scholarly journals Energy, Sugars, Iron, and Vitamin B12 Content of Commercial Infant Food Pouches and Other Commercial Infant Foods on the New Zealand Market

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 657 ◽  
Author(s):  
Ioanna Katiforis ◽  
Elizabeth A Fleming ◽  
Jillian J Haszard ◽  
Tiana Hape-Cramond ◽  
Rachael W Taylor ◽  
...  
Keyword(s):  
New Zealand ◽  
Vitamin B12 ◽  
Nutritional Quality ◽  
Infant Food ◽  
Food Groups ◽  
Cross Sectional Survey ◽  
Free Sugars ◽  
Total Sugars ◽  
Added Sugars ◽  
Infant Foods

There has been an important shift in the New Zealand infant food market over the past decade, with the majority of complementary foods now sold in “pouches”. Along with the increasing market share of commercial infant food pouches internationally, there have been growing concerns about their nutritional quality. However, research examining the nutritional quality of these pouches compared to other forms of commercial infant foods in New Zealand has not been undertaken. Nor have any studies reported the free sugars or added sugars content of these foods. To address this knowledge gap, a cross-sectional survey of infant foods sold in New Zealand supermarkets was conducted in 2019–2020. Recipes and nutrient lines were developed for the 266 foods identified (133 food pouches). The energy, iron, vitamin B12, total sugars, free sugars, and added sugars content of infant food pouches and other forms of commercial infant foods per 100 g were compared, both within food groups and by age group. Infant food pouches contained similar median amounts of energy, iron, and vitamin B12 to other forms of commercial infant foods but contained considerably more total sugars (8.4 g/100 g vs. 2.3 g/100 g). However, median free sugars and added sugars content was very low across all food groups except for “dairy” and “sweet snacks”. All “dry cereals” were fortified with iron whereas none of the infant food pouches were. Therefore, consuming food pouches to the exclusion of other commercial infant foods may place infants at risk of iron deficiency if they do not receive sufficient iron from other sources.

scholarly journals Intake of total and added sugars and nutrient dilution in Australian children and adolescents

2015 ◽  
Vol 114 (11) ◽  
pp. 1875-1886 ◽  
Author(s):  
Jimmy Chun Yu Louie ◽  
Linda C. Tapsell
Keyword(s):  
Food Groups ◽  
Nutrient Intakes ◽  
Nutrition Survey ◽  
Total Sugars ◽  
Added Sugars ◽  
National Nutrition Survey ◽  
Children's Nutrition ◽  
Systematic Methodology ◽  
Nutrient Reference Values ◽  
Activity Survey

AbstractThis analysis aimed to examine the association between intake of sugars (total or added) and nutrient intake with data from a recent Australian national nutrition survey, the 2007 Australian National Children’s Nutrition and Physical Activity Survey (2007ANCNPAS). Data from participants (n 4140; 51 % male) who provided 2×plausible 24-h recalls were included in the analysis. The values on added sugars for foods were estimated using a previously published ten-step systematic methodology. Reported intakes of nutrients and foods defined in the 2007ANCNPAS were analysed by age- and sex-specific quintiles of %energy from added sugars (%EAS) or %energy from total sugars (%ETS) using ANCOVA. Linear trends across the quintiles were examined using multiple linear regression. Logistic regression analysis was used to calculate the OR of not meeting a specified nutrient reference values for Australia and New Zealand per unit in %EAS or %ETS. Analyses were adjusted for age, sex, BMI z-score and total energy intake. Small but significant negative associations were seen between %EAS and the intakes of most nutrient intakes (all P<0·001). For %ETS the associations with nutrient intakes were inconsistent; even then they were smaller than that for %EAS. In general, higher intakes of added sugars were associated with lower intakes of most nutrient-rich, ‘core’ food groups and higher intakes of energy-dense, nutrient-poor ‘extra’ foods. In conclusion, assessing intakes of added sugars may be a better approach for addressing issues of diet quality compared with intakes of total sugars.

scholarly journals Sugar consumption in schoolchildren from southern Spain and influence on the prevalence of obesity

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242602
Author(s):  
Leticia Heras-Gonzalez ◽  
José Antonio Latorre ◽  
Manuel Martinez-Bebia ◽  
Nuria Gimenez-Blasi ◽  
Fátima Olea-Serrano ◽  
...  
Keyword(s):  
Energy Expenditure ◽  
Total Activity ◽  
Normal Weight ◽  
Southern Spain ◽  
Free Sugars ◽  
Total Sugars ◽  
Added Sugars ◽  
School Year ◽  
Prevalence Of Obesity ◽  
Total Carbohydrates

