Guidelines to Limit Added Sugar Intake
Authors: Cristin Kearns, Dean Schillinger
Journal: Annals of Internal Medicine (2017)

Letters1 August 2017Guidelines to Limit Added Sugar IntakeCristin Kearns, DDS, MBA and Dean Schillinger, MDCristin Kearns, DDS, MBAFrom University of California, San Francisco, San Francisco, California; University of California, San Francisco, and San Francisco General Hospital and Trauma Center, San Francisco, California. and Dean Schillinger, MDFrom University of California, San Francisco, San Francisco, California; University of California, San Francisco, and San Francisco General Hospital and Trauma Center, San Francisco, California.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L17-0257 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We thank Dr. Brouwers and colleagues for clarifying the scope of the AGREE II instrument. However, we maintain that Erickson and associates' (1) use of this instrument to judge the quality of the development of sugar guidelines was inappropriate. Sugar guidelines that focus on setting a target level of sugar consumption should not be judged for failing to determine best practices to manage high sugar consumption. For example, setting a target blood pressure level and determining best practices to manage high blood pressure are 2 distinctly different issues. If a guideline's sole purpose it is to do the ...References1. Erickson J, Sadeghirad B, Lytvyn L, Slavin J, Johnston BC. The scientific basis of guideline recommendations on sugar intake. A systematic review. Ann Intern Med. 2017;166:257-67. [PMID: 27992898]. doi:10.7326/M16-2020 LinkGoogle Scholar2. The AGREE Research Trust. Appraisal of Guidelines for Research and Evaluation II Instrument. 2013. Accessed at www.agreetrust.org/wp-content/uploads/2013/10/AGREE-II-Users-Manual-and-23-item-Instrument_2009_UPDATE_2013.pdf on 26 June 2017. Google Scholar Author, Article, and Disclosure InformationAffiliations: From University of California, San Francisco, San Francisco, California; University of California, San Francisco, and San Francisco General Hospital and Trauma Center, San Francisco, California.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-2754. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoGuidelines to Limit Added Sugar Intake: Junk Science or Junk Food? Dean Schillinger and Cristin Kearns Guidelines to Limit Added Sugar Intake Melissa C. Brouwers , Amir Qaseem , Karen Spithoff , and Ivan D. Florez Metrics Cited byCanadian Adults with Moderate Intakes of Total Sugars have Greater Intakes of Fibre and Key Micronutrients: Results from the Canadian Community Health Survey 2015 Public Use Microdata File 1 August 2017Volume 167, Issue 3Page: 220KeywordsBeveragesBlood pressureDisclosureFoodHealth economicsLung and intrathoracic tumorsPrevention, policy, and public healthPrimary hypertension ePublished: 1 August 2017 Issue Published: 1 August 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...