Global, regional, and national consumption of sugar-sweetened beverages, fruit juices, and milk: A systematic assessment of beverage intake in 187 countries

Gitanjali M. Singh, Renata Micha, Shahab Khatibzadeh, Peilin Shi, Stephen Lim, Kathryn G. Andrews, Rebecca E. Engell, Majid Ezzati, Dariush Mozaffarian, Saman Fahimi, John Powles, Ibrahim Elmadfa, Mayuree Rao, Pattra Wirojratana, Pamela A. Abbott, Morteza Abdollahi, Enrique Abeyá Gilardon, Habibul Ahsan, Mohannad Abed Alfattah Al Nsour, Suad N. Al-HootiCarukshi Arambepola, Hubert Arennes, Simon Arquera, Ana Aylin, Wulf Becker, Peter Bjerregaard, Lesley T. Bourne, Neville Calleja, Mario V. Capanzana, Katia Castetbon, Hsing Yi Chang, Yu Chen, Melanie J. Cowan, Stefaan De Henauw, Eric L. Ding, Charmaine A. Duante, Pablo Duran, Heléne Enghardt Arbieri, Farshad Farzadfar, Dulitha N. Fernando, Aida Filipovic Hadziomeragic, Regina M. Fisberg, Simon Forsyth, Didier Garriguet, Jean Michel Gaspoz, Dorothy Gauci, Brahmam N.V. Ginnela, Idris Guessous, Martin C. Gulliford, Christian Haerpfer, Global Burden of Diseases Nutrition and Chronic Diseases Expert Group (NutriCoDE)

Research output: Contribution to journalArticle

126 Citations (Scopus)
5 Downloads (Pure)

Abstract

Background Sugar-sweetened beverages (SSBs), fruit juice, and milk are components of diet of major public health interest. To-date, assessment of their global distributions and health impacts has been limited by insufficient comparable and reliable data by country, age, and sex. Objective To quantify global, regional, and national levels of SSB, fruit juice, and milk intake by age and sex in adults over age 20 in 2010. Methods We identified, obtained, and assessed data on intakes of these beverages in adults, by age and sex, from 193 nationally- or subnationally-representative diet surveys worldwide, representing over half the world's population. We also extracted data relevant to milk, fruit juice, and SSB availability for 187 countries from annual food balance information collected by the United Nations Food and Agriculture Organization. We developed a hierarchical Bayesian model to account for measurement incomparability, study representativeness, and sampling and modeling uncertainty, and to combine and harmonize nationally representative dietary survey data and food availability data. Results In 2010, global average intakes were 0.58 (95%UI: 0.37, 0.89) 8 oz servings/day for SSBs, 0.16 (0.10, 0.26) for fruit juice, and 0.57 (0.39, 0.83) for milk. There was significant heterogeneity in consumption of each beverage by region and age. Intakes of SSB were highest in the Caribbean (1.9 servings/day; 1.2, 3.0); fruit juice consumption was highest in Australia and New Zealand (0.66; 0.35, 1.13); and milk intake was highest in Central Latin America and parts of Europe (1.06; 0.68, 1.59). Intakes of all three beverages were lowest in East Asia and Oceania. Globally and within regions, SSB consumption was highest in younger adults; fruit juice consumption showed little relation with age; and milk intakes were highest in older adults. Conclusions Our analysis highlights the enormous spectrum of beverage intakes worldwide, by country, age, and sex. These data are valuable for highlighting gaps in dietary surveillance, determining the impacts of these beverages on global health, and targeting dietary policy.