Aim The main cause of childhood overweight/obesity is an imbalance between energy intake and energy expenditure. The objective was to determine whether the intake by Spanish schoolchildren of sugars from habitually consumed foods and drinks can be related to overweight/obesity. Methods Subjects The study included 657 schoolchildren between 7–10 years from educational centers in Southern Spain. These children live under the influence of the Mediterranean diet. Design Participants completed an encoded questionnaire with three sections: a) data on sex, age, educational center, school year, and life/family habits, among others; b) semi-quantitative food frequency questionnaire related to the previous 12 months; and c) information on anthropometrics and physical activities. Results Obesity was observed in 10.9% of the children. The daily activity questionnaire showed a mean energy expenditure of 8.73 (1.33) MJ/day. The study considered foods that supply carbohydrates in any form (total carbohydrates, starch, total sugars, added sugars, and free sugars). The likelihood of overweight/obesity was significantly greater with a higher intake/day of total sugars, starch, added sugars, and free sugars. The likelihood of normal weight was significantly greater with lower energy expenditure in sedentary activities (OR = 3.03), higher energy expenditure in sports activities (OR = 1.72), and higher total activity/day measured as METs (OR = 8.31). Conclusions In this population, overweight/obesity was influenced by the physical activity of the children and by their intake of energy, total sugars, starch, added sugars, and free sugars. Further studies are warranted to verify this observation and explore the implications for public health policies.

scholarly journals Carbohydrate Quality Metrics and Their Association with Population Nutrient Intakes and Diet Quality in Australia

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 510-510
Author(s):  
Michelle Blumfield ◽  
Andrew McConnell ◽  
Vanessa Campos ◽  
Kim-Anne Lê ◽  
Flavia Fayet-Moore
Keyword(s):  
Diet Quality ◽  
Health Impact ◽  
Food Group ◽  
Healthy Eating Index ◽  
Quality Metrics ◽  
Nutrient Intakes ◽  
Free Sugars ◽  
Total Sugars ◽  
Added Sugars ◽  
Simple Ratio

Abstract Objectives Carbohydrate (CHO) quality is important for health, yet it is unclear how to best define CHO quality. The aim of this study was to investigate whether diets that meet one of three CHO quality ratios, that include a combination of grams of CHO, fiber or free sugars, are associated with improved diet quality in Australia. Methods National data from the 2011–12 Australian National Nutrition and Physical Activity Survey were assessed (n = 12,153; age 49.0 ± 16.4y adults, 9.5 ± 5.0y children). Three CHO quality ratios were defined: (i) Simple ratio, 10:1 (10 g CHO: ³1 g fiber); (ii) Modified ratio, 10:1:2 (10 g CHO: ³1 g fiber: £2 g free sugars); and (iii) Dual ratio, 10:1 & 1:2 (10 g CHO: ³1 g fiber & £2 g free sugars per 1 g fiber). Participants were defined as having met or not met each ratio in terms of total daily nutrient intakes. Dietary data were collected using a validated Automated Multiple-Pass Method. Nutrient intakes and food group data were compared to Australian Nutrient Reference Values and an Australian Healthy Eating Index (HEIFA-2013). Results Prevalence of ratio adherence was: simple ratio (45%), modified ratio (30%) and dual ratio (36%). After adjusting for energy intake, adults and children who met a ratio reported lower energy intakes, higher fiber and micronutrient intakes, higher HEIFA-2013 scores (adults only) and lower intakes of total sugars, added sugars and sodium (P &lt; .001 for all), compared to those who failed to meet any ratio. Compared to the simple ratio, modified and dual ratios further decreased adult intakes of total sugars (95 g modified, 71 g dual vs 116 g simple; P &lt; .001), added sugars (36 g, 16 g vs 57 g; P &lt; .001) and free sugars (50 g, 26 g vs 72 g; P &lt; .001), and increased HEIFA-2013 scores (56, 59 vs 51; P &lt; .001), with similar findings in children. Conclusions All three CHO quality metrics identified diets with higher nutrient intakes and HEIFA-2013 scores, with the addition of a free sugars constraint resulting in further improvements in diet quality. Utility of a CHO quality metric, based on CHO, fiber and free sugars, may offer a simple, standardized approach to improve total diet quality, which has potential for high public health impact. Funding Sources Nestlé Research.

scholarly journals Dietary sugars intake and micronutrient adequacy: a systematic review of the evidence

