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Kannan J, Jawdekar AM. Development and Testing of the Novel Sugar Meter for Informing Sugar Intake Guidelines to Parents of Three- to Six-Year-Old Children: A Cross-Sectional Study. Cureus 2023; 15:e47409. [PMID: 38022204 PMCID: PMC10658758 DOI: 10.7759/cureus.47409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/20/2023] [Indexed: 12/01/2023] Open
Abstract
INTRODUCTION In recent years, the consumption of refined sugar has increased manifold. Added sugar is implicated in dental caries, cardiovascular risk and obesity amongst other conditions. The 1025 World Health Organization (WHO) Sugar Guidelines recommends sugar intake below 10% of energy, but there is limited awareness about the same in the general population. The aim of this study was to test the Novel Sugar Meter for informing the WHO Sugar Guidelines to the parents of three- to six-year-old children. METHODS Twenty consenting parents and their three- to six-year-old children from an English-medium school in Navi Mumbai, India, were selected. The parents were asked to record their child's baseline dietary data for three consecutive days including one weekend day. The Novel Sugar Meter, an indigenously developed ready reckoner for identifying the quantity of sugars consumed, was used. The parents were counselled using the Novel Sugar Meter (intervention) and standard instructions on the WHO guidelines (control). The dietary data were recorded again to assess and compare dietary behaviour modifications. RESULTS Comparison of pre-intervention versus post-intervention sugar consumptions showed a statistically significant reduction in the Novel Sugar Meter group (t(10) = 3.70891; p = .001388) but not in the control group (t(10) = 0.94081, p = 0.35926). Both groups showed a reduction in the frequency of daily sugar exposure, with significantly more reduction in the Novel Sugar Meter group (p = .000049). CONCLUSION Novel Sugar Meter-based counselling has the potential for application for reducing the quantity and frequency of sugar consumption in children.
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Affiliation(s)
- Jeyshree Kannan
- Paediatric and Preventive Dentistry, Bharati Vidyapeeth Dental College and Hospital, Navi Mumbai, IND
| | - Ashwin M Jawdekar
- Paediatric and Preventive Dentistry, Bharati Vidyapeeth Dental College and Hospital, Navi Mumbai, IND
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Nguyen HV, Ha DH, Dao ATM, Golley RK, Scott JA, Spencer J, Bell L, Devenish‐Coleman G, Do LG. Pairwise approach for analysis and reporting of child's free sugars intake from a birth cohort study. Community Dent Oral Epidemiol 2023; 51:820-828. [PMID: 35815733 PMCID: PMC10946696 DOI: 10.1111/cdoe.12770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Revised: 06/06/2022] [Accepted: 06/17/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The prospective cohort design is an important research design, but a common challenge is missing data. The purpose of this study is to compare three approaches to managing missing data, the pairwise (n = 1386 children), the partial or modified pairwise (n = 1019) and the listwise (n = 546), to characterize the trajectories of children's free sugars intake (FSI) across early childhood. METHODS By applying the Group-based Trajectory Model Technique to three waves of data collected from a prospective cohort study of South Australian children, this study examined the three approaches in managing missing data to validate and discuss children's FSI trajectories. RESULTS Each approach identified three distinct trajectories of child's FSI from 1 to 5 years of age: (1) 'low and fast increasing', (2) 'moderate and increasing' and (3) 'high and increasing'. The trajectory memberships were consistent across the three approaches, and were for the pairwise scenario (1) 15.1%, (2) 68.3% and (3) 16.6%; the partial or modified pairwise (1) 15.9%, (2) 64.1% and (3) 20.0%; and the listwise (1) 14.9%, (2) 64.9% and (3) 20.2% of children. CONCLUSIONS Given the comparability of the findings across the analytical approaches and the samples' characteristics between baseline and across different data collection waves, it is recommended that the pairwise approach be used in future analyses to optimize the sample size and statistical power when examining the relationship between FSI in the first years of life and health outcome such as dental caries.
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Affiliation(s)
- Huy Van Nguyen
- Health Innovation and Transformation CentreFederation UniversityBallaratVictoriaAustralia
- School of Medicine and DentistryGriffith UniversityGold CoastQueenslandAustralia
- Department of Population and Quantitative Health SciencesThe University of Massachusetts Medical SchoolWorcesterMassachusettsUSA
| | - Diep Hong Ha
- School of Dentistry, Faculty of Health and Behavioural SciencesThe University of QueenslandBrisbaneQueenslandAustralia
| | - An Thi Minh Dao
- Department of Population and Quantitative Health SciencesThe University of Massachusetts Medical SchoolWorcesterMassachusettsUSA
- School of Dentistry, Faculty of Health and Behavioural SciencesThe University of QueenslandBrisbaneQueenslandAustralia
| | - Rebecca K. Golley
- Caring Futures Institute, College of Nursing and Health SciencesFlinders UniversityAdelaideSouth AustraliaAustralia
| | - Jane A. Scott
- School of Population HealthCurtin UniversityPerthWestern AustraliaAustralia
| | - John Spencer
- Australian Research Centre for Population Oral HealthUniversity of AdelaideAdelaideSouth AustraliaAustralia
| | - Lucinda Bell
- Caring Futures Institute, College of Nursing and Health SciencesFlinders UniversityAdelaideSouth AustraliaAustralia
| | | | - Loc Giang Do
- School of Medicine and DentistryGriffith UniversityGold CoastQueenslandAustralia
- School of Dentistry, Faculty of Health and Behavioural SciencesThe University of QueenslandBrisbaneQueenslandAustralia
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Yin S, Yang Z, Zhu P, Du Z, Yu X, Tang T, Borné Y. Association between added sugars and kidney stones in U.S. adults: data from National Health and Nutrition Examination Survey 2007-2018. Front Nutr 2023; 10:1226082. [PMID: 37599678 PMCID: PMC10436224 DOI: 10.3389/fnut.2023.1226082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 07/06/2023] [Indexed: 08/22/2023] Open
Abstract
Purpose Added sugar is associated with a variety of adverse health outcomes, but its association with kidney stones is unclear. This study was to determine whether added sugar is associated with kidney stones. Materials and methods This nationally representative study used National Health and Nutrition Examination Survey (NHANES) datasets from 2007 to 2018 for analysis. People aged ≥20 years who reported a history of kidney stones and provided dietary recall data on added sugars were included. Weighted proportions, multivariable logistic regression analysis and stratified logistic regression were used to evaluate the associations between added sugars and kidney stones by adjusting potential confounders. Results Totally 28,303 adults were included, with weighted mean age [95% confidence interval (CI)] of 48.03 (47.56, 48.51) years, 47.74% (47.09, 48.40%) males and 52.26% (51.60, 52.91%) females. The overall mean (95% CI) energy intake from added sugars was 272.10 (266.59, 277.60) kilocalories. In the fully-adjusted multivariable model, the percentage of energy intake from added sugars was positively correlated with kidney stones. Compared to the first quartile of added sugar energy intake percentage, the population in the fourth quartile had a higher prevalence of kidney stones (OR = 1.39; 95% CI 1.17 to 1.65). Compared with the less than 5% calories from added sugar population, the more than or equal to 25% calories from added sugar had a higher kidney stone prevalence (OR = 1.88; 95% CI 1.52 to 2.32). Conclusion A higher percentage of energy intake from added sugars is significantly associated with a higher prevalence of kidney stones. This study provides cross-sectional evidence for the relationship between added sugars and health outcomes.
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Affiliation(s)
- Shan Yin
- Department of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China
| | - Zhenzhen Yang
- Department of Clinical Laboratory, Nanchong Central Hospital, Nanchong, China
| | - Pingyu Zhu
- Department of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China
| | - Zhongbo Du
- Department of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China
| | - Xiaodong Yu
- Department of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China
| | - Tielong Tang
- Department of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China
| | - Yan Borné
- Nutritional Epidemiology, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden
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Melough M, Sathyanarayana S, Zohoori F, Gustafsson H, Sullivan E, Chi D, Levy S, McKinney C. Impact of Fluoride on Associations between Free Sugars Intake and Dental Caries in US Children. JDR Clin Trans Res 2023; 8:215-223. [PMID: 35446163 PMCID: PMC10404899 DOI: 10.1177/23800844221093038] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE Dental caries is the most prevalent chronic disease in US children, with the highest burden among Black and Hispanic youth. Sugars are a primary risk factor, but few studies have specifically measured intakes of free sugars and related this to dental caries or explored the extent to which water fluoride mitigates the cariogenicity of free sugars. Furthermore, the cariogenicity of certain free sugars sources, such as extruded fruit and vegetable products, is unclear. METHODS Using cross-sectional data on 4,906 children aged 2 to 19 y in the US National Health and Nutrition Examination Survey 2013-2016, we examined associations of free sugars intake with counts of decayed or filled primary tooth surfaces (dfs) and decayed, missing, or filled permanent surfaces (DMFS) in negative binomial regressions. Stratified models examined these associations in children with home water fluoride above or below the Centers for Disease Control and Prevention (CDC)-recommended level of 0.7 ppm. RESULTS Free sugars accounted for 16.4% of energy, primarily contributed by added sugars. In adjusted models, a doubling in the percentage of energy from free sugars was associated with 22% (95% confidence interval [CI], 1%-47%) greater dfs among children aged 2 to 8. A doubling in energy from added sugars was associated with 20% (95% CI, 1%-42%) greater dfs and 10% (95% CI, 2%-20%) greater DMFS in children aged 6 to 19 y. Beverages were the most important source of added sugars associated with increased caries. Other free sugars were not associated with dfs or DMFS. Associations between free sugars and caries were diminished among children with home water fluoride of 0.7 ppm or greater. CONCLUSIONS Free sugars intake, especially in the form of added sugars and specifically in sweetened beverages, was associated with higher dental caries. Water fluoride exposures modify these associations, reducing caries risk in the primary dentition of children whose home water meets recommended fluoride levels. KNOWLEDGE TRANSFER STATEMENT Intake of free sugars, especially in the form of added sugars and specifically in beverages, was associated with higher dental caries in US children in this study. Water fluoride exposure at CDC-recommended levels protected against caries, especially in the primary dentition. These findings suggest that household water fluoridation at CDC-recommended levels protects against the cariogenic potential of free and added sugars during childhood.
