Abstract
Purpose
To examine the eating occasion (EO) where most added sugars (AS) were consumed using a nationally representative dataset.
Methods
Plausible dietary data from the Australian Health Survey respondents (n = 8202), collected by a multiple-pass 24-h recall, were analyzed. EO was self-reported during the recall. AS content of the foods reported was estimated using a previously published method. Proportion of daily AS consumed (%ASdaily) and the main food sources, at each EO, were calculated. Differences between children/adolescents and adults were tested by one-way ANOVA. Further stratification by age group and sex was performed.
Results
The majority of the %ASdaily came from non-main meal occasions (NMMOs; 48.3 %, 95 % CI 47.5–49.0 %), followed by breakfast/brunch (20.6 %, 95 % CI 20.1–21.1 %). Children and adolescents consumed more %ASdaily during NMMOs compared with adults (52 vs. 47 %; p < 0.001), while girls/women consumed more %ASdaily during NMMO compared with boys (54 vs. 49 %; p = 0.002) and men (50 vs. 45 %; p < 0.001). Sugar-sweetened beverages were the top contributors to AS at lunch, dinner and NMMOs, while sugar and sweet spreads were the top contributor at breakfast/brunch. Other top contributors at NMMOs included “other foods,” ice cream and cakes and biscuits, pastries and batter-based products.
Conclusion
Australians consumed nearly half of %ASdaily during NMMOs, most of which came from high-sugar energy-dense nutrient-poor foods. While the common perception that most AS come from snacks holds true, our results suggest that main meals are also important intervention targets.
Similar content being viewed by others
References
Drewnowski A (2007) The real contribution of added sugars and fats to obesity. Epidemiol Rev 29:160–171. doi:10.1093/epirev/mxm011
Welsh JA, Cunningham SA (2011) The role of added sugars in pediatric obesity. Pediatr Clin North Am 58(6):1455–1466. doi:10.1016/j.pcl.2011.09.009
Caballero B (2007) The global epidemic of obesity: an overview. Epidemiol Rev 29(1):1–5. doi:10.1093/epirev/mxm012
Reedy J, Krebs-Smith SM (2010) Dietary sources of energy, solid fats, and added sugars among children and adolescents in the United States. J Am Diet Assoc 110(10):1477–1484. doi:10.1016/j.jada.2010.07.010
Louie JCY, Tapsell LC (2015) Association of total vs. added sugars and food and nutrient intake: a systematic literature review. Nutr Rev 73(12):837–857. doi:10.1093/nutrit/nuv044
World Health Organization (2015) Guideline: sugars intake for adults and children. World Health Organization, Geneva
U.S. Department of Agriculture, U.S. Department of Health & Human Services (2015) Scientific Report of the 2015 Dietary Guidelines Advisory Committee—Advisory Report to the Secretary of Health and Human Services and the Secretary of Agriculture. USDA, Washington
Ruxton CHS, Gardner EJ, McNulty HM (2010) Is sugar consumption detrimental to health? A review of the evidence 1995–2006. Crit Rev Food Sci Nutr 50:1–19. doi:10.1080/10408390802248569
National Health and Medical Research Council (Australia) (2013) Australian Dietary Guidelines: providing the scientific evidence for healthier Australian diets. NHMRC, DoHA, Canberra
World Health Organisation, Food Agriculture Organisation of The United Nations (2003) Diet, nutrition and the prevention of chronic diseases. WHO, Geneva
Lei L, Rangan AM, Flood VM, Louie JCY (2016) Dietary intake and food sources of added sugar in the Australian population. Br J Nutr 115(5):868–877
Louie JCY, Moshtaghian H, Rangan AM, Flood VM, Gill TP (2015) Intake and food sources of added sugars among Australian children and adolescents. Eur J Nutr [Epub ahead of print]. doi:10.1007/s00394-015-1041-8
