[Relationship between sugary food intake and myopia in 11-14 years old Chinese children in 2019-2021]

OBJECTIVE

To investigate the relationship between the intake of sugary foods and the occurrence and development of myopia in children aged 11-14 in China.

METHODS

In the 28 urban and rural survey sites in 14 provinces that implemented the "China Children's Nutrition and Health System Survey and Application for 0-18 Years Old" project, a multi-stage stratified random cluster sampling method was adopted, and finally 12 397 adolescent children aged 11 to 14 were selected in the analysis. Demographic characteristics, myopia information and the intake of sugary food(cakes, preserved fruits, candies, chocolates and ice cream) were collected through questionnaires. Multifactor Logistic regression was used to analyze the relationship between sugary food intake and myopia in children.

RESULTS

The median daily intake of sugary foods(cakes, preserved fruits, candies, chocolates and ice cream)of 11-14 year old boys and girls in China was 11.4 g and 11.2 g respectively, 33.9% of boys and 34.2% of girls consumed ≥22 g of sugary food every day. The myopia rates of boys with intakes of <2 g, 2-21 g and ≥22 g were 36.0%, 39.2% and 41.6%, and girls' myopia rates were 45.9%, 51.8% and 55.1%. The result of Logistic regression analysis showed that after controlling for confounding factors such as age, gender, region, weekly high-intensity physical activity time, daily screen time, daily sleep time and daily intake of sugary beverages, compared with boys whose daily intake of sugary food was less than 2 g, the risk of myopia for boys whose daily intake of sugary food reached 2-21 g and ≥22 g was 1.18 and 1.23 times, for girls whose daily intake was less than 2 g, the risk of myopia was 1.27 times and 1.38 times for girls whose intake reached 2-21 g and ≥22 g(P<0.05). No matter whether confounding factors were controlled or not, there was no correlation between the intake of sugary foods and the degree of myopia(P>0.05).

CONCLUSION

The consumption of sugary food such as cakes, preserved fruits, candies, chocolates and ice cream among children aged 11 to 14 in China is common, and there is a certain degree of positive correlation with the prevalence of myopia, but no correlation is observed with the degree of myopia.

[Sugar content in common prepackaged sugary foods sampling from supermarkets]

OBJECTIVE

To analyze the content of sugar in the sugary foods in China, in order to provide data for further assessment of the level of consumption of sugar among residents.

METHODS

The most common sugary foods, including drinks, biscuits, pastries, milk and dairy products, sugar, candy, and so on, were randomly collected. The content of galactose, glucose, fructose, sucrose, lactose, maltose were determined by chromatographic method. In addition, the content of the sugar was compared with the content in the US food. All measurement data was classified based on the national standard classification of sugary foods, the level of content of sugar in the foods of same class, sugar nutrition claims as well.

RESULTS

The content of sugar varied significantly in different kinds of sugary food, the content of total sugar in the drinks ranged of 3. 00-34. 9 g/100 g( mL), the content of total sugar in the biscuits was in the range of 2. 39-27. 2 g/100 g, the content of total sugar in the processing pastry was in the range of 10. 5-19. 8 g/100 g, the content of total sugar in the bread was in the range of 7. 97-18. 4 g/100 g, the content of total sugar in the milk and dairy products was in the range of 6. 09-45. 1 g/100 g( mL), the content of total sugar in the milk and dairy products was in the range of 11. 6-42. 0 g/100 g. Among the other sugary foods, plain oatmeal contained the minimum content of total sugar( 2. 25 ± 0. 23 g/100 g), while the maximum content of total sugar was in jam( 65. 9 ± 7. 06 g/100 g). When compared with the US content data, the content of total sugar in our ice cream, pastry and non-biscuit was less than that in the US food( P < 0. 05), while the content of total sugar in China's whole wheat bread and soda cracker was higher than that in the US food( P < 0. 05).

CONCLUSION

The sugar composition is related to the certain category of sugary foods. Sucrose is the most widespread type of sugar in sugary food of this study, and the content of sucrose in the biscuits, pastry and candy is higher than that in the other foods. There are significant differences of the content of total sugar between Chinese biscuits, breads and icecream and the same kind of American sugary foods.