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Affiliation(s)
- M.M. Melough
- Department of Child Health, Behavior, and Development, Seattle Children’s Research Institute, Seattle, WA, USA
| | - S. Sathyanarayana
- Department of Child Health, Behavior, and Development, Seattle Children’s Research Institute, Seattle, WA, USA
- Departments of Pediatrics and Environmental & Occupational Health Sciences, University of Washington, Seattle, WA, USA
| | - F.V. Zohoori
- Centre for Public Health Research, School of Health and Life Sciences, Teesside University, Middlesbrough, UK
| | - H.C. Gustafsson
- Department of Psychiatry, Oregon Health & Science University, Portland, OR, USA
| | - E.L. Sullivan
- Department of Psychiatry, Oregon Health & Science University, Portland, OR, USA
| | - D.L. Chi
- Department of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, WA, USA
- Department of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, WA, USA
| | - S.M. Levy
- Department of Preventive & Community Dentistry, College of Dentistry, and Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA
| | - C.M. McKinney
- Department of Child Health, Behavior, and Development, Seattle Children’s Research Institute, Seattle, WA, USA
- Department of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, WA, USA
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Nakai Y, Mori-Suzuki Y. Cross-Cultural Validity of a Dietary Questionnaire for Studying Dental Caries in Japanese Children. Healthcare (Basel) 2023; 11:healthcare11071036. [PMID: 37046963 PMCID: PMC10093983 DOI: 10.3390/healthcare11071036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Revised: 03/18/2023] [Accepted: 04/02/2023] [Indexed: 04/14/2023] Open
Abstract
This study examines the cross-cultural validity of the Japanese version of the Food Frequency Questionnaire (FFQ), designed for studies on dental caries to assess dietary intake in Japanese children. Parent-reported dietary data were collected (274 children, 3-6 years old) using the 38-item FFQ, whose reliability and validity have been demonstrated in adults. Factor analysis was used to determine dimensionality. Dietary cariogenicity scores were compared with the levels of plaque mutans streptococci, and the decayed, missing, and filled teeth (dmft) index to evaluate the criterion validity using Pearson's correlation coefficient (r) and the Kruskal-Wallis test. The FFQ showed good criterion validity, assessed through its relationship with the dmft index (r = 0.119; p = 0.05) and Dentocult SM score (r = 0.124; p = 0.04). Factor analysis revealed six questionnaire subscales. Internal consistency was from low to acceptable (Cronbach's alpha = 0.64 for the total scale, 0.39-0.53 for each subscale). Children with a higher SM score were more likely to have higher dietary cariogenicity scores (p = 0.01; Kruskal-Wallis test). These results confirm the validity of the Japanese version of the FFQ for children, which can be used to track dietary structure dynamics regarding cariogenicity from childhood to adulthood.
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Affiliation(s)
- Yukie Nakai
- Department of Dental Hygiene, University of Shizuoka Junior College, Shizuoka 422-8021, Japan
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Voltas N, Jardí C, Hernández-Martínez C, Arija V, Canals J. Association between free sugars intake and early psychopathological problems. J Child Health Care 2022:13674935221135106. [PMID: 36282888 DOI: 10.1177/13674935221135106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Mental health problems are highly prevalent in childhood and adolescence and may be associated with nutritional intake. It has recently been shown that a high percentage of infants and children consume large amounts of free sugars. In this paper, we analyse the relationship between free sugar consumption at 12 and 30 months and the risk of developing psychological problems at 30 months in a community sample of 86 children evaluated longitudinally. Socio-family and anthropometric data, and the amount of free sugars consumed were collected at both ages. At 30 months, the Child Behavior Checklist 1.5-5 was administered to parents and an interview was conducted to identify psychological disorders in accordance with DC: 0-3's classification. We report a relationship between high free sugar consumption at 30 months and the concurrent presence of sleeping problems, ADHD and anxiety symptoms. However, no significant association was observed between free sugar consumption at 12 months and the subsequent development of psychological problems. Early detection of emotional and behavioural manifestations and high sugar consumption in children may help to prevent the persistence of psychological problems.
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Affiliation(s)
- Núria Voltas
- Research Center for Behavioral Assessment (CRAMC), Department of Psychology, 16777Universitat Rovira i Virgili, Tarragona, Spain
- Nutrition and Mental Health Research Group (NUTRISAM), 16777Universitat Rovira i Virgili, Tarragona, Spain
- Serra Húnter fellow; , Department of Psychology, 16777Universitat Rovira i Virgili, Tarragona, Spain
| | - Cristina Jardí
- Nutrition and Mental Health Research Group (NUTRISAM), 16777Universitat Rovira i Virgili, Tarragona, Spain
- Nutrition and Public Health Unit, 73047Universitat Rovira i Virgili, Reus, Spain
| | - Carmen Hernández-Martínez
- Research Center for Behavioral Assessment (CRAMC), Department of Psychology, 16777Universitat Rovira i Virgili, Tarragona, Spain
- Nutrition and Mental Health Research Group (NUTRISAM), 16777Universitat Rovira i Virgili, Tarragona, Spain
| | - Victoria Arija
- Nutrition and Mental Health Research Group (NUTRISAM), 16777Universitat Rovira i Virgili, Tarragona, Spain
- Nutrition and Public Health Unit, 73047Universitat Rovira i Virgili, Reus, Spain
| | - Josefa Canals
- Research Center for Behavioral Assessment (CRAMC), Department of Psychology, 16777Universitat Rovira i Virgili, Tarragona, Spain
- Nutrition and Mental Health Research Group (NUTRISAM), 16777Universitat Rovira i Virgili, Tarragona, Spain
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Liu S, Chongsuvivatwong V, Zhang S, Thearmontree A. Effects of Parental Migration on Dental Caries of Six- to Eight-Year-Old Children Using Structural Equation Modeling. Int J Environ Res Public Health 2022; 19:13470. [PMID: 36294059 PMCID: PMC9602841 DOI: 10.3390/ijerph192013470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Revised: 10/13/2022] [Accepted: 10/16/2022] [Indexed: 06/16/2023]
Abstract
This cross-sectional study aimed to document the relationship between dental caries, oral health behaviors, and the duration of parental migration in rural Yunnan, China, from September to December 2020. Seven rural primary schools with high parental migration were studied. The oral health status of 500 six- to eight-year-old students was assessed using clinical examination and caregivers' interviews. A total of 51.8% of the children had at least one parent absent for at least 6 months (left-behind children). Among those children with parental migration <6 months, 40.0% consumed sugar twice or more daily and 82.8% of those with parental migration from 6 to 12 months brushed once a day or less. The percentage of daily sugar consumption twice or more and brushing once or less among those without parental migration were 36.0% and 68.6%. Prevalence of caries in permanent teeth (DMFT) in children without parental migration and those whose parental migration <6 months, 6 to <12 months, and ≤12 months were 30.9%, 20.0%, 28.7% and 19.8%, respectively. Out of several other causal pathways between parental migration and dental caries, our structural equation model delineated that sugar consumption is the important mediator variable. Special education programs may be needed to educate caregivers on sugar consumption for the left-behind children in rural areas.
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Affiliation(s)
- Sichen Liu
- Improvement of Oral Health Care Research Unit, Community Dentistry Division, Department of Preventive Dentistry, Faculty of Dentistry, Prince of Songkla University, Songkhla 90110, Thailand
| | | | - Shinan Zhang
- Department of Dental Public Health, School of Stomatology, Kunming Medical University, Kunming 650000, China
| | - Angkana Thearmontree
- Improvement of Oral Health Care Research Unit, Community Dentistry Division, Department of Preventive Dentistry, Faculty of Dentistry, Prince of Songkla University, Songkhla 90110, Thailand
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Nakai Y, Mori-Suzuki Y. Impact of Dietary Patterns on Plaque Acidogenicity and Dental Caries in Early Childhood: A Retrospective Analysis in Japan. Int J Environ Res Public Health 2022; 19:7245. [PMID: 35742494 DOI: 10.3390/ijerph19127245] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/21/2022] [Revised: 06/08/2022] [Accepted: 06/11/2022] [Indexed: 11/24/2022]
Abstract
This study aimed to assess the relationship of dietary patterns, such as frequency, timing, and cariogenicity of food/beverage consumption, with plaque acidogenicity and early childhood caries (ECC) in Japan. A total of 118 children aged 1–4 years who had visited the pediatric dental clinic were enrolled. We retrospectively reviewed their records to collect data including age, sex, medical history, medication, caries status, and plaque acidogenicity level at the first dental visit. The plaque acidogenicity level was measured using Cariostat®. Dietary data were collected from 3-day dietary records, and the dietary cariogenicity score was calculated from these data. Children with ECC or high plaque acidogenicity consumed between-meal sugars more frequently than did their counterparts (p = 0.002 and p = 0.006, respectively). Children with ECC or high plaque acidogenicity drank juices between meals more frequently than at mealtimes (p = 0.02). Frequent consumption of between-meal sugars was associated with higher plaque acidogenicity and ECC, and frequent breast/bottle feeding was associated with ECC. No differences were found in the dietary cariogenicity scores between these groups. Therefore, the frequency and timing of sugar consumption, might affect plaque acidogenicity and ECC, and reducing the frequency of sugar intake could prevent ECC.
