scholarly journals Free Sugars Intake, Sources and Determinants of High Consumption among Australian 2-Year-Olds in the SMILE Cohort

Nutrients ◽  
2019 ◽  
Vol 11 (1) ◽  
pp. 161 ◽  
Author(s):  
Gemma Devenish ◽  
Rebecca Golley ◽  
Aqif Mukhtar ◽  
Andrea Begley ◽  
Diep Ha ◽  
...  

In the first 2 years of life, it is important to limit exposure to foods high in free sugars, in order to lay foundations for lifelong eating patterns associated with a reduced risk of chronic disease. Intake data at this age is limited, so compliance with recommendations is not known. This analysis describes free sugars intakes, food sources and determinants of high consumption among Australian children at 2 years of age. Free sugars intakes were estimated using a customized Food Frequency Questionnaire, and median usual free sugars intake at 2 years was 22.5 (Interquartile Range (IQR) 12.8–37.7) g/day, contributing a median 8% of the estimated energy requirement (EER). Based on the EER, most children (71.1%) exceeded the World Health Organization recommendation that <5% of energy should come from free sugars, with 38% of participants exceeding the <10% recommendation. Children from households with the greatest socioeconomic disadvantage were more likely to exceed the 10% recommendation (Prevalence Ratio (PR) 1.44, 95% Confidence Interval (95% CI) 1.13–1.84), and be in the top tertile for free sugars intake (PR 1.58, 95% CI 1.19–2.10) than the least disadvantaged. Main sources of free sugars were non-core foods, such as fruit juice, biscuits, cakes, desserts and confectionery; with yogurt and non-dairy milk alternatives the two notable exceptions. Improved efforts to reduce free sugars are needed from the introduction of solid food, with a particular focus on fruit juice and non-core foods.

Author(s):  
Nicky J Mehtani ◽  
Lori Rosman ◽  
William J Moss

Abstract Children infected with human immunodeficiency virus (HIV) are at increased risk of measles morbidity and mortality. We searched abstracts from the PubMed, Embase, and Latin American and Caribbean Center on Health Sciences Information databases for articles published from the earliest date available through September 26, 2017. The primary outcome of interest was serological responses to measles vaccine, stratified by HIV infection status. A total of 2,858 potentially eligible articles were identified, and the final review included 12 studies published between 1992 and 2013, 9 of which reported data on vaccine safety. The studies we included represented 3,573 children, of whom at least 335 were infected with HIV, 788 were HIV-exposed but not infected, and 1,478 were unexposed to HIV. Four of the 12 studies found statistically significant reductions in seropositivity among HIV-infected children compared with HIV-uninfected children within 4 months of vaccination (prevalence ratio range, 0.44–0.70), and forest plots provided visual trends of decreasing immunity over time among HIV-infected children in 2 additional studies. No vaccine-related deaths or serious adverse events were reported. This updated review demonstrated limitations of the existing published literature but supported evidence of reduced immunogenicity of measles vaccine among HIV-infected children, supporting the World Health Organization recommendation to revaccinate HIV-infected children against measles following immune reconstitution with combination antiretroviral therapy.


2005 ◽  
Vol 8 (7a) ◽  
pp. 940-952 ◽  
Author(s):  
Anna Ferro-Luzzi

AbstractObjectiveIn anticipation of the revision of the 1985 Food and Agricultural Organization/World Health Organization/United Nations University (FAO/ WHO/UNU) Expert Consultation Report on ‘Energy and Protein Requirements’, recent scientific knowledge on the principles underlying the estimation of energy requirement is reviewed.DesignThis paper carries out a historical review of the scientific rationale adopted by previous FAO/WHO technical reports on energy requirement, discusses the concepts used in assessing basal metabolic rate (BMR), energy expenditure, physical activity level (PAL), and examines current controversial areas. Recommendations and areas of future research are presented.ConclusionsThe database of the BMR predictive equations developed by the 1985 FAO/WHO/UNU Expert Consultation Report on Energy and Protein Requirements needs updating and expansion, applying strict and transparent selection criteria. The existence of an ethnic/tropical factor capable of affecting BMR is not supported by the available evidence. The factorial approach for the calculation of energy requirement, as set out in the 1985 report, should be retained. The estimate should have a normative rather than a prescriptive nature, except for the allowance provided for extra physical activity for sedentary populations, and for the prevention of non-communicable chronic diseases. The estimate of energy requirement of children below the age of 10 years should be made on the basis of energy expenditure rather than energy intake. The evidence of the existence of an ethnic/tropical factor is conflicting and no plausible mechanism has as yet been put forward.


