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

Published online by Cambridge University Press:  22 December 2006

Ute Alexy ,
Mathilde Kersting  and
Verena Schultze-Pawlitschko
Ute Alexy*
Affiliation:
Research Institute of Child Nutrition Dortmund (FKE), Heinstueck 11, D-44225 Dortmund, Germany
Mathilde Kersting
Affiliation:
Research Institute of Child Nutrition Dortmund (FKE), Heinstueck 11, D-44225 Dortmund, Germany
Verena Schultze-Pawlitschko
Affiliation:
Research Institute of Child Nutrition Dortmund (FKE), Heinstueck 11, D-44225 Dortmund, Germany
*
*Corresponding author: Email alexy@fke-do.de
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Abstract

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Objective:

Intake of sugars is restricted in most international food guides. However, in recent recommendations quantified limits of added sugars intake have not been given, although deemed necessary by those who criticised the recommendations.

Design:

Two approaches to derive a scientifically based quantified limit of added sugars intake for German children and adolescents are suggested. For the first dietary survey approach, 5120 three-day weighed dietary records from the Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) Study were used. Added sugars intakes in records of high vs. low dietary quality, measured by a nutrient intake score, were compared. For the second approach, a total dietary concept for German children and adolescents developed and evaluated by the Research Institute of Child Nutrition – the Optimised Mixed Diet – was used.

Results:

Whereas in the latter dietary concept an added sugars intake of about 6% of energy intake is tolerated, the dietary survey approach resulted in only small differences between high and low dietary quality, with a median added sugars intake of 12% of energy in records with high dietary quality.

Conclusions:

A reasonable dietary quality is possible within higher ranges of added sugars intake than derived from the dietary concept approach. Therefore we suggest a range of intake of added sugars for German children and adolescents, from 6% to 12% of energy.

Keywords

SugarChildrenAdolescentsDietary surveyTotal dietary concept
Type
Research Article
Information
Public Health Nutrition , Volume 6 , Issue 7 , October 2003 , pp. 697 - 702
Copyright
Copyright © CABI Publishing 2003