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Alosaimi N, Bernabé E. Amount and Frequency of Added Sugars Intake and Their Associations with Dental Caries in United States Adults. Int J Environ Res Public Health 2022; 19:ijerph19084511. [PMID: 35457376 PMCID: PMC9026961 DOI: 10.3390/ijerph19084511] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 03/29/2022] [Accepted: 04/07/2022] [Indexed: 01/17/2023]
Abstract
The relative importance of amount and frequency of sugars intake for caries development has been a matter of debate in recent years, yet only one study has formally evaluated this question among adults. The aims of this study were to explore the shape of the relationship between amount and frequency of added sugars intake and their associations with dental caries among adults. Cross-sectional data from 10,514 adults, aged 20+ years, from the National Health and Nutrition Examination Survey (NHANES) 2011–2016 were analyzed. The amount (g/day) and frequency (items/day and episodes/day) of added sugars intake were derived from dietary recalls. Dental caries was indicated by the DMFS and DS scores. Fractional polynomials were used to characterize the relationship between amount and frequency of added sugars intake. Their associations with DMFS and DS were evaluated in negative binomial regression models adjusting for confounders. There was a logarithmic relationship between amount and frequency of added sugars intake. The amount of added sugars intake was positively associated with the DMFS (rate ratio: 1.11, 95% CI: 1.07–1.15) and DS scores (1.43, 95% CI: 1.33–1.54). However, the estimates for frequency of added sugars intake varied depending on how it was expressed. When expressed in items/day, it was not associated with the DMFS (1.02, 95% CI: 0.99–1.04) or DS score (0.91, 95% CI: 0.81–1.02). When expressed in episodes/day, it was positively associated with the DMFS (1.43, 95% CI: 1.33–1.54) but not with the DS score (0.95, 95% CI: 0.86–1.04). This study found a curvilinear relationship between the amount and frequency of added sugars intake. Furthermore, the amount of added sugars intake was more consistently and strongly associated with dental caries than the frequency of intake.
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Araújo SMP, da Silva GQTL, Costa EL, Nunes AMM, Ribeiro CCC. Pathways in the association between added sugar consumption, obesity in mother-child dyads, and chronic oral disease burden in early childhood. Eur J Oral Sci 2022; 130:e12847. [PMID: 34985797 DOI: 10.1111/eos.12847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Accepted: 11/15/2021] [Indexed: 11/28/2022]
Abstract
In this study, we modeled the pathways in the association of socioeconomic status, frequency of added sugar consumption, and obesity in mother-child dyads with chronic oral disease burden in early childhood using structural equation modeling. A population-based study was conducted on preschoolers from public daycare centers in São Luís, Brazil (n = 674) and their mothers. Chronic oral disease burden in early childhood was a latent variable, representing the shared variance of the following indicators: visible plaque index, gingivitis, and dental caries. A higher consumption frequency of added sugars by children [standardized regression coefficient (SC) = 0.219] explained the chronic oral disease burden. A higher consumption frequency of added sugars by mothers was associated with greater consumption of sugar by children (SC = 0.236), and indirectly with a greater chronic oral disease burden (SC = 0.052). Maternal obesity was associated with obesity in the offspring (SC = 0.130). The chronic oral disease burden is already present in early childhood and can be explained by the higher consumption of added sugars by the mother-child dyad. Approaches to preventing chronic oral diseases should focus on common risk factors, start early in life, and promote family involvement in this process.
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Echeverria MS, Schuch HS, Cenci MS, Motta JVS, Bertoldi AD, Hallal PC, Demarco FF. Trajectories of Sugar Consumption and Dental Caries in Early Childhood. J Dent Res 2022; 101:724-730. [PMID: 35114848 DOI: 10.1177/00220345211068743] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
This study verifies the association between the trajectory of sugar consumption and dental caries in the 2015 Pelotas Birth Cohort in Pelotas, Brazil. It was conducted with data from the follow-ups at 3, 12, 24, and 48 mo from the 2015 Birth Cohort, which included 4,275 children born alive in hospitals in Pelotas. Data collection included standardized questionnaires for first caregivers applied by trained interviewers at all follow-ups. Exposure was the trajectory of sugar consumption from 3 to 48 mo (always low, always intermediate, increasing, and always high), obtained by group-based trajectory modeling. The outcome of this study was dental caries, obtained through clinical examination performed by calibrated dentists at 48 mo of age. Socioeconomic conditions and oral health instruction from a health professional during the first 4 y of life were included in the analysis as potential confounders. Prevalence ratios and their 95% confidence intervals were provided from generalized estimating equations with a log-Poisson with robust variance specification. In total, 3,654 (91.1%) children participated in the survey at 48 mo, and 2,806 children had complete data for the analyzes performed. Of these, 1,012 (36.1%; 95% confidence interval [CI], 34.3-37.8) experienced caries, and 723 (25.8%; 95% CI, 24.2-27.4) had cavitated caries. Regarding cavitated caries, the prevalence was 1.48 times higher in the group with increasing sugar consumption than children with always low consumption. There is an association between the trajectory of sugar consumption and dental caries at 48 mo. Children with increasing and always high sugar consumption have the highest prevalence of caries.
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Affiliation(s)
- M S Echeverria
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, RS, Brazil
| | - H S Schuch
- Postgraduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil
| | - M S Cenci
- Postgraduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil
| | - J V S Motta
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, RS, Brazil
| | - A D Bertoldi
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, RS, Brazil
| | - P C Hallal
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, RS, Brazil
| | - F F Demarco
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, RS, Brazil.,Postgraduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil
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Baratto PS, Valmórbida JL, Leffa PDS, Sangalli CN, Feldens CA, Vitolo MR. Primary Health Care Intervention Reduces Added Sugars Consumption During Childhood. J Nutr Educ Behav 2021; 53:999-1007. [PMID: 34404628 DOI: 10.1016/j.jneb.2021.07.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Revised: 07/17/2021] [Accepted: 07/22/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE To investigate the effectiveness of a training program for health workers regarding infant feeding practices to reduce sugar consumption in children. DESIGN A cluster randomized trial was conducted at 20 health centers in southern Brazil randomly assigned to an intervention (n = 9) or control (n = 11) group. PARTICIPANTS The 715 pregnant women enrolled were assessed when their children were aged 6 months, 3 years, and 6 years. INTERVENTION A training session for primary care workers based on the Brazilian National Guidelines for Children. MAIN OUTCOME MEASURE Mothers were asked when sugar was first offered to children. Added sugars intake was obtained from dietary recalls. ANALYSIS The effectiveness of the intervention was modeled using generalized estimation equations and Poisson regression with robust variance. RESULTS Children attending intervention health centers had a 27% reduced risk of sugar introduction before 4 months of age (relative risk, 0.73; 95% confidence interval [CI], 0.61-0.87) as well as lower added sugars consumption (difference, -6.36 g/d; 95% CI, -11.49 to -1.23) and total daily energy intake (difference, -116.90 kcal/d; 95% CI, -222.41 to -11.40) at 3 years of age. CONCLUSIONS AND IMPLICATIONS Health care worker training in infant feeding guidelines may be an effective intervention to delay the introduction of added sugars and lower the subsequent intake of added sugars in infants and toddlers.
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Affiliation(s)
- Paola Seffrin Baratto
- Graduate Program in Pediatrics, Child and Adolescent Health Care, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil
| | - Julia Luzzi Valmórbida
- Graduate Program in Pediatrics, Child and Adolescent Health Care, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil
| | - Paula Dos Santos Leffa
- Graduate Program in Health Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil
| | - Caroline Nicola Sangalli
- Graduate Program in Health Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil
| | | | - Márcia Regina Vitolo
- Graduate Program in Pediatrics, Child and Adolescent Health Care, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil; Graduate Program in Health Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil.
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13
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Smith ME, Cisbani G, Metherel AH, Bazinet RP. The Majority of Brain Palmitic Acid is Maintained by Lipogenesis from Dietary Sugars and is Augmented in Mice fed Low Palmitic Acid Levels from Birth. J Neurochem 2021; 161:112-128. [PMID: 34780089 DOI: 10.1111/jnc.15539] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 11/04/2021] [Accepted: 11/10/2021] [Indexed: 11/28/2022]
Abstract
Previously, results from studies investigating if brain palmitic acid (16:0; PAM) was maintained by either dietary uptake or lipogenesis de novo (DNL) varied. Here, we utilize naturally occurring carbon isotope ratios (13 C/12 C; δ13 C) to uncover the origin of brain PAM. Additionally, we explored brain and liver fatty acid concentration, total brain metabolomic profile, and behaviour. BALB/c dams were equilibrated onto either a low PAM diet (LP; <2%) or high PAM diet (HP; >95%) prior to producing one generation of offspring. Offspring stayed on the respective diet of the dam until 15-weeks of age, at which time the Open Field test was conducted in the offspring, prior to euthanasia and tissue lipid extraction. Although liver PAM was lower in offspring fed the LP diet, as well as female offspring, brain PAM was not affected by diet or sex. Across offspring of either sex on both diets, brain 13 C-PAM revealed compared to dietary uptake, DNL from dietary sugars contributed 68.8%-79.5% and 46.6%-58.0% to the total brain PAM pool by both peripheral and local brain DNL, and local brain DNL alone, respectively. DNL was augmented in offspring fed the LP diet, and the ability to upregulate DNL in the liver or the brain depended on sex. Anxiety-like behaviours were decreased in offspring fed the LP diet and were correlated with markers of LP diet consumption including increased liver 13 C-PAM, warranting further investigation. Altogether, our results indicate that DNL from dietary sugars is a compensatory mechanism to maintain brain PAM in response to a LP diet.
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Affiliation(s)
| | - Giulia Cisbani
- University of Toronto, Department of Nutritional Sciences, Toronto
| | - Adam H Metherel
- University of Toronto, Department of Nutritional Sciences, Toronto
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Xi Y, Lin Q, Yang Q, Li F, Liu H, Luo J, Ouyang Y, Sun M, Yong C, Xiang C, Zheng W. Association between Free Sugars Intake and Excessive Daytime Sleepiness among Chinese Adolescents. Nutrients 2021; 13:nu13113959. [PMID: 34836214 PMCID: PMC8618473 DOI: 10.3390/nu13113959] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Revised: 11/03/2021] [Accepted: 11/03/2021] [Indexed: 12/20/2022] Open
Abstract
This study aimed to investigate the prevalence of excessive daytime sleepiness (EDS) and explore the association between free sugars intake and EDS. In this cross-sectional study, a total of 1517 middle school students (808 boys and 707 girls) aged 12~14 years were recruited. The study was conducted in Changsha city, China. Adolescents completed an online questionnaire, including the Epworth Sleepiness Scale (ESS), sleep characteristics, a 12-item Food Frequency Questionnaire (FFQ), and other self-reported information. The ESS score ≥ ten was defined as EDS. The anthropometric indices, including height, weight, and waist circumference, were measured and recorded by uniformly trained assistants. Statistical analyses included the Chi-square test and binary logistic regression model. The mean ESS score and free sugars consumption were 6.8 ± 3.9 points and 53.1 ± 44.7 g/d, respectively. The prevalence of EDS among adolescents was 22.5%, and more girls than boys had EDS (26.1% vs. 19.4%, p < 0.05). An exceeded free sugars intake was positively associated with EDS, with the adjusted Odds Ratio (OR) with its 95% Confident Interval (95% CI) of 1.366 (1.060~1.761, p < 0.05). EDS and excessive consumption of free sugars are commonly found among Chinese adolescents. Further studies are needed to confirm whether free sugars restriction can be meaningful to improve daytime drowsiness in those with EDS.
