Sugar Sweetened Beverages and Obesity

  IS SUGAR A NEW FAT ? Sugar Sweetened Beverages and Obesity

  1 Our Problem Is Ser

ious

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  6 Table of Contents

  Introduction Solution DEFINITION EFFECT PROBLEM Mechanism What is The Sugar Sweetene d Beverages?

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Sugar Sweetened

  Corn syrup Dextrose Fructose Glucose High-fructose corn syrup  

• Honey

  ¿ Lactose Malt syrup Maltose Molasses Raw sugar Sucrose

  Producer

  51 Director

  56 Manager

  65 Art Designer 156

  Engineer 212

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Sugar Content of Sugar Sweetened Beverages

  

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  The Effect of SSBs Consumption

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Dental Caries and T

ooth Eruption

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  10 Weight Gain & Obesity

Diabetes Mellitus & Metabolic Syndrome

  11 Diabetes Melitus

  Metabolic Syndrome Add an image N

  S O W WHAT IS T D HE PROBL

  EM ? AY

  Situation & Problem around The World

  13 Prevalence of Overweight and Obesity

  has Increased since 1975-2016 IN ADULTS I am a bit shy but passionate.

  2016 6.8 %

  1975 4.7 %

  Photographer Web Designer Writer

  1975 0.8 %

  13.1% 2016

  IN CHILDREN Department of Health Rhode Island. 2017. ^{[Online] Available at} Sugar-Sweetened Beverages. twitter.com plus.google.com

  40,9% 1 billion people were obese

  1. Schulze MB, Manson JE, Ludwig DS, Colditz GA, Stampfer MJ, Willett WC, Hu FB. Sugar-Sweetened Beverages, Weight Gain, and Incidence of Type 2 Diabetes in _{Young and Middle-Aged Women.  JAMA.2004;292(8):927–934. doi:10.1001/jama.292.8.927)}

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Prevalence of Obesity in Indonesia

  30,1% cases in Jakarta 6,1 % OF CHILD 6,9 % OF ADULT

  RISKESDAS 2013

  

The Consumption of Sugar Sweetened

Beverages has Increased in Parallel to Overweight and Obesity Trends WHO (2014) Draft Guideline on Sugar Intake f or Adult and Children Total free (added) sugar

  Total free (added) sugar ≤ ≤ 10%

  But also suggested it of dietary energy intake of dietary energy

  10% would be preferable that

  Innovation Satisfaction World-leading intake intake be reduced to

  Eu docendi propriae sit, per altera p Ius ut augue consul principes, eum Ea omittam probatus persequeris iu utant ut. Nam partiendo intellegat e s. Id qui vidit laudem, et vel doloru in bonorum reprimique. Ut tractatos definitionem duo, his simul fierent p i, id usu nonumy eleifend delicata, i m menandri euripidis, pro partem p of energy intake

  5% nimicus evertitur similique vis ei. haedrum ei. rincipes eu.

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Fact of SSBs Consumption of US Adolescents 25% 10-15 %

  ^{consume of SSBs wich represents} > 350 _{youth’s caloric intake are from SSBs}

  >750mL calories The consumption of SSBs in The World it’s about 236.59 ml/day

  19 SSBs CONSUMPTION IN ADULTS

  20 Add an image

  ANPHA. 2014. Evidence Brief Obesity: Sugar-Sweetened Beverages, Obesity and Health

  Add an image SSBs CONSUMPTION IN CHILDREN

  21 SSBs CONSUMPTION IN UI’s STUDENT

Fruit drinks :

  Ice Tea :

• > 1 x/week :
• > 1 x/week : %

  42.1 %

  26.5

• < 1x/week : %

  43.4 < 1x/week :

• %
• Never : %

  59.0

  14.5

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  Mechanism of SSBS Causing Obesity

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  Mechanism of Fructose SSBS Causing Obesity

  24 SOLUTION EDUCATION

  1 COMPANY POLICIES

  2 GOVERNMENT POLICIES

  3 SCHOOL PROGRAMS

  4 Source: NPLAN, 2013

  25 EDUCATION

  26 Post warning sig

  ns Lauch public awar eness campaign

  Source: NPLAN, 2013

  Reducing sugar content of Limit SSBs in workplaces

  SSBs through mandatory r eformulation Create healthy checkout ai sles

  Make water more attractive at restaurants Source: NPLAN, 2013 Lobstein, 2014 Government policies

