IS SUGAR A NEW FAT Sugar Sweetened Beverages
IS SUGAR A NEW FAT ? Sugar Sweetened Beverages and Obesity
1 Our Problem Is Serious
Table of Contents 1 Introduction 2 DEFINITION 3 EFFECT 4 PROBLEM 5 Mechanism 6 Solution 3
What is The Sugar Sweetened Beverages? DEFINITION AND CLASIFICATION 4
Sugar Sweetened Beverages Brown sugar Corn sweetener Corn syrup Dextrose Fructose Glucose High-fructose corn syrup Honey Lactose Malt syrup Maltose Molasses Raw sugar Sucrose
Producer Director Manager Art Designer Engineer 51 56 65 156 212 6
Sugar Content of Sugar Sweetened Beverages https: //books. google. co. id/books? id=Fs. Pe. DAAAQBAJ&pg=PA 34&dq=sugar+sweetened+beverages+definitio n&hl=en&sa=X&ved=0 ah. UKEwj 4 -da 0 hq. LXAh. WEg. I 8 KHe. Uj. Arg. Q 6 AEILTAB#v=onepage&q&f=false 7
The Effect of SSBs Consumption 8
Dental Caries and Tooth Eruption 9
Weight Gain & Obesity 10
Diabetes Mellitus & Metabolic Syndrome Diabetes Melitus 11
Situation & Problem around The World S DAY NOW WHAT IS THE PROBLEM ?
Prevalence of Overweight and Obesity has Increased since 1975 -2016 13
IN ADULTS 6. 8 % 2016 I am a bit shy but passionate. 4. 7 % 1975 Web Designer 13. 1% 2016 0. 8 % 1975 Photographer Writer IN CHILDREN Department of Health Rhode Island. 2017. Sugar-Sweetened Beverages. [Online] Available at twitter. com http: //www. health. ri. gov/healthrisks/sugarsweetenedbeverages/ 4 November 2017) 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) 15
Prevalence of Obesity in Indonesia 6, 9 % OF ADULT 6, 1 % OF CHILD 30, 1% cases in Jakarta RISKESDAS 2013
The Consumption of Sugar Sweetened Beverages has Increased in Parallel to Overweight and Obesity Trends
WHO (2014) Draft Guideline on Sugar Intake for Adult and Children Total free (added) sugar ≤ 10% ≤ of dietary energy intake 10% Total free (added) sugar of dietary energy Innovation intake Eu docendi propriae per altera Ius ut augue consulsit, principes, putantinut. Nam partiendo intellegat eum bonorum reprimique. Ut ei, id usu nonumy eleifend delicata, tractatos definitionem duo, his inimicus evertitur similiqueei. vis ei. simul fierent phaedrum But also suggested it would be preferable that intake be reduced to intake 5% of energy World-leading Satisfaction Ea omittam probatus persequeris ius. Id qui vidit laudem, et vel dolorum menandri euripidis, pro partem principes eu. 18
Fact of SSBs Consumption 10 -15 % youth’s caloric intake are from SSBs 25% consume of US Adolescents >750 m. L of SSBs wich represents > 350 calories The consumption of SSBs in The World it’s about 236. 59 ml/day ANPHA. 2014. Evidence Brief Obesity: Sugar-Sweetened Beverages, Obesity and Health 19
SSBs CONSUMPTION IN ADULTS ANPHA. 2014. Evidence Brief Obesity: Sugar-Sweetened Beverages, Obesity and Health 20
SSBs CONSUMPTION IN CHILDREN ANPHA. 2014. Evidence Brief Obesity: Sugar-Sweetened Beverages, Obesity and Health 21
SSBs CONSUMPTION IN UI’s STUDENT Fruit drinks : Ice Tea : - > 1 x/week : 42. 1% - > 1 x/week : - < 1 x/week : 43. 4% - < 1 x/week : - Never : 14. 5% - 26. 5% 59. 0% Never : 14. 5% 22
Mechanism of SSBS Causing Obesity Source: Malik, Vasanti. Et. Etal. 2011 Source: 23
Mechanism of Fructose SSBS Causing Obesity Source: Malik, Vasanti. Et al. 2011 24
SOLUTION Source: NPLAN, 2013 1 EDUCATION 2 COMPANY POLICIES 3 GOVERNMENT POLICIES 4 SCHOOL PROGRAMS 25
EDUCATION Post warning signs Source: NPLAN, 2013 Lauch public awareness campaign 26
COMPANY POLICIES Reducing sugar content of SSBs through mandatory reformulation Limit SSBs in workplaces Create healthy checkout aisles Make water more attractive at restaurants Source: NPLAN, 2013 Lobstein, 2014 27
Government policies Require proportional pricing Licence SSB retailers Tax SSBs Source: NPLAN, 2013 Lobstein, 2014 Provision of safe drinking water fountains in public places Limit SSBs on government property Restricting the promotion and advertising of SSBs on TV and other media Set a minimum price 28
SCHOOL PROGRAMS School based health promotions Rules about consuming soft drinks in school Removal of vending machines selling soft drinks Provision of safe drinking water fountains in school Prohibit SSBs in childcare and afterschool programs Restrict sales and marketing of SSBs on and near school grounds Source: NPLAN, 2013 Lobstein, 2014 29
References ANPHA. 2014. Evidence Brief Obesity: Sugar-Sweetened Beverages, Obesity and Health. [Online] Available at https: //sydney. edu. au/medicine/public-health/menzies-healthpolicy/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. , & Wals, P. D. 2016. Taxing Soda for Public Health: A Canadian Perspective. Canada: Springer. https: //www. cdc. gov/nutrition/data-statistics/sugar-sweetened-beverages-intake. html Department of Health Rhode Island. 2017. Sugar-Sweetened Beverages. [Online] Available at http: //www. health. ri. gov/healthrisks/sugarsweetenedbeverages/ 4 November 2017) https: //www. cdc. gov/nccdphp/dnpa/nutrition/pdf/r 2 p_sweetend_beverages. pdf 30
References Lobstein, T. 2014. Reducing Consumption of Sugar-sweetened Beverages to Reduce The Risk of Childhood Overweight and Obesity. United Kingdom : World Obesity Federation. 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) Lutsey PL, Steffen 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: https: //www. ncbi. nlm. nih. gov/pmc/articles/PMC 3210834/ 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. http: //doi. org/10. 1161/CIRCULATIONAHA. 109. 876185) 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) Vasanti S. Malik, Barry M. Popkin, George A. Bray, Jean-Pierre Després, Walter C. Willett, Frank B. Hu. Sugar. Sweetened Beverages and Risk of Metabolic Syndrome and Type 2 Diabetes Care Nov 2010, 33 (11) 2477 -2483; DOI: 10. 2337/dc 10 -1079) The Power of Power. Point | thepopp. com 32
THANKS FOR YOUR ATTENTION ANY QUESTION ?
THANK FOR YOUR ATTENION 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 should not exceed 10%, better if it’s only 5%. SSBs can be consume 1 x or less in a week. • Winda: How to educate children because they don’t know the purpose and effect of SSBs? We can make games to educate children, for example: games about healthy food vs. added sugars. Children can also be asked for counting their consumption of added sugars and comparing 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 and 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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