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Affiliation(s)
- Yue Xi
- Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, China; (Y.X.); (Q.L.); (Q.Y.); (H.L.); (J.L.); (Y.O.); (M.S.); (C.Y.); (C.X.)
| | - Qian Lin
- Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, China; (Y.X.); (Q.L.); (Q.Y.); (H.L.); (J.L.); (Y.O.); (M.S.); (C.Y.); (C.X.)
| | - Qiping Yang
- Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, China; (Y.X.); (Q.L.); (Q.Y.); (H.L.); (J.L.); (Y.O.); (M.S.); (C.Y.); (C.X.)
| | - Fang Li
- Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China;
- Hunan Provincial Key Laboratory of Clinical Epidemiology, Changsha 410078, China
| | - Hanmei Liu
- Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, China; (Y.X.); (Q.L.); (Q.Y.); (H.L.); (J.L.); (Y.O.); (M.S.); (C.Y.); (C.X.)
| | - Jing Luo
- Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, China; (Y.X.); (Q.L.); (Q.Y.); (H.L.); (J.L.); (Y.O.); (M.S.); (C.Y.); (C.X.)
| | - Yufeng Ouyang
- Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, China; (Y.X.); (Q.L.); (Q.Y.); (H.L.); (J.L.); (Y.O.); (M.S.); (C.Y.); (C.X.)
| | - Minghui Sun
- Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, China; (Y.X.); (Q.L.); (Q.Y.); (H.L.); (J.L.); (Y.O.); (M.S.); (C.Y.); (C.X.)
| | - Cuiting Yong
- Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, China; (Y.X.); (Q.L.); (Q.Y.); (H.L.); (J.L.); (Y.O.); (M.S.); (C.Y.); (C.X.)
| | - Caihong Xiang
- Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, China; (Y.X.); (Q.L.); (Q.Y.); (H.L.); (J.L.); (Y.O.); (M.S.); (C.Y.); (C.X.)
| | - Wenya Zheng
- Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, China; (Y.X.); (Q.L.); (Q.Y.); (H.L.); (J.L.); (Y.O.); (M.S.); (C.Y.); (C.X.)
- Correspondence: ; Tel.: +86-199-7985-1193
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Kose J, Cheung A, Fezeu LK, Péneau S, Debras C, Touvier M, Hercberg S, Galan P, Andreeva VA. A Comparison of Sugar Intake between Individuals with High and Low Trait Anxiety: Results from the NutriNet-Santé Study. Nutrients 2021; 13:nu13051526. [PMID: 33946586 PMCID: PMC8147234 DOI: 10.3390/nu13051526] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Revised: 04/26/2021] [Accepted: 04/27/2021] [Indexed: 11/18/2022] Open
Abstract
(1) Background: Dietary carbohydrates are likely correlated with mental health in general, and with anxiety in particular. Our aim was to investigate the cross-sectional relationship between trait anxiety and carbohydrate (especially sugar) intake in a large sample derived from the general French population. (2) Methods: The analyses included 20,231 non-diabetic adults enrolled in the NutriNet-Santé e-cohort, who had completed the trait anxiety subscale of the Spielberger State-Trait Anxiety Inventory (T-STAI, 2013–2016) and who were subsequently divided into high and low trait anxiety groups (T-STAI cut-off of 40 points). Sugar-rich food and macronutrient intake was calculated from ≥3 self-administered 24-h dietary records. The association between trait anxiety and carbohydrate intake was evaluated by ANCOVA according to age category (<45 and ≥45 years). (3) Results: In the full sample, 7942 (39.3%) individuals fell into the high trait anxiety category. They were more likely to be women (82.2% versus 69.2%; p < 0.0001) and younger (mean age 51.6 versus 55.1 years; p < 0.0001) compared to the low trait anxiety group. In fully-adjusted models, high-anxiety individuals aged under 45 years had significantly higher mean consumption of added simple sugars (43.9 versus 42.3 g/d; p < 0.0007), whereas those aged over 45 years with high trait anxiety had significantly lower mean consumption of fruit (214.0 versus 219.5 g/d; p < 0.02) compared to their low-anxiety counterparts. (4) Conclusions: This cross-sectional study revealed modest age-specific associations between anxiety status and sugar intake among adults. Prospective studies with representative samples are needed to explore potential bi-directionality of the observed associations.
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Affiliation(s)
- Junko Kose
- Nutritional Epidemiology Research Group (EREN), Sorbonne Paris Nord University, INSERM U1153/INRAE U1125/CNAM, Epidemiology and Statistics Research Centre (CRESS), University of Paris, 93017 Bobigny, France; (J.K.); (A.C.); (L.K.F.); (S.P.); (C.D.); (M.T.); (S.H.); (P.G.)
| | - Adrienne Cheung
- Nutritional Epidemiology Research Group (EREN), Sorbonne Paris Nord University, INSERM U1153/INRAE U1125/CNAM, Epidemiology and Statistics Research Centre (CRESS), University of Paris, 93017 Bobigny, France; (J.K.); (A.C.); (L.K.F.); (S.P.); (C.D.); (M.T.); (S.H.); (P.G.)
- Department of Psychiatry, The Ottawa Hospital, Ottawa, ON K1Y 4E9, Canada
| | - Léopold K. Fezeu
- Nutritional Epidemiology Research Group (EREN), Sorbonne Paris Nord University, INSERM U1153/INRAE U1125/CNAM, Epidemiology and Statistics Research Centre (CRESS), University of Paris, 93017 Bobigny, France; (J.K.); (A.C.); (L.K.F.); (S.P.); (C.D.); (M.T.); (S.H.); (P.G.)
| | - Sandrine Péneau
- Nutritional Epidemiology Research Group (EREN), Sorbonne Paris Nord University, INSERM U1153/INRAE U1125/CNAM, Epidemiology and Statistics Research Centre (CRESS), University of Paris, 93017 Bobigny, France; (J.K.); (A.C.); (L.K.F.); (S.P.); (C.D.); (M.T.); (S.H.); (P.G.)
| | - Charlotte Debras
- Nutritional Epidemiology Research Group (EREN), Sorbonne Paris Nord University, INSERM U1153/INRAE U1125/CNAM, Epidemiology and Statistics Research Centre (CRESS), University of Paris, 93017 Bobigny, France; (J.K.); (A.C.); (L.K.F.); (S.P.); (C.D.); (M.T.); (S.H.); (P.G.)
| | - Mathilde Touvier
- Nutritional Epidemiology Research Group (EREN), Sorbonne Paris Nord University, INSERM U1153/INRAE U1125/CNAM, Epidemiology and Statistics Research Centre (CRESS), University of Paris, 93017 Bobigny, France; (J.K.); (A.C.); (L.K.F.); (S.P.); (C.D.); (M.T.); (S.H.); (P.G.)
| | - Serge Hercberg
- Nutritional Epidemiology Research Group (EREN), Sorbonne Paris Nord University, INSERM U1153/INRAE U1125/CNAM, Epidemiology and Statistics Research Centre (CRESS), University of Paris, 93017 Bobigny, France; (J.K.); (A.C.); (L.K.F.); (S.P.); (C.D.); (M.T.); (S.H.); (P.G.)
- Department of Public Health, AP-HP Avicenne Hospital, 93017 Bobigny, France
| | - Pilar Galan
- Nutritional Epidemiology Research Group (EREN), Sorbonne Paris Nord University, INSERM U1153/INRAE U1125/CNAM, Epidemiology and Statistics Research Centre (CRESS), University of Paris, 93017 Bobigny, France; (J.K.); (A.C.); (L.K.F.); (S.P.); (C.D.); (M.T.); (S.H.); (P.G.)
| | - Valentina A. Andreeva
- Nutritional Epidemiology Research Group (EREN), Sorbonne Paris Nord University, INSERM U1153/INRAE U1125/CNAM, Epidemiology and Statistics Research Centre (CRESS), University of Paris, 93017 Bobigny, France; (J.K.); (A.C.); (L.K.F.); (S.P.); (C.D.); (M.T.); (S.H.); (P.G.)
- Correspondence: ; Tel.: +33-1-4838-8930
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Yang Q, Xi Y, Liu H, Luo J, Ouyang Y, Sun M, Yong C, Xiang C, Lin Q. Free Sugars Intake among Chinese Adolescents and Its Association with Dental Caries: A Cross-Sectional Study. Nutrients 2021; 13:765. [PMID: 33652968 DOI: 10.3390/nu13030765] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Revised: 02/22/2021] [Accepted: 02/23/2021] [Indexed: 02/07/2023] Open
Abstract
This study aims to estimate the free sugars intake, identify the primary food sources of free sugars, and explore the relationship between free sugars intake and dental caries among Chinese adolescents. This cross-sectional study included 1517 middle-school students aged 12–14 years in Changsha city, China. Adolescents completed a 12-item Food Frequency Questionnaire (FFQ) and oral health assessment. The students’ dental caries experience was available as DMFT score (number of decayed, missing, and filled permanent teeth). Statistical analyses included the Mann–Whitney test, Kruskal–Wallis test, Chi-square test, and binary logistic regression model. The average intake of free sugars was 53.1 g/d in adolescents, and 43.2% of the students consumed more than 50 g of free sugars daily. The primary contributor to free sugars was sugar-sweetened beverages (SSBs). Age, boarders, and high family income were risk factors for excessive free sugars intake (p < 0.05), and increased free sugars intake was a risk factor for dental caries (odds ratio, OR = 1.446, 95% confidence interval: 1.138–1.839). Both the free sugars intake and dental caries prevalence in Chinese adolescents were high. Targeted interventions are urgently needed to address the excessive consumption of free sugars and improve Chinese adolescents’ oral health.
