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Nonalcoholic and Alcoholic Beverage Intakes by Adults across 5 Upper-Middle- and High-Income Countries.

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Vanderlee, Lana 
White, Christine M 
Kirkpatrick, Sharon I 
Rynard, Vicki L 
Jáuregui, Alejandra 


BACKGROUND: Despite considerable public health interest in sugary drink consumption, there has been little comparison of intake across countries. OBJECTIVES: This study aimed to compare the consumption frequency and amounts of commonly consumed beverages among adults in 5 upper-middle- and high-income countries, and examine differences in consumption between population subgroups. METHODS: Adults aged 18-65 y completed online surveys in December 2017 in Australia (n = 3264), Canada (n = 2745), Mexico (n = 3152), the United Kingdom (n = 3221), and the USA (n = 4015) as part of the International Food Policy Study. The frequency of consuming beverages from 22 categories in the past 7 d was estimated using the Beverage Frequency Questionnaire. Regression models were used to examine differences in the likelihood of any consumption and in the amounts consumed of sugar-sweetened beverages (SSBs), sugary drinks (SSBs and 100% juice), diet, and alcoholic beverages between countries and across sociodemographic subgroups. RESULTS: The prevalence of reported SSB consumption in the past 7 d ranged from 47% (United Kingdom) to 81% (Mexico), and that of sugary drinks ranged from 62% (United Kingdom) to 87% (Mexico). Rates of consumption of diet drinks ranged from 26% (Mexico) to 37% (United Kingdom), whereas alcoholic drink consumption rates ranged from 45% (USA) to 52% (Canada). Respondents in Mexico were more likely to consume SSBs and sugary drinks, and in greater amounts, than those in other countries. Respondents in the United Kingdom were more likely to consume diet drinks than those in Australia, Canada, and Mexico, and greater amounts of diet drinks were consumed in the United Kingdom and the USA. Across countries, younger respondents and males were more likely to consume greater amounts of SSBs and sugary drinks. CONCLUSIONS: Most adult respondents across all countries consumed SSBs and sugary drinks, with greater consumption in Mexico and the USA. Consumption varied greatly across countries, but patterns of association among subpopulations were relatively similar.



adults, alcohol, beverage consumption, diet beverage consumption, international comparisons, noncaloric sweetener, sugar-sweetened beverages, sugary drinks, Adolescent, Adult, Aged, Alcohol Drinking, Alcoholic Beverages, Developed Countries, Diet Surveys, Female, Humans, Income, Male, Middle Aged, Surveys and Questionnaires, Young Adult

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J Nutr

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Elsevier BV
Medical Research Council (MR/K023187/1)
Medical Research Council (MC_UU_12015/6)
Wellcome Trust (087636/Z/08/Z)
Economic and Social Research Council (ES/G007462/1)
MRC (MC_UU_00006/7)
The first two waves of the International Food Policy Study were funded by a population health intervention research operating grant from the Canadian Institutes of Health Research (CIHR). Additional support was provided by a CIHR – Public Health Agency of Canada (PHAC) Applied Public Health Chair held by David Hammond. JA receives funding from the Centre for Diet and Activity Research (CEDAR), a UKCRC Public Health Research Centre of Excellence. Funding from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the National Institute for Health Research, and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged. GS is supported by a Heart Foundation Future Leader Fellowship (102035) from the National Heart Foundation of Australia. He is also a researcher within National Health and Medical Research Council (NHMRC) Centres for Research Excellence entitled Reducing Salt Intake Using Food Policy Interventions (APP1117300) and a Centre of Research Excellence in Food Retail Environments for Health (RE-FRESH) (APP1152968) (Australia). He has also received other funding from the NHMRC, Australian Research Council (ARC) and the World Health Organization (WHO). Data described in the manuscript, code book, and analytic code will be made available upon request pending application and approval by DH.