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European Journal of Nutrition

Erschienen in:

31.07.2018 | Original Contribution

Intake of free sugar and micronutrient dilution in Australian children and adolescents

verfasst von: Tommy Hon Ting Wong, Angelique Mok, Rabia Ahmad, Anna Rangan, Jimmy Chun Yu Louie

Erschienen in: European Journal of Nutrition | Ausgabe 6/2019

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Abstract

Purposes

This cross-sectional analysis aimed to investigate the association between free sugar intake and micronutrient intake in Australian children and adolescents and to assess the effectiveness of the cut-off of < 10% energy intake from free sugar (%EFS) as recommended by the World Health Organization (WHO).

Methods

Dietary data of children and adolescents from the Australian Health Survey 2011–12 were analyzed (n = 1466). Free sugar intake was estimated using a published methodology with modification to suit the definition of free sugar. Six cut-offs for %EFS were created in 5% increments. Participants’ mean intakes of 18 micronutrients, as well as their intakes of core (healthy) and discretionary (unhealthy) foods, at different cut-offs were compared using ANCOVA, with age, sex, and socioeconomic status measures as covariates. The odds ratios of not meeting the nutrient reference values (NRVs) for Australia and New Zealand of each micronutrient were calculated using logistic regression.

Results

Micronutrient intake decreased with increasing %EFS and the peak intakes of most micronutrients appeared between 0–15%EFS. The absolute intakes of most micronutrients were not significantly different between participants who consumed < 10%EFS and ≥ 10%EFS. Those with > 20%EFS were less likely to meet the NRVs of more than half of the micronutrients. Additionally, as %EFS increased, intakes of core food groups decreased, while intakes of discretionary food groups increased.

Conclusions

The dilution effect in micronutrient intake with increasing free sugar intake was evident in Australian children and adolescents. However, meeting the WHO cut-off was associated with limited improvement in micronutrient adequacy.

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World Health Organization (2015) Guideline: sugars intake for adults and children. World Health Organization, Geneva

Sheiham A, James WPT (2014) A reappraisal of the quantitative relationship between sugar intake and dental caries: the need for new criteria for developing goals for sugar intake. BMC Public Health 14(1):863. https://doi.org/10.1186/1471-2458-14-863 CrossRefPubMedPubMedCentral

Gibson S, Boyd A (2008) Associations between added sugars and micronutrient intakes and status: further analysis of data from the National Diet and Nutrition Survey of Young People aged 4 to 18 years. Br J Nutr 101(1):100–107. https://doi.org/10.1017/S0007114508981484 CrossRefPubMed

Joyce T, Gibney MJ (2008) The impact of added sugar consumption on overall dietary quality in Irish children and teenagers. J Hum Nutr Diet 21(5):438–450. https://doi.org/10.1111/j.1365-277X.2008.00895.x CrossRefPubMed

Kranz S, Smiciklas-Wright H, Siega-Riz AM, Mitchell D (2005) Adverse effect of high added sugar consumption on dietary intake in American preschoolers. J Pediatr 146(1):105–111. https://doi.org/10.1016/j.jpeds.2004.08.077 CrossRefPubMed

National Health and Medical Research Council (Australia) (2013) Australian dietary guidelines—providing the scientific evidence for healthier Australian diets. NHMRC, DoHA, Canberra

Institute of Medicine (2005) Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. The National Academies Press, Washington, DC. https://doi.org/10.17226/10490 doiCrossRef

Louie JCY, Tapsell LC (2015) Intake of total and added sugars and nutrient dilution in Australian children and adolescents. Br J Nutr 114(11):1875–1886. https://doi.org/10.1017/S0007114515003542 CrossRefPubMed

Mok A, Ahmad R, Rangan A, Louie JCY (2018) Intake of free sugars and micronutrient dilution in Australian adults. Am J Clin Nutr 107(1):94–104. https://doi.org/10.1093/ajcn/nqx008 CrossRefPubMed

10.

Lei L, Rangan A, Flood VM, Louie JCY (2016) Dietary intake and food sources of added sugar in the Australian population. Br J Nutr 115(5):868–877. https://doi.org/10.1017/S0007114515005255 CrossRefPubMed

11.

Australian Bureau of Statistics (2013) Australian Health Survey: users’ guide, 2011–13 http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/74D87E30B3539C53CA257BBB0014BB36?opendocument. Accessed 2 June 2015

12.

Bliss R (2004) Researchers produce innovation in dietary recall. Agric Res 52(6):10–12

13.

Food standards Australia New Zealand (2014) AUSNUT 2013—Australian Food Composition Tables. FSANZ, Canberra

14.

Harttig U, Haubrock J, Knuppel S, Boeing H (2011) The MSM program: web-based statistics package for estimating usual dietary intake using the Multiple Source Method. Eur J Clin Nutr 65(Suppl 1):S87–S91. https://doi.org/10.1038/ejcn.2011.92 CrossRefPubMed

15.

Louie JCY, Moshtaghian H, Boylan S, Flood VM, Rangan AM, Barclay AW, Brand-Miller JC, Gill TP (2015) A systematic methodology to estimate added sugar content of foods. Eur J Clin Nutr 69(2):154–161. https://doi.org/10.1038/ejcn.2014.256 CrossRefPubMed

16.

Louie JCY, Lei L, Rangan AM (2016) Reliability of a systematic methodology to estimate added sugars content of foods when applied to a recent Australian food composition database. J Food Compost Anal 46:36–42. https://doi.org/10.1016/j.jfca.2015.11.002 CrossRef

17.

