Global, regional, and national consumption of sugar-sweetened beverages, fruit juices, and milk: A systematic assessment of beverage intake in 187 countries

Singh, Gitanjali M., Micha, Renata, Khatibzadeh, Shahab, Shi, Peilin, Lim, Stephen, Andrews, Kathryn G., Engell, Rebecca E., Ezzati, Majid, Mozaffarian, Dariush, Global Burden of Diseases Nutrition and Chronic Diseases Expert Group (NutriCoDE), Forsyth, Simon and Veerman, Lennert (2015) Global, regional, and national consumption of sugar-sweetened beverages, fruit juices, and milk: A systematic assessment of beverage intake in 187 countries. PLoS ONE, 10 8: 1-20. doi:10.1371/journal.pone.0124845


Author Singh, Gitanjali M.
Micha, Renata
Khatibzadeh, Shahab
Shi, Peilin
Lim, Stephen
Andrews, Kathryn G.
Engell, Rebecca E.
Ezzati, Majid
Mozaffarian, Dariush
Global Burden of Diseases Nutrition and Chronic Diseases Expert Group (NutriCoDE)
Forsyth, Simon
Veerman, Lennert
Title Global, regional, and national consumption of sugar-sweetened beverages, fruit juices, and milk: A systematic assessment of beverage intake in 187 countries
Journal name PLoS ONE   Check publisher's open access policy
ISSN 1932-6203
Publication date 2015-08-05
Sub-type Article (original research)
DOI 10.1371/journal.pone.0124845
Open Access Status DOI
Volume 10
Issue 8
Start page 1
End page 20
Total pages 20
Place of publication San Francisco, CA, United States
Publisher Public Library of Science
Language eng
Formatted 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.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Public Health Publications
 
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