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Dietary Sugars Intake and Cardiovascular Health: A Scientific Statement From the American Heart Association
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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“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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Miller, M., Stone, N. J., Ballantyne, C., Bittner, V., Criqui, M. H., Ginsberg, H. N., Goldberg, A. C., Howard, W. J., Jacobson, M. S., Kris-Etherton, P. M., et al. (2011) · Circulation · doi:10.1161/cir.0b013e3182160726 · Cited by 1,871
Sugar-Sweetened Beverages, Obesity, Type 2 Diabetes Mellitus, and Cardiovascular Disease Risk
Malik, V. S., Popkin, B. M., Bray, G. A., Després, J.-P., & Hu, F. B. (2010) · Circulation · doi:10.1161/circulationaha.109.876185 · Cited by 1,641
Metadata
- 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
- Venue
- Circulation
- Published
- 2009-09-15
- Volume
- 120
- Issue
- 11
- Pages
- 1011-1020
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- 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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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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