scholarly journals Non-Milk Extrinsic Sugars Intake and Food and Nutrient Consumption Patterns among Adolescents in the UK National Diet and Nutrition Survey, Years 2008–16

Nutrients ◽  
2019 ◽  
Vol 11 (7) ◽  
pp. 1621 ◽  
Author(s):  
Heidi T. Lai ◽  
Jayne Hutchinson ◽  
Charlotte E. L. Evans
Keyword(s):  
Fruit Juice ◽  
Care Needs ◽  
Nutrition Survey ◽  
Free Sugars ◽  
Department Of Health ◽  
Nutrient Consumption ◽  
Brown Bread ◽  
The Uk ◽  
Canned Fruit ◽  
The Impact

The revised guidelines from the Department of Health (DoH) in the UK state that mean population intakes of free sugars should be below 5% of the total energy (TE) consumption of the British population. However, very few studies have assessed the impact of this recommendation on diet quality in the UK. We explored the dietary patterns and intakes of micronutrients of British adolescents with low intakes of non-milk extrinsic sugars (NMES) (similar to free sugars but not equal, with slight differences in the categorisation of fruit sugars from dried, stewed or canned fruit and smoothies), using the National Diet and Nutrition Survey Rolling Programme, years 1–8 (NDNS RP). The sample included 2587 adolescents aged 11–18 years. Four percent (112) of adolescents reported consuming 5% or lower NMES as a proportion of TE. The odds of being categorised as a low-sugar consumer in adolescents (≤5% TE from NMES) were significantly lower with higher intakes of sweetened drinks, fruit juice, cakes, biscuits, sugar and sweet spreads, chocolate confectionery and sugar confectionery, and significantly higher with higher intakes of pasta and rice, wholemeal and brown bread, and fish. Across the five categories of NMES intakes, micronutrient intakes were lowest for those consuming either ≤5% TE or more than 20% TE from NMES, and optimal for those consuming between 10–15% of energy from NMES. These findings confirm the difficulties of meeting the free sugars recommended intake for adolescents. Care needs to be taken to ensure that an adequate consumption of micronutrients is achieved in those adhering to the revised guidelines on free sugars.

scholarly journals Free and Added Sugar Consumption and Adherence to Guidelines: The UK National Diet and Nutrition Survey (2014/15–2015/16)

Nutrients ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 393 ◽  
Author(s):  
Birdem Amoutzopoulos ◽  
Toni Steer ◽  
Caireen Roberts ◽  
David Collins ◽  
Polly Page
Keyword(s):  
Public Health ◽  
Dietary Intake ◽  
Free Sugar ◽  
Food Diary ◽  
Nutrition Survey ◽  
Added Sugar ◽  
Free Sugars ◽  
Sugar Intake ◽  
The Uk ◽  
The Impact

Monitoring dietary intake of sugars in the population’s diet has great importance in evaluating the efficiency of national sugar reduction programmes. The study objective was to provide a comprehensive assessment of dietary sources of added and free sugars to assess adherence to public health recommendations in the UK population and to consider the impact of different sugar definitions on monitoring. The terms “added sugar” and “free sugar” are different sugar definitions which include different sugar components and may result in different sugar intakes depending on the definition. Dietary intake of added sugars, free sugars and seven individual sugar components (sugar from table sugar; other sugars; honey; fruit juice; fruit puree; dried fruit; and stewed fruit) of 2138 males and females (1.5–64 years) from the National Diet and Nutrition Survey (NDNS) 2014–2016, collected using a 4 day estimated food diary, were studied. Added and free sugar intake accounted for 7% to 13% of total energy intake respectively. Major sources of free sugar intake were “cereals and cereal products”, “non-alcoholic beverages”, and “sugars, preserves, confectionery”. Differences between added and free sugar intake were significantly large, and thus use of free sugar versus added sugar definitions need careful consideration for standardised monitoring of sugar intake in relation to public health.

scholarly journals Vitamin D Serum Levels in the UK Population, including a Mathematical Approach to Evaluate the Impact of Vitamin D Fortified Ready-to-Eat Breakfast Cereals: Application of the NDNS Database

Nutrients ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1868
Author(s):  
Wim Calame ◽  
Laura Street ◽  
Toine Hulshof
Keyword(s):  
Vitamin D ◽  
Daily Intake ◽  
Serum Levels ◽  
Vitamin D Status ◽  
Nutrition Survey ◽  
Breakfast Cereals ◽  
Vitamin D Intake ◽  
The Uk ◽  
The Impact ◽  
The Relationship

