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High intake of added sugar among Norwegian children and adolescents

Published online by Cambridge University Press:  02 January 2007

Nina C Øverby ,
Inger TL Lillegaard ,
Lars Johansson  and
Lene F Andersen
Nina C Øverby*
Affiliation:
Institute for Nutrition Research, University of Oslo, Box 1046, Blindern, N-0316 Oslo, Norway
Inger TL Lillegaard
Affiliation:
Institute for Nutrition Research, University of Oslo, Box 1046, Blindern, N-0316 Oslo, Norway
Lars Johansson
Affiliation:
Directorate for Health and Social Affaires, Oslo, Norway
Lene F Andersen
Affiliation:
Institute for Nutrition Research, University of Oslo, Box 1046, Blindern, N-0316 Oslo, Norway
*
*Corresponding author: Email [email protected]
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Abstract

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Objective:

It is debated whether the intake of added sugar displaces micronutrient-rich foods and dilutes the nutrient density of the diet, and whether there is a link between sugar and the increased rate of obesity. The objectives of this study were to examine the effect of added sugar on the intakes of energy, micronutrients, fruit and vegetables, and to examine the association between intake of added sugar and age, sex, body mass index, physical activity, inactivity and parents' education.

Design:

Participants recorded their food intake in pre-coded food diaries for 4 days and filled in a questionnaire about physical activity, watching television (TV)/using a personal computer (PC) and parents' education.

Subjects:

Three hundred and ninety-one 4-year-olds, 810 students in the 4th grade (9 years old) and 1005 in the 8th grade (13 years old) were included in the study.

Results:

The intakes of all nutrients, except α-tocopherol among 4-year-olds and vitamin C among 4-year-olds and 4th graders, decreased with increasing content of added sugar in the diet. Moreover, high consumers of added sugar had a 30–40% lower intake of fruit and vegetables than did low consumers. A negative association was observed between consumption of added sugar and body mass index among girls in the 8th grade (P = 0.013), whereas a positive association was observed among 4-year-old boys (P = 0.055). Associations between physical activity, hours spent watching TV/using a PC, parents' education and the energy intake from added sugar varied in the different age groups.

Conclusions:

This study showed a negative association between the intake of added sugar and intakes of micronutrients, fruit and vegetables. The negative association between sugar intake and intake of fruit and vegetables is important from a public health perspective, since one of the main health messages today is to increase current intake of fruit and vegetables.

Keywords

Sugar intakeNutrient densityBody mass indexAdolescentsChildrenFruitVegetables
Type
Research Article
Information
Public Health Nutrition , Volume 7 , Issue 2 , April 2004 , pp. 285 - 293
Copyright
Copyright © CAB International 2004

