当今社会，含糖饮食已成为许多人生活中难以避免的一部分，但糖的过量摄入对口腔健康和全身健康都可能带来负面影响，是导致全球口腔疾病、心血管疾病、癌症、肥胖和糖尿病增加的危险因素之一。为应对高糖饮食对健康造成的危害，WHO和世界牙科联盟已提出倡议，各国政府也实施了相应的政策和策略，以减少糖的摄入。2019年我国国务院发布的《健康中国行动（2019—2030）》提出，到2030年实现“人均每日添加糖摄入量不高于25 g”的重要指标。中国疾病预防控制中心慢性非传染性疾病预防控制中心组织国内口腔医学、营养学、公共卫生学等领域的专家学者，召开多次专题研讨会，起草编写《减少游离糖预防龋病专家共识》，并征求多方意见和建议，从减糖对口腔健康的影响、减糖策略与方法、实践等方面展开系统性阐述，深入分析减糖国际趋势和最佳实践，为我国制订有效的减糖政策及策略提供参考。本共识内容主要包括游离糖的分类及致龋的最新科学依据，WHO关于含糖饮料税、营养标签、广告、食品改革、调整供给体系、教育和宣传等策略建议以及各国政府采取的减糖行动，结合我国实际情况提出政策建议及面向公众的权威减糖防龋知识，旨在倡导多领域专家共同关注减糖防龋工作，也为口腔医师和公共卫生医师等专业人员开展健康教育提供可参考的科学依据。
In modern society, sugary foods have become an integral part of many people′s lives. However, excessive sugar consumption has adverse effects on both overall health and oral health, serving as a contributing factor to the global increasing incidence in oral diseases, cardiovascular diseases, cancers, obesity, and diabetes. In response to the health risks related to high-sugar diets, the World Health Organization (WHO) and World Dental Federation (FDI) have proposed initiatives and recommendations, with various governments implementing different policies and strategies to reduce sugar intake. Chinese government has also taken proactive measures. The "Healthy China Action (2019-2030)" initiative introduced by the State Council in 2019 established a crucial benchmark in limiting the average daily intake of added sugar to 25 g per person forward to 2030. Experts from Chinese Center for Disease Control and Prevention and the field of oral health have meticulously examined the impacts of sugar reduction on oral health, as well as strategies, methods, and practical considerations related to reducing sugar intake through several meeting and wrote the "Expert consensus: reducing free-sugar for caries prevention", which was subsequently reviewed and revised based on the feedback from multiple stakeholders. They have conducted thorough analyses of global trends in sugar reduction and best practices to provide valuable insights to China for crafting effective policies and strategies on sugar reduction. This consensus mainly includes the classification of free sugars, the latest scientific evidence on dental caries, recommendations from WHO on sugar-sweetened beverage taxes, nutrition labeling, advertising, food reform, adjusting supply systems, education, and promotion strategies, as well as sugar reduction actions taken by various governments around the world. Combining the actual situation in China, policy recommendations and authoritative popular science knowledge on sugar reduction for caries prevention to public are proposed to advocate for experts in multiple fields to focus on sugar reduction for caries prevention, promote the work process, and provide the scientific basis for oral health educators.
曾晓娟,刘雪楠,刘敏,等. 减少游离糖预防龋病专家共识[J]. 中华口腔医学杂志,2025,60(04)：311-319.
DOI:10.3760/cma.j.cn112144-20241203-00451版权归中华医学会所有。
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