Added sugars and cardiovascular disease risk in children: A scientific statement from the American Heart Association

Miriam B. Vos*, Jill L. Kaar, Jean A. Welsh, Linda V. van Horn, Daniel I. Feig, Cheryl A M Anderson, Mahesh J. Patel, Jessica Cruz Munos, Nancy F. Krebs, Stavra A. Xanthakos, Rachel K. Johnson, On behalf of the American Heart Association Nutrition Committee of the Council on Lifestyle and Cardiometabolic Health; Council on Clinical Cardiology; Council on Cardiovascular Disease in the Young; Council on Cardiovascular and Stroke Nursing; Council on Epidemiology and Prevention; Council on Functional Genomics and Translational Biology; and Council on Hypertension

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

369 Scopus citations


Background: Poor lifestyle behaviors are leading causes of preventable diseases globally. Added sugars contribute to a diet that is energy dense but nutrient poor and increase risk of developing obesity, cardiovascular disease, hypertension, obesity-related cancers, and dental caries. Methods and Results: For this American Heart Association scientific statement, the writing group reviewed and graded the current scientific evidence for studies examining the cardiovascular health effects of added sugars on children. The available literature was subdivided into 5 broad subareas: Effects on blood pressure, lipids, insulin resistance and diabetes mellitus, nonalcoholic fatty liver disease, and obesity. Conclusions: Associations between added sugars and increased cardiovascular disease risk factors among US children are present at levels far below current consumption levels. Strong evidence supports the association of added sugars with increased cardiovascular disease risk in children through increased energy intake, increased adiposity, and dyslipidemia. The committee found that it is reasonable to recommend that children consume ≤25 g (100 cal or ≈6 teaspoons) of added sugars per day and to avoid added sugars for children <2 years of age. Although added sugars most likely can be safely consumed in low amounts as part of a healthy diet, few children achieve such levels, making this an important public health target.

Original languageEnglish (US)
Pages (from-to)e1017-e1034
Issue number19
StatePublished - May 9 2017


  • AHA Scientific Statements
  • child
  • diet
  • nutritional status
  • obesity
  • sugar
  • sweetening agents

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)


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