Excessive Sugar Consumption Research Articles

Chocolate In Jar Sebagai Variasi Produk Dessert Jar Bernutrisi

The era of globalization which offers a lot of instant food. Unknowingly, excessive sugar consumption in the long term can trigger many health problems such as obesity and diabetes mellitus. Chocolate in jar†is a dessert tha tbeen developed with a sweet taste using clear jar packaging but still safe for consumption. A practical culinary dish with attractive visuals and also a premium chocolate taste and contains gluten free and sugar free which we combine with rice crispy. Product It’s also inspired and covers 2 of the 17 Sustainable Development Goals (SDGs). The Goals are built on the important principle of leaving no one behind, and emphasizing a holistic approach to achieve sustainable development for all.

The Relationship Between Snacking and Sugar, Salt, Fat Intake on Nutritional Status of Adolescents of SMKN 30 Jakarta

Excessive consumption of sugar, salt, and fat including from snacks can increase the risk of obesity or being overweight. The objective of this study to analyze the relationship between snacking and sugar, salt, and fat intake on nutritional status in adolescents. This design is cross-sectional with a sample of 90 grade X students at SMKN 30 Jakarta. The data collected include physical activity data using the Global Physical Activity Questionnaire (GPAQ), snacking habit data, frequency of sugar, salt, and fat consumption using the SQ-FFQ. The results of the correlation test showed that there was a significant relationship between snacking habits and sugar intake (p<0.01; r=0.473), snacking habits with salt intake (p<0.01; r=0.606), snacking habits with fat intake (p<0.01; r=0.473), snacking habits with nutritional status (BMI-for-age) (p<0.01; r=0.567), physical activity with nutritional status (BMI-for-age) (p<0.01; r=0.455). The conclusion of this study is that there is a significant relationship between snacking habits and sugar intake, snacking habits and salt intake, snacking habits and fat intake, snacking habits and nutritional status (BMI-for-age), and physical activity and nutritional status (BMI-for-age).

Harnessing SSB tax for health and economic prosperity: A Path to sustainable growth

This study explores the implementation of sugar-sweetened beverages (SSB) excise taxes as a policy tool to address public health challenges related to excessive sugar consumption in Indonesia. With rising rates of diabetes and obesity, SSB taxes have been widely adopted globally, yielding positive outcomes such as reduced consumption and increased government revenue. This research synthesizes global evidence through a scoping review and examines how an SSB excise tax could be structured to fit Indonesia’s unique socio-economic context. The findings suggest that a tiered tax based on sugar content would be most effective in curbing consumption while encouraging the beverage industry to innovate healthier alternatives. Revenue generated from the tax, estimated to reach IDR 9.68 trillion annually, could be directed toward public health initiatives, particularly for preventing and managing non-communicable diseases. The study also recommends complementary public health campaigns to raise awareness of the risks associated with sugar consumption. Effective collaboration between the Directorate General of Taxes and the Ministry of Health is crucial for successfully implementing and monitoring the policy. The introduction of SSB excise taxes in Indonesia represents a strategic opportunity to enhance public health, generate substantial government revenue, and support long-term sustainable development.

A INFLUÊNCIA DO AMBIENTE FAMILIAR NA SAÚDE BUCAL INFANTIL: UM RELATO DE EXPERIÊNCIA

In Brazil, around 53.4% of children aged five years have tooth decay in their primary teeth, highlighting the need for its control. The objective of this work is to report the experience of Dentistry students on the causes of the presence of tooth decay in children, throughout their training with children and their guardians. The results of the reflections were: presence of many carious lesions, difficulty in performing and supervising oral hygiene; excessive sugar consumption; neglect of oral care for deciduous teeth and misinformation about the harmful effects of this attitude on the quality of permanent dentures; perception that, although families are aware of the measures to be adopted to control these problems, in some of them those responsible do not have a routine supervision of oral hygiene or nutrition with excessive consumption of carbohydrates and sweets. The academics found that the more effective participation of Dentistry students in real practice scenarios in Primary Health Care can contribute to changing this perception. It is concluded that the Dentistry student, the general dentist or pediatric dentist and the family must work together to ensure that pediatric patients have better quality oral health.

Diet and Oral Health: An Investigation Into the Impact of Pakistani Dietary Habits on Oral Disease Prevalence.

