Dietary sugars intake and cardiovascular health a scientific statement from the american heart association

Circulation

Volumn 120, Issue 11, 2009, Pages 1011-1020

  Johnson, Rachel K ^a   Appel, Lawrence J ^a   Brands, Michael ^a   Howard, Barbara V ^a   Lefevre, Michael ^a   Lustig, Robert H ^a   Sacks, Frank ^a   Steffen, Lyn M ^a   Wylie Rosett, Judith ^a  

^a AMERICAN HEART ASSOCIATION   (United States)

Author keywords

Aha scientific statements; Beverages; Carbohydrates; Carbonated beverages; Cardiovascular diseases; Diet; Dietary; Lipids

Indexed keywords

BEVERAGE; CALORIC INTAKE; CARDIOVASCULAR DISEASE; HUMAN; MEDICAL SOCIETY; METABOLIC DISORDER; OBESITY; PRIORITY JOURNAL; REVIEW; SUGAR INTAKE; UNITED STATES; ARTICLE; HEALTH CARE POLICY; PRACTICE GUIDELINE;

AMERICAN HEART ASSOCIATION; CARDIOVASCULAR DISEASES; DIETARY SUCROSE; ENERGY INTAKE; HUMANS; NUTRITION POLICY; UNITED STATES;

EID: 70349768560     PISSN: 00097322     EISSN: 15244539     Source Type: Journal    
DOI: 10.1161/CIRCULATIONAHA.109.192627     Document Type: Review

References (120)

1. Howard BV, Wylie-Rosett J. Sugar and cardiovascular disease: a statement for healthcare professionals from the Committee on Nutrition of the Council on Nutrition, Physical Activity, and Metabolism of the American Heart Association [published correction appears in Circulation. 2003;107:2166].
2. Circulation. 2002;106:523-527.
3. Lichtenstein AH, Appel LJ, Brands M, Carnethon M, Daniels S, Franch HA, Franklin. B, Kris-Etherton P, Harris WS, 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].
4. Circulation. 2006;114:82-96.
5. Murphy SP, Johnson RK. The scientific basis of recent US guidance on sugars intake. Am J Clin Nut. 2003;78(suppl):827S-833S.
6. 4. Johnson RK, Frary C, Wang MQ. The nutritional consequences of flavored-milk consumption, by school-aged children and adolescents in the United States. J Am Diet Assoc. 2002;102:853-856. (Pubitemid 40434196)
7. Frary CD, Johnson RK, Wang MQ. Children and adolescent's choices of food and beverages high in added sugars are associated with intakes of key nutrients and food groups. J Adolesc Health. 2004;34:56-63.
8. Murphy MM, Douglass JS, Johnson RK, Spence LA. Drinking flavored or plain milk is positively associated with nutrient intake and is not associated with adverse effects on weight status in US children and adolescents. J Am Diet Assoc. 2008;108:631-639.
9. Wells HF, Buzby JC. Dietary assessment of major trends in US food consumption, 1970-2005. Economic Research Service, US Department of Agriculture; March 2008. Economic Information Bulletin No. 33. Available at: http://www.ers.usda.gov/Publications/EIB33. Accessed January 4, 2009.
10. Bray GA, Nielsen SJ, Popkin BM. Consumption of high-fructose com syrup in beverages may play a role in the epidemic of obesity [published correction appears in Am. J Clin Nutr. 2004;80:1090].
11. Am. J Clin Nutr. 2004;79:537-543.
12. National Cancer Institute. Usual intake of added sugars. In: Usual Dietary Intakes: Food Intakes, US Population 2001-2004. November 2008. Available at: http://riskfactor.cancer.gov/diet/usualintakes/pop/ t35.html. Accessed January 4, 2009.
13. US Department of Health and Human Services and US Department of Agriculture. Dietary Guidelines for Americans, 2005. 6th ed. Washington, DC: US Government Printing Office; January 2005.
14. US Department of Agriculture. MyPyramid.gov (USDA food guidance system. Web site). 2005. Available at: http://www.mypyramid.gov. Accessed. January 4, 2009.
