Dietary Sugars Intake and Cardiovascular Health: A Scientific Statement From the American Heart Association

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

doi:10.1161/circulationaha.109.192627

Cited by 1,207Diet, Metabolism, and DiseaseNutritional Studies and DietObesity, Physical Activity, Diet

Dietary Sugars Intake and Cardiovascular Health: A Scientific Statement From the American Heart Association

Johnson, Rachel K., Appel, Lawrence J., Brands, Michael, Howard, Barbara V., Lefevre, Michael, Lustig, Robert H., Sacks, Frank, Steffen, Lyn M. +1 more·2009·Circulation

DOI 10.1161/circulationaha.109.192627

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Abstract

High intakes of dietary sugars in the setting of a worldwide pandemic of obesity and cardiovascular disease have heightened concerns about the adverse effects of excessive consumption of sugars. In 2001 to 2004, the usual intake of added sugars for Americans was 22.2 teaspoons per day (355 calories per day). Between 1970 and 2005, average annual availability of sugars/added sugars increased by 19%, which added 76 calories to Americans' average daily energy intake. Soft drinks and other sugar-sweetened beverages are the primary source of added sugars in Americans' diets. Excessive consumption of sugars has been linked with several metabolic abnormalities and adverse health conditions, as well as shortfalls of essential nutrients. Although trial data are limited, evidence from observational studies indicates that a higher intake of soft drinks is associated with greater energy intake, higher body weight, and lower intake of essential nutrients. National survey data also indicate that excessive consumption of added sugars is contributing to overconsumption of discretionary calories by Americans. On the basis of the 2005 US Dietary Guidelines, intake of added sugars greatly exceeds discretionary calorie allowances, regardless of energy needs. In view of these considerations, the American Heart Association recommends reductions in the intake of added sugars. A prudent upper limit of intake is half of the discretionary calorie allowance, which for most American women is no more tha…

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The 2020 Dietary Guidelines Advisory Committee recommendations for added sugar align with those of the AHA (100 calories/d for women and 150 calories/d for men).
“These recommendations align with those of the AHA for added sugar (100 calories/d for women and 150 calories/d for men (78).”
From 2021 ACC Expert Consensus Decision Pathway on the Management of ASCVD Risk Reduction in Patients With Persistent Hypertriglyceridemia (2021) · cites this paper as [78]

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NewsCAP
(2009) · AJN American Journal of Nursing · doi:10.1097/01.naj.0000363340.13980.23
Sugar and Cardiovascular Disease
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Self-citation
Dietary Sugars Intake and Cardiovascular Health A Scientific Statement From the American Heart Association
Lustig, R. H., Sacks, F. M., Steffen, L. M., Wylie-rosett, J., Br, M., Barbara, F., & Howard, V. (2009)
Self-citation

Authors: Johnson, R. K., Appel, L. J., Brands, M., Howard, B. V., Lefevre, M., Lustig, R. H., Sacks, F., Steffen, L. M., & Wylie-Rosett, J.
ORCID: Johnson, Rachel K.
Appel, Lawrence J.
Brands, Michael
Howard, Barbara V.
Lustig, Robert H.
Sacks, Frank
Steffen, Lyn M.
Venue: Circulation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2009-09-15
Volume: 120
Issue: 11
Pages: 1011-1020
ISSN: 0009-7322 (ISSN-L)
1524-4539
DOI: 10.1161/circulationaha.109.192627
OpenAlex: W2170649441
Cited by: 1,207
References: 110
Citations by year: 2026: 17 · 2025: 36 · 2024: 47 · 2023: 59 · 2022: 50 · 2021: 68 · 2020: 83 · 2019: 82 · 2018: 89 · 2017: 79 · 2016: 98 · 2015: 114 · 2014: 102 · 2013: 90 · 2012: 82
FWCI: 46.62
Type: journal article
Language: en
Open access: closed
Locations: Circulation (publishedVersion)
PubMed (publishedVersion)
Funders: U.S. Department of Agriculture
American Heart Association
Utah State University
Harvard University
University of Minnesota
Dairy Management
Johns Hopkins University
National Institutes of Health
University of California, San Francisco
National Heart, Lung, and Blood Institute
National Institute of Diabetes and Digestive and Kidney Diseases
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords: dietary sugar, added sugars, cardiovascular health, sugar-sweetened beverages, soft drinks, energy intake, obesity, nutrient intake, American Heart Association
MeSH terms: American Heart Association, Energy Intake, Cardiovascular Diseases, Humans, United States, Nutrition Policy, Dietary Sucrose

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Dietary Sugars Intake and Cardiovascular Health: A Scientific Statement From the American Heart Association

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