Food sources of added sugar: Brazilian data (EBANS)
Introduction: Brazil has the second highest per capita consumption of sugar in the world and added sugar (AS) con- tributes to 12.6% of the total energy intake. Objective: To investigate the main food sources of AS in- take in Brazilian population, according to sex, age, nutritional status, and Brazilian macro-regions. Methods: 2,000 individuals aged 15-65 years were in- cluded in the Brazilian Nutrition and Health Study (EBANS). EBANS is part of the Latin American Study of Nutrition and Health (ELANS), a multicenter cross-sectional study of a na- tionally representative sample of urban populations from eight Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela). Food and beverage intake, measured by 24-h dietary recall, were classified into 216 groups. The contribution of each group to AS incorporated sample weights and adjusted for clusters and strata of complex sample design. Results: The top 10 food groups with the highest levels of AS were: soft drinks (36.0%); powdered juice mix (with sugar) (9.6%); milk (with sugar) (8.4%); coffee (with sugar) (7.2%); plain sugar (7.3%); natural juice (with sugar) (4.8%); chocolate candy (2.4%); milk, plain or not (without added sugar) (2.3%); cookies (2.2%); and whole grain cracker (1.9%). Independent of sex, age, nutritional status, or Brazilian macro-regions, the main contributor to AS con- sumption was soft drinks. Conclusion: The results highlight the need for interventions focused on all Brazilian groups evaluated and the development of public health policies to reduce AS content, especially the ma- jor sources of AS (beverages processed and homemade).