15. 12. 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. (Pubitemid 44751649)
16. Guthrie JF, Morton JF. Food sources of added sweeteners in the diets of Americans. J Am Diet Assoc. 2000;100:43-51.
17. Frazao E, Allshouse J. Strategies for intervention: commentary and debate. J Nutr. 2003;133:844S-847S.
18. Nutrient Data Laboratory, Beltsville Human Nutrition Research Center, Agricultural Research Service, US Department of Agriculture. USDA database for the added sugars content of selected foods. February 2006. Available at: http://www.nal.usda.gov/fnic/foodcomp/Data/add-sug/ addsug01.pdf. Accessed January 4, 2009.
19. Smart Choices Program: Guiding Food Choices. Smart Choices Program Web site. Available at: http://smartehoicesprogram.com/. Accessed January 4, 2009.
20. Guiding Stars program. Hannaford Brothers Co Web site. Available at: http://www.hannaford.com/Contents/Healthy-Living/Guiding-Stars/ index.shtml. Accessed January 4, 2009.
21. NuVal nutritional scoring system. Available at: http://www.nuval.com. Accessed January 4, 2009.
22. 19.DrewnowskiA.Conceptofanutritiousfood:towardanutrientdensityscore.Am. JClinNutr.2005;82:721-732.(Pubitemid43779683)
23. Lê KA, Tappy L. Metabolic effects of fructose. Curr Opin Clin Nutr Metab Care. 2006;9:469-475.
24. Rutledge AC, Adeli K. Fructose and the metabolic syndrome: pathophysiology and molecular mechanisms. Nutr Rev. 2007;65(part 2):S13-S23.
25. 22.JohnsonRI,SegalMS,SautinY,NakagawaT,FeigDI,KangDH,GerschMS,BennerS, Sánchez-LozadaLG.Potentialroleofsugar(fructose) intheepidemicofhypertension,obesityandthemetabolicsyndrome,diabetes, kidneydisease,andcardiovasculardisease.Am.JClin.Nutr.2007;86:899-906. (Pubitemid47538288)
26. Takasaki Y. Studies on sugar isomerizing enzyme: production and utilization of glucose isomerase from Streptomyces spp. Agric Biol Chem. 1966;30:1247-1253.
27. Coulston AM, Johnson RK. Sugar and sugars: myths and realities. J Am. Diet Assoc. 2002;102:351-353.
28. Vartanian LR, Schwartz MB, Brownell KD. Effects of soft drink consumption on nutrition and health: a systematic review and meta-analysis. Am J Public Health. 2007;97:667-675.
29. 26.TordoffMG,AllevaAM.Effectofdrinkingsodasweetenedwithaspartameorhigh- fructosecornsyruponfoodintakeandbodyweight.AmJClinNutr.1990;51:963-969. (Pubitemid20201273)
30. Havel PJ. Dietary fructose: implications for dysregulation of energy homeostasis and lipid/carbohydrate metabolism. Nutr Rev. 2005;63: 133-157.
31. 28.GrossLS,LiS,FordES,LiuS. Increasedconsumptionofrefinedcarbohydrates andtheepidemicoftype2diabetesintheUnitedStates:anecologicassessment.Am. JClinNutr.2004;79:774-779.(Pubitemid41103877)
32. 29.ElliottSS,KeimNL,SternJS,TeffK,HavelPJ.Fructose,weightgain, andtheinsulinresistancesyndrome.AmJClinNutr.2002;76:911-922.(Pubitemid35244659)
33. 30. Dhingra R, Sullivan L, Jacques PF, Wang TJ, Fox CS, Meigs JB, D'Agostino RB, Gaziano JM, Vasan RS. Soft drink consumption and risk of developing cardiometabolic risk factors and the metabolic syndrome in middle-aged adults in the community [published correction appears in Circulation. 2007;116:e557]. Circulation. 2007;116: 480-488. (Pubitemid 47450256)
34. Stanhope KL, Schwarz JM, Keim NL, Griffen SC, Bremer AA, Graham JL, Hatcher B, Cox CL, Dyachenko A, Zhang W, McGahan JP, Seibert A, Krauss RM, Chiu S, Schaefer EJ, Ai M, Otokozawa S, Nakajima K, Nakano T, Beysen C, Hellerstein MK, Berglund L, Havel PJ. Consuming fructose-sweetened, not glucose-sweetened, beverages increases visceral adiposity and lipids and decreases insulin sensitivity in overweight/obese humans. J Clin Invest. 2009;119:1322-1334.