2007 ◽  
Vol 20 (2) ◽  
pp. 121-131 ◽  
Author(s):  
Sigrid A. Gibson
Keyword(s):  
Biological Significance ◽  
Optimal Level ◽  
Small Scale ◽  
Web Based ◽  
Free Sugars ◽  
Total Sugars ◽  
Added Sugars ◽  
Hand Search ◽  
Dietary Sugars ◽  
The Relationship

Guidelines for sugars intake range from a population mean of less than 10 % energy from free sugars, to a maximum for individuals of 25 % energy from added sugars. The aim of the present review was to examine the evidence for micronutrient dilution by sugars and evaluate its nutritional significance. From a web-based search of MEDLINE and hand search of linked papers, forty-eight relevant publications were identified on sugars (total sugars, non-milk extrinsic sugars, or added sugars) or sugar-containing drinks. These included five reports from expert committees, six reviews, thirty-three observational studies and four small-scale interventions. There was inconsistency between studies as to the relationship between sugars intake (however expressed) and micronutrients. The statistical patterns varied between nutrients and population groups. Curvilinear associations were found in some analyses, with lower nutrient intakes at both extremes of sugar intake; however, factors such as dieting and under-reporting may confound the associations observed. Some studies found statistically significant inverse associations but these were weak, with sugars explaining less than 5 % of the variance. Mean intakes of most micronutrients were above the RDA or reference nutrient intake except among very high consumers of sugars. The available evidence does not allow for firm conclusions on an optimal level of added sugars intake for micronutrient adequacy and the trends that exist may have little biological significance except for a few nutrients (for example, Fe). It is established that energy intake is the prime predictor of micronutrient adequacy. A better understanding of valid approaches to energy adjustment, misreporting and the assessment of micronutrient adequacy is crucial to further progress in this area.

scholarly journals Diet quality is associated with measures of body fat in adolescents from Otago, New Zealand

2014 ◽  
Vol 18 (8) ◽  
pp. 1453-1460 ◽  
Author(s):  
Jyh Eiin Wong ◽  
Winsome R Parnell ◽  
Anna S Howe ◽  
Alexandra C Lubransky ◽  
Katherine E Black ◽  
...  
Keyword(s):  
Body Composition ◽  
High School Students ◽  
High Schools ◽  
New Zealand ◽  
Waist Circumference ◽  
Body Fat ◽  
Diet Quality ◽  
Food Groups ◽  
Cross Sectional Survey ◽  
School Students

AbstractObjectiveTo examine the potential associations between diet quality and multiple measures of body composition in a sample of New Zealand adolescents aged 14–18 years.DesignCross-sectional survey of eleven high schools in Otago, New Zealand. Each participant completed an online FFQ and a New Zealand Diet Quality Index for Adolescents (NZDQI-A) score was calculated based on variety and adequacy of intake for five major food groups. Besides height and waist circumference measurements, body composition was assessed using segmental bio-impedance analysis. Generalized estimating equations were used to examine associations between diet quality and body composition in models adjusted for sex, age, ethnicity and socio-economic status.SettingHigh schools in Otago, New Zealand.SubjectsHigh-school students (n 681, 56 % male, mean age 16·1 (sd 1·5) years) participating in the Otago School Students Lifestyle Survey Two.ResultsHigher NZDQI-A scores were significantly associated with lower body fat percentage (β=−0·19; 95 % CI −0·35, −0·04; P=0·014), fat-to-lean mass ratio (β=−0·26; 95 % CI −0·46, −0·05; P=0·016) and lower fat mass index (β=−0·23; 95 % CI −0·45, −0·004; P=0·046) after multivariate adjustment. No association was found between NZDQI-A and BMI, waist circumference or waist-to-height ratio.ConclusionsDiet quality, as measured by NZDQI-A, was associated only with measures of body fat, not measures of overall body size. Measures specific to body fat should be used for more accurate ascertainment of body composition in examining the diet–body composition associations in this age group.

scholarly journals Relationship between energy from added sugars and frequency of added sugars intake in Irish children, teenagers and adults

2008 ◽  
Vol 99 (5) ◽  
pp. 1117-1126 ◽  
Author(s):  
Triona Joyce ◽  
Sinead N. McCarthy ◽  
Michael J. Gibney
Keyword(s):  
Quantitative Relationship ◽  
Added Sugar ◽  
Free Sugars ◽  
Total Sugars ◽  
Added Sugars ◽  
Sugar Intake ◽  
The North ◽  
Food Consumption Survey ◽  
Food And Beverage ◽  
Food Diaries

