scholarly journals Determinan Sosial Ekonomi Konsumsi Minuman Berpemanis di Indonesia: Analisis Data Susenas 2017

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Widi Astutty Casimira Daeli ◽  
Atik Nurwahyuni

Abstrak Sugar-Sweetened Beverages (SSBs) atau yang dikenal dengan minuman berpemanis bergula adalah cairan yang ditambah­kan dengan berbagai macam bentuk gula. Konsumsi minuman berpemanis berlebih berkontribusi terhadap Penyakit Tidak Menular (PTM) seperti penambahan berat badan, meningkatkan risiko diabetes mellitus tipe 2 serta penyakit kardiovaskuler. PTM dapat dicegah sedini mungkin dengan mengurangi konsumsi kalori dalam gula. WHO menyarankan orang dewasa dan anak-anak untuk mengurangi asupan gula hingga kurang dari 10% dari total asupan energi dan dilanjutkan hingga kurang dari 5% dari total asupan energi. Artikel ini bertujuan untuk mengetahui determinan sosial ekonomi yang memengaruhi konsumsi minuman berpemanis. Menggunakan data sekunder dari survey sosial ekonomi nasional (Susenas) Tahun 2017 dengan model two part (OLS, Probit dan Tobit). Variabel akses internet merupakan variabel yang konsisten berhubungan dengan penurunan pengeluaran dan partisipasi rumah tangga untuk konsumsi minuman berpemanis. Oleh karena itu, perlu meningkatkan sosial­isasi promosi iklan layanan kesehatan masyarakat terkait bahaya konsumsi minuman berpemanis berlebihan dan pencantu­man batas aman konsumsi minuman berpemanis pada label kemasan. Abstract Sugar-Sweetened Beverages (SSBs) are added liquids with various of sugar. Consumption of SSBs contributes to Non-Communicable Diseases (NCDs) such as weight gain, increasing the risk of type 2 diabetes mellitus and cardiovascular diseases. NCDs can be prevent­ed as early as possible by reducing the consumption of calories in sugar. WHO recommends adults and children to reduce sugar intake to less than 10% of total energy intake and continue to less than 5% of total energy intake. This study aims to determine the socio-eco­nomic factors consumption of SSBs. We employed secondary data from the 2017 National Socio-Economic Survey (Susenas) with two-part models (OLS, Probit and Tobit). We found that internet access is consistently associated with lower household expenditure and consumption of SSBs. Therefore, it is necessary to increase the promotion of public health service advertising related to the danger of excessive consumption of SSBs and the inclusion of safe consumption of SSBs on packaging labels.

Author(s):  
Catherine E Cioffi ◽  
Jean A Welsh ◽  
Jessica A Alvarez ◽  
Terryl J Hartman ◽  
K M Venkat Narayan ◽  
...  

ABSTRACT BACKGROUND The relative distribution of upper- versus lower-body fat may be an important determinant of cardiometabolic disease risk in youth. Dietary correlates of adolescent regional body fat distribution are under-studied. OBJECTIVE To evaluate associations of added sugar intake overall and from sugar-sweetened beverages (SSBs) with relative upper-body fat deposition in U.S. adolescents. METHODS This was a cross-sectional analysis of data from 6,585 adolescents (12–19 years) in the National Health and Nutrition Examination Survey cycles 1999–2006. Trunk, leg, and total fat mass were assessed by dual-energy x-ray absorptiometry. Participants were grouped into categories of total and SSB added sugar intake as a percentage of total energy intake (TEI) in 5% increments. Stepwise multivariable linear regression was used to examine associations of added sugar intake with trunk fat/leg fat ratio (TLR) and trunk fat/total fat ratio (TTR). RESULTS There were no associations of total added sugar intake with TLR or TTR. For SSB added sugar, compared to the lowest category of intake (<2% TEI), the highest category (>22% TEI) was associated with higher log-TLR (β (95% CI).>22% TEI vs. < 2% TEI: 0.05 (0.01, 0.09)] and TTR [1.30 (0.53, 2.07)] in the partially-adjusted model with sex, age, race/ethnicity, income, physical activity, smoking status as covariates (P-trend = 0.0001 for both). When body mass index (BMI) z-score and total energy intake were added as covariates, the magnitude of the associations were attenuated, but remained significant [log-TLR β (95% CI): 0.03 (0.005, 0.06), P-trend = 0.0018; TTR β (95% CI): 0.75 (0.27, 1.23), P-trend = 0.0004]. CONCLUSIONS These findings support that added sugar from beverages is associated with higher upper-body adiposity, though the magnitude and clinical significance of the associations may be small, especially when adjusted for BMI and TEI. Additional studies are needed to elucidate the underlying biological mechanisms to explain these findings.


