scholarly journals Two approaches to derive a proposal for added sugars intake for German children and adolescents

2003 ◽  
Vol 6 (7) ◽  
pp. 697-702 ◽  
Author(s):  
Ute Alexy ◽  
Mathilde Kersting ◽  
Verena Schultze-Pawlitschko
Keyword(s):  
Children And Adolescents ◽  
Nutrient Intake ◽  
Child Nutrition ◽  
Dietary Quality ◽  
Mixed Diet ◽  
Dietary Survey ◽  
Added Sugars ◽  
Dietary Records ◽  
German Children ◽  
Survey Approach

AbstractObjective:Intake of sugars is restricted in most international food guides. However, in recent recommendations quantified limits of added sugars intake have not been given, although deemed necessary by those who criticised the recommendations.Design:Two approaches to derive a scientifically based quantified limit of added sugars intake for German children and adolescents are suggested. For the first dietary survey approach, 5120 three-day weighed dietary records from the Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) Study were used. Added sugars intakes in records of high vs. low dietary quality, measured by a nutrient intake score, were compared. For the second approach, a total dietary concept for German children and adolescents developed and evaluated by the Research Institute of Child Nutrition – the Optimised Mixed Diet – was used.Results:Whereas in the latter dietary concept an added sugars intake of about 6% of energy intake is tolerated, the dietary survey approach resulted in only small differences between high and low dietary quality, with a median added sugars intake of 12% of energy in records with high dietary quality.Conclusions:A reasonable dietary quality is possible within higher ranges of added sugars intake than derived from the dietary concept approach. Therefore we suggest a range of intake of added sugars for German children and adolescents, from 6% to 12% of energy.

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

2003 ◽  
Vol 90 (2) ◽  
pp. 441-447 ◽  
Author(s):  
Ute Alexy ◽  
Wolfgang Sichert-Hellert ◽  
Mathilde Kersting
Keyword(s):  
Cohort Study ◽  
Children And Adolescents ◽  
Dilution Effect ◽  
Mixed Linear Model ◽  
Fat Intake ◽  
Food Groups ◽  
Added Sugars ◽  
Dietary Records ◽  
Analyse Data ◽  
German Children

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.

scholarly journals Time and Age Trends in Free Sugar Intake from Food Groups among Children and Adolescents between 1985 and 2016

Nutrients ◽  
2019 ◽  
Vol 12 (1) ◽  
pp. 20 ◽  
Author(s):  
Ines Perrar ◽  
Alena M. Schadow ◽  
Sarah Schmitting ◽  
Anette E. Buyken ◽  
Ute Alexy
Keyword(s):  
Children And Adolescents ◽  
Linear Trend ◽  
Total Sample ◽  
Free Sugar ◽  
Food Groups ◽  
Linear Quadratic ◽  
Added Sugars ◽  
Dietary Records ◽  
Age Trends ◽  
German Children

Trend analyses suggest that free sugar (FS) intake—while still exceeding 10%E—has decreased among German children and adolescents since 2005, yet that intakes may shift from sugars naturally occurring in foods to added sugars as children age. Thus, we analysed time and age trends in FS intake (%E) from food groups among 3–18 year-olds (1985–2016) using 10,761 3-day dietary records from 1312 DONALD participants (660 boys, 652 girls) by use of polynomial mixed-effects regression models. Among girls, FS from sugar & sweets decreased from 1985 to 2016 (linear trend p < 0.0001), but not among boys (p > 0.05). In the total sample, FS intake from juices increased until 2000 and decreased since 2005 (linear, quadratic trend p < 0.0001). FS from sugar sweetened beverages (SSB) decreased non-linearly from 1985 to 2016 (girls: linear, quadratic, cubic trend p < 0.0001; boys: linear, quadratic, cubic trend p < 0.02). Younger children consumed more FS from juices than older ones, who had a higher FS intake from SSB. FS intake from sugar & sweets increased until early adolescence and decreased afterwards. Since sugar & sweets represent the main source of FS intake and the source with the least pronounced decline in intake, public health measures should focus on these products.

Lunch Habits of German Children and Adolescents: Composition and Dietary Quality

2013 ◽  
Vol 62 (1) ◽  
pp. 75-79 ◽  
Author(s):  
U. Alexy ◽  
J. Freese ◽  
M. Kersting ◽  
K. Clausen
Keyword(s):  
Children And Adolescents ◽  
Dietary Quality ◽  
German Children

scholarly journals 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

2008 ◽  
Vol 101 (1) ◽  
pp. 100-107 ◽  
Author(s):  
Sigrid Gibson ◽  
Alison Boyd
Keyword(s):  
Nutrient Intake ◽  
Transferrin Saturation ◽  
Dietary Intakes ◽  
Nutrition Survey ◽  
Added Sugars ◽  
Plasma Selenium ◽  
Micronutrient Intake ◽  
Dietary Records ◽  
Using Data ◽  
The Impact

