Associations between dietary added sugar intake and micronutrient intake: a systematic review

Original article can be found at: http://journals.cambridge.org/ Copyright The Authors. DOI: 10.1017/S0007114507617206There is increasing concern that high intakes of added sugars might compromise intakes of micronutrients. The objectives of this systematic review were (1) to determine whether dietary added sugar intake was associated with micronutrient intakes, and if so, whether there was evidence of micronutrient dilution as a result of higher dietary added sugar intake and (2) if micronutrient dilution was present, to determine whether there was sufficiently robust evidence to support a threshold effect above which there was a significant decline in micronutrient intake or status relative to the recommended intakes. A systematic computerised literature search was undertaken, limited to studies written in English published from 1980 onwards and further studies identified through hand searching papers. Fifteen studies that assessed associations between intakes of added sugars or non-milk extrinsic sugars and micronutrients were included. Overall, there are insufficient data and inconsistency between studies in relationships between added sugars and micronutrient intakes, with no clear evidence of micronutrient dilution or a threshold for a quantitative amount of added sugar intake for any of the micronutrients investigated. The current evidence base is considerably constrained by methodological issues. Further research is required to determine which food products high in added sugars might adversely affect micronutrient intakes by displacing other food items from the diet. Analyses should take into account the magnitude of any observed associations to determine their true biological significance.Peer reviewe

Creating good feelings about unhealthy food: children’s televised ‘advertised diet’ on the island of Ireland, in a climate of regulation

Childhood eating habits and associations with advertising persist through life. Obesity is high in Ireland, and is increasing worldwide. Links between food promotion and children’s diets are well-established, and the World Health Organisation has called for reduced marketing of foods high in fat, sugar and salt (HFSS) to children. In Ireland and the UK, statutory regulation restricts HFSS television advertising, but only during children’s programming – yet children view much television at other times. This study is the first to identify young children’s exposure to television food advertising on the island of Ireland (IoI), and its nature, with systematic sampling according to Irish audience panel research. Food advertisements were nutrient profiled and content analyses were conducted of marketing techniques. The IoI ‘advertised diet’ viewed by young children primarily features dairy and fast foods, pizza, sweets and chocolate, normalising this consumption and associating it with taste/aroma, fun, magic/ imagination, physical activity, humour and exaggerated pleasure. HFSS ads primarily featured taste/aroma, humour and novelty. Despite complying with statutory regulations, more than half of IoI food advertisements featured HFSS items; young children see over 1000 HFSS ads annually in the Republic of Ireland, nearly 700 in Northern Ireland. Policy implications for remedying children’s HFSS ad exposure include (i) applying food advertising restrictions to times when higher proportions of young children watch television – not just child-directed programming – as well as to digital media, (ii) employing a stricter nutrient profiling method and (iii) normalising children’s ‘advertised diet’ by exploring ways to advertise healthy foods

Measuring the difference between actual and reported food intakes in the context of energy balance under laboratory conditions

Acknowledgements The present study was funded by the Food Standards Agency, UK. The Food Standards Agency had no role in the design, analysis or writing of this article. The authors’ responsibilities were as follows: R. J. S., L. M. O’R. and G. W. H. designed the research; L. M. O’R. and Z. F. conducted the research and analysed the data; G. W. H. performed the statistical analyses; P. R. carried out the DLW analysis; R. J. S. had primary responsibility for the final content; R. J. S., L. M. O’R., Z. F., S. W. and M. B. E. L. wrote the paper.Peer reviewedPublisher PD

Web-Based Personalized Nutrition System for Delivering Dietary Feedback Based on Behavior Change Techniques: Development and Pilot Study among Dietitians

Given the complex and varied nature of individual characteristics influencing dietary behaviors, personalized dietary advice may be more effective than generalized “one-size-fits-all” advice. In this paper, we describe a web-based personalized nutrition system for improving the quality of overall diet in the general adult population. The development process included identification of appropriate behavior change techniques, modification of dietary assessment method (Meal-based Diet History Questionnaire; MDHQ), selection of dietary components, and a personalized dietary feedback tool. A pilot study was conducted online among 255 dietitians. Each completed the MDHQ, received his/her own dietary feedback report, and evaluated the relevance of the report based on 12 questions using a 5-point Likert scale from “totally disagree” (score 1) to “totally agree” (score 5). The mean value of overall acceptability score of dietary feedback report was 4.2. The acceptability score was, on average, higher in plausible energy reporters (compared with implausible energy reporters), participants who printed out the report (compared with those who did not), and those spending ≥20 min to read the report (compared with those spending <20 min). This is the first attempt to develop a web-based personalized nutrition system in Japan, where dietitians were broadly supportive of the dietary feedback report