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Official websites use. Share sensitive information only on official, secure websites. A high dietary sugar intake is thought to contribute to the development of several diseases such as dental caries [ 1 ], overweight and obesity [ 2 , 3 , 4 , 5 ], cardiovascular diseases [ 6 , 7 , 8 ] or metabolic syndrome [ 9 ].
With the recent shift towards food-based recommendations, evidence has emerged regarding the relevance of specific food source of sugar for health outcomes [ 10 , 11 , 12 , 13 , 14 , 15 , 16 ]. In particular, a high intake of sugars from liquid sources may be detrimental for health: Due to a lack of satiety [ 17 ] and incomplete compensation of liquid calories [ 10 ], a high sugar intake from SSB promotes weight gain and the development of overweight [ 3 , 12 , 13 , 18 ] or diabetes [ 11 , 15 ].
Since pure juices can have sugar and energy contents similar to SSB [ 16 ], intakes of juices are also of public health relevance. In addition, the UK Scientific Advisory Committee on Nutrition SCAN has recently recommended extending the term of FS to fruits and vegetables purees and pastes and similar products in which the cell structure was destroyed during processing [ 20 , 21 ]. However, this recommendation as well as some possible health consequences of high sugar intake are controversially discussed, in particular by the food industry [ 24 , 25 ].
As the sweet preference is higher in childhood and adolescence than in adulthood [ 26 , 27 , 28 ], these ages are particularly vulnerable to the health consequences of high sugar intakes. However, dietary habits may change with time and with increasing age, as the sweet preference is already decreasing from childhood to adolescence [ 26 , 27 , 28 ]. Age trends in total, added and free sugar intake suggest a shift from those sugars naturally occurring in fruits, milk, and juices to those added to foods and beverages, e.
For the development of tailored public health measures for FS reduction, data on FS food sources preferred by children and adolescents are crucial.