A WHO report on diet, nutrition and the prevention of chronic diseases recommended that frequency of consumption of foods and/or drinks containing free sugars should be limited to a maximum of four times per d. In addition, they recommended a reduction in the intake of free sugars to a maximum of no more than 10 % of energy intake. These recommendations were developed with the aim of reducing the prevalence of dental caries. The aim of the present study was to establish if there is a quantitative relationship between energy from added sugars and frequency of added sugars intakes in Irish children, teenagers and adults. In addition, the intake of added and total sugars and main contributors to added sugar intakes were examined. Data for the present analysis were based on the North/South Ireland Food Consumption Survey (n1379; aged 18–64 years), the National Children's Food Survey (n594; aged 5–12 years) and the National Teen Food Survey (n441; aged 13–17 years) which used 7 d food diaries to collect food and beverage intake data in representative samples of Irish adults, children and teenagers respectively. Results showed that in adults, frequency of intake of added sugar intake of four times per d corresponded to a mean added sugar intake of 9 %, which was similar to the WHO recommendation. In children and teenagers, a frequency of intake of four times per d corresponded to a mean added sugar intake of 14·6 and 12·4 % respectively and was therefore not in agreement with the WHO recommendation.

scholarly journals Estimating free and added sugar intakes in New Zealand

2020 ◽  
Author(s):  
R Kibblewhite ◽  
A Nettleton ◽  
R McLean ◽  
J Haszard ◽  
E Fleming ◽  
...  
Keyword(s):  
New Zealand ◽  
Energy Intake ◽  
Food Composition ◽  
World Health ◽  
Free Sugar ◽  
Nutrition Survey ◽  
Added Sugar ◽  
Free Sugars ◽  
Added Sugars ◽  
Sugar Intake

© 2017 by the authors. Licensee MDPI, Basel, Switzerland. The reduction of free or added sugar intake (sugars added to food and drinks as a sweetener) is almost universally recommended to reduce the risk of obesity-related diseases and dental caries. The World Health Organisation recommends intakes of free sugars of less than 10% of energy intake. However, estimating and monitoring intakes at the population level is challenging because free sugars cannot be analytically distinguished from naturally occurring sugars and most national food composition databases do not include data on free or added sugars. We developed free and added sugar estimates for the New Zealand (NZ) food composition database (FOODfiles 2010) by adapting a method developed for Australia. We reanalyzed the 24 h recall dietary data collected for 4721 adults aged 15 years and over participating in the nationally representative 2008/09 New Zealand Adult Nutrition Survey to estimate free and added sugar intakes. The median estimated intake of free and added sugars was 57 and 49 g/day respectively and 42% of adults consumed less than 10% of their energy intake from free sugars. This approach provides more direct estimates of the free and added sugar contents of New Zealand foods than previously available and will enable monitoring of adherence to free sugar intake guidelines in future.

scholarly journals Estimating free and added sugar intakes in New Zealand

2020 ◽  
Author(s):  
R Kibblewhite ◽  
A Nettleton ◽  
R McLean ◽  
J Haszard ◽  
E Fleming ◽  
...  
Keyword(s):  
New Zealand ◽  
Energy Intake ◽  
Food Composition ◽  
World Health ◽  
Free Sugar ◽  
Nutrition Survey ◽  
Added Sugar ◽  
Free Sugars ◽  
Added Sugars ◽  
Sugar Intake

© 2017 by the authors. Licensee MDPI, Basel, Switzerland. The reduction of free or added sugar intake (sugars added to food and drinks as a sweetener) is almost universally recommended to reduce the risk of obesity-related diseases and dental caries. The World Health Organisation recommends intakes of free sugars of less than 10% of energy intake. However, estimating and monitoring intakes at the population level is challenging because free sugars cannot be analytically distinguished from naturally occurring sugars and most national food composition databases do not include data on free or added sugars. We developed free and added sugar estimates for the New Zealand (NZ) food composition database (FOODfiles 2010) by adapting a method developed for Australia. We reanalyzed the 24 h recall dietary data collected for 4721 adults aged 15 years and over participating in the nationally representative 2008/09 New Zealand Adult Nutrition Survey to estimate free and added sugar intakes. The median estimated intake of free and added sugars was 57 and 49 g/day respectively and 42% of adults consumed less than 10% of their energy intake from free sugars. This approach provides more direct estimates of the free and added sugar contents of New Zealand foods than previously available and will enable monitoring of adherence to free sugar intake guidelines in future.

scholarly journals Nutritional value of child-targeted food products: Results from the Food Quality Observatory