Vitamin D status is relatively poor in the general population, potentially leading to various conditions. The present study evaluates the relationship between vitamin D status and intake in the UK population and the impact of vitamin D fortified ready-to-eat cereals (RTEC) on this status via data from the National Diet and Nutrition Survey (NDNS: 2008–2012). Four cohorts were addressed: ages 4–10 (n = 803), ages 11–18 (n = 884), ages 19–64 (n = 1655) and ages 65 and higher (n = 428). The impact of fortification by 4.2 μg vitamin D per 100 g of RTEC on vitamin D intake and status was mathematically modelled. Average vitamin D daily intake was age-dependent, ranging from ~2.6 (age range 4–18 years) to ~5.0 μg (older than 64 years). Average 25(OH)D concentration ranged from 43 to 51 nmol/L, the highest in children. The relationship between vitamin D intake and status followed an asymptotic curve with a predicted plateau concentration ranging from 52 in children to 83 nmol/L in elderly. The fortification model showed that serum concentrations increased with ~1.0 in children to ~6.5 nmol/L in the elderly. This study revealed that vitamin D intake in the UK population is low with 25(OH)D concentrations being suboptimal for general health. Fortification of breakfast cereals can contribute to improve overall vitamin D status.

scholarly journals Non-milk extrinsic sugars in the diets of pre-school children: association with intakes of micronutrients, energy, fat and NSP

1997 ◽  
Vol 78 (3) ◽  
pp. 367-378 ◽  
Author(s):  
Sigrid A. Gibson
Keyword(s):  
Vitamin C ◽  
Fruit Juice ◽  
Biological Significance ◽  
Inverse Association ◽  
Nutrient Intakes ◽  
Nutrition Survey ◽  
Department Of Health ◽  
Micronutrient Status ◽  
Micronutrient Intake ◽  
Dietary Reference Values

Concern has been expressed that high dietary concentrations of non-milk extrinsic sugars (NMES) may potentially compromise nutrient intakes in population groups with low energy intakes (Department of Health, 1991). The objective of the present study was to examine data from the National Diet and Nutrition Survey of Children Aged 1.5 to 4.5 years (Gregory et al. 1995) for evidence of an inverse association between energy from NMES and micronutrient intakes, and if possible to quantify a level of NMES-energy at which micronutrient intakes may, theoretically, be compromised. Energy and nutrient intakes were compared across quintiles of NMES-energy for boys (n 848) and girls (n 827). As the concentration of NMES increased, energy intake rose (in boys only) while percentage energy from fat fell from 40 to 32 % across quintiles 1 to 5. Intakes of most micronutrients also fell, while intakes of vitamin C rose. Mean intakes of most micronutrients (Ca, thiamin, riboflavin, niacin, folate and vitamin C) were adequate in comparison with dietary reference values. However, intakes of Fe, Zn and vitamin D were low at all levels of NMES-energy and fell below the estimated average requirement for Fe and Zn for NMES concentrations exceeding 24 % of energy. Lower intakes of milk, meat, bread and vegetables, and higher intakes of fruit juice largely explain the observed trends in micronutrient intake. It is concluded that the inverse association of NMES with micronutrient intakes is of most significance for the 20 % of children with diets highest in NMES. However, further work is required to establish whether the associations observed have biological significance with regard to micronutrient status.

scholarly journals A lost decade? A renewed case for adult social care reform in England

2020 ◽  
pp. 1-32
Author(s):  
JON GLASBY ◽  
YANAN ZHANG ◽  
MATTHEW R. BENNETT ◽  
PATRICK HALL
Keyword(s):  
Social Care ◽  
Current System ◽  
Policy Makers ◽  
Department Of Health ◽  
Working Age ◽  
Lost Decade ◽  
The Uk ◽  
The Impact ◽  
The Relationship ◽  
Urgent Action

Abstract Drawing on a 2010 analysis of the reform and costs of adult social care commissioned by Downing Street and the UK Department of Health, this paper sets out projected future costs under different reform scenarios, reviews what happened in practice from 2010-19, explores the impact of the growing gap between need and funding, and explores the relationship between future spending and economic growth. In the process, it identifies a ‘lost decade’ in which policy makers failed to act on the warnings which they received in 2010, draws attention to the disproportionate impact of cuts on older people (compared to services for people of working age) and calls for urgent action before the current system becomes unsustainable.

scholarly journals Associations between free sugar intake and markers of health in the UK population. An analysis of the NDNS rolling programme

2021 ◽  
pp. 1-30
Author(s):  
Julie Young ◽  
Sophie Scott ◽  
Lindsey Clark ◽  
John K Lodge
Keyword(s):  
Food Choices ◽  
Free Sugar ◽  
Nutrition Survey ◽  
Total Carbohydrate ◽  
Free Sugars ◽  
Sugar Intake ◽  
Lower Blood ◽  
Clinical Biomarker ◽  
The Uk ◽  
Health Parameters