Background Dietary habits play a significant role in the rising prevalence of oral health disorders, such as dental caries and periodontal diseases, particularly in regions like Pakistan with distinct dietary customs. Objective The primary objective of this research was to investigate the impact of Asian foodon the prevalence of oral diseases, with a focus on identifying specific dietary factors that contribute to oral health issues. Methodology A cross-sectional study was carried out in Lahore between February and July 2024. The sample consisted of 384 adults aged 18 and above, selected based on specific inclusion and exclusion criteria. Data were collected through structured questionnaires assessing dietary habits and clinical examinations to diagnose oral diseases. Statistical analyses (SPSS version 26: (IBM Corp., Armonk, NY, USA), including correlation, regression, and Chi-Square, were used to evaluate the relationships between dietary patterns and oral health indicators. Results The study revealed significant correlations between dietary habits and oral disease prevalence. Among the 384 patients, 287 (74.74%) patients reported high sugar consumption, with a mean frequency of 3.26 times per week, correlating strongly with oral diseases (r=0.45, p<0.01). This group exhibited 179 patients (46.60%) with dental caries and 153 patients (39.58%) with periodontal conditions. Additionally, 262 patients (68.32%) with high carbohydrate intake, averaging 4.14 times per week, showed a moderate positive correlation with oral disease prevalence (r=0.32, p<0.05). Conversely, 193 patients (50.26%) who consumed fruits and vegetables with a mean frequency of 2.51 times per week demonstrated a significant negative correlation with oral disease prevalence (r=-0.40, p<0.01), indicating a protective effect. High sugar intake was associated with greater severity of oral diseases, with mean severity scores of 3.12 for dental caries and 3.20 for periodontal conditions. Conclusion The results show that although consuming more fruits and vegetables has a preventive effect, traditional Pakistani dietary practices, particularly excessive sugar and carbohydrate consumption, are associated with an increased incidence of oral illness.

Excess dietary sugar and its impact on periodontal inflammation: a narrative review.

Sugar is omnipresent in the current food environment and sugar consumption has drastically risen over the past century. Extensive evidence highlights the negative health consequences of consuming excess dietary sugars, leading the World Health Organization (WHO) and the American Heart Association (AHA) to devise guidelines to restrict sugar intake. According to the WHO's Global Oral Health Status Report of 2022, oral diseases and severe periodontitis are a massive public health problem, and dietary sugars are a modifiable risk factor. We conducted a literature review using key databases to summarise the health effects of excessive sugar consumption and their potential role in periodontal inflammation. Available evidence suggests that excess dietary fructose and sucrose can cause low-grade systemic inflammation; and induce dysbiosis in both gut and the oral microbiota. Also, dietary sugar is potentially addictive and hypercaloric and its overconsumption can lead to obesity, metabolic syndrome, and other risk factors for periodontal inflammation. Hence, an unbalanced diet with excess dietary sugars holds the potential to initiate and aggravate periodontal inflammation. In the modern food environment that enables and facilitates a high-sugar diet, adopting a diverse diet and restricting sugar intake according to WHO and AHA guidelines seem beneficial to systemic and periodontal health. Since clinical evidence is limited, future research should study the effectiveness of dietary interventions that control sugar consumption in preventing and managing the global public health problem of periodontal inflammation.

Therapeutic Patient Education and Eating Habits: A Challenge in Caries Disease.

Dietary Factors and Oral Health: Risky dietary behaviors, particularly excessive sugar consumption, significantly contribute to dental caries. Dental practitioners are tasked with detecting and managing these behaviors to effectively treat caries and prevent recurrences. Although dietary assessment tools exist to identify such behaviors, they have limits. Furthermore, traditional methods, focused on information dissemination and advice, often fall short in promoting sustainable changes in patient behavior toward oral health. From our perspective, there is a necessity to integrate educational approaches with therapeutic management for enhancing the ability current and future dental practitioners to effectively care for their patients' oral health needs. Discussion: Specific educational models have been developed for patients with chronic diseases, through Therapeutic Patient Education (TPE), defined as helping patients acquire or maintain the skills they need to best manage their lives with a chronic disease. Future Directions: By incorporating TPE into dental practice, oral health professionals can empower patients to take control of their eating habits and reduce their risk of caries disease. This holistic approach addresses both the carious lesions and underlying causes of tooth decay, leading to better oral health outcomes for patients.

