Sugar multi forms of cardiovascular disease that represent

Sugar sweetened beverages consumption increased and spread highly at different age groups worldwide (Shah, 2017). Approximately, 9% of global diseases occurred due to diets that poor of nutritional value and 4% related to higher content of added sugar that cause hyperglycemia (IHME, 2015). The most abundant types of these beverages are sport and energy drinks, soda, fruit drinks, sweetened teas and coffees, ?avoured water and other types related to cultures and countries (Wang et al.,2008). Those beverages defined as non-alcoholic, non-dairy with added caloric sugar (kit et al., 2013). Sweetened beverages consumption rate increased significantly that make it a controversial public health issue (Forshee et al.,2008). Different factors may affect colleges attitude toward sugar sweetened beverage consumption like price as a top factor, absence of awareness, location and type of meal (Reedy and Krebs, 2010). Several researches confirmed that consumption of sugar sweetened beverages play a vital role in the development of health problems include obesity, diabetes mellitus type 2, metabolic syndrome, dental caries, cardiovascular disease, lower bone density, gout, chronic kidney disease (Huang et al.,2014; Micha et al.,2017; Malik et al., 2015; Vartanian, 2007; Cheungpasitporn, 2014). About 2% to 6% of type 2 diabetes prevalence in the UK and 4% to 13% in the USA related to sugar sweetened beverages consumption (Imamura et al., 2015 ). In addition, an excessive consumption of sugar sweetened beverages can lead to higher incidence of multi forms of cardiovascular disease that represent 31% of the global death rate (World Health Organization, 2017). Acute hyperglycemia that occurred after sugar sweetened beverages intake weakens endothelial function in patients of cardio metabolic disease beside to healthy people (Loader et al.,2015). Also, a long frequent exposure tohyperglycemia can cause a long-lasting vascular dysfunction leading to impair vascular role at both of microcirculation and large arteries (Shah, 2017). Moreover, rapid disparity insulin response followed by fall in glucose levels concomitantly increased hunger (Malik et al., 2010). A high amounts of sugar taken by people lower fullness sensation and faster gastric emptying period compared to solid food which means increase of weight thus excess fat accumulation (Kohli et al., 2010).Jasti et al. (2017) studied the relationship between sugar sweetened beverage knowledge and consumption among 350 college students by using a self-administered questionnaire. They found that 41% of the participants consumed ?1cup of sugar sweetened beverage per day. Also, an increased knowledge about sugar sweetened beverage may reduce consumption in overweight college students. Different student patterns according consumption of sugar sweetened beverages are necessary to examine in order to rise a public health awareness and designed clinical interventions such as frequency of consumption, location of consumption, meal occasion associated with consumption (kit et al., 2013). Recently, several dietary guidelines and studies have focused on recommendations to lower, stop and fined alternatives to sugar sweetened beverages intake (USDA, 2015; WHO, 2015 ; Hauner et al., 2012; Wolf et al., 2008). No studies were conducted on sugar sweetened beverage consumption in college students at the universities in Jordan. Thus, This study will evaluated the daily consumption and awareness of students at the universities in Jordan.


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