Added sugar consumption in adults and elderly Population-based survey in São Paulo city / Consumo de açúcares de adição entre adultos e idosos: inquérito populacional do município de São Paulo

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

Scientific evidences point to the undesirable effects of the added sugar in the health, such as: dental caries, excess of energy intake and, consequently, weight gain and dilution of nutrients. The World Health Organization recommends to limit the consumption in 10 % of the energetic intake (EI) from added sugar. In spite of Brazil is one of the principal world-wide producers of sugar from cane, there are no survey that investigate the consumption of sugars in this population. This thesis presents three papers related to added sugar consumption obtained by population-based survey between adult and elderly in Sao Paulo. The objectives were: to analyze the association between demographic, socioeconomics and life style variables and added sugar consumption; to investigate the consumption of added sugar and his relation with the energy and nutrients intake; to identify the relation between consumption of soft drinks, like one of the main source of added sugar, and demographic, socioeconomics, nutritional state and life style variables. The probabilistic sample of 1,311 individuals (689 adults and 622 elderly) was obtained using multistage cluster samples. Data was collected through 24-hour food recall, including a second round of data collection in a subsample. Usual intakes of energy, nutrients and food were estimated by Iowa State University (ISU) and National Cancer Institute (NCI) methods. Mean contribution of added sugars to total energy intake was 9.13% (95% CI: 8.88; 9.37) between adults and 8.42% (95% CI: 8.16; 8.67) between elderly (p<0.05). The frequency of individuals that ingests added sugars above 10% of EI was 38.0% and 25.4% between adult and elderly, respectively. Women consume more sugars than men (p <0.05). Age and number of durable goods were associated to the recommendation of added sugars consumption between adults whereas between elderly association was observed for schooling. The highest sugar consumption was associated with the lower nutrients intake, like proteins, fibers, zinc, iron, magnesium, potassium, vitamin B6 and folate. Soft drink contributed 13.83% (elderly women) to 38.1 % (adult men) for added sugar. The consumption of soft drinks is higher between younger, male and not consumption underreported. Only in adults, the body mass index was associated with consumption of soft drinks (b = 0.09; p=0.034). Measures of public health to limit the consumption of sugars and soft drinks might benefit the population in the promotion of the health.

ASSUNTO(S)

population-based survey body mass index inquérito populacional Índice de massa corporal refrigerantes food consumption soft drink consumo alimentar added sugar açúcares de adição

ACESSO AO ARTIGO

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