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Article
Effect of AHA dietary counselling on added sugar intake among participants with metabolic syndrome
University of Massachusetts Medical School Faculty Publications
  • Lijuan Zhang, University of Massachusetts Medical School
  • Sherry L. Pagoto, University of Massachusetts Medical School
  • Christine N. May, University of Massachusetts Medical School
  • Barbara C. Olendzki, University of Massachusetts Medical School
  • Katherine L. Tucker, University of Massachusetts Lowell
  • Carolina Ruiz, Worcester Polytechnic Institute
  • Yu Cao, University of Massachusetts at Lowell
  • Yunsheng Ma, University of Massachusetts Medical School
UMMS Affiliation
Division of Preventive and Behavioral Medicine, Department of Medicine
Date
3-28-2017
Document Type
Article
Abstract
BACKGROUND: High added sugar consumption has been associated with the development of metabolic syndrome (MetS). The American Heart Association (AHA) diet is designed to prevent and treat MetS; however, it remains unclear whether the AHA diet is effective on decreasing added sugar consumption. The aim of our study was to evaluate the effect of the AHA dietary counselling on added sugar consumption among participants with MetS. METHODS: The AHA dietary counselling was conducted among 119 participants with MetS from June 2009 to January 2014 (ClinicalTrials.gov: NCT00911885). Unannounced 24-hour recalls were collected at baseline, 3, 6 and 12 months. Added sugar consumption patterns over time were examined using linear mixed models. RESULTS: After 1-year dietary counselling, intake of added sugars decreased by 23.8 g/day (95% CI 15.1, 32.4 g/day); intake of nonalcoholic beverages dropped from the leading contributor of added sugar intake to number 7 (from 11.9 to 4.4%); the Alternative Healthy Eating Index (AHEI) score increased by 5.4 (95% CI 2.9, 8.0); however, added sugar intake for 48% participants still exceeded the recommendation. Added sugar intake per meal among different meal type was similar (24.2-25.8%) at baseline. After the 1-year dietary counselling, breakfast became the major resource of added sugar intake (33.3%); the proportion of added sugar intake from snacks decreased from 25.8% (CI 23.1, 28.5%) to 20.9% (CI 19.6, 22.3%). CONCLUSION: Although the consumption of added sugars in participants with MetS decreased after the 1-year AHA dietary counselling, added sugar intake from majority of participants still exceeds recommended limits. Actions of successful public health strategies that focus on reducing added sugar intake are needed.
Rights and Permissions
Citation: Eur J Nutr. 2017 Mar 28. doi: 10.1007/s00394-017-1390-6. Link to article on publisher's site
Related Resources
Link to Article in PubMed
Keywords
  • AHA dietary counselling,
  • Added sugar,
  • Metabolic syndrome
PubMed ID
28353070
Citation Information
Lijuan Zhang, Sherry L. Pagoto, Christine N. May, Barbara C. Olendzki, et al.. "Effect of AHA dietary counselling on added sugar intake among participants with metabolic syndrome" (2017) ISSN: 1436-6207 (Linking)
Available at: http://works.bepress.com/sherry_pagoto/151/