An 'end-game' for sugar sweetened beverages?
OBJECTIVE
The epidemic of unhealthy weight is now in its third decade. The multitude of initiatives designed to address this issue (globally) have predominantly been ineffective as the prevalence of unhealthy weight has continued to rise. Public health professionals have proposed an 'endgame' for tobacco smoking in New Zealand by 2025, which has received widespread support. Similarly, here, to control the prevalence of unhealthy weight, we consider whether a similar approach to tobacco is justified to restrict the intake of sweetened beverages.


METHODS
This paper reviews the evidence relating sugar sweetened beverages to unhealthy weight and adverse health effects. Current initiatives aimed at reducing sugar sweetened beverage consumption both internationally and in New Zealand are reviewed.


RESULTS
Epidemiological evidence consistently links sugar-sweetened drink intake with unhealthy weight and other risk factors for cardiovascular disease, such as diabetes, gout, and raised blood pressure. Food disappearance data suggests that sugar intake continues to increase in New Zealand, and that a subtle addiction to sugar may underlie this trend. A number of successful initiatives to reduce sugary drink intake are described. IMPLICATION/CONCLUSION: We argue that an 'endgame' to the consumption of sugar-sweetened beverages be supported as a means to address the issue of unhealthy weight at a population level. Finally, a preliminary draft endgame plan is presented for consideration, dialogue and debate.
G
G
Sundborn
T R
TR
Merriman
S
S
Thornley
P
P
Metcalf
R
R
Jackson
D001628:Beverages / Q000009:adverse effects*; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000517:prevention & control; D019422:Dietary Sucrose / Q000009:adverse effects*; D006291:Health Policy; D006293:Health Promotion; D006801:Humans; D007221:Industry; D009520:New Zealand / Q000453:epidemiology; D009765:Obesity / Q000453:epidemiology* / Q000517:prevention & control*; D012574:Schools; D012907:Smoking / Q000453:epidemiology; D000074606:Smoking Prevention; D013660:Taxes
D019422:Dietary Sucrose