Original languageEnglish
Article numbere0124845
JournalPloS ONE
Volume10
Issue number8
DOIs
Publication statusPublished - 5 Aug 2015

Fingerprint

Fruit juices
Beverages
fruit juices
Sugars
beverages
Milk
sugars
milk
milk consumption
dietary surveys
gender
Nutrition
Food
Fruit and Vegetable Juices
Diet Surveys
Oceania
Health
Availability
Central America
Sampling Studies

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

Singh, G. M., Micha, R., Khatibzadeh, S., Shi, P., Lim, S., Andrews, K. G., ... Global Burden of Diseases Nutrition and Chronic Diseases Expert Group (NutriCoDE) (2015). Global, regional, and national consumption of sugar-sweetened beverages, fruit juices, and milk: A systematic assessment of beverage intake in 187 countries. PloS ONE, 10(8), [e0124845]. https://doi.org/10.1371/journal.pone.0124845

Global, regional, and national consumption of sugar-sweetened beverages, fruit juices, and milk : A systematic assessment of beverage intake in 187 countries. / Singh, Gitanjali M.; Micha, Renata; Khatibzadeh, Shahab; Shi, Peilin; Lim, Stephen; Andrews, Kathryn G.; Engell, Rebecca E.; Ezzati, Majid; Mozaffarian, Dariush; Fahimi, Saman; Powles, John; Elmadfa, Ibrahim; Rao, Mayuree; Wirojratana, Pattra; Abbott, Pamela A.; Abdollahi, Morteza; Gilardon, Enrique Abeyá; Ahsan, Habibul; Al Nsour, Mohannad Abed Alfattah; Al-Hooti, Suad N.; Arambepola, Carukshi; Arennes, Hubert; Arquera, Simon; Aylin, Ana; Becker, Wulf; Bjerregaard, Peter; Bourne, Lesley T.; Calleja, Neville; Capanzana, Mario V.; Castetbon, Katia; Chang, Hsing Yi; Chen, Yu; Cowan, Melanie J.; De Henauw, Stefaan; Ding, Eric L.; Duante, Charmaine A.; Duran, Pablo; Arbieri, Heléne Enghardt; Farzadfar, Farshad; Fernando, Dulitha N.; Hadziomeragic, Aida Filipovic; Fisberg, Regina M.; Forsyth, Simon; Garriguet, Didier; Gaspoz, Jean Michel; Gauci, Dorothy; Ginnela, Brahmam N.V.; Guessous, Idris; Gulliford, Martin C.; Haerpfer, Christian; Global Burden of Diseases Nutrition and Chronic Diseases Expert Group (NutriCoDE).

In: PloS ONE, Vol. 10, No. 8, e0124845, 05.08.2015.

