Dr. Kavey writes, "High added sugar consumption which occurs most commonly in the form of sugar-sweetened beverages is associated with a constellation of cardiovascular risk factors, both independently, and through the development of obesity. Multiple studies have shown that presence of these risk factors in childhood is associated with accelerated atherosclerosis and early cardiovascular disease. Randomized trials of nutritionist-guided interventions show us that diet change can be accomplished and is associated with important cardiovascular benefits. This combined body of evidence suggests that reducing consumption of sugar-sweetened beverages should be considered a critical dietary approach to reducing cardiovascular risk in childhood."

A study of how school vending machines can influence the dietary choices of students is presented in the same issue. Researchers from the CDC and the Florida Department of Health found that the availability of vending machines in middle schools was associated with buying snacks or beverages from vending machines instead of buying school lunches. They also found that although healthier choices were available in school vending machines, the most common choices by students were less healthy snacks and beverages.

Featured Articles:

"Dietary Sources of Energy, Solid Fats, and Added Sugars Among Children and Adolescents in the United States" by Jill Reedy, PhD, MPH, RD, and Susan M. Krebs-Smith, PhD, MPH, RD.

"How Sweet It Is: Sugar Sweetened Beverage Consumption, Obesity, and Cardiovascular Risk in Childhood" by Rae-Ellen W. Kavey, MD, MPH.

"The Impact of the Availability of School Vending Machines on Eating Behavior During Lunch: The Youth Physical Activity and Nutrition Survey" by Sohyun Park, PhD, MS, William M. Sappenfield, MD, MPH, Youjie Huang, MD, DrPh, Bettylou Sherry, PhD, RD, and Diana M. Bensyl, PhD, MA.

Source: Elsevier Health Sciences

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