Effect of Apple Puree as a Substitute for Fat and Sugar on the Texture and Physical Properties of Muffins

In the context of global public health concerns, reducing the fat and sugar content of baked goods has become a major priority. The excessive consumption of sugar and fat is associated with an increased risk of obesity, type II diabetes and cardiovascular disease. This study realizes the optimization of muffin formula by incorporating apple puree as a substitute for sucrose and fat, with the aim of increasing the nutritional value and reducing the caloric content of the product. A comprehensive analysis was performed to evaluate the impact of this substitution on various textural and physical properties of muffins. The firmness, chewiness, cohesiveness, height, volume and weight loss during baking of the muffins were determined. The result of the study showed that in order to obtain optimal textural and physical properties, the sugar and fat in the muffins can be substituted with applesauce in percentages of 34.04% and 43.78%, respectively. This research highlights the potential of apple puree to reduce the sugar and fat content and to lead to obtaining optimal physical and textural properties.

Nutritional Counseling Promotes Adherence to the Mediterranean Diet and Healthy Eating in Italian Patients Affected by Phenylketonuria and Treated with Pegvaliase

Background/Objectives: Pegvaliase, a subcutaneous therapy to treat phenylketonuria (PKU), has allowed these patients to maintain adequate phenylalanine (Phe) blood values without following a Phe-controlled diet; this brings up the challenge of promoting healthy eating while moving away from prescription diets. In our center, every patient treated with Pegvaliase undergoes routine nutritional counseling aimed at promoting adherence to the Mediterranean diet (MedDiet) during regular inpatient visits. This study aims to assess adherence to MedDiet and the adequacy of the diets of patients treated with Pegvaliase regarding micro- and macronutrients. Methods: Seven patients on chronic therapy with Pegvaliase underwent a dietetic evaluation to assess the composition of their diets in terms of micro- and macronutrients; they were also administered the Mediterranean Diet Score (MDS) questionnaire. Subcategories from MDS were extracted to evaluate the consumption of foods typically included (vegetables, olive oil, etc.) and typically excluded (red meat, etc.) in the MedDiet. To assess the adequacy of the diet, nutrient and energy levels were compared with guidelines for the Italian population. Results: MedDiet adherence in our sample was comparable to the general population; in terms of macronutrients, good adherence to the recommendations was observed, with every one of them met except for excessive simple sugar consumption. Micronutrient dietary intake was inadequate for zinc, iron, selenium, folate, thiamine, and riboflavin. Conclusions: While more work is necessary to help patients treated with Pegvaliase to progress toward healthy eating, our study suggests that nutritional counseling routinely performed during inpatient visits, typically twice a year, effectively promotes healthier eating habits than those observed in the general population.

Quantifying Soluble Glucose in Selected Fruits from West Bengal's (India) Local Markets to Enhance Dietary Knowledge

Introduction/Objective: A fruit, the soft, pulpy part of a flowering plant, is abundant in essential nutrients like fiber, vitamins, minerals, antioxidants, and bioactive compounds. It provides macronutrients such as carbohydrates and energy while being low in protein and lipids. Health authorities advocate a minimum daily intake of five servings of fruits and vegetables for a balanced diet. Fruits contain simple sugars such as glucose, fructose, and sucrose, which are essential for regulating blood sugar levels and supporting brain function. However, excessive sugar consumption can be harmful in certain health conditions. This highlights the importance of accurately estimating glucose content in fruits for the field of nutrition science. Methods: In this study, a total of 42 fruit samples from 20 groups were collected from local markets in West Bengal, India, to measure glucose levels using the GOD-POD method. Results: Results revealed the top five fruits highest in glucose: green grapes (54.12 ± 5.82 mg/g), java apple (green jamrul: 47.25 ± 8.23 mg/g), red grapes (44.75 ± 5.23 mg/g), Zahedi dates (43.88 ± 3.25 mg/g), and Medjool dates (43.48 ± 3.87 mg/g). Conversely, the five fruits lowest in glucose were Indian gooseberry (amla: 0.84 ± 0.21 mg/g), Bengal currant (koromcha: 1.24 ± 0.15 mg/g), gondhoraj lemon (2.62 ± 0.25 mg/g), himsagar mango (3.46 ± 0.81 mg/g), and pearafuli mango (5.5 ± 0.52 mg/g). Conclusion: This study aims to contribute to the development of a comprehensive database on fruit glucose content. Fruits with lower glucose levels are beneficial for diabetic patients, obese individuals, and others, whereas those with higher glucose levels are not recommended for dia-betics but are suitable for athletes and malnourished individuals.