35. James J, Thomas P, Cavan D, Kerr D. Preventing childhood obesity by reducing consumption of carbonated drinks: cluster randomised, controlled trial [published correction appears in BMJ. 2004;328:1236].
36. BMJ. 2004;328:1237.
37. Ebbeling CB, Feldman HA, Osganian SK, Chomitz VR, Ellenbogen SJ, Ludwig DS. Effects of decreasing sugar-sweetened beverage consumption on body weight in adolescents: a randomized, controlled pilot study. Pediatrics. 2006;117:673-680.
38. McDonald RB. Influence of dietary sucrose on biological aging. Am J Clin Nutr. 1995;62(suppl):284S-293S.
39. 35.ChenM.HalterJB,PorteDJr. Theroleofdietarycarbohydrateinthedecreasedglucosetoleranceoftheelderly. JAmGeriatrSoc.1987;35:417-424.(Pubitemid17070607)
40. 36.MoghaddamE,VogtJA,WoleverTM. Theeffectsoffatandproteinonglycemicresponses innondiabetichumansvarywithwaistcircumference,fastingplasmainsulin, anddietaryfiberintake[publishedcorrectionappearsinJNutr.2006;136:3084].JNutr. 2006;136:2506-2511.(Pubitemid44521605)
41. Graff JL, Gropper SS, Hunt SM. Advanced Nutrition and Human Metabolism, 2nd ed. Minneapolis/St Paul, Minn: West Publishing; 1995.
42. Wolever TM, Miller JB. Sugars and blood glucose control. Am J Clin Nutr. 1995;62(suppl):212S-227S.
43. 39.OettléGJ,EmmettPM,HeatonKW.Glucoseandinsulinresponses- manufacturedandwhole-foodsnacks.Am.JClinNutr.1987;45:86-91.(Pubitemid17030268)
44. Weickert MO, Pfeiffer AF. Metabolic effects of dietary fiber consumption and prevention of diabetes. J Nutr. 2008;138:439-442.
45. Feig DI, Soletsky B, Johnson RJ. Effect of allopurinol on blood pressure of adolescents with newly diagnosed essential hypertension: a randomized trial. JAMA. 2008;300:924-932.
46. Nguyen S, Choi HK, Lustig RH. Hsu CY. Sugar-sweetened beverages, serum, uric acid, and blood pressure in adolescents. J Pediatr. 2009;154: 807-813.
47. Bremer AA, Auinger P, Byrd RS. Relationship between insulin resistance-associated metabolic parameters and anthropometric measurements with sugar-sweetened beverage intake and physical activity levels in US adolescents: findings from the 1999-2004 National Health and Nutrition Examination Survey. Arch Pediatr Adolesc Med. 2009; 163:328-335.
48. Van der Schaaf MR, Koomans HA, Joles JA. Dietary sucrose does not increase twenty-four-hour ambulatory blood pressure in patients with either essential hypertension or polycystic kidney disease. J Hypertens. 1999;17:453-454.
49. Hallfrisch J, Reiser S, Prather ES. Blood lipid, distribution of hyperinsulinemic men consuming three levels of fructose. Am J Clin Nutr. 1983;37:740-748.
50. Hellerstein MK. Carbohydrate-induced hypertriglyceridemia: modifying factors and implications for cardiovascular risk. Curr Opin Lipidol. 2002;13:33-40.
51. Mensink RP, Zock PL, Kester AD, Katan MB. Effects of dietary fatty acids and carbohydrates on the ratio of serum total to HDL cholesterol and on serum, lipids and apolipoproteins: a meta-analysis of 60 controlled trials. Am J Clin Nutr. 2003;77:1146-1155.