Research output: Contribution to journalArticle

Singh, GM, Micha, R, Khatibzadeh, S, Shi, P, Lim, S, Andrews, KG, Engell, RE, Ezzati, M, Mozaffarian, D, Fahimi, S, Powles, J, Elmadfa, I, Rao, M, Wirojratana, P, Abbott, PA, Abdollahi, M, Gilardon, EA, Ahsan, H, Al Nsour, MAA, Al-Hooti, SN, Arambepola, C, Arennes, H, Arquera, S, Aylin, A, Becker, W, Bjerregaard, P, Bourne, LT, Calleja, N, Capanzana, MV, Castetbon, K, Chang, HY, Chen, Y, Cowan, MJ, De Henauw, S, Ding, EL, Duante, CA, Duran, P, Arbieri, HE, Farzadfar, F, Fernando, DN, Hadziomeragic, AF, Fisberg, RM, Forsyth, S, Garriguet, D, Gaspoz, JM, Gauci, D, Ginnela, BNV, Guessous, I, Gulliford, MC, Haerpfer, C & Global Burden of Diseases Nutrition and Chronic Diseases Expert Group (NutriCoDE) 2015, 'Global, regional, and national consumption of sugar-sweetened beverages, fruit juices, and milk: A systematic assessment of beverage intake in 187 countries', PloS ONE, vol. 10, no. 8, e0124845. https://doi.org/10.1371/journal.pone.0124845
Singh, Gitanjali M. ; Micha, Renata ; Khatibzadeh, Shahab ; Shi, Peilin ; Lim, Stephen ; Andrews, Kathryn G. ; Engell, Rebecca E. ; Ezzati, Majid ; Mozaffarian, Dariush ; Fahimi, Saman ; Powles, John ; Elmadfa, Ibrahim ; Rao, Mayuree ; Wirojratana, Pattra ; Abbott, Pamela A. ; Abdollahi, Morteza ; Gilardon, Enrique Abeyá ; Ahsan, Habibul ; Al Nsour, Mohannad Abed Alfattah ; Al-Hooti, Suad N. ; Arambepola, Carukshi ; Arennes, Hubert ; Arquera, Simon ; Aylin, Ana ; Becker, Wulf ; Bjerregaard, Peter ; Bourne, Lesley T. ; Calleja, Neville ; Capanzana, Mario V. ; Castetbon, Katia ; Chang, Hsing Yi ; Chen, Yu ; Cowan, Melanie J. ; De Henauw, Stefaan ; Ding, Eric L. ; Duante, Charmaine A. ; Duran, Pablo ; Arbieri, Heléne Enghardt ; Farzadfar, Farshad ; Fernando, Dulitha N. ; Hadziomeragic, Aida Filipovic ; Fisberg, Regina M. ; Forsyth, Simon ; Garriguet, Didier ; Gaspoz, Jean Michel ; Gauci, Dorothy ; Ginnela, Brahmam N.V. ; Guessous, Idris ; Gulliford, Martin C. ; Haerpfer, Christian ; Global Burden of Diseases Nutrition and Chronic Diseases Expert Group (NutriCoDE). / Global, regional, and national consumption of sugar-sweetened beverages, fruit juices, and milk : A systematic assessment of beverage intake in 187 countries. In: PloS ONE. 2015 ; Vol. 10, No. 8.
@article{66c63ca707d44859b66c8d661fa3ab68,
title = "Global, regional, and national consumption of sugar-sweetened beverages, fruit juices, and milk: A systematic assessment of beverage intake in 187 countries",
abstract = "Background Sugar-sweetened beverages (SSBs), fruit juice, and milk are components of diet of major public health interest. To-date, assessment of their global distributions and health impacts has been limited by insufficient comparable and reliable data by country, age, and sex. Objective To quantify global, regional, and national levels of SSB, fruit juice, and milk intake by age and sex in adults over age 20 in 2010. Methods We identified, obtained, and assessed data on intakes of these beverages in adults, by age and sex, from 193 nationally- or subnationally-representative diet surveys worldwide, representing over half the world's population. We also extracted data relevant to milk, fruit juice, and SSB availability for 187 countries from annual food balance information collected by the United Nations Food and Agriculture Organization. We developed a hierarchical Bayesian model to account for measurement incomparability, study representativeness, and sampling and modeling uncertainty, and to combine and harmonize nationally representative dietary survey data and food availability data. Results In 2010, global average intakes were 0.58 (95{\%}UI: 0.37, 0.89) 8 oz servings/day for SSBs, 0.16 (0.10, 0.26) for fruit juice, and 0.57 (0.39, 0.83) for milk. There was significant heterogeneity in consumption of each beverage by region and age. Intakes of SSB were highest in the Caribbean (1.9 servings/day; 1.2, 3.0); fruit juice consumption was highest in Australia and New Zealand (0.66; 0.35, 1.13); and milk intake was highest in Central Latin America and parts of Europe (1.06; 0.68, 1.59). Intakes of all three beverages were lowest in East Asia and Oceania. Globally and within regions, SSB consumption was highest in younger adults; fruit juice consumption showed little relation with age; and milk intakes were highest in older adults. Conclusions Our analysis highlights the enormous spectrum of beverage intakes worldwide, by country, age, and sex. These data are valuable for highlighting gaps in dietary surveillance, determining the impacts of these beverages on global health, and targeting dietary policy.",
author = "Singh, {Gitanjali M.} and Renata Micha and Shahab Khatibzadeh and Peilin Shi and Stephen Lim and Andrews, {Kathryn G.} and Engell, {Rebecca E.} and Majid Ezzati and Dariush Mozaffarian and Saman Fahimi and John Powles and Ibrahim Elmadfa and Mayuree Rao and Pattra Wirojratana and Abbott, {Pamela A.} and Morteza Abdollahi and Gilardon, {Enrique Abey{\'a}} and Habibul Ahsan and {Al Nsour}, {Mohannad Abed Alfattah} and Al-Hooti, {Suad N.} and Carukshi Arambepola and Hubert Arennes and Simon Arquera and Ana Aylin and Wulf Becker and Peter Bjerregaard and Bourne, {Lesley T.} and Neville Calleja and Capanzana, {Mario V.} and Katia Castetbon and Chang, {Hsing Yi} and Yu Chen and Cowan, {Melanie J.} and {De Henauw}, Stefaan and Ding, {Eric L.} and Duante, {Charmaine A.} and Pablo Duran and Arbieri, {Hel{\'e}ne Enghardt} and Farshad Farzadfar and Fernando, {Dulitha N.} and Hadziomeragic, {Aida Filipovic} and Fisberg, {Regina M.} and Simon Forsyth and Didier Garriguet and Gaspoz, {Jean Michel} and Dorothy Gauci and Ginnela, {Brahmam N.V.} and Idris Guessous and Gulliford, {Martin C.} and Christian Haerpfer and {Global Burden of Diseases Nutrition and Chronic Diseases Expert Group (NutriCoDE)}",
year = "2015",
month = "8",
day = "5",
doi = "10.1371/journal.pone.0124845",
language = "English",
volume = "10",
journal = "PloS ONE",
issn = "1932-6203",
publisher = "PUBLIC LIBRARY SCIENCE",
number = "8",