Abstract Recommendations for free sugar intake in the UK should be no more than 5% of total energy due to increased health risks associated with overconsumption. It was therefore of interest to examine free sugar intakes and associations with health parameters in the UK population. The UK National Diet and Nutrition Survey (NDNS) rolling programme (2008-2017) was used for this study. Dietary intake, anthropometrical measurements and clinical biomarker data collated from 5121 adult respondents aged 19-64 years, were statistically analysed. Compared to the average total carbohydrate intake (48% of energy), free sugars comprised 12.5%, with sucrose 9% and fructose 3.5%. Intakes of these sugars, apart from fructose, were significantly different over collection year (P<0.001), and significantly higher in males (P<0.001). Comparing those consuming above or below the UK recommendations for free sugars (5% energy) significant differences were found for BMI (P<0.001), triglyceride (P<0.001), HDL (P=0.006) and homocysteine concentrations (P=0.028), and significant gender differences were observed (e.g lower blood pressure in females). Regression analysis demonstrated that free sugar intake could predict plasma triglycerides, HDL and homocysteine concentrations (P<0.0001), consistent with the link between these parameters and cardiovascular disease. We also found selected unhealthy food choices (using the UK Eatwell Guide) to be significantly higher in those that consumed above the recommendations (P<0.0001) and were predictors of free sugar intakes (P<0.0001). We have shown that adult free sugar intakes in the UK population are associated with certain negative health parameters that support the necessary reduction in free sugar intakes for the UK population.

scholarly journals A Disaggregation Methodology to Estimate Intake of Added Sugars and Free Sugars: An Illustration from the UK National Diet and Nutrition Survey

Nutrients ◽  
2018 ◽  
Vol 10 (9) ◽  
pp. 1177 ◽  
Author(s):  
Birdem Amoutzopoulos ◽  
Toni Steer ◽  
Caireen Roberts ◽  
Darren Cole ◽  
David Collins ◽  
...  
Keyword(s):  
Accurate Method ◽  
Dietary Intakes ◽  
Nutrition Survey ◽  
Free Sugars ◽  
Added Sugars ◽  
Nutrition Research ◽  
Dried Fruit ◽  
Nutritional Surveillance ◽  
Good Repeatability ◽  
The Uk

Various and inconsistent definitions for free and added sugars are used in the consideration and assessment of dietary intakes across public health, presenting challenges for nutritional surveillance, research, and policy. Furthermore, analytical methods to identify those sugars which are not naturally incorporated into the cellular structure of foods are lacking, thus free and added sugars are difficult to estimate in an efficient and accurate way. We aimed to establish a feasible and accurate method that can be applied flexibly to different definitions. Based on recipe disaggregation, our method involved five steps and showed good repeatability and validity. The resulting Free Sugars Database provided data for seven components of sugars; (1) table sugar; (2) other sugars; (3) honey; (4) fruit juice; (5) fruit puree; (6) dried fruit; and (7) stewed fruit, for ~9000 foods. Our approach facilitates a standardized and efficient assessment of added and free sugars, offering benefit and potential for nutrition research and surveillance, and for the food industry, for example to support sugar reduction and reformulation agendas.

scholarly journals The Devil Is in the Detail: Challenging the UK Government’s 2019 Impact Assessment of the Extent of Online Marketing of Unhealthy Foods to Children

2020 ◽  
Vol 17 (19) ◽  
pp. 7231
Author(s):  
Mimi Tatlow-Golden ◽  
Daniel Parker
Keyword(s):  
Impact Assessment ◽  
Well Being ◽  
Online Marketing ◽  
World Health ◽  
Unhealthy Food ◽  
Digital Devices ◽  
Department Of Health ◽  
The Government ◽  
The Uk ◽  
The Impact

Background: How much unhealthy marketing do children see on digital devices? Marketing of unhealthy food and beverages has long been identified as a factor in children’s preferences, purchase requests and consumption. Rising global obesity mandates States to craft environments that protect children and young people’s health, as recommended by the World Health Organization, among others. However, assessing the impact of marketing restrictions is particularly challenging: the complexity of digital advertising markets means that measurement challenges are profound. In 2019, the UK Department of Health published an Impact Assessment that applied a novel method aiming to calculate costs and benefits of restricting unhealthy food and beverage advertising on digital devices (planned for implementation by 2022). It estimated UK digital unhealthy marketing to children at 0.73 billion advertising impressions annually, compared to television impacts of 3.6 billion. Aim and Method: We assessed this conclusion by reviewing the UK Department of Health/Kantar Consulting’s Online Baseline Methodology (the “Government Model”). We examined the model’s underlying premise and specified the seven analytic steps undertaken. For each step, we reviewed industry and academic evidence to test its assumptions and the validity of data applied. Results: We found that, in each step, the Government Model’s assumptions, and the data sources selected, result in underestimates of the scale of digital advertising of unhealthy foods—at least tenfold, if not substantially more. The model’s underlying premise is also problematic, as digital advertising spend data relate poorly to digital advertising exposure, leading to further underestimation of market scale. Conclusion: We conclude that the Government Model very substantially underestimates the impact of digital unhealthy food advertising restrictions on health. This analysis has relevance for global policy and for the impact of regulation on children’s health and well-being.

Sign in / Sign up

Export Citation Format

Share Document