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Franchi F, Yaranov DM, Rollini F, Rivas A, Rivas Rios J, Been L, Tani Y, Tokuda M, Iida T, Hayashi N, Angiolillo DJ, Mooradian AD. Effects of D-allulose on glucose tolerance and insulin response to a standard oral sucrose load: results of a prospective, randomized, crossover study. BMJ Open Diabetes Res Care 2021; 9:9/1/e001939. [PMID: 33637605 PMCID: PMC7919569 DOI: 10.1136/bmjdrc-2020-001939] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Revised: 01/19/2021] [Accepted: 02/11/2021] [Indexed: 12/21/2022] Open
Abstract
INTRODUCTION Current dietary guidelines recommend limiting sugar intake for the prevention of diabetes mellitus (DM). Reduction in sugar intake may require sugar substitutes. Among these, D-allulose is a non-calorie rare monosaccharide with 70% sweetness of sucrose, which has shown anti-DM effects in Asian populations. However, there is limited data on the effects of D-allulose in other populations, including Westerners. RESEARCH DESIGN AND METHODS This was a prospective, randomized, double-blind, placebo-controlled, crossover study conducted in 30 subjects without DM. Study participants were given a standard oral (50 g) sucrose load and randomized to placebo or escalating doses of D-allulose (2.5, 5.0, 7.5, 10.0 g). Subjects crossed-over to the alternate study treatment after 7-14 days of wash out. Plasma glucose and insulin levels were measured at five time points: before and at 30, 60, 90 and 120 min after ingestion. RESULTS D-allulose was associated with a dose-dependent reduction of plasma glucose at 30 min compared with placebo. In particular, glucose was significantly lower with the 7.5 g (mean difference: 11; 95% CI 3 to 19; p=0.005) and 10 g (mean difference: 12; 95% CI 4 to 20; p=0.002) doses. Although glucose was not reduced at the other time points, there was a dose-dependent reduction in glucose excursion compared with placebo, which was significant with the 10 g dose (p=0.023). Accordingly, at 30 min D-allulose was associated with a trend towards lower insulin levels compared with placebo, which was significant with the 10 g dose (mean difference: 14; 95% CI 4 to 25; p=0.006). D-allulose did not reduce insulin at any other time point, but there was a significant dose-dependent reduction in insulin excursion compared with placebo (p=0.028), which was significant with the 10 g dose (p=0.002). CONCLUSIONS This is the largest study assessing the effects of D-allulose in Westerners demonstrating an early dose-dependent reduction in plasma glucose and insulin levels as well as decreased postprandial glucose and insulin excursion in subjects without DM. These pilot observations set the basis for large-scale investigations to support the anti-DM effects of D-allulose. TRIAL REGISTRATION NUMBER NCT02714413.
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Affiliation(s)
- Francesco Franchi
- Department of Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida, USA
| | - Dmitry M Yaranov
- Department of Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida, USA
| | - Fabiana Rollini
- Department of Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida, USA
| | - Andrea Rivas
- Department of Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida, USA
| | - Jose Rivas Rios
- Department of Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida, USA
| | - Latonya Been
- Department of Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida, USA
| | - Yuma Tani
- Matsutani Chemical Industry Co. Ltd, Itami, Japan
| | | | - Tetsuo Iida
- Matsutani Chemical Industry Co. Ltd, Itami, Japan
| | | | - Dominick J Angiolillo
- Department of Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida, USA
| | - Arshag D Mooradian
- Department of Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida, USA
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Bemanian M, Mæland S, Blomhoff R, Rabben ÅK, Arnesen EK, Skogen JC, Fadnes LT. Emotional Eating in Relation to Worries and Psychological Distress Amid the COVID-19 Pandemic: A Population-Based Survey on Adults in Norway. Int J Environ Res Public Health 2020; 18:ijerph18010130. [PMID: 33375442 PMCID: PMC7795972 DOI: 10.3390/ijerph18010130] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 12/22/2020] [Accepted: 12/23/2020] [Indexed: 12/20/2022]
Abstract
Population-based studies have revealed a high occurrence of self-reported psychological distress symptoms during the early phases of the coronavirus disease 2019 (COVID-19) pandemic. Stress and negative affect can lead to emotional eating, which in turn can have negative outcomes on health. In this population-based study, 24,968 Norwegian inhabitants participated in an electronic questionnaire including structured questions on dietary habits, emotional eating, psychological distress symptoms, and COVID-19-related worries. The study took place during April 2020 after around six weeks of interventions to tackle the first wave of the COVID-19 pandemic. Overall, emotional eating was reported in 54% of the population and was markedly more frequent in female participants. Worries related to consequences of the pandemic were associated with increased emotional eating, and the association was stronger for worries related to personal economy—odds ratios (OR) 1.7 (95% confidence interval (CI95%) 1.5–1.9)—compared to worries related to health—OR 1.3 (CI95% 1.2–1.5). Psychological distress had a strong association with emotional eating—OR 4.2 (CI95% 3.9–4.4). Correspondingly, the intake of high-sugar foods and beverages was higher for those with substantial COVID-19-related worries and those with psychological distress compared to the overall population.
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Affiliation(s)
- Mitra Bemanian
- Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, 5020 Bergen, Norway; (S.M.); (L.T.F.)
- Bergen Addiction Research, Department of Addiction Medicine, Haukeland University Hospital, 5021 Bergen, Norway
- Correspondence:
| | - Silje Mæland
- Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, 5020 Bergen, Norway; (S.M.); (L.T.F.)
- Research Unit for General Practice in Bergen, The Norwegian Research Center, NORCE, 5008 Bergen, Norway
| | - Rune Blomhoff
- Department of Nutrition, Institute of basic medical sciences, University of Oslo, 0317 Oslo, Norway; (R.B.); (E.K.A.)
- Department of Clinical Service, Division of Cancer Medicine, Oslo University Hospital, 0424 Oslo, Norway
| | | | - Erik Kristoffer Arnesen
- Department of Nutrition, Institute of basic medical sciences, University of Oslo, 0317 Oslo, Norway; (R.B.); (E.K.A.)
| | - Jens Christoffer Skogen
- Department of Health Promotion, Norwegian Institute of Public Health, 5015 Bergen, Norway;
- Department of Public Health, Faculty of Health Sciences, University of Stavanger, 4021 Stavanger, Norway
- Alcohol & Drug Research Western Norway, Stavanger University Hospital, 4010 Stavanger, Norway
| | - Lars Thore Fadnes
- Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, 5020 Bergen, Norway; (S.M.); (L.T.F.)
- Bergen Addiction Research, Department of Addiction Medicine, Haukeland University Hospital, 5021 Bergen, Norway
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Abstract
The consumption of sugar has become central to the Western diet. Cost and health concerns associated with sucrose spurred the development and consumption of other sugars and sweeteners, with the average American consuming 10 times more sugar than 100 y ago. In this review, we discuss how gut microbes are affected by changes in the consumption of sugars and other sweeteners through transcriptional, abundance, and genetic adaptations. We propose that these adaptations result in microbes taking on different metabolic, ecological, and genetic profiles along the intestinal tract. We suggest novel approaches to assess the consequences of these changes on host-microbe interactions to determine the safety of novel sugars and sweeteners.
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Affiliation(s)
- Sara C Di Rienzi
- Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, USA
| | - Robert A Britton
- Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, USA
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Orczyk-Pawiłowicz M, Lis-Kuberka J. The Impact of Dietary Fucosylated Oligosaccharides and Glycoproteins of Human Milk on Infant Well-Being. Nutrients 2020; 12:nu12041105. [PMID: 32316160 PMCID: PMC7230487 DOI: 10.3390/nu12041105] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2020] [Revised: 04/05/2020] [Accepted: 04/14/2020] [Indexed: 02/07/2023] Open
Abstract
Apart from optimal nutritional value, human milk is the feeding strategy to support the immature immunological system of developing newborns and infants. The most beneficial dietary carbohydrate components of breast milk are human milk oligosaccharides (HMOs) and glycoproteins (HMGs), involved in both specific and nonspecific immunity. Fucosylated oligosaccharides represent the largest fraction of human milk oligosaccharides, with the simplest and the most abundant being 2'-fucosyllactose (2'FL). Fucosylated oligosaccharides, as well as glycans of glycoproteins, as beneficial dietary sugars, elicit anti-adhesive properties against fucose-dependent pathogens, and on the other hand are crucial for growth and metabolism of beneficial bacteria, and in this aspect participate in shaping a healthy microbiome. Well-documented secretor status related differences in the fucosylation profile of HMOs and HMGs may play a key but underestimated role in assessment of susceptibility to fucose-dependent pathogen infections, with a potential impact on applied clinical procedures. Nevertheless, due to genetic factors, about 20% of mothers do not provide their infants with beneficial dietary carbohydrates such as 2'-FL and other α1,2-fucosylated oligosaccharides and glycans of glycoproteins, despite breastfeeding them. The lack of such structures may have important implications for a wide range of aspects of infant well-being and healthcare. In light of the above, some artificial mixtures used in infant nutrition are supplemented with 2'-FL to more closely approximate the unique composition of maternal milk, including dietary-derived fucosylated oligosaccharides and glycoproteins.
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Affiliation(s)
| | - Jolanta Lis-Kuberka
- Correspondence: (M.O.-P.); (J.L.-K.); Tel.: +48-71-770-30-64 (M.O.-P.); +48-71-770-32-17 (J.L.-K.)