2021 ◽  
pp. 1-22
Author(s):  
Joséane Gilbert-Moreau ◽  
Sonia Pomerleau ◽  
Julie Perron ◽  
Pierre Gagnon ◽  
Marie-Ève Labonté ◽  
...  
Keyword(s):  
General Population ◽  
Food Quality ◽  
Nutritional Quality ◽  
Food Product ◽  
Food Products ◽  
Nutritional Composition ◽  
Grocery Stores ◽  
Free Sugars ◽  
Total Sugars ◽  
Breakfast Cereals

Abstract Objective: To characterize the nutritional quality of food products targeted to children, we aimed 1) to determine if the nutritional composition of child-targeted food products is different from those for the general population, and 2) to verify differences in the nutrient content of child-targeted food products between three selected food categories. Design: The present study is part of the work conducted by the Food Quality Observatory, created in 2016 in the province of Quebec (Canada). Ready-to-eat (RTE) breakfast cereals (n=331), granola bars (n=310), and yoghurts and dairy desserts (n=380) were the food categories analyzed. Setting: Nutritional values and all packaging information were obtained by purchasing every product available in supermarkets, grocery stores and specialty grocery stores. Free sugars were manually differentiated from total sugars for each product. Products were classified according to two targeted consumer groups: children or general population. Results: The nutrient profile of RTE breakfast cereals, granola bars, and yoghurts and dairy desserts targeted to children differed from that of products intended at the general population. Child-targeted RTE breakfast cereals had the least favorable nutritional composition, with significantly higher content of carbohydrates, total sugars, free sugars and sodium compared to breakfast cereals for the general population as well as child-targeted granola bars and yoghurts and dairy desserts. All child-targeted products analyzed contained free sugars. Conclusions: The present study supports the relevance to further regulate marketing to children on food product packages to ensure that such marketing is not present on food products with poor nutritional quality.

scholarly journals Associations of Maternal Sociodemographic Characteristics and Eating Behaviors with Infant Feeding Behaviors

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1046-1046
Author(s):  
Tonja Nansel ◽  
Leah Lipsky ◽  
Carolina Schwedhelm ◽  
Breanne Wright ◽  
Chelsie Temmen ◽  
...  
Keyword(s):  
Infant Feeding ◽  
Diet Quality ◽  
Maternal Education ◽  
Healthy Eating Index ◽  
Fruit And Vegetables ◽  
Infant Food ◽  
Food Groups ◽  
Feeding Behaviors ◽  
White Race ◽  
Maternal Characteristics

Abstract Objectives This study examines associations of maternal characteristics with infant feeding of discretionary and health-promoting foods. Methods Mothers in PEAS, a prospective cohort study, reported maternal and child dietary intake, demographics, and eating competence (EC). Maternal diet quality (Healthy Eating Index-2015, HEI) was calculated combining 24-hour diet recalls at 6 weeks, 6, and 12 months postpartum (n = 209). Infant food frequency questionnaires were completed at 6, 9, and 12 months, assessing age of introduction and intake frequency of food groups. T-tests examined bivariate associations of demographics with feeding of discretionary sweets, discretionary savory foods, fruit, and vegetables. Linear regressions examined associations of maternal EC and HEI with infant feeding controlling for demographics. Results Fruit, vegetables, discretionary sweet, and discretionary savory foods were introduced at 5.8 ± 1.7, 5.9 ± 1.7, 8.0 ± 2.0, and 8.8 ± 1.8 months, respectively. Earlier introduction of fruit and vegetables was associated with higher maternal education, white race, and nulliparity; earlier introduction of vegetables was also associated with higher income. Age of introduction of discretionary sweet and savory foods was not associated with maternal demographics, HEI, or EC. At age 12 months, greater infant intake frequency of fruit and vegetables was associated with higher education and income, white race, and breastfeeding, while greater intake frequency of discretionary sweet and savory foods was associated with lower maternal education and minority race. Greater intake frequency of sweets was also associated with multiparity and greater intake frequency of discretionary savory foods was associated with lower income. Maternal HEI was positively associated with infant intake frequency of fruit, vegetables, and discretionary sweet and savory foods. Maternal EC was positively associated with infant intake frequency of fruit and vegetables. Conclusions Demographic differences in infant feeding behaviors indicates these behaviors as critical intervention targets to address disparities in child diet quality. Associations of maternal HEI and EC with infant feeding behaviors suggest potential pathways of maternal influence on infant diet. Funding Sources This research was supported by the NICHD Intramural Research Program.

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