Influence of different types of dietary sugars on the intestinal mucosa and hepatic lipid metabolism in germ-free mice

The excessive consumption of dietary sugar induces changes in gut microbiota, which is associated with obesity and metabolic dysregulation. This study investigated the effects of monosaccharide and fructooligosaccharide (FOS) intake on metabolic function and intestinal environment in germ-free (GF) mice lacking gut microbiota. GF mice were provided with a chow diet and administered a water solution containing 15 % glucose, fructose, or FOS for 4 weeks. Compared with FOS, glucose, and fructose induced increased hepatic lipid accumulation, increased adipocyte size in white adipose tissue, and upregulated hepatic lipogenic gene expression. FOS exhibited notably higher activation of hepatic AMP-activated protein kinase compared with those consuming glucose or fructose. Moreover, the number of goblet cells in the intestinal mucosa increased significantly with FOS consumption. Collectively, these findings indicate that while monosaccharides caused metabolic disorders in GF mice, FOS alleviated these disorders and increased the number of goblet cells in the intestinal mucosa. These results provide evidence for the occurrence of these effects independently of the gut microbiota.

Sugar taxation policy and sugar consumption in Malaysia

Malaysia has been taking initiatives to combat obesity as well as non-communicable diseases. A sugar-sweetened beverage (SSBs) tax was proposed in 2014 and implemented in 2019 with an excise duty of RM0.40 per litre for ready-to-drink sugar content. This article aimed to spark a discussion about Malaysia's current sugar tax policies to reduce excessive sugar consumption among Malaysians. However, the alarming rise in the number of obesity and diet-related noncommunicable diseases indicates that the sugar tax control measures are less effective in combating health issues. This study compares Malaysia's neighbours' sugar tax policies and other sugar consumption-related measures. To combat the emerging sugar-related health issues in Malaysia, the government should collaborate with food manufacturers to reduce the amount of sugar in their food production, abate sugar-containing products’ promotion, educate the consequences of excess sugar consumption at all levels of education, apply sugar taxes with lower tax base rate and specific tax rate depends on sugar addition, and form a regional policy between neighbours.

Evaluation of Conflicts of Financial Interest in Publications on the Consumption of High-Intensity Sweeteners and Body-Weight Changes: A Systematic Review.

Diseases related to excessive sugar consumption have become a public health concern. However, there may be a direct association between the consumption of artificial sweeteners and changes in body weight. The aim was to evaluate potential industry financial conflicts of interest in publications on the relationship between high-intensity sweetener consumption and changes in body weight in observational and intervention studies. The systematic review used the Medline, Embase, Cochrane, Scopus, and the VHL (Virtual Health Library) Regional Portal, including the LILACS databases. The PICOS strategy were used in the search strategy for intervention studies and for observational studies used the exposure factor as the criterion. Inclusion criteria were observational and intervention studies in adults, without population or health status restrictions, without restriction on the year of publication, but restricted to full articles in Portuguese, English, and Spanish. Exclusion criteria were humans younger than 18 years, cross-sectional studies, and animal and in vitro studies. There were extracted effect estimates, odds ratios, and linear associations, quantifying the effects per unit of intake of high-intensity sweeteners. The risk of bias in the intervention studies was assessed using the Cochrane Collaboration Risk of Bias tool (RoB). The Newcastle Ottawa Scale was used for observational studies (case-control and cohort). Most clinical trials favor using artificial sweeteners and receive contributions from the food industry. Observational studies, for the most part, show that the use of artificial sweeteners is unfavorable. In these studies, there was no sponsorship from the food industry, only from regulatory bodies. This result suggests that studies that had the support of the food industry had their influence on their outcomes. PROSPERO registration no: CRD42016036204.

Associations of sugar intake, high-sugar dietary pattern, and the risk of dementia: a prospective cohort study of 210,832 participants

