Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-27T03:50:58.742Z Has data issue: false hasContentIssue false

Comparison of methods to estimate non-milk extrinsic sugars and their application to sugars in the diet of young adolescents

Published online by Cambridge University Press:  08 March 2007

Sarah A. M. Kelly
Affiliation:
School of Dental Sciences, University of Newcastle, Framlington Place, Newcastle upon, Tyne NE2 4BW, UK
Carolyn Summerbell
Affiliation:
School of Health, University of Teesside, Middlesbrough TS1 3BA, UK
Andrew J. Rugg-Gunn
Affiliation:
School of Dental Sciences, University of Newcastle, Framlington Place, Newcastle upon, Tyne NE2 4BW, UK
Ashley Adamson
Affiliation:
Human Nutrition Research Centre, University of Newcastle, Wellcome Laboratories, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK
Emma Fletcher
Affiliation:
Human Nutrition Research Centre, University of Newcastle, Wellcome Laboratories, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK
Paula J. Moynihan*
Affiliation:
School of Dental Sciences, University of Newcastle, Framlington Place, Newcastle upon, Tyne NE2 4BW, UK
*
*Corresponding author: Dr Paula Moynihan, fax +44 (0) 191 222 5928, email [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Consistent information on the non-milk extrinsic sugars (NMES) content of foods and the NMES intake by the population is required in order to allow comparisons between dietary surveys. A critical appraisal of methods of NMES estimation was conducted to investigate whether the different published methods for estimating the NMES content of foods lead to significantly different values for the dietary intake of NMES by children and to consider the relative practicality of each method. NMES values of foods were calculated using three different published descriptions of methods of NMES estimation, and the values were compared within food groups. Dietary intake values for English children aged 11–12 years were calculated using each method and compared in terms of overall NMES intake and the contribution of different food groups to NMES intake. There was no significant difference in the dietary intake of NMES in children between the method used in the National Diet and Nutrition Surveys (NDNS) (81·9 g/d; 95 % CI 79·0, 84·7) and a method developed by the Human Nutrition Research Centre (84·3 g/d; 95 % CI 81·4, 87·2) at Newcastle University, UK, although the latter gave slightly higher values. An earlier method used by the Ministry of Agriculture, Food and Fisheries gave significantly higher values than the other two methods (102·5 g/d; 95 % CI 99·3, 105·6; P<0·05). The method used in the NDNS surveys and the method used by the Human Nutrition Research Centre at Newcastle University are both thorough and detailed methods that give consistent results. However, the method used in the NDNS surveys was more straightforward to apply in practice and is the best method for a single uniform approach to the estimation of NMES.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2005

