Carbohydrate has really shifted, and so people are eating more calories from carbohydrate before, sugars primarily, and that is coming primarily from added sugar, or that's at least one of the primary contributors.

碳水化合物也有明显的变化,比前人更多的从碳水化合物中摄取热量,以糖类为主,也就是说主要是添加糖类的食物,至少这是主要的来源之一

耶鲁公开课 - 关于食物的心理学、生物学和政治学课程节选