BackgroundLimited evidence demonstrated the potential relationship between dietary sugar intake and dementia. This association demands further clarification in a large-scale population.MethodsA total of 210,832 participants from the UK Biobank cohort were included in this prospective cohort study. Absolute and relative sugar intake and high-sugar dietary scores were utilized to reflect dietary sugar intake. Absolute sugar intake was identified by the Oxford WebQ in the UK Biobank. Relative sugar intake was calculated by dividing the absolute sugar intake by total diet energy. High-sugar dietary pattern was identified using the method of reduced rank regression. Cox proportional hazards regression analyses and restricted cubic splines were performed to examine the longitudinal associations between dietary sugar intake and all-cause dementia and its main subtype, Alzheimer’s disease. Explorative mediation analyses were conducted to explore underlying mechanisms.ResultsIncreased absolute sugar intake (g/day) was significantly associated with a higher risk of all-cause dementia (HR = 1.003, [95%CI: 1.002–1.004], p < 0.001) and Alzheimer’s disease (1.002, [1.001–1.004], 0.005). Relative sugar intake (%g/kJ/day) also demonstrated significant associations with all-cause dementia (1.317, [1.173–1.480], p < 0.001) and Alzheimer’s disease (1.249, [1.041–1.500], 0.017), while the high-sugar dietary score was only significantly associated with a higher risk of all-cause dementia (1.090, [1.045–1.136], p < 0.001). In addition, both sugar intake and high-sugar dietary score demonstrated significant non-linear relationships with all-cause dementia and Alzheimer’s disease (all p values for non-linearity < 0.05).ConclusionsOur study provided evidence that excessive sugar intake was associated with dementia. Controlling the excess consumption of dietary sugar may be of great public health implications for preventing dementia.

Energy and Sugar Content of Ready-To-Drink Tea and Coffee Marketed in South Tangerang, Indonesia

Excessive sugar consumption, primarily through sugar-sweetened beverages, has been linked to the occurrence of type 2 diabetes mellitus (T2DM). The Ministry of Health of Indonesia recommends that the maximum sugar consumption for the general population not exceed 50 g per day. One type of sugar-sweetened beverage that has been massively distributed in Indonesia is ready-to-drink (RTD) tea and coffee. This study examined the energy and sugar content of the RTD coffee and tea marketed in the modern retail market and their contribution to the Indonesian recommended dietary allowance. This study was conducted in June 2022. Ready-to-drink (RTD) coffee and tea were purchased from five supermarkets and three minimarkets in South Tangerang City, Banten, Indonesia. Data obtained from the product label was recorded and then analysed descriptively. 47 coffee (17 brands) and 58 tea (20 brands) products were obtained during the survey. Most coffee (55.3%) and tea (86.2%) products are distributed in plastic bottles. The median serving size of coffee (240 mL) is slightly smaller than that of tea (250 mL). On average, one serving size of coffee and tea products contributes to 35.7% and 34.8% of the recommended dietary allowance of sugar, respectively. Consumers are advised to take caution while consuming RTD coffee and tea products as they might contribute to excessive sugar consumption. The government must impose regulations to limit sugar content in food and beverage products and increase consumer education to reduce sugar consumption, especially sugar-sweetened products.

D-Tagatose: A Rare Sugar with Functional Properties and Antimicrobial Potential against Oral Species.

Carbohydrates have a dietary role, but excessive consumption of high-calorie sugars can contribute to an increased incidence of metabolic diseases and dental caries. Recently, carbohydrates with sweetening properties and low caloric value, such as D-tagatose, have been investigated as alternative sugars. D-tagatose is a rare sugar that has nutritional and functional properties of great interest for health. This literature review presents an approach to the biological effects of D-tagatose, emphasizing its benefits for oral health. Studies report that D-tagatose has antioxidant and prebiotic effects, low digestibility, reduced glycemic and insulinemic responses, and the potential to improve the lipid profile, constituting an alternative for diabetes mellitus and obesity. It can also be observed that D-tagatose has an antioxidant action, favoring the elimination of free radicals and, consequently, causing a reduction in cellular oxidative stress. Furthermore, it also has antibacterial potential against oral species. Regarding oral health, studies have shown that D-tagatose efficiently reversed bacterial coaggregations, including periodontopathogenic species, and impaired the activity and growth of cariogenic bacteria, such as S. mutans. D-tagatose significantly inhibited biofilm formation, pH decrease and insoluble glucan synthesis in S. mutans cultures. Salivary S. mutans counts were also significantly reduced by the consumption of chewing gum containing D-tagatose and xylitol. In addition, there is evidence that tagatose is effective as an air-polishing powder for biofilm decontamination. The literature indicates that D-tagatose can contribute to the prevention of systemic diseases, also constituting a promising agent to improve oral health.