Author(s):  
Mukhtar H. Ahmed ◽  
Arez Hassan ◽  
Judit Molnár

AbstractThe World Health Organization declared the novel coronavirus, named as SARS-CoV-2, as a global pandemic in early 2020 after the disease spread to more than 180 countries leading to tens of thousands of cases and many deaths within a couple of months. Consequently, this paper aims to summarize the evidence for the relationships between nutrition and the boosting of the immune system in the fight against the disease caused by SARS-CoV-2. This review, in particular, assesses the impact of vitamin and mineral supplements on the body’s defence mechanisms against SARS-CoV-2. The results revealed that there is a strong relationship between the ingestion of biological ingredients like vitamins C–E, and minerals such as zinc, and a reduction in the effects of coronavirus infection. These can be received from either nutrition rich food sources or from vitamin supplements. Furthermore, these macromolecules might have roles to play in boosting the immune response, in the healing process and the recovery time. Hence, we recommend that eating healthy foods rich in vitamins C–E with zinc and flavonoids could boost the immune system and consequently protect the body from serious infections. Graphical Abstract


2018 ◽  
Vol 53 (2) ◽  
pp. 149-152 ◽  
Author(s):  
Joao Breda ◽  
Jo Jewell ◽  
Amélie Keller

The World Health Organization (WHO) recommends a reduced intake of free sugars throughout the life course (strong recommendation) with a reduction of free sugars intake to less than 10% of the total energy intake (strong recommendation) and preferably below 5% of the total energy intake (conditional recommendation) in both adults and children. Available data clearly show that people already consume significantly more sugar than they should, increasing the risk for dental caries, overweight and obesity. The WHO recommendations are intended for use by the policy makers as a benchmark for assessing intake of sugars by populations and as a driving force for policy change. To create a favorable environment, enabling the overall amount of free sugar intake to be as low as possible and to reduce the frequency of consumption of sugar-rich foods, a range of public health interventions is advised.


2020 ◽  
Vol 81 (3) ◽  
pp. 142-145 ◽  
Author(s):  
Flora Wang ◽  
Chiara L. Diangelo ◽  
Sandra L. Marsden ◽  
Laura Pasut ◽  
David Kitts ◽  
...  

Purpose: The objective was to assess knowledge related to sugars consumption and World Health Organization (WHO) sugars guideline among Canadian dietitians and other health professionals. Methods: A multiple-choice style survey was administered at Dietitians of Canada and Canadian Diabetes Association conferences in 2014. Results: The study showed that only 12% of the surveyed respondents (n = 335) in 2014 were able to correctly identify the amount of added sugars consumed by Canadians, whereas two-thirds overestimated this amount. About 10% of the respondents knew that the 10% guideline by WHO for free sugars was based on evidence related to dental caries. Registered dietitians had relatively better knowledge of Canadian sugars consumption (P = 0.003), but not of the WHO free sugars guideline compared with other surveyed health professionals such as medical doctors or nurses. Conclusions: Knowledge gaps existed among surveyed Canadian health professionals on topics related to sugars consumption and the WHO sugars guideline. Future research should focus on tools to support better communication of sugars guideline and consistent use of sugars terminology.


Author(s):  
Jürgen M. Bauer ◽  
Rebecca Diekmann

The preservation of functionality in elders is closely associated with their nutritional status. In this context it is pivotal for them to meet their nutritional requirements, which vary according to their individual needs. The latter are influenced to a large degree by activity level and comorbidity. Most older individuals will cover their energy needs in the range 25–30 kcal/kg body weight (BW) per day, but in extreme states like hyperkinetic dementia, the daily energy requirement may amount to 40 kcal/kg BW per day. To achieve optimal protein intake, older persons will need more protein per kg BW than the World Health Organization (WHO) recommendation of 0.8 g/kg BW per day, which was not varied according to age. For slowing the associated decline in muscle mass and bone quality, 1.0–1.2 g protein/kg BW per day is recommended. In older individuals with relevant comorbidity, even higher protein intake is advisable.


2014 ◽  
Vol 20 (3) ◽  
pp. 220 ◽  
Author(s):  
Michael Savic ◽  
S. Fiona Barker ◽  
David Best ◽  
Dan I. Lubman

Migrants’ beliefs about when to seek help for alcohol problems may differ from host-country norms. We undertook an audit of 393 cases of screening in specialist alcohol and other drug services in Victoria, Australia, to examine whether alcohol problem severity at the time of help-seeking was influenced by drinking norms in countries of birth. Alcohol problem severity was measured using the Alcohol Use Disorders Identification Test, and World Health Organization per capita alcohol consumption data was used to form three categories of clients relative to Australian consumption: (1) Australian born; (2) born in low alcohol consumption countries; and (3) born in high alcohol consumption countries. Clients born in high consumption countries such as those in Europe and the UK had significantly higher levels of alcohol problem severity at intake compared with Australian-born clients and clients born in low consumption countries. This suggests that clients from high consumption countries might have delayed seeking help in line with the alcohol norms in their country of origin. Screening this group for alcohol problems in primary health care might avoid significant cumulative harm.