National Health and Medical Research Council (2006) Nutrient reference values for Australia and New Zealand including recommended dietary intakes. NHMRC, Canberra, Australian

18.

Australian Bureau of Statistics (2011) Census of Population and Housing: Socio-Economic Indexes for Areas (SEIFA), cat. no. 2033.0.55.001. Australian Bureau of Statistics, Canberra

19.

Fisher RA (1992) The arrangement of field experiments. In: Kotz S, Johnson N (eds) Breakthroughs in statistics. Springer Series in Statistics. Springer, New York, pp 82–91. https://doi.org/10.1007/978-1-4612-4380-9_8 CrossRef

20.

Fisher RA (1922) On the interpretation of X2 from contingency tables, and the calculation of P. J Roy Stat Soc Ser A (Stat Soc) 85(1):87–94. https://doi.org/10.2307/2340521 CrossRef

21.

Goldberg GR, Black AE (1998) Assessment of the validity of reported energy intakes-review and recent developments. Food Nutr Res 42:6–9

22.

Goldberg GR, Black AE, Jebb SA, Cole TJ, Murgatroyd PR, Coward WA, Prentice AM (1991) Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording. Eur J Clin Nutr 45(12):569–581PubMed

23.

Louie JCY, Buyken AE, Heyer K, Flood VM (2011) Dietary glycaemic index and glycaemic load among Australian children and adolescents. Br J Nutr 106(08):1273–1282. https://doi.org/10.1017/S0007114511001577 doiCrossRefPubMed

24.

Ferrari P, Slimani N, Ciampi A, Trichopoulou A, Naska A, Lauria C, Veglia F, Bueno-de-Mesquita HB, Ocke MC, Brustad M, Braaten T, Jose Tormo M, Amiano P, Mattisson I, Johansson G, Welch A, Davey G, Overvad K, Tjonneland A, Clavel-Chapelon F, Thiebaut A, Linseisen J, Boeing H, Hemon B, Riboli E (2002) Evaluation of under- and overreporting of energy intake in the 24-hour diet recalls in the European Prospective Investigation into Cancer and Nutrition (EPIC). Public Health Nutr 5(6B):1329–1345. https://doi.org/10.1079/PHN2002409 CrossRefPubMed

25.

Gibson S, Francis L, Newens K, Livingstone B (2016) Associations between free sugars and nutrient intakes among children and adolescents in the UK. Br J Nutr 116(7):1265–1274. https://doi.org/10.1017/S0007114516003184 CrossRefPubMed

26.

Forshee RA, Storey ML (2004) Controversy and statistical issues in the use of nutrient densities in assessing diet quality. J Nutr 134(10):2733–2737CrossRef

27.

Ruxton CHS, Gardner EJ, McNulty HM (2009) Is sugar consumption detrimental to health? A review of the evidence 1995–2006. Crit Rev Food Sci Nutr 50(1):1–19. https://doi.org/10.1080/10408390802248569 CrossRef

28.

Khan TA, Sievenpiper JL (2016) Controversies about sugars: results from systematic reviews and meta-analyses on obesity, cardiometabolic disease and diabetes. Eur J Nutr 55(2):25–43. https://doi.org/10.1007/s00394-016-1345-3 CrossRefPubMedPubMedCentral

29.

Azaïs-Braesco V, Sluik D, Maillot M, Kok F, Moreno LA (2017) A review of total & added sugar intakes and dietary sources in Europe. Nutr J 16:6. https://doi.org/10.1186/s12937-016-0225-2 CrossRefPubMedPubMedCentral

30.

Sluik D, van Lee L, Engelen A, Feskens E (2016) Total, free, and added sugar consumption and adherence to guidelines: the Dutch National Food Consumption Survey 2007–2010. Nutrients 8(2):70CrossRef

31.

Louie JCY, Moshtaghian H, Rangan AM, Flood VM, Gill TP (2016) Intake and sources of added sugars among Australian children and adolescents. Eur J Nutr 55(8):2347–2355. https://doi.org/10.1007/s00394-015-1041-8 CrossRefPubMed

32.

Øverby NC, Lillegaard ITL, Johansson L, Andersen LF (2004) High intake of added sugar among Norwegian children and adolescents. Public Health Nutr 7(2):285–293. https://doi.org/10.1079/PHN2003515 CrossRefPubMed

33.

Alexy U, Sichert-Hellert W, Kersting M (2002) Fortification masks nutrient dilution due to added sugars in the diet of children and adolescents. J Nutr 132(9):2785–2791CrossRef

34.

Marriott BP, Olsho L, Hadden L, Connor P (2010) Intake of added sugars and selected nutrients in the United States, National Health and Nutrition Examination Survey (NHANES) 2003–2006. Crit Rev Food Sci Nutr 50(3):228–258. https://doi.org/10.1080/10408391003626223 CrossRefPubMed

Titel: Intake of free sugar and micronutrient dilution in Australian children and adolescents
verfasst von: Tommy Hon Ting Wong
Angelique Mok
Rabia Ahmad
Anna Rangan
Jimmy Chun Yu Louie
Publikationsdatum: 31.07.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Nutrition / Ausgabe 6/2019
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI: https://doi.org/10.1007/s00394-018-1801-3

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Intake of free sugar and micronutrient dilution in Australian children and adolescents

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Results

Conclusions

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