References

Bland, JM & Altman, DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1, 307310.CrossRefGoogle ScholarPubMed
Bland, JM & Altman, DG (1995) Comparing two methods of clinical measurement: a personal history. Int J Epidemiol 24, S7S13.CrossRefGoogle ScholarPubMed
Bolton-Smith, C & Woodward, M (1994) Dietary composition and fat to sugar ratios in relation to obesity. Int J Obes Relat Metab Disord 18, 820828.Google ScholarPubMed
Buss, DH, Lewis, J & Smithers, G (1994) Non-milk extrinsic sugars (letter). J Hum Nutr Diet 7, 87.CrossRefGoogle Scholar
Chan, W, Brown, J & Buss, DH (1994) Miscellaneous foods. Fourth Supplement to 5th Edition of McCance and Widdowson's The Composition of Foods. Cambridge: Royal Society of Chemistry.CrossRefGoogle Scholar
Department of Health (1989) Dietary Sugars and Human Disease. Report on Health and Social Subjects No. 36 London: HMSO.Google Scholar
Department of Health (1991) Dietary Reference Values for Food Energy and Nutrients in the United Kingdom. Report on Health and Social Subjects No. 41 London: HMSO.Google Scholar
Drummond, S & Kirk, T (1998) The effect of different types of dietary advice on body composition in a group of Scottish men. J Hum Nutr Diet 11, 473485.CrossRefGoogle Scholar
Finch, S, Doyle, W, Lowe, C, Bates, CJ, Prentice, A & Smithers, G (1998) National Diet and Nutrition Survey, People Aged 65 Years and Over, vol. 1 London: HMSO.Google Scholar
Gregory, JR, Collins, DL, Davies, PSW, Hughes, JM & Clarke, OC (1995) National Diet and Nutrition Survey Children Aged 1.5–4.5 Years, vol. 1 London: HMSO.Google Scholar
Gregory, J, Lowe, C, Bates, CJ, Prentice, A, Jackson, LV & Smithers, G (2000) National Diet and Nutrition Survey Young People Aged 4 to 18 Years, vol. 1 London: Stationery Office.Google Scholar
Holland, B, Unwin, ID & Buss, DH (1988) Cereals and Cereal Products. Third Supplement to McCance and Widdowson's The Composition of Foods. Cambridge: Royal Society of Chemistry.Google Scholar
Holland, B, Unwin, ID & Buss, DH (1989) Milk Products and Eggs. Fourth Supplement to McCance and Widdowson's The Composition of Foods. Cambridge: Royal Society of Chemistry.Google Scholar
Holland, B, Unwin, ID & Buss, DH (1992) Fruit and Nuts. First Supplement to 5th Edition of McCance and Widdowson's The Composition of Foods. Cambridge: Royal Society of Chemistry.CrossRefGoogle Scholar
Holland, B, Welch, AA, Unwin, ID, Buss, DH, Paul, AA & Southgate, DAT (1991) McCance and Widdowson's The Composition of Foods, 5th ed. Cambridge: Royal Society of Chemistry.Google Scholar
Johnson, IT, Southgate, DAT & Surnin, JVGA (1996) Intrinsic and non-milk extrinsic sugars: does the distinction have analytical or physiological validity? Int J Food Sci Nutr 47, 131140.CrossRefGoogle ScholarPubMed
Kelly, SAM, Moynihan, PJ, Rugg-Gunn, AJ & Summerbell, CS (2003) Review of methods used to estimate non-milk extrinsic sugars. J Hum Nutr Diet 16, 2738.CrossRefGoogle ScholarPubMed
Ludwig, DS, Peterson, KE & Gortmaker, SL (2001) Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective observational analysis. Lancet 357, 505508.CrossRefGoogle ScholarPubMed
Mills, A (1994) The Dietary and Nutritional Survey of British Adults – Further Analysis. London: HMSO.Google Scholar
Moynihan, PJ & Peterson, PE (2004) Diet, nutrition and the prevention of dental diseases. Public Health Nutr 7, 201226.CrossRefGoogle ScholarPubMed
Rugg-Gunn, AJ (2001) Preventing the preventable – the enigma of dental caries. Br Dent J 191, 478488.CrossRefGoogle ScholarPubMed
Rugg-Gunn, AJ, Adamson, AJ, Appleton, DR, Butler, TJ & Hackett, AF (1993) Sugars consumption by 379 11–12 year-old English children in 1990 compared with results in 1980. J Hum Nutr Diet 6, 419431.CrossRefGoogle Scholar
Rugg-Gunn, AJ, Fletcher, ES, Matthews, JNS, Hackett, AF, Moynihan, PS, Kelly, SAM, Mathers, JC & Adamson, AJ (2005) Changes in consumption of sugars by English adolescents over 20 years. Public Health Nutr (In press).Google Scholar
Schulze, MB, Manson, JE, Ludwig, DS, Colditz, GA, Stampfer, MJ, Willett, WC & Hu, FB (2004) Sugar-sweetened beverages, weight gain, and incidence of type 2 diabetes in young and middle-aged women. JAMA 292, 927934.CrossRefGoogle Scholar
Sheiham, A (2001) Dietary effects on dental diseases. Public Health Nutr 4, 569591.CrossRefGoogle ScholarPubMed
World Health Organization (1990) Diet, Nutrition and the Prevention of Chronic Diseases: Report of a WHO Study Group. Technical Report Series No. 797 Geneva: WHO.Google Scholar
World Health Organization (2003) Diet, Nutrition and the Prevention of Chronic Diseases: Report of a Joint WHO/FAO Expert Consultation. Technical Report Series No. 916 Geneva: WHO.Google Scholar