52. Appel LJ, Sacks FM, Carey VJ, Obarzanek E, Swain JF, Miller ER III, Conlin PR, Erlinger TP, Rosner BA, Laranjo NM, Charleston J, McCarron P, Bishop LM; for the OmniHeart Collaborative Research Group. Effects of protein, monounsaturated fat, and carbohydrate intake on blood pressure and serum lipids: results of the OmniHeart randomized trial. JAMA. 2005;294:2455-2464.
53. 49.ObarzanekE,SacksFM,VollmerWM,BrayGA,MillerERIII,LinPH,KaranjaNM, Most-WindhauserMM,MooreTJ,SwainJF,BalesCW,ProschanMA; DASHResearchGrouEffectsonbloodlipidsofabloodpressure-loweringdiet: theDietaryApproaches-StopHypertension(DASH)Trial.AmJClinNutr.2001;74:80-89. (Pubitemid32574914)
54. 50. Howard BV, Van Horn L, Hsia J, Manson JE, Stefanick ML, Wassertheil-Smoller S, Kuller LH, LaCroix AZ, Langer RD, Lasser NL, Lewis CE, Limacher MC, Margolis KL, Mysiw WJ, Ockene JK, Parker LM, Perri MG, Phillips L, Prentice RL, Robbins J, Rossouw JE, Sarto GE, Schatz D, Snetselaar LG, Stevens VJ, Tinker LF, Trevisan M, Vitalins MZ, Anderson GL, Assaf AR, Bassford T, Beresford SA, Black HR, Brunner RL, Brzyski RG, Caan B, Chlebowski RT, Gass M, Granek I, Greenland P, Hays J, Heber D, Heiss G, Hendrix SL, Hubbell FA, Johnson KC, Kotchen JM. Low-fat dietaiy pattern and risk of cardiovascular disease: the Women's Health Initiative Randomized Controlled Dietary Modification Trial. JAMA. 2006;295:655-666. (Pubitemid 43209067)
55. Fried SK, Rao SP. Sugars, hypertriglyceridemia, and cardiovascular disease. Am J Clin Nutr. 2003;78:873S-880S.
56. 52.BantleJP,RaatzSK,ThomasW,GeorgopoulosA. Effectsofdietaryfructoseofplasmalipidsinhealthysubjects.AmJClinNutr.2000;72: 1128-1134.(Pubitemid30816061)
57. Chong MF, Fielding BA, Frayn KN. Mechanisms for the acute effect of fructose of postprandial lipemia. Am J Clin Nutr. 2007;85:1511-1520.
58. 54. Teff KL, Elliott SS, Tschöp M, Kieffer TJ, Rader D, Heiman M, Townsend RR, Keim NL, D'Alessio D, Havel PJ. Dietary fructose reduces circulating insulin and leptin, attenuates postprandial suppression of ghrelin, and increases triglycerides in women. J Clin Endocrinol Metab. 2004;89:2963-2972. (Pubitemid 38766393)
59. Parks EJ, Skokan LE, Timlin MT, Dingfelder CS. Dietary sugars stimulate fatty acid synthesis in adults. J Nutr. 2008;138:1039-1046.
60. 56. Black RN, Spence M, McMahon RO, Cuskelly GJ, Ennis CN, McCance DR, Young IS, Bell PM, Hunter SJ. Effect of eucaloric high- and low-sucrose diets with identical macronutrient profile on insulin resistance and vascular risk: a randomized controlled trial. Diabetes. 2006;55:3566-3572. (Pubitemid 44923618)
61. 57.MarckmannP,RabenA,AstrupA.Adlibitumintakeoflow- fatdietsrichineitherstarchyfoodsorsucrose:effectsonbloodlipids, factorVIIcoagulantactivity,andfibrinogen.Metabolism.2000;49:731-735. (Pubitemid30354579)
62. 58.LiuS,MansonJE,BuringJE,StampferMJ,WillettWC,RidkerPM. Relationbetweenadietwithahighglycemicloadandplasmaconcentrationsofhigh- sensitivityC-reactiveproteininmiddle-agedwomen.Am.JClinNutr.2002;75:492-498. (Pubitemid34174942)
63. Price KD, Price CS, Reynolds RD. Hyperglycemia-induced ascorbic acid deficiency promotes endothelial dysfunction and the development of atherosclerosis. Atherosclerosis. 2001;158:1-12.
