title: Intake of total and added sugars and nutrient dilution in Australian children and adolescents.
abstract: This analysis aimed to examine the association between intake of sugars (total or added) and nutrient intake with data from a recent Australian national nutrition survey, the 2007 Australian National Children's Nutrition and Physical Activity Survey (2007ANCNPAS). Data from participants (n 4140; 51 % male) who provided 2×plausible 24-h recalls were included in the analysis. The values on added sugars for foods were estimated using a previously published ten-step systematic methodology. Reported intakes of nutrients and foods defined in the 2007ANCNPAS were analysed by age- and sex-specific quintiles of %energy from added sugars (%EAS) or %energy from total sugars (%ETS) using ANCOVA. Linear trends across the quintiles were examined using multiple linear regression. Logistic regression analysis was used to calculate the OR of not meeting a specified nutrient reference values for Australia and New Zealand per unit in %EAS or %ETS. Analyses were adjusted for age, sex, BMI z-score and total energy intake. Small but significant negative associations were seen between %EAS and the intakes of most nutrient intakes (all P<0·001). For %ETS the associations with nutrient intakes were inconsistent; even then they were smaller than that for %EAS. In general, higher intakes of added sugars were associated with lower intakes of most nutrient-rich, 'core' food groups and higher intakes of energy-dense, nutrient-poor 'extra' foods. In conclusion, assessing intakes of added sugars may be a better approach for addressing issues of diet quality compared with intakes of total sugars.
authors.affiliation: 1School of Medicine, Faculty of Science,Medicine and Health,The University of Wollongong,Wollongong,NSW 2522,Australia.
authors.forename: Jimmy Chun Yu
authors.initials: JC
authors.lastname: Louie
authors.affiliation: 1School of Medicine, Faculty of Science,Medicine and Health,The University of Wollongong,Wollongong,NSW 2522,Australia.
authors.forename: Linda C
authors.initials: LC
authors.lastname: Tapsell
mesh_terms: D000293:Adolescent; D017195:Adolescent Nutritional Physiological Phenomena; D001315:Australia; D002648:Child; D002664:Child Nutritional Physiological Phenomena; D002675:Child, Preschool; D004032:Diet / Q000009:adverse effects*; D019422:Dietary Sucrose / Q000008:administration & dosage* / Q000009:adverse effects; D002149:Energy Intake; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D015596:Nutrition Assessment; D018673:Nutrition Policy; D009749:Nutrition Surveys; D010349:Patient Compliance; D012044:Regression Analysis
chemical_list: D019422:Dietary Sucrose
keywords: %EAS %energy from added sugars; %ETS %energy from total sugars; 2007 ANCNPAS the 2007 Australian National Children’s Nutrition and Physical Activity Survey; Added sugars; Australian children and adolescents; EI energy intake; NRV nutrient reference values; Nutrient dilution; PAL physical activity level; Total sugars