000			00595nab|a22002177a|4500
999			_c63510 _d63502
001			63510
003			MX-TxCIM
005			20210326201819.0
008			210113s2016||||ne |||p|op||||00||0|eng|d
022			_a2213-8587
024	8		_ahttps://doi.org/10.1016/S2213-8587(15)00419-2
040			_aMX-TxCIM
041			_aeng
100	1		_aPopkin, B.M. _919232
245	1	0	_aSweetening of the global diet, particularly beverages : _bpatterns, trends, and policy responses
260			_aBasel (Switzerland) : _bMDPI, _c2016.
500			_aPeer review
520			_aEvidence suggests that excessive intake of added sugars has adverse effects on cardiometabolic health, which is consistent with many reviews and consensus reports from WHO and other unbiased sources. 74% of products in the US food supply contain caloric or low-calorie sweeteners, or both. Of all packaged foods and beverages purchased by a nationally representative sample of US households in 2013, 68% (by proportion of calories) contain caloric sweeteners and 2% contain low-calorie sweeteners. We believe that in the absence of intervention, the rest of the world will move towards this pervasiveness of added sugars in the food supply. Our analysis of trends in sales of sugar-sweetened beverages around the world, in terms of calories sold per person per day and volume sold per person per day, shows that the four regions with the highest consumption are North America, Latin America, Australasia, and western Europe. The fastest absolute growth in sales of sugar-sweetened beverages by country in 2009–14 was seen in Chile. We believe that action is needed to tackle the high levels and continuing growth in sales of such beverages worldwide. Many governments have initiated actions to reduce consumption of sugar-sweetened beverages in the past few years, including taxation (eg, in Mexico); reduction of their availability in schools; restrictions on marketing of sugary foods to children; public awareness campaigns; and positive and negative front-of-pack labelling. In our opinion, evidence of the effectiveness of these actions shows that they are moving in the right direction, but governments should view them as a learning process and improve their design over time. A key challenge for policy makers and researchers is the absence of a consensus on the relation of beverages containing low-calorie sweeteners and fruit juices with cardiometabolic outcomes, since decisions about whether these are healthy substitutes for sugar-sweetened beverages are an integral part of policy design.
546			_aText in English
650		7	_aSweeteners _2AGROVOC _99753
650		7	_aBeverages _2AGROVOC _919233
650		7	_aDiet _2AGROVOC _95374
650		7	_aHealth _2AGROVOC _94222
700	1		_910815 _aHawkes, C.
773	0		_gv. 4, no. 2, p. 174-186 _dNetherlands : Elsevier, 2016. _tThe Lancet Diabetes and Endocrinology _x2213-8587
942			_cJA _n0 _2ddc