Brisbois TD, Marsden SL, Anderson GH, Sievenpiper JL (2014) Estimated intakes and sources of total and added sugars in the Canadian diet. Nutrients 6(5):1899–1912. doi:10.3390/nu6051899
Welsh JA, Sharma AJ, Grellinger L, Vos MB (2011) Consumption of added sugars is decreasing in the United States. Am J Clin Nutr 94(3):726–734. doi:10.3945/ajcn.111.018366
Ervin RB, Ogden CL (2013) Consumption of added sugars among US adults, 2005–2010. NCHS Data Brief 122:1–8
McGuire S (2012) Ervin RB, Kit BK, Carroll MD, Ogden CL. Consumption of added sugar among U.S. children and adolescents, 2005-2008. NCHS data brief no 87. Hyattsville, MD: National Center for Health Statistics. 2012. Adv Nutr 3(4):534. doi:10.3945/an.112.002279
Vorster HH, Kruger A, Wentzel-Viljoen E, Kruger HS, Margetts BM (2014) Added sugar intake in South Africa: findings from the Adult Prospective Urban and Rural Epidemiology cohort study. Am J Clin Nutr 99(6):1479–1486. doi:10.3945/ajcn.113.069005
Levy DT, Friend KB, Wang YC (2011) A review of the literature on policies directed at the youth consumption of sugar sweetened beverages. Adv Nutr 2(2):182S–200S. doi:10.3945/an.111.000356
Whatley Blum JE, Davee A-M, Beaudoin CM et al (2008) Reduced availability of sugar-sweetened beverages and diet soda has a limited impact on beverage consumption patterns in Maine high school youth. J Nutr Educ Behav 40(6):341–347. doi:10.1016/j.jneb.2007.12.004
Australian Bureau of Statistics (2013) Australian Health Survey: users’ guide, 2011–13 http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/74D87E30B3539C53CA257BBB0014BB36?opendocument. Accessed 2 June 2015
Food Standards Australia New Zealand (2014) AUSNUT2011–2013—Food Composition Database. FSANZ. http://www.foodstandards.gov.au/science/monitoringnutrients/ausnut/pages/default.aspx. Accessed 14 May 2015
Louie JC, Moshtaghian H, Boylan S et al (2015) A systematic methodology to estimate added sugar content of foods. Eur J Clin Nutr 69(2):154–161. doi:10.1038/ejcn.2014.256
Louie JCY, Lei L, Rangan AM (2015) Reliability of a systematic methodology to estimate added sugars content of foods when applied to a recent Australian food composition database. J Food Comp Anal 46:36–42. doi:10.1016/j.jfca.2015.11.002
Goldberg G, Black A, Jebb S et al (1991) Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording. Eur J Clin Nutr 45(12):569–581
Louie JCY, Buyken AE, Heyer K, Flood VM (2011) Dietary glycaemic index and glycaemic load among Australian children and adolescents. Br J Nutr 106(08):1273–1282. doi:10.1017/S0007114511001577
Tornaritis MJ, Philippou E, Hadjigeorgiou C et al (2014) A study of the dietary intake of Cypriot children and adolescents aged 6-18 years and the association of mother’s educational status and children’s weight status on adherence to nutritional recommendations. BMC Public Health 14:13. doi:10.1186/1471-2458-14-13
Ferrari P, Slimani N, Ciampi A et al (2002) Evaluation of under- and over-reporting of energy intake in the 24-hour diet recalls in the European Prospective Investigation into Cancer and Nutrition (EPIC). Public Health Nutr 5(6B):1329–1345. doi:10.1079/PHN2002409
GraphPad Software Inc. (2016) Compute CI of a sum, difference, quotient or product. GraphPad Software Inc. http://www.graphpad.com/quickcalcs/errorProp1/. Accessed 1 May 2016
Fieller EC (1940) The biological standardization of Insulin. J R Statist Soc 7:1–64
Streiner DL (2015) Best (but oft-forgotten) practices: the multiple problems of multiplicity—whether and how to correct for many statistical tests. Am J Clin Nutr 102(4):721–728. doi:10.3945/ajcn.115.113548
