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The purposes of this study were to determine the sugar-sweetened beverages (SSBs) consumption and knowledge of sugars among Thai dental students and explored the relationship between students’ knowledge, SSBs consumption, and BMI. The sixth-year dental students from 10 universities in Thailand answered the online beverage intake questionnaire (BEVQ). Association between gender, region, BMI, knowledge, and SSBs consumption was analyzed by using the Chi-square test. Among 327 dental students, 67.3% had a moderate level of knowledge of sugar consumption. The topics that students knew the least were the sugar intake recommended by WHO and the amount of sugar in various foods. The average sugar consumption from SSBs was 42.03 grams per day among dental students. The SSBs that students drank mostly were freshly prepared beverages (44.09%), soft drink (13.31%), and sweeten tea (8.5%). Students outside Bangkok were 1.8 times more likely to consume SSBs, compared to those in Bangkok (95% CI: 1.2-2.8, p = 0.01). The SSBs consumption was significantly associated with the region of dental schools, but not associated with gender, knowledge, and BMI. In summary, most dental students had moderate knowledge about sugar consumption and consumed sugar more than WHO recommendation. The knowledge and practice in reducing sugar consumption should be more emphasized in the dental curriculum. Dental organization should promote nutrition education, health policy and environment to decrease sugar consumption among dental students.
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ทีได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
Popkin BM, Hawkes C. Sweetening of the global diet, particularly beverages: patterns, trends, and policy responses. Lancet Diabetes Endocrinol 2016;4(2):174-86.
Malik VS, Pan A, Willett WC, Hu FB. Sugar-sweetened beverages and weight gain in children and adults: a systematic review and meta-analysis. Am J Clin Nutr 2013;98(4):1084-102.
Te Morenga L, Mallard S, Mann J. Dietary sugars and body weight: systematic review and meta-analyses of randomised controlled trials and cohort studies. BMJ 2013;346:e7492.
Malik VS, Li YP, Pan A, De Koning L, Schernhammer E, Willett WC, et al. Long-term consumption of sugar-sweetened and artificially sweetened beverages and risk of mortality in US adults. Circulation 2019;139(18): 2113-25.
Stanhope KL, Medici V, Bremer AA, Lee V, Lam HD, Nunez MV, et al. A dose-response study of consuming high-fructose corn syrup–sweetened beverages on lipid/lipoprotein risk factors for cardiovascular disease in young adults. Am J Clin Nutr 2015;101(6):1144-154.
Moynihan PJ, Kelly SA. Effect on caries of restricting sugars intake: systematic review to inform WHO guidelines. J Dent Res 2013;93(1):8-18.
Malik VS, Popkin BM, Bray GA, Després J-P, Hu FB. Sugar-sweetened beverages, obesity, type 2 diabetes mellitus, and cardiovascular disease risk. Circulation 2010;121(11):1356-64.
Basu S, McKee M, Galea G, Stuckler D. Relationship of soft drink consumption to global overweight, obesity, and diabetes: a cross-national analysis of 75 countries. Am J Public Health 2013;103(11):2071-7.
Singh GM, Micha R, Khatibzadeh S, Lim S, Ezzati M, Mozaffarian D, et al. Estimated global, regional, and national disease burdens related to sugar-sweetened beverage consumption in 2010. Circulation 2015;132(8): 639-66.
Hongsanun W, Kitreerawutiwong N. Implementation of health promotion strategies to practice in reducing sugar-sweetened beverage consumption to reduce the risk of overweight and obesity. J Public Health Naresuan University 2019;1(2):1-15.
Urwannachotima N, Hanvoravongchai P, Ansah JP, Prasertsom P, Koh VR. Impact of sugar-sweetened beverage tax on dental caries: a simulation analysis. BMC Oral Health 2020;20(1):76.
WHO Guideline: Sugars intake for adult and children. Geneva: World Health Organization;2015.
Kriengsinyos W, Chan P, Amarra MS. Consumption and sources of added sugar in Thailand: a review. Asia Pac J Clin Nutr 2018;27(2):262-83.
Office of the Cane and Sugar Board, Ministry of Industry. Summary of sugar sales for domestic consumption. Thailand;2016.
Bailey RL, Fulgoni VL, Cowan AE, Gaine PC. Sources of added sugars in young children, adolescents, and adults with low and high intakes of added sugars. Nutrients 2018;10(1):102.
Mathias KC, Slining MM, Popkin BM. Foods and beverages associated with higher intake of sugar-sweetened beverages. Am J Prev Med 2013;44(4): 351-7.
Moynihan P, Makino Y, Petersen PE, Ogawa H. Implications of WHO guideline on sugars for dental health professionals. Community Dent Oral Epidemiol 2018;46(1):1-7.
Khan SY, Holt K, Tinanoff N. Nutrition education for oral health professionals: A must, yet still neglected. J Dent Educ 2017;81(1):3-4.
DiMaria-Ghalili RA, Mirtallo JM, Tobin BW, Hark L, Van Horn L, Palmer CA. Challenges and opportunities for nutrition education and training in the health care professions: intraprofessional and interprofessional callto action. Am J Clin Nutr 2014;99(5 Suppl):1184S-93S.