2019 ◽  
Vol 149 (4) ◽  
pp. 649-658 ◽  
Author(s):  
Esther van Eekelen ◽  
Joline W J Beulens ◽  
Anouk Geelen ◽  
Vera B Schrauwen-Hinderling ◽  
Hildo Lamb ◽  
...  

ABSTRACT Background Fatty liver is the leading cause of chronic liver diseases and increases the risk of cardiovascular disease. Besides alcohol consumption, energy-containing nonalcoholic beverages may contribute to liver fat accumulation. Objective We aimed to study the consumption of alcoholic and nonalcoholic beverages and their mutual replacement in relation to hepatic triglyceride content (HTGC) in middle-aged men and women. Methods In this cross-sectional analysis, HTGC was assessed by proton magnetic resonance spectroscopy. Habitual consumption of alcoholic and nonalcoholic beverages was assessed using a validated food-frequency questionnaire. All beverages were converted to standard servings and to percentage of total energy intake (En%). We performed linear regression to examine the association of alcoholic and nonalcoholic beverages with HTGC, adjusted for age, sex, smoking, education, ethnicity, physical activity, total energy intake, and total body fat. We studied replacement of alcoholic beverages with nonalcoholic beverages per 1 serving/d and per 5 En%/d. Results After exclusion of individuals with missing values, 1966 participants (47% men) were analyzed, with a mean ± SD age of 55 ± 6 y, BMI of 26 ± 4 kg/m2, and HTGC of 5.7% ± 7.9%. Each extra alcoholic serving per day was associated with more liver fat (1.09 times; 95% CI: 1.05, 1.12). Replacing 5 En% of alcoholic beverages with milk was associated with less liver fat (0.89 times; 95% CI: 0.81, 0.98), whereas replacement with 5 En% of sugar-sweetened beverages was associated with liver fat to an extent similar to alcoholic beverages (1.00 times; 95% CI: 0.91, 1.09). Conclusion In a population-based cohort, consumption of each extra daily alcoholic beverage was associated with more liver fat. In isocaloric replacement of alcoholic beverages, milk was associated with less liver fat, whereas sugar-sweetened beverages were equally associated with liver fat. This suggests that intake of alcohol and sugars may contribute to liver fat accumulation. This trial was registered at clinicaltrials.gov as NCT03410316.


2012 ◽  
Vol 17 (1) ◽  
pp. 113-121 ◽  
Author(s):  
Rosangela A Pereira ◽  
Kiyah J Duffey ◽  
Rosely Sichieri ◽  
Barry M Popkin

AbstractObjectiveTo examine the patterns of consumption of foods high in solid fats and added sugars (SoFAS) in Brazil.DesignCross-sectional study; individual dietary intake survey. Food intake was assessed by means of two non-consecutive food records. Foods providing >9·1 % of energy from saturated fat, or >1·3 % of energy from trans fat, or >13 % of energy from added sugars per 100 g were classified as high in SoFAS.SettingBrazilian nationwide survey, 2008–2009.SubjectsIndividuals aged ≥10 years old.ResultsMean daily energy intake was 8037 kJ (1921 kcal), 52 % of energy came from SoFAS foods. Contribution of SoFAS foods to total energy intake was higher among women (52 %) and adolescents (54 %). Participants in rural areas (43 %) and in the lowest quartile of per capita family income (43 %) reported the smallest contribution of SoFAS foods to total energy intake. SoFAS foods were large contributors to total saturated fat (87 %), trans fat (89 %), added sugar (98 %) and total sugar (96 %) consumption. The SoFAS food groups that contributed most to total energy intake were meats and beverages. Top SoFAS foods contributing to saturated fat and trans fat intakes were meats and fats and oils. Most of the added and total sugar in the diet was supplied by SoFAS beverages and sweets and desserts.ConclusionsSoFAS foods play an important role in the Brazilian diet. The study identifies options for improving the Brazilian diet and reducing nutrition-related non-communicable chronic diseases, but also points out some limitations of the nutrient-based criteria.


Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1698
Author(s):  
Leandro Teixeira Cacau ◽  
Eduardo De Carli ◽  
Aline Martins de Carvalho ◽  
Paulo Andrade Lotufo ◽  
Luis A. Moreno ◽  
...  

The EAT-Lancet Commission has proposed a planetary health diet. We propose the development of the Planetary Health Diet Index (PHDI) based on this proposed reference diet. We used baseline dietary data obtained through a 114-item FFQ from 14,779 participants of the Longitudinal Study on Adult Health, a multicenter cohort study conducted in Brazil. The PHDI has 16 components and a score from 0 to 150 points. Validation and reliability analyses were performed, including principal component analyses, association with selected nutrients, differences in means between groups (for example, smokers vs. non-smokers), correlations between components and total energy intake, Cronbach’s alpha, item-item correlations, and linear regression analysis between PHDI with carbon footprint and overall dietary quality. The mean PHDI was 60.4 (95% CI 60.2:60.5). The PHDI had six dimensions, was associated in an expected direction with the selected nutrients and was significantly (p < 0.001) lower in smokers (59.0) than in non-smokers (60.6). Cronbach’s alpha value was 0.51. All correlations between components were low, as well as between components and PHDI with total energy intake. After adjustment for age and sex, the PHDI score remained associated (p < 0.001) with a higher overall dietary quality and lower carbon footprint. Thus, we confirmed the PHDI validity and reliability.


