Objective: Dietary surveys of 11-to 12-year-old Northumbrian children in 1980 and 1990 revealed that consumption of non-milk extrinsic sugars (NMES) was 16 -17% of energy intake. This study reports dietary sugars consumption in 2000 and compares it with data collected in 1980 and 1990, using identical methods. Design: A repeat cross-sectional dietary survey of children aged 11 -12 years attending the same schools as in the 1980 and 1990 surveys. Setting: Seven middle schools in south Northumberland. Subjects: All children aged 11-12 years old attending the seven schools. Method: Food consumption was recorded using two 3-day diet diaries. Food composition tables were used to calculate energy and nutrient intakes. NMES, and milk and intrinsic sugars were calculated using previously described methods. , and from breakfast cereals increased from 2 to 7 g day 21 over the 20 years. Confectionery and soft drinks provided 61% of NMES. Over 20 years, the proportion of energy from fat decreased by 5% and from starch increased by 4%, creating a welcome tilt in the fat -starch see-saw, without an adverse effect on sugars intake. Conclusions: Consumption of NMES in 2000 was substantially higher than recommended, and there has been little change over 20 years. Continued and coordinated efforts are required at a national, community and individual level to reduce the intake of NMES.