64. Scribner KB, Pawlak DB, Ludwig DS. Hepatic steatosis and increased adiposity in mice consuming rapidly vs. slowly absorbed carbohydrate. Obesity (Silver Spring). 2007;15:2190-2199.
65. 61. Ceriello A, Bortolotti N, Crescentini A, Motz E, Lizzio S, Russo A, Ezsol Z, Tonutti L, Taboga C. Antioxidant defences are reduced during the oral glucose tolerance test in normal and non-insulin-dependent diabetic subjects. Eur J Clin Invest. 1998;28:329-333. (Pubitemid 28188309)
66. 62. Ma SW, Tomlinson B, Benzie IF. A study of the effect of oral glucose loading on plasma oxidant:antioxidant balance in normal subjects. Eur J Nutr. 2005;44:250-254. (Pubitemid 40869067)
67. Bachman CM, Baranowski T, Nicklas TA. Is there an association between sweetened beverages and adiposity? Nutr Rev. 2006;64: 153-174.
68. Malik VS, Schulze MB, Hu FB. Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr. 2006;84: 274-288.
69. 65. Johnson L, Mander AP, Jones LR, Emmett PM, Jebb SA. Is sugarsweetened beverage consumption associated with increased fatness in children? Nutrition. 2007;23:557-563. (Pubitemid 47002232)
70. Forshee RA, Anderson PA, Storey ML. Sugar-sweetened beverages and body mass index in children and adolescents: a meta-analysis [published correction appears in. Am J Clin Nutr. 2009;89:441-442].
71. Am. J Clin Nutr. 2008;87:1662-1671.
72. Palmer JR, Boggs DA, Krishnan S, Hu FB, Singer M, Rosenberg L. Sugar-sweetened beverages and incidence of type 2 diabetes mellitus in African American women. Arch Intern Med. 2008;165:1487-1492.
73. Nielsen SJ, Popkin BM. Changes in beverage intake between 1977 and 2001 [published correction appears in Am J Prev Med. 2005;28:413],
74. Am J Prev Med. 2004;27:205-210.
75. Rolls BJ, Roe LS, Meengs JS. Larger portion sizes lead, to a sustained increase in energy intake over 2 days. J Am Diet Assoc. 2006;106: 543-549.
76. 70. Flood JE, Roe LS, Rolls BJ. The effect of increased beverage portion size on energy intake at a meal. J Am Diet Assoc. 2006;106:1984-1990. (Pubitemid 44779445)
77. Kumanyika SK, Obarzanek. E, Stealer N, Bell R, Field. AE, Fortmann SP, Franklin BA, Gillman MW, Lewis CE, Posten WC 2nd, Stevens J, Hong Y. Population-based prevention of obesity: the need for comprehensive promotion of healthful eating, physical activity, and energy balance: a scientific statement from American Heart Association Council on Epidemiology and Prevention, Interdisciplinary Committee for Prevention (formerly the Expert Panel on Population and Prevention Science). Circulation. 2008; 118:428-464.
78. Chen L, Appel LJ, Loria C, Lin PH, Champagne CM, Elmer PJ, Ard JD, Mitchell D, Batch BC, Svetkey LP, Caballero B. Reduction in consumption of sugar-sweetened beverages is associated with weight loss: the PREMIER trial. Am. J Clin. Nutr. 2009;89:1299-1306.
