摄入的主要来源(33.3%),零食添加糖摄入比例从25.8%(CI:23.1,28.5%)下降到20.9%(CI:19.6,22.3%)。虽然在为期一年的AHA饮食咨询后,MetS参与者的添加糖摄入量有所下降,但大多数参与者的添加糖摄入量仍然超过了建议的限度。需要采取成功的公共卫生战略行动,减少添加糖的摄入量。
High added sugar consumption has been associated with the development of metabolic syndrome (MetS). The American Heart Association (AHA) diet is designed to prevent and treat MetS, however, it remains unclear whether the AHA diet is effective on decreasing added sugar consumption. The aim of our study was to evaluate the effect of the AHA dietary counselling on added sugar consumption among participants with MetS. The AHA dietary counselling was conducted among 119 participants with MetS from June 2009 to January 2014 (ClinicalTrials.gov: ). Unannounced 24-hour recalls were collected at baseline, 3-, 6- and 12-months. Added sugar consumption patterns over time were examined using linear mixed models. After one-year dietary counselling, intake of added sugars decreased by 23.8 g/day (95% CI: 15.1, 32.4 g/day); intake of nonalcoholic beverages dropped from the leading contributor of added sugar intake to number 7 (from 11.9% to 4.4%); the Alternative Healthy Eating Index (AHEI) score increased by 5.4 (95% CI: 2.9, 8.0); however, added sugar intake for 48% participants still exceeded the recommendation. Added sugar intake per meal among different meal type was similar (24.2%−25.8%) at baseline. After the one-year dietary counselling, breakfast became the major resource of added sugar intake (33.3%); the proportion of added sugar intake from snacks decreased from 25.8% (CI: 23.1, 28.5%) to 20.9% (CI: 19.6, 22.3%). Although the consumption of added sugars in participants with MetS decreased after the one-year AHA dietary counselling, added sugar intake from majority of participants still exceed recommended limits. Actions of successful public health strategies focus on reducing added sugar intake are needed.
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