Gradual reduction of sugar in soft drinks without substitution as a strategy to reduce overweight, obesity, and type 2 diabetes: a modelling study

The Lancet. Diabetes & Endocrinology
Yuan MaGraham A MacGregor

Abstract

Sugar-sweetened beverages are a major source of free sugar intake in both children and adults, and are an important contributor to obesity and obesity-related diseases, including type 2 diabetes. We proposed an incremental and stepwise reduction in free sugars added to sugar-sweetened beverages by 40% over 5 years without the use of artificial sweeteners and assessed the effect of the proposed strategy on energy intake and weight status. In this modelling study, we used nationally representative data from the National Diet and Nutrition Survey rolling programme (NDNS RP) from 2008-12 and British Soft Drinks Association annual reports to calculate sugar-sweetened beverage consumption (both with and without fruit juices) and its contribution to free sugar and energy intake in the UK population. We then estimated the predicted reduction in energy intake resulting from the proposed strategy at an individual level. We further predicted the reduction in steady-state bodyweight for each adult using a weight loss model. By scaling up the distribution of the predicted bodyweight in the NDNS RP to the UK adult population, we estimated reductions in the number of overweight and obese adults, and the number of adults with type 2 diabetes. ...Continue Reading

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Citations

Jan 19, 2016·The Lancet. Diabetes & Endocrinology·Tim Lobstein
May 7, 2016·Current Opinion in Clinical Nutrition and Metabolic Care·J Bernadette Moore, Barbara A Fielding
Oct 4, 2016·Current Obesity Reports·Emilie H ZobelBernt Johan von Scholten
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Feb 19, 2020·Journal of the American Heart Association·Kapuaola S GellertGerardo Heiss
Dec 14, 2017·Scientific Reports·Chris Ho Ching YeungJimmy Chun Yu Louie
Jun 13, 2019·Current Developments in Nutrition·Daisy H CoyleJason H Wu
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Dec 11, 2019·International Journal of Environmental Research and Public Health·Ting-Ti LinJudith Shu-Chu Shiao
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