摘要：Studies have linked the consumption of sugary drinks to weight gain, obesity, and type 2 diabetes. Since 2006, New York City has taken several actions to reduce consumption. Nutrition standards limited sugary drinks served by city agencies. Mass media campaigns educated New Yorkers on the added sugars in sugary drinks and their health impact. Policy proposals included an excise tax, a restriction on use of Supplemental Nutrition Assistance Program benefits, and a cap on sugary drink portion sizes in food service establishments. These initiatives were accompanied by a 35% decrease in the number of New York City adults consuming one or more sugary drinks a day and a 27% decrease in public high school students doing so from 2007 to 2013. From 1977 to the early 2000s, Americans dramatically increased their consumption of sugary drinks, including carbonated beverages, fruit drinks, sports and energy drinks, and other drinks with added sugars. 1 A nationally representative survey conducted in 2009 to 2010 found that sugary drinks contributed approximately 150 calories a day to the diet of both adults and youths, with some subgroups consuming far more; for example, adolescent boys consumed a mean of 278 calories per day, and men aged 20 to 39 years consumed a mean of 258 calories per day. 2 Numerous studies have linked the intake of sugary drinks, the largest single source of added sugars in the diet, with weight gain, obesity, type 2 diabetes, and heart disease. 3–8 Because of the health and economic toll of the obesity epidemic and the contribution of sugary drinks to poor health outcomes, many public health organizations support reducing the consumption of sugary drinks. We have described the New York City Department of Health and Mental Hygiene’s (DOHMH’s) multipronged efforts to reduce sugary drink consumption from 2006 to 2013, which has included institutional changes, education via mass media, and regulatory and legislative policy proposals.
