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Associations between intake of added sugars and intakes of nutrients and food groups in the diets of German children and adolescents

Published online by Cambridge University Press:  09 March 2007

Ute Alexy ,
Wolfgang Sichert-Hellert  and
Mathilde Kersting
Ute Alexy*
Affiliation:
Research Institute of Child Nutrition (FKE), Dortmund, Germany
Wolfgang Sichert-Hellert
Affiliation:
Research Institute of Child Nutrition (FKE), Dortmund, Germany
Mathilde Kersting
Affiliation:
Research Institute of Child Nutrition (FKE), Dortmund, Germany
*
*Corresponding author: Dr U. Alexy, fax +49 231 711581, email [email protected]
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Abstract

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The aim of the present analysis was to evaluate the effect of intake of added sugars on intakes of nutrients and food groups. We used a mixed linear model (PROC MIXED) to analyse data from the Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) study (an ongoing longitudinal cohort study between infancy and adulthood). Between July 1985 and August 2001, 3 d weighed dietary records (n 4993) from 849 children and adolescents (416 male, 433 female) aged 2–18 years were collected and evaluated. Overall mean intake of added sugars was 12·4 (SD 5·3) (median 12·0) % energy. Fat intake (% energy) and intake of all analysed nutrients (as % reference values for nutrient intakes) fell across quintiles 1–5 of energy intake from added sugars (P<0·001). With the exception of ‘Sugary foods’ and ‘Beverages’ (significant increase, P<0·0001) and ‘Dairy’ (NS), intake of all other food groups decreased with increasing intake of added sugars (P<0·0001). In conclusion, we found a slight, but statistically significant, nutrient-dilution effect of added sugars and a significant reduction in intake of important nutrient-bearing food groups. However, the DONALD study gives no clear indicator on grounds of micronutrient dilution for a quantitative limit on intake of added sugars.

Keywords

Added sugarsNutrient intakeFood intakeChildrenAdolescents
Type
Research Article
Information
British Journal of Nutrition , Volume 90 , Issue 2 , August 2003 , pp. 441 - 447
Copyright
Copyright © The Nutrition Society 2003

