目標：此前瞻性之長期追蹤世代研究經由研發估算精製糖攝取量之方法學，提供本土學齡前兒童2~5歲之含糖飲料及糕餅點心與精製糖攝取情形。方法：招募之初共有301位嬰兒，追蹤至五歲為132位幼兒，本研究使用24小時飲食回憶資料計算含糖飲料及糕餅點心之攝取量，並建立估計精製糖百分比之規則，進一步獲得幼兒平均每日攝取自含糖飲料及糕餅點心之精製糖量。結果：含糖飲料方面，「調味及發酵乳飲」攝取人數百分比保持最高，「五穀雜糧飲」呈逐年上升趨勢，「茶飲料」則有最大幅度之上升；糕餅點心方面，幼兒2~4歲以「餅乾類」攝取人數百分比維持最高，而「中式甜湯類」則呈現逐年上升趨勢，且有最大上升幅度，至幼兒5歲時呈最高攝取人數百分比。精製糖方面，幼兒2~5歲之精製糖攝取量估計為13±12g，19±16g，32±18g，29±20g (p for trend<0.01)約占總熱量依序為5%、6%、9%及8%。結論：參與研究者有1/3的5歲幼童攝取超出建議量(10%總熱量)的精緻糖，另需注意「茶飲料」的咖啡因不適於成長中之幼童，應從小培養良好飲食習慣，均衡飲食以利正常生長發育。(台灣衛誌 2013；32(4)：346-357)

Objectives: The purpose of this study is to examine the consumption of sugar-sweetened beverages, snacks and desserts among pre-school children and estimate the intake of refined sugar among children aged 2 to 5 by a prospective cohort. Methods: Total 301 infants were followed up annually to the age of 5 (n=132). The intake of refined sugar is calculated by using 24-hour recalls. Estimated percentages of refined sugar in various food products are used in order to obtain the average daily intakes. Results: The consumption of sugar-sweetened beverages increased with age. “Flavored and fermented milk” contributed to the highest percentage among children aged 2-5, while the “whole grains drinks” and “tea drinks” showed an increasing trend over the years and the “tea drinks” increased its consumption sharply. For snacks and desserts, “biscuits” contributed the highest percentage among children aged 2 to 4, while “Chinese sweet soup” showed an upward trend over the years with the highest percentage among children aged 5. The estimated refined sugar consumption was 13 ± 12g, 19 ± 16g, 32 ± 18g, 29 ± 20g (p for trend<0.01), energy intake from refined sugar was 5%, 6%, 9% and 8% among children aged 2, 3, 4 and 5, respectively. Conclusions: Over one-third of 5-year old children had over 10% of their caloric intakes from refined sugar. The caffeine in tea may not be suitable for young children. Proper eating habits and a balanced diet could facilitate the normal growth and development of healthy children. (Taiwan J Public Health. 2013;32(4):346-357)