PDF(Pubmed)
Abstract：
Adequate water intake is essential for human health. Sugary beverage taxes are a best buy policy to reduce obesity and diet-related non-communicable diseases. Food-based dietary guidelines (FBDGs) promote healthy dietary patterns. The study purpose was to evaluate national FBDGs for countries with sugary beverage tax legislation (2000-2023) to promote water and discourage sugary beverage consumption. We developed a coding framework to conduct a content analysis of FBDG documents, and used six indicators to identify messages and images to assign healthy hydration recommendation (HHR) scores from 0-12 to compare FBDGs across countries and six regions. Results showed 93 countries with sugary beverage tax legislation of which 58 countries (62%) had published FBDGs (1998-2023). Of 58 FBDGs reviewed, 48 (83%) had complementary recommendations that encouraged water and discouraged sugary beverages. Of 93 countries, 13 (14%) had the highest HHR scores (11-12); 22, (24%) had high HHR scores (9-10); 20 (21%) had medium HHR scores (4-8); 3 (3%) had low HHR scores (0-3); and 35 (38%) countries had no FBDGs. To reduce health risks for populations, governments must ensure policy coherence to optimize sugary beverage tax impacts by developing FBDGs that encourage water and discourage sugary beverages complementary to national policies.
摘要：
充足的水摄入对人体健康至关重要。含糖饮料税是减少肥胖和饮食相关非传染性疾病的最佳购买政策。以食物为基础的膳食指南(FBDG)促进健康的膳食模式。研究目的是评估含糖饮料税立法国家（2000-2023年）的国家FBDG，以促进水和阻止含糖饮料消费。我们开发了一个编码框架来对FBDG文档进行内容分析，并使用六个指标来识别消息和图像，以分配0-12的健康补水建议（HHR）得分，以比较国家和六个地区的FBDG。结果显示93个国家有含糖饮料税收立法，其中58个国家(62%)公布了FBDG(1998-2023年)。在审查的58个FBDG中，48（83％）的补充建议鼓励水和不鼓励含糖饮料。93个国家,13（14％）的HHR得分最高（11-12）；22（24％）的HHR得分高（9-10）；20（21％）的HHR得分中等（4-8）；3（3％）的HHR得分低（0-3）；35（38％）个国家没有FBDG。为了减少人群的健康风险，政府必须确保政策连贯性，通过开发鼓励水和阻止含糖饮料补充国家政策的FBDG来优化含糖饮料的税收影响。
