Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Intake Disparities in Sugar-Sweetened Beverages

Am J Clin Nutr; ePub 2018 Dec 7; Mendez, et al

Sugar-sweetened beverage (SSB) intake remains high among US children despite considerable recent declines, a new study found. Children aged 2‒18 years from NHANES surveys from 2003, 2005, 2007, 2009, 2011, and 2013 were included. SSBs were all non-diet beverages sweetened with sugars including revising all beverages to as consumed status and excluding soy and dairy-based beverages. The NCI usual intake method was used to estimate usual intake from 2 24-hour recalls. Among the findings:

  • Children’s SSB intake remains high, particularly among heavy consumers.
  • There were important disparities in intake that persisted over time.
  • Although high household income was associated with lower SSB intake in non-Hispanic white (NHW) children, intakes of non-Hispanic black (NHB) and Mexican-American (MA) children were similar or higher than those from poor households.
  • The consumption of regular sodas by NHB children was somewhat lower than among MA and NHW children, whereas fruit drink intake was markedly higher.


Mendez MA, Miles DR, Poti JM, Sotres-Alvarez D, Popkin BM. Persistent disparities over time in the distribution of sugar-sweetened beverage intake among children in the United States. [Published online ahead of print December 7, 2018]. Am J Clin Nutr. doi:10.1093/ajcn/nqy123.

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