}

TY - JOUR

T1 - Global, regional, and national consumption of sugar-sweetened beverages, fruit juices, and milk

T2 - A systematic assessment of beverage intake in 187 countries

AU - Singh, Gitanjali M.

AU - Micha, Renata

AU - Khatibzadeh, Shahab

AU - Shi, Peilin

AU - Lim, Stephen

AU - Andrews, Kathryn G.

AU - Engell, Rebecca E.

AU - Ezzati, Majid

AU - Mozaffarian, Dariush

AU - Fahimi, Saman

AU - Powles, John

AU - Elmadfa, Ibrahim

AU - Rao, Mayuree

AU - Wirojratana, Pattra

AU - Abbott, Pamela A.

AU - Abdollahi, Morteza

AU - Gilardon, Enrique Abeyá

AU - Ahsan, Habibul

AU - Al Nsour, Mohannad Abed Alfattah

AU - Al-Hooti, Suad N.

AU - Arambepola, Carukshi

AU - Arennes, Hubert

AU - Arquera, Simon

AU - Aylin, Ana

AU - Becker, Wulf

AU - Bjerregaard, Peter

AU - Bourne, Lesley T.

AU - Calleja, Neville

AU - Capanzana, Mario V.

AU - Castetbon, Katia

AU - Chang, Hsing Yi

AU - Chen, Yu

AU - Cowan, Melanie J.

AU - De Henauw, Stefaan

AU - Ding, Eric L.

AU - Duante, Charmaine A.

AU - Duran, Pablo

AU - Arbieri, Heléne Enghardt

AU - Farzadfar, Farshad

AU - Fernando, Dulitha N.

AU - Hadziomeragic, Aida Filipovic

AU - Fisberg, Regina M.

AU - Forsyth, Simon

AU - Garriguet, Didier

AU - Gaspoz, Jean Michel

AU - Gauci, Dorothy

AU - Ginnela, Brahmam N.V.

AU - Guessous, Idris

AU - Gulliford, Martin C.

