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Weighing in on Added Sugars and Health

      In this issue of the Journal, Lustig contends that a reduction in fructose consumption is necessary to combat the obesity epidemic (
      • Lustig R.H.
      Fructose: Metabolic, hedonic, and societal parallels with ethanol.
      ). His review is one of many recently that is focused on the adverse health effects of increased intakes of sugars, especially added sugars and those coming from sugar-sweetened beverages. Although registered dietitians have for years focused on fat as the macronutrient most associated with chronic disease, it has become increasingly clear that the amount and quality of carbohydrates in the diet may be equally as important as fats to reduce diet-related chronic disease.
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      References

        • Lustig R.H.
        Fructose: Metabolic, hedonic, and societal parallels with ethanol.
        J Am Diet Assoc. 2010; 110: 1307-1321
      1. Otten J.J. Hellwig J.P. Meyers L.D. Dietary Reference Intakes: The Essential Guide to Nutrient Requirements. Institute of Medicine of the National Academies, Washington, DC2006
      2. Sugar and sweeteners yearbook table 50, US per capita caloric sweeteners estimated deliveries for domestic food and beverage use, by calendar year.
        (US Department of Agriculture, Economic Research Service Web site) (Accessed May 24, 2010)
        • Wells H.F.
        • Buzby J.
        Dietary assessment of major trends in US food consumption, 1970-2005.
        (US Department of Agriculture, Economic Research Service Web site) (Accessed May 23, 2010)
      3. Sources of calories from added sugars among the US population, 2005-06.
        (Risk Factor Monitoring and Methods Branch Web site) (Accessed May 24, 2010)
        • Welsh J.A.
        • Sharma A.
        • Abramson J.L.
        • Vaccarino V.
        • Gillespie C.
        • Vos M.B.
        Caloric sweetener consumption and dyslipidemia among US adults.
        JAMA. 2010; 303: 1490-1497
        • Glinsmann W.H.
        • Irauquin H.
        • Park Y.K.
        Evaluation of health aspects of sugars contained in carbohydrate sweeteners: Report of Sugars Task Force, 1986.
        J Nutr. 1986; 116: S1-S216
        • US Departments of Agriculture and Health and Human Services
        Nutrition and Your Health: Dietary Guidelines for Americans, 2000.
        5th ed. US Government Printing Office, Washington, DC2000 (Home and Garden Bulletin No. 232)
        • US Departments of Health and Human Services and Agriculture
        Dietary Guidelines for Americans, 2005.
        6th ed. US Government Printing Office, Washington, DC2005
        • Lichtenstein A.H.
        • Appel L.J.
        • Brands M.
        • Carnethon M.
        • Daniels S.
        • Franch H.A.
        • Franklin B.
        • Etherton P.
        • Harris W.S.
        • Howard B.
        • Karanja N.
        • Lefevre M.
        • Rudel L.
        • Sacks F.
        • Van Horn L.
        • Winston M.
        • Wylie-Rosett J.
        Diet and lifestyle recommendations revision 2006, A scientific statement From the American Heart Association Nutrition Committee [published corrections appear in Circulation. 2006;114:e629 and 2006;114:e27].
        Circulation. 2006; 114: 82-96
        • Johnson R.K.
        • Appel L.J.
        • Brands M.
        • Howard B.
        • Lefevre M.
        • Lustig R.H.
        • Sacks F.
        • Steffen L.M.
        • Wylie-Rosett J.
        Dietary sugars intake and cardiovascular health.
        Circulation. 2009; 120: 1011-1020
        • American Dietetic Association's Evidence Analysis Library
        (Accessed June 3, 2010)
        • Vartanian L.R.
        • Schwartz M.B.
        • Brownell K.D.
        Effects of soft drink consumption on nutrition and health: A systematic review and meta-analysis.
        Am J Public Health. 2007; 97: 667-675
        • Chen L.
        • Appel L.J.
        • Loria C.
        • Lin P.H.
        • Champagne C.M.
        • Elmer P.J.
        • Ard J.D.
        • Mitchell D.
        • Batch B.C.
        • Svetkey L.P.
        • Caballero B.