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21
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Yusta-Boyo MJ, Bermejo LM, García-Solano M, López-Sobaler AM, Ortega RM, García-Pérez M, Dal-Re Saavedra MÁ. Sugar Content in Processed Foods in Spain and a Comparison of Mandatory Nutrition Labelling and Laboratory Values. Nutrients 2020; 12:E1078. [PMID: 32295050 PMCID: PMC7231220 DOI: 10.3390/nu12041078] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Revised: 04/08/2020] [Accepted: 04/10/2020] [Indexed: 11/16/2022] Open
Abstract
To reduce the sugar content of processed foods through reformulation, the first step is to determine the content of the largest sources of sugars in each country's diet. The aim of this work was to describe the sugar content in the most commonly consumed processed foods in Spain and to compare that sugar's labelling and laboratory analysis values (LVs and AVs, respectively) to confirm its adequacy. A sample of the 1173 most commonly consumed processed foods in Spain (28 groups; 77 subcategories) was collected. For each product, the total sugar content was compared according to its AV and LV. The median (25th -75th percentiles, interquartile range) sugar content by group was calculated for the total sample, and the groups were classified as "high sugar content" when this value was above 22.5 g/100g of product. The adequacy of the LV, according to the European Union (EU) tolerance requirements, was then evaluated, and each subcategory median was compared with the AV to determine its appropriateness via a median test for independent samples (p < 0.05). In total, 10 out of 28 groups presented high sugar content. Moreover, 98.4% of the products met the EU tolerance ranges. Finally, only one subcategory ("cured ham") presented significant differences between the AV and LV median values (0.4 g vs. 0.1 g sugar/100g, p < 0.05). The groups of food products whose sugar content reduction could have the greatest impact on public health were identified. In addition, our study showed the high adequacy of LV with the EU labeling tolerance requirements, as well as the LV's appropriateness as a tool to implement actions aimed at reducing sugar consumption.
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Affiliation(s)
- María José Yusta-Boyo
- Spanish Food Safety and Nutrition Agency, Alcala, 56., 28014 Madrid, Spain; (M.G.-S.); (M.G.-P.); (M.Á.D.-R.S.)
| | - Laura M. Bermejo
- Nutrition and Food Science Department, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain; (L.M.B.); (A.M.L.-S.); (R.M.O.)
- VALORNUT Research Group, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain
| | - Marta García-Solano
- Spanish Food Safety and Nutrition Agency, Alcala, 56., 28014 Madrid, Spain; (M.G.-S.); (M.G.-P.); (M.Á.D.-R.S.)
| | - Ana M. López-Sobaler
- Nutrition and Food Science Department, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain; (L.M.B.); (A.M.L.-S.); (R.M.O.)
- VALORNUT Research Group, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain
| | - Rosa M. Ortega
- Nutrition and Food Science Department, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain; (L.M.B.); (A.M.L.-S.); (R.M.O.)
- VALORNUT Research Group, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain
| | - Marta García-Pérez
- Spanish Food Safety and Nutrition Agency, Alcala, 56., 28014 Madrid, Spain; (M.G.-S.); (M.G.-P.); (M.Á.D.-R.S.)
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22
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Blostein FA, Jansen EC, Jones AD, Marshall TA, Foxman B. Dietary patterns associated with dental caries in adults in the United States. Community Dent Oral Epidemiol 2020; 48:119-129. [PMID: 31809561 PMCID: PMC7056496 DOI: 10.1111/cdoe.12509] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2019] [Revised: 09/30/2019] [Accepted: 11/03/2019] [Indexed: 12/13/2022]
Abstract
OBJECTIVES Dental caries experience, which affects 91% of US adults, is a consequence of a carious process influenced by diet. Although individual foods have been implicated, we hypothesized that dietary patterns might be important predictors of caries presence. METHODS We analysed data from 4467 people ≥18 years old participating in the 2013-2014 National Health and Nutrition Examination Survey, a nationally representative sample of the US population. Data from 24-hour dietary recalls were classified into standard food categories and reduced to three dietary patterns using principal components (PCs) analysis. We used regression to model the log-transformed decayed, missing and filled teeth (DMFT) score and the prevalence of any caries experience by quartiles of PC scores, controlling for potential confounders. Dietary patterns differed by age with respect to dental caries so 18-30-year-olds (n = 1074) and >30-year-olds (n = 3393) were analysed separately. RESULTS Similar dietary patterns existed among individuals aged 18-30 and >30 years, but the prevalence of DMFT score >0 and the median of DMFT was greater in those >30:78.7% (95% CI: 76.1, 81.3) vs 92.6% (95% CI: 91.4, 93.7) and 4 (95% CI: 4, 5) vs 12 DMFT (95% CI: 11, 13), respectively. In those 18-30, no dietary pattern was associated with greater prevalence or severity of dental caries experience. Among those >30, the prevalence of DMFT>0 was higher by 2% for those in each subsequent quartile of a diet high in sugar-sweetened beverages and sandwiches (adjusted PR: 1.02, 95% CI: 1.001, 1.03)-thus, the prevalence of dental caries experience was 6% higher among those in the uppermost quartile than in the lowest quartile. For every subsequent quartile in the same pattern, there was a 1.98% higher (95% CI: 0.15, 3.85) DMFT score. However, analysis using the two strongest loading food groups from any of the PCs did not identify any predictors of caries experience. CONCLUSIONS Dietary patterns were associated with the prevalence of dental caries experience, with differing findings by age. Although effect sizes were small, the population impact may be substantial. While food groups high in sugar were associated with caries prevalence and severity, associations were more apparent in the context of overall diet. Prospective studies are needed to confirm whether particular dietary patterns are causally related to the development of dental caries.
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Affiliation(s)
- Freida A. Blostein
- University of Michigan School of Public Health Department of Epidemiology
| | - Erica C. Jansen
- University of Michigan School of Public Health Department of Nutritional Sciences
| | - Andrew D. Jones
- University of Michigan School of Public Health Department of Nutritional Sciences
| | - Teresa A. Marshall
- University of Iowa College of Dentistry Department of Preventive and Community Dentistry
| | - Betsy Foxman
- University of Michigan School of Public Health Department of Epidemiology
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23
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Kovalskys I, Cavagnari BM, Favieri A, Zonis L, Guajardo V, Gerardi A, Fisberg M. Total and added sugars consumption in Argentina: Their contribution to daily energy intake. Results from Latin American Study of Nutrition and Health (ELANS). Nutr Diet 2019; 76:313-320. [PMID: 30950175 DOI: 10.1111/1747-0080.12535] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2018] [Revised: 02/28/2019] [Accepted: 03/07/2019] [Indexed: 11/29/2022]
Abstract
AIM The aim of the present study is to determine the intake of total sugars (TS) and added sugars (AS) in Argentina based on the local data of the Latin American Study of Nutrition and Health (ELANS). METHODS This is a cross-sectional study of a representative sample of the urban Argentine population (n = 1266). The sample was stratified by age group (15-65 years), gender, geographic region and socioeconomic level (SEL). TS and AS intake were obtained by two 24-hour recalls (R24) and analysed using the Nutrition Data System for Research Software 2013. RESULTS On average, TS consumption in Argentina was 114.3 g/day, accounting for 39.8% of the total carbohydrate intake and 20.6% total energy (TE) intake. Overall, 77.2% of the TS intake consisted of AS (90.4 g/day), contributing to 30.4% of total carbohydrate intake and 15.9%TE. Men consume more TS and AS (in g/day), with no difference in the AS %TE between men and women. The consumption of sugars decreased with age, with adolescents consuming more AS and older adults more intrinsic sugars. The intake of AS was higher in low SEL. CONCLUSIONS In Argentina, the intake of AS was 50% above the recommendations. Younger and socially vulnerable people are at higher risk of excessive intake.
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Affiliation(s)
- Irina Kovalskys
- Nutrition, Health and Wellbeing Area, International Life Science Institute (ILSI) Argentina, CABA, Argentina.,Faculty of Medicine, School of Nutrition, Pontificia Universidad Católica Argentina, CABA, Argentina
| | - Brian M Cavagnari
- Nutrition, Health and Wellbeing Area, International Life Science Institute (ILSI) Argentina, CABA, Argentina.,Faculty of Medicine, School of Nutrition, Pontificia Universidad Católica Argentina, CABA, Argentina
| | - Andrea Favieri
- Nutrition, Health and Wellbeing Area, International Life Science Institute (ILSI) Argentina, CABA, Argentina
| | - Luciana Zonis
- Nutrition, Health and Wellbeing Area, International Life Science Institute (ILSI) Argentina, CABA, Argentina
| | - Viviana Guajardo
- Nutrition, Health and Wellbeing Area, International Life Science Institute (ILSI) Argentina, CABA, Argentina
| | - Alejandro Gerardi
- Nutrition, Health and Wellbeing Area, International Life Science Institute (ILSI) Argentina, CABA, Argentina
| | - Mauro Fisberg
- Instituto Pensi, Fundação Jose Luiz Egydio Setubal, Sabará Hospital Infantil, São Paulo, Brazil.,Departamento de Pediatria, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil
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24
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Tybor DJ, Beauchesne AR, Niu R, Shams-White MM, Chung M. An Evidence Map of Research Linking Dietary Sugars to Potentially Related Health Outcomes. Curr Dev Nutr 2018; 2:nzy059. [PMID: 30402592 PMCID: PMC6215768 DOI: 10.1093/cdn/nzy059] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2018] [Revised: 06/19/2018] [Accepted: 06/28/2018] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND Evidence mapping is an emerging tool used to systematically identify, organize, and summarize the quantity, distribution, and characteristics of published studies with the goal of identifying knowledge gaps and future research needs. OBJECTIVE The aim of the study was to present an evidence-map database of all published studies that investigated dietary sugars and to select health outcomes for explicating research trends and gaps. METHODS To update an evidence-map database previously published in 2013, we performed a literature search in MEDLINE to identify English-language, peer-reviewed human intervention and prospective cohort studies published from January 2013 to December 2016. Abstracts and full-text articles were dual screened on the basis of predefined eligibility criteria. We classified outcomes into 7 health outcome categories that are potentially affected by dietary sugar. Data from the updated evidence-map database were merged with those from the previous database for analysis and charting. RESULTS There were 918 sugar and control intervention arms from a total of 298 intervention studies from 1966 to December 2016. A variety of sugar interventions were investigated across the included intervention studies, and it appears that the research interest across all outcome categories (cardiovascular disease risks, diabetes risks, body weight, body composition, appetite, dietary intake, and liver health-related outcomes) sharply increased from 2006. Bubble plots showed research gaps in long-term intervention studies and in intervention studies in patients with diabetes. In contrast, all 25 included cohort studies had long-term follow-up durations and much larger sample sizes than did intervention studies. None of the cohort studies evaluated dietary intake outcomes, and only one cohort study each examined appetite- and liver health-related outcomes. CONCLUSIONS The research trends and research gaps have not changed since 2013 when the original evidence-map database was updated. With continuous updating, evidence mapping can facilitate the process of knowledge translation and possibly reduce research waste.