AU - Haerpfer, Christian

AU - Global Burden of Diseases Nutrition and Chronic Diseases Expert Group (NutriCoDE)

PY - 2015/8/5

Y1 - 2015/8/5

N2 - Background Sugar-sweetened beverages (SSBs), fruit juice, and milk are components of diet of major public health interest. To-date, assessment of their global distributions and health impacts has been limited by insufficient comparable and reliable data by country, age, and sex. Objective To quantify global, regional, and national levels of SSB, fruit juice, and milk intake by age and sex in adults over age 20 in 2010. Methods We identified, obtained, and assessed data on intakes of these beverages in adults, by age and sex, from 193 nationally- or subnationally-representative diet surveys worldwide, representing over half the world's population. We also extracted data relevant to milk, fruit juice, and SSB availability for 187 countries from annual food balance information collected by the United Nations Food and Agriculture Organization. We developed a hierarchical Bayesian model to account for measurement incomparability, study representativeness, and sampling and modeling uncertainty, and to combine and harmonize nationally representative dietary survey data and food availability data. Results In 2010, global average intakes were 0.58 (95%UI: 0.37, 0.89) 8 oz servings/day for SSBs, 0.16 (0.10, 0.26) for fruit juice, and 0.57 (0.39, 0.83) for milk. There was significant heterogeneity in consumption of each beverage by region and age. Intakes of SSB were highest in the Caribbean (1.9 servings/day; 1.2, 3.0); fruit juice consumption was highest in Australia and New Zealand (0.66; 0.35, 1.13); and milk intake was highest in Central Latin America and parts of Europe (1.06; 0.68, 1.59). Intakes of all three beverages were lowest in East Asia and Oceania. Globally and within regions, SSB consumption was highest in younger adults; fruit juice consumption showed little relation with age; and milk intakes were highest in older adults. Conclusions Our analysis highlights the enormous spectrum of beverage intakes worldwide, by country, age, and sex. These data are valuable for highlighting gaps in dietary surveillance, determining the impacts of these beverages on global health, and targeting dietary policy.

AB - Background Sugar-sweetened beverages (SSBs), fruit juice, and milk are components of diet of major public health interest. To-date, assessment of their global distributions and health impacts has been limited by insufficient comparable and reliable data by country, age, and sex. Objective To quantify global, regional, and national levels of SSB, fruit juice, and milk intake by age and sex in adults over age 20 in 2010. Methods We identified, obtained, and assessed data on intakes of these beverages in adults, by age and sex, from 193 nationally- or subnationally-representative diet surveys worldwide, representing over half the world's population. We also extracted data relevant to milk, fruit juice, and SSB availability for 187 countries from annual food balance information collected by the United Nations Food and Agriculture Organization. We developed a hierarchical Bayesian model to account for measurement incomparability, study representativeness, and sampling and modeling uncertainty, and to combine and harmonize nationally representative dietary survey data and food availability data. Results In 2010, global average intakes were 0.58 (95%UI: 0.37, 0.89) 8 oz servings/day for SSBs, 0.16 (0.10, 0.26) for fruit juice, and 0.57 (0.39, 0.83) for milk. There was significant heterogeneity in consumption of each beverage by region and age. Intakes of SSB were highest in the Caribbean (1.9 servings/day; 1.2, 3.0); fruit juice consumption was highest in Australia and New Zealand (0.66; 0.35, 1.13); and milk intake was highest in Central Latin America and parts of Europe (1.06; 0.68, 1.59). Intakes of all three beverages were lowest in East Asia and Oceania. Globally and within regions, SSB consumption was highest in younger adults; fruit juice consumption showed little relation with age; and milk intakes were highest in older adults. Conclusions Our analysis highlights the enormous spectrum of beverage intakes worldwide, by country, age, and sex. These data are valuable for highlighting gaps in dietary surveillance, determining the impacts of these beverages on global health, and targeting dietary policy.

UR - http://www.scopus.com/inward/record.url?scp=84941992129&partnerID=8YFLogxK

U2 - 10.1371/journal.pone.0124845

DO - 10.1371/journal.pone.0124845

M3 - Article

C2 - 26244332

AN - SCOPUS:84941992129

VL - 10

JO - PloS ONE

JF - PloS ONE

SN - 1932-6203

IS - 8

M1 - e0124845

ER -