Abstract：
This study evaluated changes in the use of sweeteners over one decade and the relationship between socio-demographics, diet and weight status with the type of sweetener. Data came from the Brazilian National Dietary Surveys of 2008-2009 and 2017-2018, including ≥ 10-year-old individuals (n 32 749; n 44 744, respectively, after excluding pregnant and lactating women). The use of table sugar, non-caloric sweeteners (NCS), both or none was reported through a specific question. Food consumption was assessed using two non-consecutive food records (2008-2009) and 24-h recalls (2017-2018). For the last survey, means of energy, macro and micronutrient intake, food groups\' contribution (%) to daily energy intake and age- and energy-adjusted nutrient intake were estimated according to the type of sweetener used. Differences in means and proportions across the categories of sweeteners used were evaluated based on the 95 % CI. All analyses were stratified by sex and considered sample design and weights. Over 10 years, the use of table sugar decreased by 8 %, while the habit of not using any sweetener increased almost three times, and the use of NCS remained stable. Larger reductions in the use of table sugar were observed in the highest income level and among men. Regardless of sex, compared with NCS users, table sugar users had greater mean intake of energy, carbohydrates and added sugar and lower micronutrient intake means. Although table sugar is still the most used sweetener, the increased choice of \'no sweetener\' is noteworthy in Brazil.
摘要：
这项研究评估了十年来甜味剂使用的变化以及社会人口统计学之间的关系。饮食，和甜味剂类型的体重状态。数据来自2008-2009年和2017-2018年的巴西国家膳食调查，包括≥10岁的个体（n=32,749;n=44,744，分别排除孕妇和哺乳期妇女后）。食用糖的使用，无热量甜味剂[NCS]，两者,或者没有通过特定问题报告。使用两个非连续的食物记录（2008-2009年）和24小时召回（2017-2018年）评估食物消费。在上次调查中,能源手段，宏观和微量营养素的摄入量，食物组对每日能量摄入的贡献（%），根据使用的甜味剂的类型，估算了年龄和能量调节的营养素摄入量。基于95%置信区间评估了所用甜味剂类别之间的均值和比例差异。所有分析都按性别分层，并考虑了样品设计和重量。十多年来,食糖的使用量减少了8%，虽然不使用任何甜味剂的习惯增加了近三倍，NCS的使用保持稳定。在最高收入水平和男性中，食糖的使用减少幅度更大。不管性别,与NCS用户相比，食糖使用者的平均能量摄入量更大，碳水化合物,加糖，和较低的微量营养素摄入量意味着。虽然食糖仍然是最常用的甜味剂，“无甜味剂”的增加选择值得注意。在巴西。
