Evidence mapPaperPMID 42478217Full record

ArticlePublic health nutrition2026

Variations in dietary fibre and added sugar intake across global, regional and national levels: implications for non-communicable diseases.

Maab Mohammed Alballa, Xinran Feng, Ahmed Mohamed Hassan, Xin Qi, Xin Liu

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Article in Public health nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Maab Mohammed AlballaDepartment of Epidemiology and Biostatistics, School of Public Health, Global Health Institute, Xi'an Jiaotong University, China.
Xinran FengDepartment of Epidemiology and Biostatistics, School of Public Health, Global Health Institute, Xi'an Jiaotong University, China.
Ahmed Mohamed HassanDepartment of Epidemiology and Biostatistics, School of Public Health, Global Health Institute, Xi'an Jiaotong University, China.
Xin QiDepartment of Epidemiology and Biostatistics, School of Public Health, Global Health Institute, Xi'an Jiaotong University, China.
Xin LiuDepartment of Epidemiology and Biostatistics, School of Public Health, Global Health Institute, Xi'an Jiaotong University, China.ORCID https://orcid.org/0000-0001-5105-0532

Funding

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6 · The paper itself

Abstract

objectiveTo examine global, regional and national trends in dietary fibre and added sugar consumption and to assess their implications for non-communicable disease (NCD) prevalence.

designThis study used a longitudinal ecological design. Dietary fibre (1990-2018) and added sugar (1990-2020) intake data were obtained from the Global Dietary Database (GDD). Intakes were analysed across GDD regions, age groups, education levels and urbanisation status. Subsequently, mixed-effects models were used to assess the association between NCD prevalence and intakes of fibre, added sugar and the fibre-to-added-sugar ratio, adjusting for socio-demographic index (SDI), national income and urbanisation.

settingThe GDD covers dietary intake estimates for 185 countries and territories.

resultsGlobally, median dietary fibre intake rose from 14·8 to 21·6 g/d, while added sugar intake increased from 7·7 % to 10·5 % of total energy intake. Fibre intake increased in all regions except high-income countries, where it declined from 21·5 to 16·4 g/d. In contrast, added sugar intake increased in all regions except Latin America and the Caribbean (15·6 % to 13·3 % of total energy). Intake patterns were associated with education and urbanisation levels, with higher added sugar intake observed in countries with a higher SDI (

conclusionsThis study highlights global disparities in dietary fibre and added sugar consumption, driven by regional, educational and urbanisation factors. These findings underscore the need for targeted interventions to improve nutrition and reduce the NCD burden.

Indexed as

DietDietary FiberDietary SugarsGlobal HealthNoncommunicable DiseasesAdultEnergy IntakeFemaleHumansLongitudinal StudiesMaleMiddle AgedPrevalenceSocioeconomic FactorsDietary FiberDietary SugarsAdded sugarDietary fibreDietary trendsGlobal dietary databaseNon-communicable diseases

Identifiers

PMID42478217
PMCPMC13469227

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.