Berteus Forslund H, Torgerson JS, Sjostrom L, Lindroos AK (2005) Snacking frequency in relation to energy intake and food choices in obese men and women compared to a reference population. Int J Obes (Lond) 29(6):711–719. doi:10.1038/sj.ijo.0802950
Nielsen (2014) Snack attack: what consumers are reaching for around the world. The Nielsen Company, New York
Kant AK, Graubard BI (2015) Within-person comparison of eating behaviors, time of eating, and dietary intake on days with and without breakfast: NHANES 2005–2010. Am J Clin Nutr 102(3):661–670. doi:10.3945/ajcn.115.110262
Cobiac L, Record S, Leppard P, Syrette J, Flight I (2003) Sugars in the Australian diet: results from the 1995 National Nutrition Survey. Nutr Diet 60(3):152–173
Quandt SA, Vitolins MZ, DeWalt KM, Roos GM (1997) Meal patterns of older adults in rural communities: life course analysis and implications for undernutrition. J Appl Gerontol 16(2):152–171. doi:10.1177/073346489701600202
Edfors E, Westergren A (2012) Home-living elderly people’s views on food and meals. J Aging Res 2012:9. doi:10.1155/2012/761291
Australian Bureau of Statistics (2013) Australian Health Survey: first results, 2011–2012. ABS, Canberra
Rangan AM, Schindeler S, Hector DJ, Gill TP, Webb KL (2009) Consumption of ‘extra’ foods by Australian adults: types, quantities and contribution to energy and nutrient intakes. Eur J Clin Nutr 63(7):865–871. doi:10.1038/ejcn.2008.51
Williams P (2002) What Australians eat for breakfast: an analysis of data from the 1995 National Nutrition Survey. Nutr Diet 59(2):103–112
Mullan BA, Singh M (2010) A systematic review of the quality, content, and context of breakfast consumption. Nutr Food Sci 40(1):81–114. doi:10.1108/00346651011015953
Liu JL, Han B, Cohen DA (2015) Associations between eating occasions and places of consumption among adults. Appetite 87:199–204. doi:10.1016/j.appet.2014.12.217
US Department of Health and Human Services, US Department of Agriculture (2011) 2010 Dietary Guidelines for Americans. Government Printing Office, Washington
Health Canada (2011) Eating well with Canada’s food guide: a resource for educators and communicators. Health Canada, Ottawa
Biro G, Hulshof K, Ovesen L, Amorim CJ (2002) Selection of methodology to assess food intake. Eur J Clin Nutr 56:S25–S32
National Cancer Institute (2015) Dietary Assessment Primer. Summary tables: recommendations on potential approaches to dietary assessment for different research objectives requiring group-level estimates. http://dietassessmentprimer.cancer.gov/approach/table.html. Accessed 21 May 2015
Leech RM, Worsley A, Timperio A, McNaughton SA (2015) Characterizing eating patterns: a comparison of eating occasion definitions. Am J Clin Nutr. doi:10.3945/ajcn.115.114660
Acknowledgments
The original data of the NNPAS were collected by the Australian Bureau of Statistics. The authors declare that those who carried out the original analysis and collection of the data bear no responsibility for further analysis or interpretation included in the manuscript.
Authors’ contribution
Both authors were involved in the conception of the study. JCYL performed the statistical analyses. Both authors were involved in the interpretation of the data and co-wrote the manuscript. JCYL has primary responsibility of the content of this manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
None declared.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Louie, J.C.Y., Rangan, A.M. Patterns of added sugars intake by eating occasion among a nationally representative sample of Australians. Eur J Nutr 57, 137–154 (2018). https://doi.org/10.1007/s00394-016-1303-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00394-016-1303-0