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Affiliation(s)
- David J Tybor
- Department of Public Health and Community Medicine, Boston, MA
| | - Andrew R Beauchesne
- Department of Public Health and Community Medicine, Boston, MA
- Tufts University School of Medicine, Boston, MA
| | - Ruijia Niu
- Department of Public Health and Community Medicine, Boston, MA
| | - Marissa M Shams-White
- Department of Public Health and Community Medicine, Boston, MA
- Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA
| | - Mei Chung
- Department of Public Health and Community Medicine, Boston, MA
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25
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Carmo CDS, Ribeiro MRC, Teixeira JXP, Alves CMC, Franco MM, França AKTC, Benatti BB, Cunha-Cruz J, Ribeiro CCC. Added Sugar Consumption and Chronic Oral Disease Burden among Adolescents in Brazil. J Dent Res 2018; 97:508-514. [PMID: 29342369 DOI: 10.1177/0022034517745326] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Chronic oral diseases are rarely studied together, especially with an emphasis on their common risk factors. This study examined the association of added sugar consumption on "chronic oral disease burden" among adolescents, with consideration of obesity and systemic inflammation pathways through structural equation modeling. A cross-sectional study was conducted of a complex random sample of adolescent students enrolled at public schools in São Luís, Brazil ( n = 405). The outcome was chronic oral disease burden, a latent variable based on the presence of probing depth ≥4 mm, bleeding on probing, caries, and clinical consequences of untreated caries. The following hypotheses were tested: 1) caries and periodontal diseases among adolescents are correlated with each other; 2) added sugar consumption and obesity are associated with chronic oral disease burden; and 3) chronic oral disease burden is linked to systemic inflammation. Models were adjusted for socioeconomic status, added sugar consumption, oral hygiene behaviors, obesity, and serum levels of interleukin 6 (IL-6). All estimators of the latent variable chronic oral disease burden involved factor loadings ≥0.5 and P values <0.001, indicating good fit. Added sugar consumption (standardized coefficient [SC] = 0.212, P = 0.005), high IL-6 levels (SC = 0.130, P = 0.036), and low socioeconomic status (SC = -0.279, P = 0.001) were associated with increased chronic oral disease burden values. Obesity was associated with high IL-6 levels (SC = 0.232, P = 0.001). Visible plaque index was correlated with chronic oral disease burden (SC = 0.381, P < 0.001). Our finding that caries and periodontal diseases are associated with each other and with added sugar consumption, obesity, and systemic inflammation reinforces the guidance of the World Health Organization that any approach intended to prevent noncommunicable diseases should be directed toward common risk factors.
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Affiliation(s)
- C D S Carmo
- 1 Postgraduate Program of Dentistry, Federal University of Maranhão, São Luís, Brazil
| | - M R C Ribeiro
- 2 Department of Medicine III, Federal University of Maranhão, São Luís, Brazil
| | - J X P Teixeira
- 3 Postgraduate Program of Public Health, Federal University of Maranhão, São Luís, Brazil
| | - C M C Alves
- 1 Postgraduate Program of Dentistry, Federal University of Maranhão, São Luís, Brazil
| | - M M Franco
- 1 Postgraduate Program of Dentistry, Federal University of Maranhão, São Luís, Brazil
| | - A K T C França
- 3 Postgraduate Program of Public Health, Federal University of Maranhão, São Luís, Brazil
| | - B B Benatti
- 1 Postgraduate Program of Dentistry, Federal University of Maranhão, São Luís, Brazil
| | - J Cunha-Cruz
- 4 Department of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, WA, USA
| | - C C C Ribeiro
- 1 Postgraduate Program of Dentistry, Federal University of Maranhão, São Luís, Brazil.,3 Postgraduate Program of Public Health, Federal University of Maranhão, São Luís, Brazil
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Kibblewhite R, Nettleton A, McLean R, Haszard J, Fleming E, Kruimer D, Te Morenga L. Estimating Free and Added Sugar Intakes in New Zealand. Nutrients 2017; 9:E1292. [PMID: 29186927 DOI: 10.3390/nu9121292] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2017] [Revised: 11/07/2017] [Accepted: 11/22/2017] [Indexed: 02/07/2023] Open
Abstract
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.
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27
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Wright R, Casamassimo PS. Assessing attitudes and actions of pediatric dentists toward childhood obesity and sugar-sweetened beverages. J Public Health Dent 2017; 77 Suppl 1:S79-S87. [PMID: 28712110 DOI: 10.1111/jphd.12240] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2017] [Accepted: 06/23/2017] [Indexed: 02/04/2023]
Abstract
OBJECTIVES Childhood obesity is a major US health concern, and oral health professionals have opportunities to participate in an interprofessional effort to intervene owing to their access to young patients and their abilities in addressing obesity-related dietary habits like consumption of sugar-sweetened beverages (SSBs). This study determined attitudes, behaviors, future intentions, and perceived barriers of pediatric dentists regarding efforts to prevent childhood obesity and reduce children's consumption of SSBs. METHODS The American Academy of Pediatric Dentistry conducted an online electronic survey with a convenience sample of approximately 7,450 pediatric dentists and pediatric dental residents during spring 2016. RESULTS Over 17 percent of pediatric dentists offer childhood obesity interventions. Of those not providing interventions, 67 percent were interested in offering obesity-prevention services. Nearly 94 percent of pediatric dentists offer information or other interventions on consumption of SSBs. Statistically significant barriers to providing healthy weight interventions were fear of offending parents, appearing judgmental, or creating parent dissatisfaction and a lack of parental acceptance of guidance about weight management from a dentist. Significant barriers to SSB interventions were sufficient time and health professional education. CONCLUSIONS More pediatric dentists stated they offer childhood obesity interventions than in previous surveys reporting 6 percent, but respondents suggested that a child's weight is seen as a medical rather than dental issue. Most pediatric dentists provide interventions related to consumption of SSBs, perceiving the issue as integral to their care of children.
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Affiliation(s)
- Robin Wright
- Pediatric Oral Health Research and Policy Center, American Academy of Pediatric Dentistry, Chicago, Illinois, United States
| | - Paul S Casamassimo
- Pediatric Oral Health Research and Policy Center, American Academy of Pediatric Dentistry, Chicago, Illinois, United States
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28
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Kim S, Park S, Lin M. Permanent tooth loss and sugar-sweetened beverage intake in U.S. young adults. J Public Health Dent 2016; 77:148-154. [PMID: 27886383 DOI: 10.1111/jphd.12192] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2015] [Accepted: 10/13/2016] [Indexed: 11/29/2022]
Abstract
OBJECTIVE In young adults, sugar-sweetened beverage (SSB) intake is associated with dental caries, which in turn is a major contributor to tooth loss. The independent role of SSB intake on tooth loss, however, has not been well-described. This cross-sectional study examined associations between tooth loss and SSB intake among U.S. young adults. METHODS The outcome was number of permanent teeth lost because of dental caries or periodontal disease (0, 1-5, ≥6 teeth). Data from the 2012 Behavioral Risk Factor Surveillance System were used. The 22,526 adults aged 18-39 years completed the Sugar Drink Module. The exposure variable was daily frequency of SSB intake. We used multinomial logistic regression to examine the adjusted associations between tooth loss and daily SSB consumption (0, >0 to <1, 1-2, >2 times/day). RESULTS Approximately, 26% of young adults reported losing at least one permanent tooth. Tooth loss was positively associated with SSB intake frequency; the odds of losing 1-5 teeth were higher among adults drinking SSBs >0-<1 times/day (OR = 1.44, 95%CI = 1.16-1.79), 1-2 times/day (OR = 1.58, 95%CI = 1.25-1.99), and >2 times/day (OR = 1.97, 95%CI = 1.51-2.58) than non-SSB consumers. The odds of losing ≥6 teeth were higher among adults drinking SSBs 1-2 times/day (OR = 2.20, 95%CI = 1.15-4.22) and >2 times/day (OR = 2.81, 95%CI = 1.37-5.76) than non-SSB consumers. CONCLUSIONS Frequency of SSB consumption was positively associated with tooth loss among young adults even when the average SSB intake was less than one time per day. This study suggests that efforts to reduce SSB intake among young adults may help to decrease the risk of tooth loss.
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Affiliation(s)
| | - Sohyun Park
- Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA, USA
| | - Mei Lin
- Division of Oral Health, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA, USA
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29
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Stevens JR, Kearney ML, St-Onge MP, Stanhope KL, Havel PJ, Kanaley JA, Thyfault JP, Weiss EP, Butler AA. Inverse association between carbohydrate consumption and plasma adropin concentrations in humans. Obesity (Silver Spring) 2016; 24:1731-40. [PMID: 27460714 PMCID: PMC5184848 DOI: 10.1002/oby.21557] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2016] [Revised: 04/25/2016] [Accepted: 04/26/2016] [Indexed: 12/15/2022]
Abstract
OBJECTIVE The role of metabolic condition and diet in regulating circulating levels of adropin, a peptide hormone linked to cardiometabolic control, is not well understood. In this study, weight loss and diet effects on plasma adropin concentrations were examined. METHODS This report includes data from (1) a weight loss trial, (2) an evaluation of acute exercise effects on mixed-meal (60% kcal from carbohydrates) tolerance test responses, and (3) a meta-analysis to determine normal fasting adropin concentrations. RESULTS Distribution of plasma adropin concentrations exhibited positive skew and kurtosis. The effect of weight loss on plasma adropin concentrations was dependent on baseline plasma adropin concentrations, with an inverse association between baseline and a decline in concentrations after weight loss (Spearman's ρ = -0.575; P < 0.001). When ranked by baseline plasma adropin concentrations, only values in the upper quartile declined with weight loss. Plasma adropin concentrations under the main area of the bell curve correlated negatively with habitual carbohydrate intake and plasma lipids. There was a negative correlation between baseline values and a transient decline in plasma adropin during the mixed-meal tolerance test. CONCLUSIONS Plasma adropin concentrations in humans are sensitive to dietary macronutrients, perhaps due to habitual consumption of carbohydrate-rich diets suppressing circulating levels. Very high adropin levels may indicate cardiometabolic conditions sensitive to weight loss.