79. 73. Erlanson-Albertsson C. How palatable food disrupts appetite regulation. Basic Clin Pharmacol Toxicol. 2005;97:61-73. (Pubitemid 41021104)
80. Pelchat ML. Of human bondage: food craving, obsession, compulsion, and addiction. Physiol Behav. 2002;76:347-352.
81. 75. Spangler R, Wittkowski KM, Goddard. NL, Avena NM, Hoebel BG, Leibowitz SF. Opiate-like effects of sugar on gene expression, in reward areas of the rat brain. Mol Brain Res. 2004;124:134-142. (Pubitemid 38591565)
82. 76. Kelley AE, Bakshi VP, Haber SN, Steininger TL, Will MJ, Zhang M. Opioid modulation of taste hedonics within the ventral striatum. Physiol Behav. 2002;76:365-377. (Pubitemid 34765590)
83. 77. Pelchat ML, Johnson A, Chan R, Valdez J, Ragland JD. Images of desire: food-craving activation, during fMRI. Neuroimage. 2004;23: 1486-1493. (Pubitemid 40260371)
84. Anderzhanova E, Covasa M, Hajnal A. Altered basal and stimulated accumbens dopamine release in obese OLETF rats as a function of age and diabetic status. Am. J Physiol Regul Integr Camp Physiol. 2007;293: R603-R611.
85. Wang GJ, Volkow ND, Logan J, Pappas NR, Wong CT, Zhu W, Netusil N, Fowler JS. Brain dopamine and obesity. Lancet. 2001;357:354-357.
86. Stice E, Spoor S, Bohon C, Small DM. Relation between obesity and blunted striatal response to food is moderated by TaqIA Al allele. Science. 2008;322:449-452.
87. Dallman MF, Pecoraro N, Akana SF, La Fleur SE, Gomez F, Houshyar H, Bell ME, Bhatnagar S, Laugera KD, Manalo S. Chronic stress and obesity: a new view of "comfort food." Proc Natl Acad Sci USA. 2003;100:11696-11701.
88. Mietus-Snyder ML, Lustig RH. Childhood obesity: adrift in the "limbic triangle." Annu Rev Med. 2008;59:147-162.
89. 83. Pecoraro N, Reyes F, Gomez F, Bhargava A, Dallman MF. Chronic stress promotes palatable feeding, which reduces signs of stress: feedforward and feedback effects of chronic stress. Endocrinology. 2004; 145:3754-3762. (Pubitemid 39037562)
90. 84. Nguyen-Michel ST, Unger JB, Spruijt-Metz D. Dietary correlates of emotional eating in adolescence. Appetite. 2007;49:494-499. (Pubitemid 47381465)
91. 85. Oliver G, Wardle J. Perceived effects of stress on food choice. Physiol Behav. 1999;66:511-515. (Pubitemid 29219448)
92. Roemmich JN, Wright SM, Epstein LH. Dietary restraint and stressinduced snacking in youth. Obes Res. 2002;10:1120-1126.
93. 87. Mourao DM, Bressan J, Campbell WW, Mattes RD. Effects of food form on appetite and energy intake in lean and obese young adults. Int J Obes (Lond). 2007;31:1688-1695. (Pubitemid 350023162)
94. Nielsen SJ, Popkin BM. Patterns and trends in food portion sizes, 1977-1998. JAMA. 2003;289:450-453.
95. Duffey KJ, Popkin BM. Shifts in patterns and consumption of beverages between 1965 and 2002. Obesity (Silver Spring). 2007;15:2739-2747.
96. 90. Mattes R. Fluid calories and energy balance: the good, the bad, and the uncertain. Physiol Behav. 2006;89:66-70. (Pubitemid 44164464)
97. DiMeglio DP, Mattes RD. Liquid versus solid carbohydrate: effects on food intake and body weight. Int J Obesity. 2000;24:794-800.
98. Bell EA, Castellanos VH, Pelkman CL, Thorwart ML, Rolls BJ. Energy density of foods affects energy intake in normal-weight women. Am J Clin Nutr. 1998;67:412-420.
99. 93.RollsBJ,BellEA,CastellanosVH,ChowM,PelkmanCL,ThorwartML. Energydensitybutnotfatcontentoffoodsaffectedenergyintakeinleanandobesewomen. AmJClinNutr.1999;69:863-871.(Pubitemid29205058)
100. Bell EA, Rolls BJ. Energy density of foods affects energy intake across multiple levels of fat content in lean and obese women. Am J Clin Nutr. 2001;73:1010-1018.