References

Alexy, U, Kersting, M, Sichert-Hellert, W, Manz, F & Schöch, G (1998) Energy intake and growth of 3 to 36-month-old German infants and children. Ann Nutr Metab 42, 68–74.CrossRefGoogle ScholarPubMed
Alexy, U, Kersting, M, Sichert-Hellert, W, Manz, F & Schöch, G (1999) Macronutrient intake of 3- to 36-month-old German infants and children: results of the DONALD Study. Ann Nutr Metab 43, 14–22.CrossRefGoogle ScholarPubMed
Alexy, U, Sichert-Hellert, W & Kersting, M (2002) Fifteen-year time trends in energy and macronutrient intake in German children and adolescents: results of the DONALD study. Br J Nutr 87, 595–604.CrossRefGoogle ScholarPubMed
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, 2785–2791.CrossRefGoogle ScholarPubMed
Bowman, SA (1999) Diets of individuals based on energy intakes from added sugars. Fam Econ Nutr Rev 12, 31–38.Google Scholar
Deutsche Gesellschaft für Ernährung (2000) Referenzwerte für die Nährstoffzufuhr (Reference values for nutrient intake). Frankfurt am Main: Umschau/Braus.Google Scholar
Eurodiet (2000) Core report. http://eurodiet.med.uoc.gr/Google Scholar
Farris, RP, Nicklas, TA, Myers, L & Berenson, GS (1998) Nutrient intake and food group consumption of 10-year-olds by sugar intake level: the Bogalusa Heart Study. J Am Coll Nutr 17, 579–585.CrossRefGoogle ScholarPubMed
Food and Agriculture Organization/World Health Organization (1998) In Carbohydrates in Human Nutrition. Report of a Joint FAO/WHO Expert Consultation. Geneva: WHO. (FAO Food and Nutrition Paper no. 66)Google Scholar
Forshee, RA & Storey, ML (2001) The role of added sugars in the diet quality of children and adolescents. J Am Coll Nutr 20, 32–43.CrossRefGoogle ScholarPubMed
Gibney, M, Sigman-Grant, M, Stanton, JL Jr & Keast, DR (1995) Consumption of sugars. Am J Clin Nutr 62, Suppl. 1, 178S–193S.CrossRefGoogle ScholarPubMed
Gibson, SA (1997) Do diets high in sugars compromise micronutrient intakes?. J Hum Nutr Diet 10, 125–133.CrossRefGoogle Scholar
Gibson, SA (1997) Non-milk extrinsic sugars in the diets of pre-school children: association with intakes of micronutrients, energy, fat and NSP. Br J Nutr 78, 367–378.CrossRefGoogle ScholarPubMed
Goldberg, GR, Black, AE & Jebb, SA (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, 569–581.Google ScholarPubMed
Hill, JO & Prentice, AM (1995) Sugar and body weight regulation. Am J Clin Nutr 62, Suppl. 1, 264S–273S.CrossRefGoogle ScholarPubMed
Holland, B, Welch, AA, Unwin, ID, Buss, DH, Paul, AA & South-gate, DAT (1992) McCance and Widdowson's the Composition of Foods, 5th and Extended Edition. Cambridge: Royal Society Chemistry Ministry of Agriculture, Fisheries and Food.Google Scholar
Johnson, RK & Frary, C (2001) Choose beverages and foods to moderate your intake of sugars: the 2000 dietary guidelines for Americans – what's all the fuss about?. J Nutr 131, 2766S–2771S.CrossRefGoogle Scholar
Kersting, M, Hansen, C & Schöch, G (1995) U[dot]bersicht der derzeitigen Naährstoffanreicherung von Lebensmitteln in Deutschland (A survey of the Present-day Supply of Fortified Food Products in Germany). Z Ernährungswiss 34, 253–260.CrossRefGoogle Scholar
Kersting, M, Sichert-Hellert, W, Alexy, U, Manz, F & Schöch, G (1998) Macronutrient intake of 1 to 18 year old German children and adolescents. Z Ernahrungswiss 37, 252–259.CrossRefGoogle ScholarPubMed
Kersting, M, Sichert-Hellert, W, Lausen, B, Alexy, U, Manz, F & Schöch, G (1998) Energy intake of 1 to 18 year old German children and adolescents. Z Ernahrungswiss 37, 47–55.CrossRefGoogle ScholarPubMed
Krebs-Smith, SM (2001) Choose beverages and foods to moderate your intake of sugars: measurement requires quantification. J Nutr 131, 527S–535S.CrossRefGoogle ScholarPubMed
Lewis, CJ, Park, YK, Dexter, PB & Yetley, EA (1992) Nutrient intakes and body weights of persons consuming high and moderate levels of added sugars. J Am Diet Assoc 92, 708–713.CrossRefGoogle ScholarPubMed
Linseisen, J, Gedrich, K, Karg, G & Wolfram, G (1998) Sucrose intake in Germany. Z Ernahrungswiss 37, 303–314.CrossRefGoogle ScholarPubMed
Littell, RC, Milliken, GA, Stroup, WW & Wolfinger, RD (1996) In SAS® System for Mixed Models. Cary, NC: SAS Institute Inc.Google Scholar
Lyhne, N & Ovesen, L (1999) Added sugars and nutrient density in the diet of Danish children. Scand J Nutr 43, 4–7.Google Scholar
Rugg-Gunn, AJ, Hackett, AF, Jenkins, GN & Appleton, DR (1991) Empty calories? Nutrient intake in relation to sugar intake in English adolescents. J Hum Nutr Diet 4, 101–111.CrossRefGoogle Scholar
Ruxton, CH, Garceau, FJ & Cottrell, RC (1999) Guidelines for sugar consumption in Europe: is a quantitative approach justified? Eur J Clin Nutr 53, 503–513.CrossRefGoogle ScholarPubMed
SAS Institute Inc. (1997) In SAS/STAT® Software: Changes and Enhancements through Release 6.12. Cary, NC: SAS Institute Inc.Google Scholar
Schofield, WN (1985) Predicting basal metabolic rate, new standards and review of previous work. Hum Nutr Clin Nutr 39, Suppl. 1, 5–41.Google ScholarPubMed
Sichert-Hellert, W, Kersting, M, Alexy, U & Manz, F (2000) Ten-year trends in vitamin and mineral intake from fortified food in German children and adolescents. Eur J Clin Nutr 54, 81–86.CrossRefGoogle ScholarPubMed
Sichert-Hellert, W, Kersting, M & Schöch, G (1998) Underreporting of energy intake in 1 to 18 year old German children and adolescents. Z Ernahrungswiss 37, 242–251.CrossRefGoogle ScholarPubMed
Souci, SW, Fachmann, W & Kraut, H (2000) Food Composition and Nutrition Tables, 6 ed. Stuttgart: Medpharm Scientific Publisher.Google Scholar
Torun, B, Davies, PS, Livingstone, MB, Paolisso, M, Sackett, R & Spurr, GB (1996) Energy requirements and dietary energy recommendations for children and adolescents 1 to 18 years old. Eur J Clin Nutr 50, Suppl. 1, S37–S80.Google ScholarPubMed
US Department of Agriculture, US Department of Health and Human Services (2000) In Nutrition and Your Health: Dietary Guidelines for Americans, 5th ed., Home and Garden Bulletin. Washington, DC: US Government Printing Office.Google Scholar
Voorlichtingsbureau voor de Voeding (ed) (1993) Nevo Tabel. Den Haag: Nederlands voedingsstoffenbestand.Google Scholar
World Health Organization (1990) In Diet, Nutrition and Prevention of Chronic Diseases. Technical Report Series no. 797. Geneva: WHO.Google Scholar