References

1Rugg-Gunn, AJ, Hackett, AF, Jenkins, GN, Appleton, DR. Empty calories? Nutrient intake in relation to sugar intake in English adolescents. Journal of Human Nutrition and Dietetics 1991; 4: 101–11.CrossRefGoogle Scholar
2Lewis, CJ, Park, YK, Dexter, PB, Yetley, EA. Nutrient intakes and body weights of persons consuming high and moderate levels of added sugars. Journal of the American Dietetic Association 1992; 92: 708–13.CrossRefGoogle ScholarPubMed
3Gibson, SA. Consumption and sources of sugars in the diets of British schoolchildren: are high-sugar diets nutritionally inferior? Journal of Human Nutrition and Dietetics 1993; 6: 355–71.CrossRefGoogle Scholar
4Gibney, M, Sigman-Grant, M, Stanton, JL, Keast, DR. Consumption of sugars. American Journal of Clinical Nutrition 1995; 62: 178S–94S.CrossRefGoogle ScholarPubMed
5Forshee, RA, Storey, ML. The role of added sugars in the diet quality of children and adolescents. Journal of the American College of Nutrition 2001; 20: 32–43.CrossRefGoogle ScholarPubMed
6Lyhne, N, Ovesen, L. Added sugars and nutrient density in the diet of Danish children. Scandinavian Journal of Nutrition 1999; 43: 4–7.Google Scholar
7Farris, RP, Nicklas, TA, Myers, L, Berenson, GS. Nutrient intake and food group consumption of 10-year-olds by sugar intake level: The Bogalusa Heart Study. Journal of the American College of Nutrition 1998; 17: 579–85.CrossRefGoogle ScholarPubMed
8Linseisen, J, Gedrich, K, Karg, G, Wolfram, G. Sucrose intake in Germany. Zeitschrift fur Ernährungwissenschaft 1998; 37: 303–14.CrossRefGoogle ScholarPubMed
9Nordic Council of Ministers. Nordic Nutrition Recommendations 1996. Copenhagen: Nordisk Forlagshus, 1996.Google Scholar
10Ruxton, CHS, Garceau, FJS, Cotrell, RC. Guidelines for sugar consumption in Europe: is a quantitative approach justified? European Journal of Clinical Nutrition 1999; 53: 503–13.CrossRefGoogle ScholarPubMed
11Johnson, RK, Frayry, C. Choose beverages and foods to moderate your intake of sugars: the 2000 dietary guidelines for Americans – what's all the fuss about? Journal of Nutrition 2001; 131: 2766S–71S.CrossRefGoogle Scholar
12World Cancer Research Fund (WCRF)/American Institute for Cancer Research (AICR). Food, Nutrition and the Prevention of Cancer: A Global Perspective. Washington, DC: WCRF/AICR, 1997.Google Scholar
13Law, MR. By how much does fruit and vegetable consumption reduce the risk of ischaemic heart disease? European Journal of Clinical Nutrition 1998; 52: 549–56.CrossRefGoogle ScholarPubMed
14Kohn, M, Booth, M. The worldwide epidemic of obesity in adolescents. Adolescent Medicine 2003; 14: 1–99.Google ScholarPubMed
15Ludwig, DS, Peterson, KE, Gortmaker, SL. Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet 2001; 357: 505–8.CrossRefGoogle ScholarPubMed
16Rimestad, AH, Løken, EB, Nordbotten, A. Den norske matvaretabellen og beregningsdatabasen ved Institutt for ernæringsforskning [in Norwegian]. Norsk Epidemiologi 2000; 10: 7–10.Google Scholar
17Food and Agriculture Organization/World Health Organization (WHO)/United Nations University. Energy and Protein Requirements. Report of Joint Expert Consultation. Technical Report Series No. 724. Geneva: WHO, 1985.Google Scholar
18Goldberg, GR, Black, AE, Jebb, SA, Cole, TJ, Murgatroyd, PR, Coward, WA, et al. Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording. European Journal of Clinical Nutrition 1991; 45: 569–81Google ScholarPubMed
19Cole, TJ, Bellizzi, MC, Flegal, KM, Dietz, WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal 2000; 320: 1–6.CrossRefGoogle ScholarPubMed
20Andersen, LF, Nes, M, Sandstad, B, Bjorneboe, GE, Drevon, CA. Dietary intake among Norwegian adolescents. European Journal of Clinical Nutrition 1995; 49(8): 555–64.Google ScholarPubMed
21Fagt, S, Matthessen, J, Trolle, E, Lyhne, N, Christensen, T, Hinsch, HJ, et al. Dietary Habits of the Danish Population 2001–2002. Fødevaredirektoratet, Afdeling for Ernæring. Copenhagen: Silkeborg bogtryk, 2002 [in Danish].Google Scholar
22Becker, W. Dietary and Nutrient Intake in the Swedish Population 1989. Uppsala: Statens Livsmedelsverk, 1994 [in Swedish].Google Scholar
23Gregory, J, Lowe, S, Bates, CJ, Prentice, A, Jackson, LV, Smithers, G, et al. National Diet and Nutrition Survey: Young People aged 4 to 18 years. Volume 1: Report of the Diet and Nutrition Survey. London: The Stationery Office, 2000.Google Scholar
24Lien, N, Lytle, L, Klepp, K-I. Stability in consumption of fruits, vegetables, and sugary foods in cohort from age 14 to 21. Preventive Medicine 2001; 33: 217–26.CrossRefGoogle Scholar
25Guthrie, JF, Morton, JF. Food sources of added sweeteners in the diets of Americans. Journal of the American Dietetic Association 2000; 100: 43–51.CrossRefGoogle ScholarPubMed
26Cullen, KW, Ash, DM, Warneke, C, de Moor, C. Intake of soft drinks, fruit-flavored beverages, and fruits and vegetables by children in grades 4 through 6. American Journal of Public Health 2002; 9 1475–8.CrossRefGoogle Scholar