101. 95. Devitt AA, Mattes RD. Effects of food unit size and energy density on intake in humans. Appetite. 2004;42:213-220. (Pubitemid 38316891)
102. 96. Stubbs RJ, Whybrow S. Energy density, diet composition and payability: influences on overall food energy intake in humans. Physiol Behav. 2004;81:755-764. (Pubitemid 38845043)
103. Rolls BJ, Roe LS, Meengs JS. Salad and satiety: energy density and portion size of a first-course salad affect energy intake at lunch. J Am Diet Assoc. 2004;104:1570-1576.
104. Rolls BJ, Roe LS, Meengs JS. Reductions in portion size and energy density of foods are additive and lead to sustained decreases in energy intake. Am. J Clin Nutr. 2006;83:11-17.
105. Cucó G, Arija V, Martí-Henneberg C, Fernández- Ballart J. Food and nutritional profile of high energy density consumers in an adult Mediterranean population. Eur J Clin. Nutr. 2001;55:192-199.
106. 100.deCastraJM.Dietaryenergydensityisassociatedwithincreasedintakeinfree- livinghumans.JNutr.2004;134:335-341.(Pubitemid38141814)
107. Stookey JD. Energy density, energy intake and weight status in a large free-living sample of Chinese adults: exploring the underlying roles of fat, protein, carbohydrate, fiber and water intakes. Eur J Clin Nutr. 2001;55:349-359.
108. Kant AK, Graubard BI. Energy density of diets reported by American adults: association with food group intake, nutrient intake, and body weight. Int J Obes (Lond). 2005;29:950-956.
109. 103.LedikweJH,RollsBJ,Smiciklas-WrightH,MitchellDC,ArdJD,ChampagneC, KaranjaN,LinPH,StevensVJ,AppelLJ. Reductionsindietaryenergydensityareassociated withweightlossinoverweightandobeseparticipantsinthePREMIERtrial.AmJClinNutr. 2007;85:1212-1221.(Pubitemid46740461)
110. Food and Nutrition Board, Institute of Medicine of the National Academies. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, DC: National Academies Press; 2002.
111. 105. Gibson SA. Dietary sugars intake and micronutrient adequacy: a systematic review of the evidence. Nutr Res Rev. 2007;20:121-131. (Pubitemid 350197963)
112. 106. Rennie KL, Livingstone BE. Associations between dietary added sugar intake and micronutrient intake: a systematic review. Br J Nutr. 2007; 97:832-841. (Pubitemid 46554397)
113. Howarth NC, Saltzman E, Roberts SB. Dietary fiber and weight regulation. Nutr Rev. 2001;59:129-139.
114. Basiotis P, Guenther PM, Lina M, Britten P. Americans consume too many calories from, solid fat, alcohol and added sugar. Alexandria, Va: USDA, Center for Nutrition Policy and Promotion; June 2006. Nutrition Insight 33.
115. US Department of Health and Human. Services. Nutrition and Your Health: Dietary Guidelines for Americans: Part D: Science Base: Section 5: Carbohydrates. Available at: http://www.health.gov/ dietaryguidelines/dga2005/ report/HTML/D5-Carbs.htm. Accessed January 4, 2009.
116. 110. Nishida C, Uauy R, Kumanyika S, Shetty P. The joint WHO/FAO expert consultation on diet, nutrition and the prevention of chronic diseases: process, product and policy implications. Public Health Nutr. 2004;7: 245-250. (Pubitemid 38294520)
117. 111. Briefel RR, Johnson. CL. Secular trends in dietary intake in the United States. Annu Rev Nutr. 2004;24:401-431. (Pubitemid 38938798)
118. Nielsen SJ, Siega-Riz AM, Popkin BM. Trends in energy intake in U.S. between 1977 and 1996: similar shifts seen across age groups. Obes Res. 2002;10:370-378.
119. 113. French SA, Story M, Jeffery RW. Environmental influences on eating and physical activity. Annu Rev Public Health. 2001;22:309-335. (Pubitemid 32452510)
120. USDA National Nutrient Database. Agricultural Research Service, US Department of Agriculture. Available at: http://www.nal.usda.gov/fnic/ foodcomp/search/. Accessed January 4, 2009.