PLoS ONE ◽  
2018 ◽  
Vol 13 (10) ◽  
pp. e0205694 ◽  
Author(s):  
Paola Bergallo ◽  
Valentina Castagnari ◽  
Alicia Fernández ◽  
Raúl Mejía

2015 ◽  
Vol 28 (2) ◽  
pp. 175-184
Author(s):  
Vanessa Messias Muniz ◽  
Débora Silva Cavalcanti ◽  
Nayalla Morais de Lima ◽  
Mônica Maria Osório

OBJECTIVE: To analyze the food intake of sugarcane workers' family members. METHODS: The food intake of 159 family members of sugarcane workers from Gameleira, Pernambuco, Brazilian Northeast, was investigated by directly weighing the foods on three non-consecutive days. The percent risk of inadequate macro- and micronutrient intakes was analyzed according to the Reference Dietary Intakes. The macronutrients were analyzed in relation to acceptable distribution intervals. The energy consumed from the various food groups was expressed as a ratio of the total energy intake. RESULTS: The median intake of carbohydrates and proteins remained above the Estimated Average Requirement, and all age groups presented a low risk of inadequate carbohydrate and protein intakes. The median intakes of riboflavin, niacin, thiamin, and iron remained above the Estimated Average Requirement for all age groups, but children aged 1-3 years presented a high percent risk of inadequate iron intake. All age groups presented high percent risk of inadequate zinc, calcium, vitamin A, and vitamin C intakes. Grains and derivatives had a greater participation in the total energy intake, especially in men aged 19-30 years. The group "milk and dairy products" had a greater participation in the diet of children aged 1-3 years. CONCLUSION: The low percent risk of inadequate carbohydrate and protein intakes in all age groups was opposed to the high risk of inadequate mineral and vitamin intakes, making the population vulnerable to nutritional disorders caused by excess macronutrient intake and inadequate micronutrient intake.


BMJ Open ◽  
2014 ◽  
Vol 4 (10) ◽  
pp. e005138 ◽  
Author(s):  
Shashank R Joshi ◽  
Anil Bhansali ◽  
Sarita Bajaj ◽  
Subodh S Banzal ◽  
Mala Dharmalingam ◽  
...  

ObjectiveTo assess the dietary total and complex carbohydrate (CHO) contents in type-2 diabetes mellitus (T2DM) participants in India.SettingWe enrolled 796 participants in this cross-sectional, single-visit, multicentre, two-arm, single-country survey. Participants were enrolled from 10 specialty endocrinology/dialectology centres from five regions of India.ParticipantsA total of 796 participants (Asian) were enrolled in this study (385, T2DM and 409, non-T2DM). Key inclusion criteria—male or female ≥18 years, diagnosed with T2DM ≥12 months (T2DM), and not on any diet plan (non-T2DM).Study outcomePrimary outcome was to find out the percentage of total energy intake as simple and complex CHO from total CHO. Secondary outcomes were to find the differences in percentage of total energy intake as simple CHO, complex CHO, proteins and fats between T2DM and non-T2DM groups. The percentage of T2DM participants adhering to diet plan and showing glycaemic controls were also examined.ResultsThe mean (SD) of total calorie intake per day (Kcal) was 1547 (610, 95% CI 1486 to 1608) and 2132 (1892, 95% CI 1948 to 2316), respectively, for T2DM and non-T2DM groups. In the T2DM group (n=385), the mean (SD) percentage of total energy intake as total CHO, complex CHO and simple CHO was 64.1±8.3 (95% CI 63.3 to 64.9), 57.0±11.0 (95% CI 55.9 to 58.1) and 7.1±10.8 (95% CI 6.0 to 8.2), respectively. The mean (SD) percentage of complex CHO intake from total CHO was 89.5±15.3 (95% CI 88.0 to 91.1). The mean (SD) total protein/fat intake per day (g) was 57.1 (74.0)/37.2 (18.6) and 57.9 (27.2)/55.3 (98.2) in T2DM and non-T2DM groups, respectively.ConclusionsOur study shows that CHO constitutes 64.1% of total energy from diet in T2DM participants, higher than that recommended in India. However, our findings need to be confirmed in a larger epidemiological survey.Trial registration numberNCT01450592 & Clinical Trial Registry of India: CTRI/2012/02/002398.


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