        Reduction in consumption of sugar-sweetened beverages is associated with weight loss: The PREMIER trial.
        Am J Clin Nutr. 2009; 89: 1-8
        • Fung T.T.
        • Malik V.
        • Rexrode K.M.
        • Manson J.E.
        • Willett W.C.
        • Hu F.B.
        Sweetened beverage consumption and risk of coronary heart disease in women.
        Am J Clin Nutr. 2009; 89: 1037-1042
        • Odegaard A.O.
        • Koh W.P.
        • Arakawa K.
        • Yu M.C.
        • Pereira M.A.
        Soft drink and juice consumption and risk of physician-diagnosed incident type 2 diabetes: The Singapore Chinese Health Study.
        Am J Epidemiol. 2010; 171: 701-708
        • Mourao D.M.
        • Bressan J.
        • Campbell W.W.
        • Mattes R.D.
        Effects of food form on appetite and energy intake in lean and obese young adults.
        Int J Obes. 2007; 31: 1688-1695
        • Mattes R.
        Fluid calories and energy balance: The good, the bad, and the uncertain.
        Physiol Behav. 2006; 89: 66-70
        • DiMeglio D.P.
        • Mattes R.D.
        Liquid versus solid carbohydrate: Effects on food intake and body weight.
        Int J Obesity. 2000; 24: 794-800
        • US Departments of Health and Human Services and Agriculture
        Dietary guidelines for Americans, 7th ed.
        (Accessed May 24, 2010)
        • Dhingra R.
        • Sullivan L.
        • Jacques P.F.
        • Wang T.J.
        • Fox C.S.
        • Meigs J.B.
        • D'Agostino R.B.
        • Gaziano J.M.
        • Vasan R.S.
        Soft drink consumption and risk of developing cardiometabolic risk factors and the metabolic syndrome in middle-aged adults in the community.
        Circulation. 2007; 116: 480-488
        • Chen L.
        • Caballero B.
        • Mitchell D.C.
        • Loria C.
        • Lin P.
        • Champagne C.M.
        • Elmer P.J.
        • Ard J.D.
        • Batch B.C.
        • Anderson C.A.M.
        • Appel L.J.
        Reducing consumption of sugar-sweetened beverages is associated with reduced blood pressure: A prospective study among US adults.
        Circulation. 2010; 121: 2398-2406
        • Gibson S.A.
        Dietary sugars intake and micronutrient adequacy: A systematic review of the evidence.
        Nutr Res Rev. 2007; 20: 121-131
        • Frary C.D.
        • Johnson R.K.
        • Wang M.Q.
        Children's choices of food and beverages high in added sugars impact their diet quality.
        J Adol Health. 2004; 34: 56-63
        • Lloyd-Jones D.M.
        • Hong Y.
        • Labarthe D.
        • Mozaffarian D.
        • Appel L.J.
        • Van Horn L.
        • Greenlund K.
        • Daniels S.
        • Nichol G.
        • Tomaselli G.F.
        • Arnett D.K.
        • Fonarow G.C.
        • Ho P.M.
        • Lauer M.S.
        • Masoudi F.A.
        • Robertson R.M.
        • Roger V.
        • Schwamm L.H.
        • Sorlie P.
        • Yancy C.W.
        • Schwamm L.E.
        • Sorlie P.
        • Yancy C.W.
        • Rosamond W.D.
        Defining and setting national goals for cardiovascular health promotion and disease reduction: The American Heart Association's strategic impact goals through 2020 and beyond.
        Circulation. 2010; 121: 586-613
        • Nutrient Data Laboratory
        USDA Database for the added sugars content of selected foods.
        (US Department of Agriculture, Agricultural Research Service Web site) (Accessed May 23, 2010)
      4. Healthy Weight Commitment Foundation homepage.
        (Accessed May 23, 2010)
        • US Department of Agriculture
        MyPyramid.
        (Published 2005) (Accessed May 23, 2010)
        • Britten P.
        • Marcoe K.
        • Yamini S.
        • Davis C.
        Development of food intake patterns for the MyPyramid food guidance system.
        J Nutr Educ Behav. 2006; 38: S78-S92
        • Liebman B.
        Sugar overload: Curbing America's sweet tooth.
        Nutrition Action Health Letter. 2010; January/February: 1-8

      Biography

      R. K. Johnson is associate provost and a professor of nutrition, Nutrition and Food Sciences, The University of Vermont, Burlington.

      Biography

      B. A. Yon is a research specialist, Nutrition and Food Sciences, The University of Vermont, Burlington.