  28 Provision of s

  afe drinking w ater fountains in public plac es

  Require pro portional pri cing

  Restricting the pr omotion and adv ertising of SSBs on TV and other media

  Tax SSBs Licence SS B retailers

  Limit SSBs o n governmen t property Set a minimu m price

  Source: NPLAN, 2013 Lobstein, 2014

SCHOOL PROGRAMS

  29 ^{ICON ICON ICON ICON ICON ICON}

  School based health promotion s Removal of vending machines sellin g soft drinks

  Provision of safe drinking water fountains i n school Rules about consumin g soft drinks in school

  Prohibit SSBs in childcare and after school programs Restrict sales and mark eting of SSBs on and n ear school grounds

  Source: NPLAN, 2013 Lobstein, 2014

References

  ANPHA. 2014. Evidence Brief Obesity: Sugar-Sweetened Beverages, Obesity and Health. [Online] Available at https://sydney.edu.au/medicine/public-health/menzies-health-policy/publications/ Evidence_Brief_Sugar_sweetened_Beverages_Obesity_Health.PDF Accessed on 4 November 2017) Beverages, Obesity, Type 2 Diabetes and Cardiovascular Disease Risk. Circulation, 121(11), 1356– 1364. http://doi.org/10.1161/CIRCULATIONAHA.109.876185) Schulze MB, Manson JE, Bodo, Y. L., Paquette, M. C., & WEals, P. D. 2016. Taxing Soda for Public Health: A Canadian Perspective. Canada: Springer.

  

  Department of Health Rhode Island. 2017. Sugar-Sweetened Beverages. [Online] Available at http://www.health.ri.gov/healthrisks/sugarsweetenedbeverages/ 4 November 2017)

  

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References

  Lobstein, T. 2014. Reducing Consumption of Sugar-sweetened Beverages to Reduce The Risk of Childhood Overweight and Obesity. United Kingdom : WEorld Obesity Federation.

  Ludwig DS, Colditz GA, Stampfer MJ, WEillett WEC, Hu FB. Sugar-Sweetened Beverages, WEeight Gain, and Incidence of Type 2 Diabetes in Young and Middle-Aged WEomen. JAMA.2004;292(8):927–934. doi:10.1001/jama.292.8.927) Lutsey PL, Stefen LM, Stevens J. Dietary intake and the development of the metabolic syndrome: the Atherosclerosis Risk in Communities study. Circulation 2008;117:754–761) Malik, Vasanti. Et al. 2011. Intake of Sugar-Sweetened Beverages and Weight Gain: A Systematic

  Review. [Online] Available at:

  Malik, V. S., Schulze, M. B., & Hu, F. B. (2006). Intake of sugar-sweetened beverages and weight gain: a systematic review. The American Journal of Clinical Nutrition, 84(2), 274–288.)

  31 References

  Malik, V. S., Popkin, B. M., Bray, G. A., Després, J.-P., & Hu, F. B. (2010). Sugar Sweetened Beverages, Obesity, Type 2 Diabetes and Cardiovascular Disease Risk. Circulation, 121(11), 1356–1364.

  

  Schulze MB, Manson JE, Ludwig DS, Colditz GA, Stampfer MJ, WEillett WEC, Hu FB. Sugar-Sweetened Beverages, WEeight Gain, and Incidence of Type 2 Diabetes in Young and Middle-Aged WEomen.

  JAMA.2004;292(8):927–934. doi:10.1001/jama.292.8.927) Vasanti S. Malik, Barry M. Popkin, George A. Bray, Jean-Pierre Després, WEalter C.WEillett, Frank B. Hu.

  Sugar-Sweetened Beverages and Risk of Metabolic Syndrome and Type 2 Diabetes. Diabetes Care Nov 2010, 33 (11) 2477-2483; DOI: 10.2337/dc10-1079)

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  32 ANY QUESTION ?

  

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  ANY QUESTION ?

Q&A

  Nabilah: how could people know that they already consume excessive SSBs?

• Someone will know their level of SSBs consumption by counting their energy requirements

  and counting how much they consume added sugars. They consumption of added sugars s

  hould not exceed 10%, better if it’s only 5%. SSBs can be consume 1x or less in a week.

  Winda: How to educate children because they don’t know the purpose and effect of SSB

• s? We can make games to educate children, for example: games about healthy food vs. adde

  d sugars. Children can also be asked for counting their consumption of added sugars and c

  omparing it with the other’s How to reduce SSBs consumption for those who already making it as habit?

• People can start to lower their SSBs consumption in their daily intake by changing SSBs by

  another low calorie drinks. To reduce SSBs, we really have to know the impact of SSBs an d why we have to change the habit, so we have a better motivation to substitute the SSBs with another healthier drink.

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