Research on the level of awareness and consumption of energy drinks among students aged 18-25

Introduction and purpose: The article focuses on the analysis of young people's awareness of the consumption of energy drinks, especially those containing caffeine. The aim of the study is to understand the level of knowledge about the awareness and consumption of energy drinks among students aged 18-25. This study was conducted using surveys and involving 202 participants. Material and Methods: The study was conducted using online anonymous surveys, involving 202 participants. The participants were students aged 18-25 both women and men. The results were analyzed according to the age and gender. Moreover, based on the available literature examining aspects related to the consumption of energy drinks.Results: The study shows that the vast majority of respondents (94.06%) are aware of the impact of energy substances on the body. The charts also illustrate that caffeine, as the main ingredient in energy drinks, is well understood in terms of cardiovascular effects. Moreover, the student community is aware of the link between excessive sugar consumption and the risk of cancer development. Discussion: The study shows that young people are aware of the negative impact of energy drinks on health. Nevertheless, not all areas of knowledge are clear to them. The continuous increase in the level of education can undoubtedly contribute to the introduction of healthy eating habits among students. Most respondents declare to drink energy drinks again, it should draw our special attention.Conclusions: It is worth noting the need for further education, especially in the field of metabolic syndrome. It also highlights the role of research and education in shaping public health awareness. Finally, the article suggests that further research and targeted educational programs are critical to improving public health, especially in the context of energy drink consumption.

A Novel Foodstuff Mixture Improves the Gut-Liver Axis in MASLD Mice and the Gut Microbiota in Overweight/Obese Patients.

Microbial community control is crucial for maintaining homeostasis of the gut-liver axis in metabolic dysfunction-associated steatotic liver disease (MASLD). Here, we show that supplementation with a mixture of Mexican foodstuffs (MexMix)-Opuntia ficus indica (nopal), Theobroma cacao (cocoa) and Acheta domesticus (crickets)-enriches several beneficial taxa in MASLD mice and overweight/obese humans. Thus, MexMix induces an important prebiotic effect. In mice, a restoration of intestinal health was observed due to the increased short-chain fatty acids (SCFAs) and intestinal crypt depth, Ocln and Cldn1 expression, and decreased Il6 and Tnfa expression. MexMix significantly reduced steatosis in the mice's liver and modified the expression of 1668 genes. By PCR, we corroborated a Tnfa and Pparg decrease, and a Cat and Sod increase. In addition, MexMix increased the hepatic NRF2 nuclear translocation and miRNA-34a, miRNA-103, and miRNA-33 decline. In overweight/obese humans, MexMix improved the body image satisfaction and reduced the fat intake. These findings indicate that this new food formulation has potential as a therapeutic approach to treat conditions associated with excessive consumption of fats and sugars.

Free sugar intake is associated with reduced proportion of circulating invariant natural killer T cells among women experiencing overweight and obesity.

Higher prevalence of obesity has been observed among women compared to men, which can be explained partly by the higher consumption of sweets and physical inactivity. Obesity can alter immune cell infiltration, and therefore increase the susceptibility to develop chronic inflammation and metabolic disorders. In this study, we aimed to explore the association between free sugar intake and other unhealthy lifestyle habits in relation to the proportion of circulating iNKT cells among women with healthy weight and women experiencing overweight and obesity. A cross-sectional study was conducted on 51 Saudi women > 18 years, wherein their daily free sugar intake was assessed using the validated Food Frequency Questionnaire. Data on smoking status, physical activity, and supplement use were also collected. Anthropometric data including height, weight, waist circumference were objectively measured from each participants. The proportion of circulating iNKT cells was determined using flow cytometry. Smoking, physical activity, supplement use, and weight status were not associated with proportion of circulating iNKT cells. Significant association was found between proportion of circulating iNKT cells and total free sugar intake and free sugar intake coming from solid food sources only among women experiencing overweight and obesity (Beta: -0.10: Standard Error: 0.04 [95% Confidence Interval: -0.18 to -0.01], p= 0.034) and (Beta: -0.15: Standard Error: 0.05 [95% Confidence Interval: -0.25 to -0.05], p= 0.005), respectively. Excessive free sugar consumption may alter iNKT cells and consequently increase the risk for chronic inflammation and metabolic disorders.

Water, mosquitoes, and sugar

Songkran, the new year and water splashing festival during 11-17 April, was the peak of road accidents in Thailand which now ranks number one in the world, COVID-19, and influenza. After Songkran was the World Malaria Day on 25 April. Thailand is striving to eliminate malaria as well as other mosquitoes-borne infectious diseases including Dengue fever and Zika virus. In addition to infectious diseases, Thailand is also facing with non-communicable diseases caused by excessive sugar consumption and smoking which currently appeared in a new form, the electronic version.