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Affiliation(s)
- Joseph R Stevens
- Department of Pharmacology and Physiology, Saint Louis University School of Medicine, St. Louis, Missouri, USA
| | - Monica L Kearney
- Department of Nutrition and Exercise Physiology, University of Missouri, Columbia, Missouri, USA
| | - Marie-Pierre St-Onge
- Department of Medicine, New York Obesity Research Center, New York, New York, USA
- Institute of Human Nutrition, Columbia University, New York, New York, USA
| | - Kimber L Stanhope
- Department of Molecular Biosciences, School of Veterinary Medicine, University of California-Davis, Davis, California, USA
- Department of Nutrition, School of Medicine, University of California-Davis, Davis, California, USA
| | - Peter J Havel
- Department of Molecular Biosciences, School of Veterinary Medicine, University of California-Davis, Davis, California, USA
- Department of Nutrition, School of Medicine, University of California-Davis, Davis, California, USA
| | - Jill A Kanaley
- Department of Nutrition and Exercise Physiology, University of Missouri, Columbia, Missouri, USA
| | - John P Thyfault
- Department of Molecular and Integrative Physiology, University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Edward P Weiss
- Department of Nutrition and Dietetics, Doisy College of Health Sciences of Saint Louis University, St. Louis, Missouri, USA
| | - Andrew A Butler
- Department of Pharmacology and Physiology, Saint Louis University School of Medicine, St. Louis, Missouri, USA
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30
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Ha K, Chung S, Lee HS, Kim CI, Joung H, Paik HY, Song Y. Association of Dietary Sugars and Sugar-Sweetened Beverage Intake with Obesity in Korean Children and Adolescents. Nutrients 2016; 8:nu8010031. [PMID: 26761029 PMCID: PMC4728645 DOI: 10.3390/nu8010031] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2015] [Revised: 12/28/2015] [Accepted: 01/05/2016] [Indexed: 12/22/2022] Open
Abstract
Few studies have examined the association between dietary sugar intake and obesity in Asian children and adolescents. We evaluated the association of dietary sugar intake and its food source with obesity in Korean children and adolescents. In this cross-sectional analysis, data were obtained from five studies conducted between 2002 and 2011. The study included 2599 children and adolescents who had completed more than three days of dietary records and had anthropometric data. Total sugar intake was higher in girls than in boys (54.3 g for girls and 46.6 g for boys, p < 0.0001). Sugar intake from milk and fruits was inversely associated with overweight or obesity in girls only (OR for overweight, 0.52; 95% CI, 0.32–0.84; p for trend = 0.0246 and OR for obesity, 0.42; 95% CI, 0.23–0.79; p for trend = 0.0113). Sugar-sweetened beverage (SSB) consumption was not associated with obesity in girls, while boys had lower odds ratios for obesity (OR for obesity, 0.52; 95% CI, 0.26–1.05; p for trend = 0.0310). These results suggest that total sugars and SSB intake in Asian children and adolescents remains relatively low and sugar intake from milk and fruits is associated with a decreased risk of overweight or obesity, especially in girls.
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Affiliation(s)
- Kyungho Ha
- Department of Public Health Nutrition, Graduate School of Public Health, Seoul National University, Seoul 08826, Korea.
| | - Sangwon Chung
- Department of Public Health Nutrition, Graduate School of Public Health, Seoul National University, Seoul 08826, Korea.
| | - Haeng-Shin Lee
- Nutrition Policy and Promotion Team, Korea Health Industry Development Institute, Cheongju 28159, Korea.
| | - Cho-il Kim
- Bureau of Health Industry Promotion, Korea Health Industry Development Institute, Cheongju 28159, Korea.
| | - Hyojee Joung
- Department of Public Health Nutrition, Graduate School of Public Health, Seoul National University, Seoul 08826, Korea.
| | - Hee-Young Paik
- Department of Food and Nutrition, Seoul National University, Seoul, 08826, Korea.
| | - YoonJu Song
- Major of Food and Nutrition, School of Human Ecology, The Catholic University of Korea, Bucheon 14662, Korea.
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Correia DM, Dias LG, Veloso ACA, Dias T, Rocha I, Rodrigues LR, Peres AM. Dietary Sugars Analysis: Quantification of Fructooligossacharides during Fermentation by HPLC-RI Method. Front Nutr 2014; 1:11. [PMID: 25988114 PMCID: PMC4428370 DOI: 10.3389/fnut.2014.00011] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2014] [Accepted: 07/16/2014] [Indexed: 01/01/2023] Open
Abstract
In this work, a simple chromatographic method is proposed and in-house validated for the quantification of total and individual fructooligossacharides (e.g., 1-kestose, nystose, and 1(F)-fructofuranosylnystose). It was shown that a high-performance liquid chromatography with refractive index detector could be used to monitor the dynamic of fructooligossacharides production via sucrose fermentation using Aspergillus aculeatus. This analytical technique may be easily implemented at laboratorial or industrial scale for fructooligossacharides mass-production monitoring allowing also controlling the main substrate (sucrose) and the secondary by-products (glucose and fructose). The proposed chromatographic method had a satisfactory intra- and inter-day variability (in general, with a relative standard deviation lower than 5%), high sensitivity for each sugar (usually, with a relative error lower than 5%), and low detection (lower than 0.06 ± 0.04 g/L) and quantification (lower than 0.2 ± 0.1 g/L) limits. The correct quantification of fructooligossacharides in fermentative media may allow a more precise nutritional formulation of new functional foods, since it is reported that different fructooligossacharides exhibit different biological activities and effects.
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Affiliation(s)
- Daniela M Correia
- Centre of Biological Engineering (CEB), University of Minho , Braga , Portugal
| | - Luís G Dias
- Centro de Investigação de Montanha (CIMO), Escola Superior Agrária, Instituto Politécnico de Bragança , Bragança , Portugal
| | - Ana C A Veloso
- Centre of Biological Engineering (CEB), University of Minho , Braga , Portugal ; Departamento de Engenharia Química e Biológica (DEQB), Instituto Superior de Engenharia de Coimbra, Instituto Politécnico de Coimbra , Coimbra , Portugal
| | - Teresa Dias
- Centro de Investigação de Montanha (CIMO), Escola Superior Agrária, Instituto Politécnico de Bragança , Bragança , Portugal
| | - Isabel Rocha
- Centre of Biological Engineering (CEB), University of Minho , Braga , Portugal
| | - Lígia R Rodrigues
- Centre of Biological Engineering (CEB), University of Minho , Braga , Portugal
| | - António M Peres
- Laboratory of Separation and Reaction Engineering (LSRE) - Associate Laboratory LSRE/LCM, Escola Superior Agrária, Instituto Politécnico de Bragança , Bragança , Portugal
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Jenkins DJA, Srichaikul K, Kendall CWC, Sievenpiper JL, Abdulnour S, Mirrahimi A, Meneses C, Nishi S, He X, Lee S, So YT, Esfahani A, Mitchell S, Parker TL, Vidgen E, Josse RG, Leiter LA. The relation of low glycaemic index fruit consumption to glycaemic control and risk factors for coronary heart disease in type 2 diabetes. Diabetologia 2011; 54:271-9. [PMID: 20978741 PMCID: PMC3017317 DOI: 10.1007/s00125-010-1927-1] [Citation(s) in RCA: 71] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/08/2010] [Accepted: 09/03/2010] [Indexed: 12/22/2022]
Abstract
AIMS/HYPOTHESIS Sugar has been suggested to promote obesity, diabetes and coronary heart disease (CHD), yet fruit, despite containing sugars, may also have a low glycaemic index (GI) and all fruits are generally recommended for good health. We therefore assessed the effect of fruit with special emphasis on low GI fruit intake in type 2 diabetes. METHODS This secondary analysis involved 152 type 2 diabetic participants treated with glucose-lowering agents who completed either 6 months of high fibre or low GI dietary advice, including fruit advice, in a parallel design. RESULTS Change in low GI fruit intake ranged from -3.1 to 2.7 servings/day. The increase in low GI fruit intake significantly predicted reductions in HbA(1c) (r = -0.206, p =0.011), systolic blood pressure (r = -0.183, p = 0.024) and CHD risk (r = -0.213, p = 0.008). Change in total fruit intake ranged from -3.7 to 3.2 servings/day and was not related to study outcomes. In a regression analysis including the eight major carbohydrate foods or classes of foods emphasised in the low GI diet, only low GI fruit and bread contributed independently and significantly to predicting change in HbA(1c). Furthermore, comparing the highest with the lowest quartile of low GI fruit intake, the percentage change in HbA(1c) was reduced by -0.5% HbA(1c) units (95% CI 0.2-0.8 HbA(1c) units, p < 0.001). CONCLUSIONS/INTERPRETATION Low GI fruit consumption as part of a low GI diet was associated with lower HbA(1c), blood pressure and CHD risk and supports a role for low GI fruit consumption in the management of type 2 diabetes. TRIAL REGISTRATION ClinicalTrials.gov NCT00438698.
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Affiliation(s)
- D J A Jenkins
- Clinical Nutrition & Risk Factor Modification Center, St Michael's Hospital, Toronto, ON, Canada M5C 2T2.
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