2020 ◽  
Vol 57 (2) ◽  
pp. 144-149
Author(s):  
Maria do Carmo F PASSOS ◽  
Maira Libertad Soligo TAKEMOTO ◽  
Luciana S GUEDES

ABSTRACT BACKGROUND: Adequate fiber intake is associated with digestive health and reduced risk of several noncommunicable diseases and is recognized as essential for human health (World Health Organization, 2003). The World Health Organization (WHO) recommends a daily fiber consumption of ≥25 g, but previous studies observed a fiber intake in Brazil lower than recommended. OBJECTIVE: We aimed to describe fiber intake among adults in Brazil and also respondents’ knowledge and perceptions about their fiber intake. METHODS: National online survey with community-dwelling Brazilian individuals. The survey was conducted during September 2018, using an online platform with closed-ended questions. A representative sample of Brazilian internet users stratified by sex, age, socioeconomic status and geographic region was adopted. Sample size was calculated using a 2% error margin and 95% confidence interval (n=2,000). Data was descriptively analyzed using measures of frequency, central tendency and dispersion. RESULTS: Sample included 2,000 individuals who were well-balanced in terms of sex (51.2% female), with mean age of 35.9 years (most represented age group was 35-54 years, 39.6%) and from all country geographic regions (49.4% from Southeast). A total of 69.7% of them consider their usual diet as healthy and 78.4% reported consuming fibers regularly. Fibers from natural sources are consumed at least once a day by 69.5% of the sample, while daily fiber supplements were reported by 29.9%. Absence of regular fiber intake was reported by 21.7% of respondents and the most common reason was “lack of knowledge about fiber sources” (39.3%). When informed about the food sources of each type of fiber (soluble and insoluble) and asked about the regular intake, only 2.5% answered that they do not consume any of them regularly (as opposed to 21.7% before receiving information about specific fiber sources). CONCLUSION: Our findings indicate that fiber intake in Brazil is probably insufficient with a high proportion of individuals reporting irregular or absent ingestion of fiber sources in their daily lives. Lack of knowledge about fiber sources and fiber types seems to play a role in this inadequate intake, highlighting the need for nutritional education to achieve healthy dietary patterns in the country.


2020 ◽  
Vol 16 (3) ◽  
pp. 314-322
Author(s):  
Gelvani Locateli ◽  
Rosane Marina Peralta ◽  
Eloá Angélica Koehnlein

Background: Adequate consumption of fruits and vegetables (FV) is associated with reduced risks of various diseases, especially due to their nutrient, fiber, and bioactive compound content. Polyphenols are included in this last class. In Brazil, as in several other regions of the world, consumption of FV is low. Data on the importance of the recommended intake of FV for the ingestion of these compounds and subclasses are scarce. Objective: To estimate the intake of polyphenols by Brazilian adults and to verify the impact of the recommended consumption of FV for this intake. Methods: Data from 21,959 adults were obtained from the Brazilian Dairy Survey of the Household Budget Survey (POF 2008-2009). Food intake was estimated from a single food register. Polyphenol intake was calculated using the Phenol-Explorer database. To evaluate the impact of FV on the consumption of polyphenols, the population was divided into two groups according to the FV intake as recommended by the World Health Organization. Results: The average consumption of phenolic compounds was 441.04 mg among individuals consuming less than 400 g of FV daily, and 651.86 mg those consuming equal or more than 400 g daily. In addition, individuals consuming 400 g or more FV per day consumed approximately 12 times more phenolic from FV, especially flavonoids and the anthocyanin and flavanone subclasses. Conclusions: The high consumption of FV is essential for a higher dietary intake and diversity of polyphenols and flavonoids compounds by the Brazilian population.


2007 ◽  
Vol 10 (8) ◽  
pp. 848-854 ◽  
Author(s):  
Guansheng Ma ◽  
Yanping Li ◽  
Ying Jin ◽  
Songming Du ◽  
Frans J Kok ◽  
...  

AbstractObjectivesTo assess the intake inadequacy and food sources of zinc of people in China.Design and subjectsDiets of 68 962 subjects aged 2–101 years (urban 21 103, rural 47 859) in the 2002 China National Nutrition and Health Survey were analysed. Dietary intake was assessed using 24-hour recall for three consecutive days. Zinc intake inadequacy was calculated based on values suggested by the World Health Organization.ResultsThe median zinc intake ranged from 4.9 mg day− 1(urban girls, 2–3 years) to 11.9 mg day− 1(rural males, 19+ years). The zinc density of urban residents (2–3 to 19+ years) was 5.0–5.3 mg day− 1 (1000 kcal)− 1, significantly higher than that of their rural counterparts (4.7–4.8 mg day− 1 (1000 kcal)− 1). Differences in food sources of zinc from cereal grains (27.4–45.1 vs. 51.6–63.2%) and animal foods (28.4–54.8 vs. 16.8–30.6%) were found between urban and rural residents. Zinc from vegetables and fruits (8.2–13.8 vs. 9.7–12.4%) and legumes (1.3–3.3 vs. 2.5–3.4%) was comparable between urban and rural residents. The proportion of zinc intake inadequacy ranged between 2.8% (urban females, 19+ years) and 29.4% (rural lactating women). Rural residents had higher proportions of zinc intake inadequacy than their urban counterparts. Significantly higher proportions of zinc inadequacy were found in the category of phytate/zinc molar ratio >15 for both rural and urban residents.ConclusionsAbout 20% of rural children are at risk of inadequate zinc intake, with phytate as a potential important inhibitor. Moreover, lactating women are also considered a vulnerable group.


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