References

1Food and Agriculture Organization (FAO)/World Health Organization (WHO). Carbohydrates in Human Nutrition. Report of a Joint FAO/WHO Expert Consultation, Rome, 14–18 April 1997. FAO Food and Nutrition Paper 66. Rome: FAO, 1998.Google Scholar
2US Department of Agriculture (USDA)/Department of Health and Human Services (DHHS). Nutrition and Your Health: Dietary Guidelines for Americans, 5th ed. Home and Garden Bulletin No. 232. Washington, DC: USDA/DHHS, 2000.Google Scholar
3Health Education Authority (HEA). Eight Guidelines for a Healthy Diet: A Guide for Nutrition Educators. Abingdon: HEA (in association with the Ministry of Agriculture, Fisheries and Food and the Department of Health), 1997.Google Scholar
4Deutsche Gesellschaft für Ernährung. Referenzwerte für die Nährstoffzufuhr [Reference Values for Nutrient Intakes]. Frankfurt: Umschau/Braus, 2000.Google Scholar
5Krebs-Smith, SM. Choose beverages and foods to moderate your intake of sugars: measurement requires quantification. Journal of Nutrition 2001; 131: 527S–35S.CrossRefGoogle ScholarPubMed
6Keenan, DP, Abusabha, R. The fifth edition of the Dietary Guidelines for Americans: lessons learned along the way. Journal of the American Dietetic Association 2001; 101: 631–4.Google Scholar
7Linseisen, J, Gedrich, K, Karg, G, Wolfram, G. Sucrose intake in Germany. Zeitschrift für Ernahrungswissenschaft 1998; 37: 303–14.CrossRefGoogle ScholarPubMed
8Gibson, SA. Do diets high in sugars compromise micronutrient intakes? Journal of Human Nutrition and Dietetics 1997; 10: 125–33.CrossRefGoogle Scholar
9Gibson, SA. Non-milk extrinsic sugars in the diets of pre-school children: association with intakes of micronutrients, energy, fat and NSP. British Journal of Nutrition 1997; 78: 367–78.Google Scholar
10Lyhne, N, Ovesen, L. Added sugars and nutrient density in the diet of Danish children. Scandinavian Journal of Nutrition 1999; 43: 4–7.Google Scholar
11Rugg-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.Google Scholar
12Hunt, CL. Food for young children. US Department of Agriculture, Farmers' Bulletin 1916; 717: 1–21.Google Scholar
13Kersting, M, Sichert-Hellert, W, Lausen, B, Alexy, U, Manz, F, Schöch, G. Energy intake of 1 to 18 year old German children and adolescents. Zeitschrift für Ernahrungswissenschaft 1998; 37: 47–55.Google Scholar
14Alexy, U, Sichert-Hellert, W, Kersting, M. Fifteen-year time trends in energy and macronutrient intake in German children and adolescents: results of the DONALD study. British Journal of Nutrition 2002; 87: 595–604.Google Scholar
15Institute of Medicine, Food and Nutrition Board, eds. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein and Amino Acids. Washington, DC: National Academy Press, 2002.Google Scholar
16Forshee, 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.Google Scholar
17Lewis, 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.Google Scholar
18Johnson, RK, Frary, 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.Google Scholar
19Sichert-Hellert, W, Kersting, M, Manz, F. Changes in time-trends of nutrient intake from fortified and non-fortified food in German children and adolescents – 15 year results of the DONALD study. European Journal of Nutrition 2001; 40: 49–55.Google Scholar
20Littell, RC, Milliken, GA, Stroup, WW, Wolfinger, RD. SAS® System for Mixed Models. Cary, NC: SAS Institute, Inc., 1996.Google Scholar
21Kersting, M, Chahda, C, Schöch, G. Optimierte Mischkost als Präventionsernährung für Kinder und Jugendliche. Teil 1: Lebensmittelauswahl [Optimised Mixed Diet: a preventive diet for children and adolescents. Part 1: Food intake]. Ernährungs-Umschau 1993; 40: 164–9.Google Scholar
22Kersting, M, Zempléni, S, Schöch, G. Optimierte Mischkost als Präventionsernährung für Kinder und Jugendliche. Teil 2: Nährstoffzufuhr [Optimised Mixed Diet: a preventive diet for children and adolescents. Part 2: Nutrient intake]. Ernährungs-Umschau 1993; 40: 204–9.Google Scholar
23Zempléni, S, Kersting, M, Schöch, G. Optimierte Mischkost als Präventionsernährung für Kinder und Jugendliche. Teil 3: Speisepläne [Optimised Mixed Diet: a preventive diet for children and adolescents. Part 3: Sample menus]. Ernährungs-Umschau 1993; 40: B17–9.Google Scholar
24Goldberg, 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: 569–81.Google ScholarPubMed
25Torun, B, Davies, PS, Livingstone, MB, Paolisso, M, Sackett, R, Spurr, GB. Energy requirements and dietary energy recommendations for children and adolescents 1 to 18 years old. European Journal of Clinical Nutrition 1996; 50(Suppl. 1): S37–80.Google Scholar
26Alexy, U, Sichert-Hellert, W, Kersting, M. Fortification masks nutrient dilution due to added sugars in the diet of children and adolescents. Journal of Nutrition 2002; 132: 2785–91.Google Scholar
27Bowman, SA. Diets of individuals based on energy intakes from added sugars. Family Economics and Nutrition Review 1999; 12: 31–8.Google Scholar
28Alexy, U, Sichert-Hellert, W, Kersting, M. Associations between added sugars intake and nutrient and food group intake in the diet of children and adolescents. British Journal of Nutrition 2003, in press.Google Scholar
29Löwik, MR, Hulshof, KF, Brussaard, JH. Food-based dietary guidelines: some assumptions tested for The Netherlands. British Journal of Nutrition 1999; 81(Suppl. 2): S143–9.Google Scholar
30Food and Agriculture Organization (FAO)/World Health Organization (WHO). Preparation and Use of Food-based Dietary Guidelines. Report of a Joint FAO/WHO Consultation. WHO Technical Report Series No. 880. Geneva: WHO, 1999.Google Scholar
31Sichert-Hellert, W, Kersting, M, Alexy, U, Manz, F. Ten-year trends in vitamin and mineral intake from fortified food in German children and adolescents. European Journal of Clinical Nutrition 2000; 54: 81–6.Google Scholar
32Berner, LA, Clydesdale, FM, Douglass, JS. Fortification contributed greatly to vitamin and mineral intakes in the United States, 1989–1991. Journal of Nutrition 2001; 131: 2177–83.CrossRefGoogle ScholarPubMed
33Institute of Medicine, Food and Nutrition Board, eds. Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride. Washington, DC: National Academy Press, 1999.Google Scholar