Added sugars are often viewed as ‘empty calories’, negatively impacting micronutrient intakes, yet reviews consider the evidence inconclusive. This study aimed to quantify associations between dietary added sugars (as a percentage of energy) and micronutrient intake and biochemical status in the National Diet and Nutrition Survey. Using data from 1688 British children aged 4–18 years who completed 7 d weighed dietary records in 1997, micronutrient intakes were examined across quintiles of added sugars. After excluding low energy reporters, mean dietary intakes of most nutrients exceeded the reference nutrient intake, except for zinc. Compared with quintile 1 (9 % added sugars), high consumers in quintile 5 (23 % added sugars) had micronutrient intakes ranging from 24 % lower to 6 % higher (mean 14 % lower). Zinc intakes in quintile 1 v. quintile 5 averaged 93 % v. 78 % of reference nutrient intake; magnesium 114 % v. 94 %; iron 115 % v. 100 %; and vitamin A 111 % v. 92 %, respectively. Plasma levels of magnesium, zinc and carotenoids did not vary across quintiles, but weak negative correlations were observed with serum ferritin and transferrin saturation. Plasma selenium was inversely correlated with added sugars (r − 0·17; P < 0·0001) but there was no association with glutathione peroxidase. The impact of added sugars on micronutrient intakes appears modest overall but may have relevance for children consuming inadequate amounts of nutrient-rich foods coupled with a diet high in added sugars (approximately 23 %). Further work is needed to explore the impact of different sources of added sugars and to refine assessments of inadequate intakes and status.

scholarly journals Nutrient Intake and Dietary Quality Among Children and Adolescents by Fast Food Consumption Status: What We Eat in America, NHANES 2013–2016

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 235-235
Author(s):  
Carrie Martin ◽  
M Katherine Hoy ◽  
Theophile Murayi ◽  
Alanna Moshfegh
Keyword(s):  
Children And Adolescents ◽  
Nutrition Education ◽  
Diet Quality ◽  
Fast Food ◽  
Nutrient Intake ◽  
Healthy Eating Index ◽  
Dietary Quality ◽  
Polyunsaturated Fat ◽  
Monounsaturated Fat ◽  
Nutrient Intakes

Abstract Objectives To categorize children and adolescents by frequency of fast food (FF) consumption and compare intakes of energy, nutrients, and dietary quality among those with and without intake of fast food. Methods One day of dietary intake data from What We Eat in America, NHANES 2013–2016 were analyzed. The sample included children and adolescents age 2–5 y (N = 1152), 6–11 y (N = 1804), and 12–19 y (N = 2072). FF consumption on intake day included at least one reported food or beverage with the source indicated as “restaurant fast food/pizza”. Based on self-reported frequency of FF consumption in the previous seven days, participants were categorized as: Infrequent (0 times) (IFF), frequent (1 + times) without report of FF source (FF-NC) or frequent (1 + times) with report of FF source (FF-C) on the intake day. Differences between groups in energy, nutrient intake, and diet quality using the Healthy Eating Index (HEI) 2015, were assessed using T-tests in a multiple regression adjusting for confounders. Differences were considered significant at P &lt; 0.001. Results There were no significant differences in energy or nutrient intakes by FF status among children 2–5 y. However, their total HEI scores (of possible 100) were higher in IFF (57) and FF-NC (54) vs FF-C (50); subcomponent scores of IFF were higher than FF-C and FF-NC for Refined Grains, and higher for Whole Fruit and Total Protein Foods than FF-C. Among children 6–11 y, IFF had lower intake of polyunsaturated fat and higher intake of vitamin D than FF-C, but no differences in HEI scores. Among adolescents, IFF and FF-NC had lower intakes of energy, carbohydrate, total fat, polyunsaturated fat, monounsaturated fat, and sodium than FF-C and total HEI scores were higher in IFF (51) and FF-NC (49) vs FF-C (45). Subcomponent scores of IFF were higher for Total and Whole Fruit, Whole Grains, and Added Sugars than FF-C and higher for Total Fruit in FF-NC vs FF-C. There were no differences in nutrient intake or diet quality between IFF and FF-NC in any age group. Conclusions Differences in nutrient intakes and diet quality by FF consumption status varied among children and adolescents. These differences highlight the need to tailor nutrition education and messaging by age. Funding Sources U.S. Department of Agriculture.