Promdee L, Trakulthong J, Kangwantrakul W. Sucrose consumption in Thai undergraduate students. Asia Pac J Clin Nutri 2007;16(Suppl 1):22-6.
Yamane T. Statistics : an introductory analysis. 3rd ed. New York: Harper and Row, 1973.
Hedrick VE, Comber DL, Estabrooks PA, Savla J, Davy BM. The beverage intake questionnaire: determining initial validity and reliability. J Am Diet Assoc 2010;110(8):1227-232.
Jih J, Mukherjea A, Vittinghoff E, Nguyen TT, Tsoh JY, Fukuoka Y, et al. Using appropriate body mass index cut points for overweight and obesity among Asian Americans. Prev Med 2014;65:1-6.
Jasti S, Rubin R, Doak CM. Sugar-sweetened beverage knowledge and consumption in college students. Health Behav Policy Review 2017;4(1):37-45.
Nakhooda Re, Wiles N. Consumption of added sugars among undergraduate students at a South African university and its association with BMI. South Afr J Clin Nutr 2018:1-8.
Lim L, Banwell C, Bain C, Banks E, Seubsman SA, Kelly M, et al. Sugar sweetened beverages and weight gain over 4 years in a Thai national cohort--a prospective analysis. PLoS One 2014;9(5):e95309.
Vadeboncoeur C, Townsend N, Foster C. A meta-analysis of weight gain in first year university students: is freshman 15 a myth? BMC Obes 2015;2:22.
Luger M, Lafontan M, Bes-Rastrollo M, Winzer E, Yumuk V, Farpour-Lambert N. Sugar-sweetened beverages and weight gain in children and adults: A systematic review from 2013 to 2015 and a comparison with previous studies. Obes Facts 2017;10(6):674-93.
Han E, Kim TH, Powell LM. Beverage consumption and individual-level associations in South Korea. BMC Public Health 2013;13(1):195.
Gan WY, Mohamed SF, Law LS. Unhealthy lifestyle associated with higher intake of sugar-sweetened beverages among malaysian school-aged adolescents. Int J Environ Res Public Health 2019;16(15):2785.
Gui ZH, Zhu YN, Cai L, Sun FH, Ma YH, Jing, J, et al. Sugar-sweetened beverage consumption and risks of obesity and hypertension in chinese children and adolescents: A national cross-sectional analysis. Nutrients 2017;9(12):1302.
Papier K, D'Este C, Bain C, Banwell C, Seubsman S, Sleigh A, et al. Consumption of sugar-sweetened beverages and type 2 diabetes incidence in Thai adults: results from an 8-year prospective study. Nutr Diabetes 2017;7(6):e283.
Thewjitcharoen Y, Chotwanvirat P, Jantawan A, Siwasaranond N, Saetung S,Nimitphong H, et al. Evaluation of dietary intakes and nutritional knowledge in Thai patients with type 2 diabetes mellitus. J Diabetes Res 2018;2018:9152910.
Barrett P, Imamura F, Brage S, Griffin SJ, Wareham NJ, Forouhi NG. Sociodemographic, lifestyle and behavioural factors associated with consumption of sweetened beverages among adults in Cambridgeshire, UK: the Fenland Study. Public Health Nutr 2017; 20(15):2766-77.
Bogart LM, Elliott MN, Ober AJ, Klein DJ, Hawes-Dawson Jennifer, Cowgill BO, et al. Home sweet home: parent and home environmental factors in adolescent consumption of sugar-sweetened beverages. Acad Pediatr 2017;17(5):529-36.
Forde H, White M, Levy L, Greaves F, Hammond D, Vanderlee L, et al. The relationship between self-reported exposure to sugar-sweetened beverage promotions and intake: cross-sectional analysis of the 2017 international food policy study. Nutrients 2019; 11(12):3047.
Ferretti F, Mariani M. Sugar-sweetened beverage affordability and the prevalence of overweight and obesity in a cross section of countries. Global Health 2019;15(1):30.
Alvarado M, Unwin N, Sharp SJ, Hambleton I, Murphy MM, Samuels TA, et al. Assessing the impact of the Barbados sugar-sweetened beverage tax on beverage sales: an observational study. Int J Behav Nutr Phys Act 2019;16(1):13.
Álvarez-Sánchez C, Contento I, Jiménez-Aguilar A, Koch P, Gray HL, Guerra LA, et al. Does the Mexican sugar-sweetened beverage tax have a signaling effect? ENSANUT 2016. PLoS One 2018;13(8):e0199337.
Spoer BR, Cantor JH, Rummo PE, Elbel BD. Food environment does not predict self-reported SSB consumption in New York City: A cross sectional study. PLoS One 2018;13(10):e0196689.
Archer E, Hand GA, Blair SN. Validity of U.S. nutritional surveillance: National Health and Nutrition Examination Survey caloric energy intake data, 1971-2010. PLoS One 2013;8(10):e76632.
Mendez MA, Wynter S, Wilks R, Forrester T. Under- and overreporting of energy is related to obesity, lifestyle factors and food group intakes in Jamaican adults. Public Health Nutr 2004;7(1):9-19.
Mourao DM, Bressan J, Campbell WW, Mattes RD. Effects of food form on appetite and energy intake in lean and obese young adults. Int J Obes 2007; 31(11): 1688-95.