Significance of Fortified Beverages in the Long-term Diet of German Children and Adolescents: 15-Year Results of the DONALD Study

2001 ◽  
Vol 71 (6) ◽  
pp. 356-363 ◽  
Author(s):  
Wolfgang Sichert-Hellert ◽  
Mathilde Kersting
Keyword(s):  
Vitamin A ◽  
Children And Adolescents ◽  
Time Trends ◽  
Vitamin B1 ◽  
Fortified Food ◽  
Micronutrient Intake ◽  
Dietary Records ◽  
Males And Females ◽  
German Children

Fortified beverages and instant drinks are the most frequently consumed fortified products in children and adolescents in Germany. However, little is known about the contribution of these products to micronutrient intake. Between 1986 and 2000, consumption of fortified food (total and the subgroup of fortified beverages) and time trends in energy and micronutrient intake were assessed on the basis of 3 day-weighed dietary records (n = 4358) of males and females between the ages of 2 and 14 years (n = 398/408) enrolled in the DONALD Study (Dortmund Nutritional and Anthropometric Longitudinally Designed Study). As percentage of recent references for micronutrient intake, a significant increase in intake from fortified beverages was observed for calcium (from 1 to 3%), iron (3 to 4%), vitamin A (5 to 15%), and vitamin C (5 to 60%). Significant increases in intakes were only observed from 1995–1997 for vitamin E, folate, and niacin (all 5 to 15–25%), vitamin B1 and B2 (both 10–15 to 25–30%) and vitamin B6 (20 to 55%). Thereafter significant decreases were found. Among the fortified beverages, juice was the most important for micronutrient intake, followed by soft drinks (calcium, vitamin A, E, C, folate, niacin) or by instant beverages (energy, iron, vitamin B1, B2, B6). Significant linear and nonlinear time trends in micronutrient intakes from fortified food and fortified beverages were observed in German children and adolescents.

scholarly journals Time and age trends in morning and evening protein intakes of German children and adolescents

2018 ◽  
Vol 7 ◽  
Author(s):  
Sarah Roßbach ◽  
Tanja Diederichs ◽  
Christian Herder ◽  
Anette E. Buyken ◽  
Ute Alexy
Keyword(s):  
Children And Adolescents ◽  
Energy Intake ◽  
Protein Intake ◽  
Linear Trend ◽  
Quadratic Trend ◽  
Linear Quadratic ◽  
Dietary Records ◽  
Age Trends ◽  
German Children ◽  
Starchy Foods

AbstractThe present study describes time and age trends in morning and evening protein intakes and sources among German children and adolescents from 1985 to 2014. A total of 9757 three-day weighed dietary records of 1246 3- to 18-year-old participants of the Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) study were analysed using polynomial mixed-effects regression models. Morning protein intake increased over the study period by approximately 1 % of morning energy intake (linear trend P < 0·0001), with the youngest and the oldest children having the highest protein intake (linear, quadratic trend P < 0·0001). Evening protein intake increased over time by approximately 2 % of evening energy intake in girls (linear trend P < 0·0001) and 1 % of evening energy intake in boys (quadratic trend P = 0·0313), with decreasing intake with age (girls: linear trend P < 0·0001; boys: linear trend P = 0·0963). Time trends were largely due to increases in protein from ‘starchy foods’. In conclusion, morning and evening protein intakes increased modestly between 1985 and 2014; these increases were, however, not accompanied by increases in traditional protein sources (i.e. meat or dairy products).

scholarly journals Convenience food in the diet of children and adolescents: consumption and composition

2008 ◽  
Vol 99 (2) ◽  
pp. 345-351 ◽  
Author(s):  
Ute Alexy ◽  
Wolfgang Sichert-Hellert ◽  
Tabea Rode ◽  
Mathilde Kersting
Keyword(s):  
Children And Adolescents ◽  
Food Additives ◽  
Total Carbohydrate ◽  
Convenience Food ◽  
Total Food Intake ◽  
Total Food ◽  
Dietary Records ◽  
Total Fat ◽  
German Children ◽  
Using Data

Despite an increasing trend towards the use of convenience food, there is to date little debate on it in the nutritional sciences. In the present study, we present and evaluate data on consumption frequencies and composition of savoury convenience food in German families using data from the Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) Study. The DONALD Study is an ongoing, longitudinal (open cohort) study (started 1985), collecting detailed data on diet, development, and metabolism in infants, children and adolescents. Dietary intake was measured by yearly repeated 3 d weighed dietary records (n 1558) in 554 subjects (278 boys; 276 girls), 3–18 years old, between 2003 and 2006. A total of 1345 (86%) 3 d dietary records mentioned consumption of at least one convenience food. Convenience food consumption (percentage of total food intake, g/d) increased with age from approximately 3% in the 3–8 year olds to 7% in 14–18-year-old boys and 5% in 14–18-year-old girls (P < 0·0001) but remained constant during the study period. Convenience foods contributed more to total fat (g/d) (P < 0·001) and less to total carbohydrate (P < 0·0001) than to total energy (kJ/d) intake. The 700 convenience-food products recorded by our sample had on average fourteen ingredients; 4% were flavourings and 16% were food additives. In conclusion, convenience foods were widely consumed by our sample of German children and adolescents and their consumption increased with age. The composition of convenience food was characterised by a high fat content and a high number of flavourings and food additives.

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