Commercial complementary food consumption is prospectively associated with added sugar intake in childhood

Abstract Given that commercial complementary food (CF) can contain high levels of added sugar, a high consumption may predispose to a preference for sweet taste later in life. This study examined cross-sectional associations between commercial CF consumption and added sugar intake in infancy as well as its prospective relation to added sugar intake in pre-school and primary-school age children. In all, 288 children of the Dortmund Nutritional and Anthropometric Longitudinally Designed Study with 3-d weighed dietary records at 0·5 and 0·75 (infancy), 3 and 4 (pre-school age) and 6 and 7 years of age (primary-school age) were included in this analysis. Individual commercial CF consumption as percentage of total commercial CF (%cCF) was averaged at 0·5 and 0·75 years. Individual total added sugar intake (g/d, energy percentage/d) was averaged for all three age groups. Multivariable logistic and linear regression models were used to analyse associations between %cCF and added sugar intake. In infancy, a higher %cCF was associated with odds for high added sugar intake from CF and for high total added sugar intake (>75th percentile, P<0·033). Prospectively, a higher %cCF was related to higher added sugar intake in both pre-school (P<0·041) and primary-school age children (P<0·039), although these associations were attenuated in models adjusting for added sugar intake in infancy. A higher %cCF in infancy may predispose to higher added sugar intake in later childhood by virtue of its added sugar content. Therefore, offering home-made CF or carefully chosen commercial CF without added sugar might be one strategy to reduce sugar intake in infancy and later on.

[1]  M. Kersting,et al.  Age and time trends in the diet of young children: results of the DONALD study , 2016, European Journal of Nutrition.

[2]  M. Kersting,et al.  Home-made and commercial complementary meals in German infants: results of the DONALD study. , 2015, Journal of human nutrition and dietetics : the official journal of the British Dietetic Association.

[3]  C. D. Elliott,et al.  Packaged baby and toddler foods: questions of sugar and sodium , 2015, Pediatric obesity.

[4]  B. Heude,et al.  Dietary patterns track from infancy to preschool age: cross-sectional and longitudinal perspectives. , 2015, The Journal of nutrition.

[5]  M. Cogswell,et al.  Sodium and Sugar in Complementary Infant and Toddler Foods Sold in the United States , 2015, Pediatrics.

[6]  U. Alexy,et al.  Associations between commercial complementary food consumption and fruit and vegetable intake in children. Results of the DONALD study , 2015, Appetite.

[7]  E. M. van der Beek,et al.  Nutritional Challenges and Opportunities during the Weaning Period and in Young Childhood , 2014, Annals of Nutrition and Metabolism.

[8]  L. Pan,et al.  The Association of Sugar-Sweetened Beverage Intake During Infancy With Sugar-Sweetened Beverage Intake at 6 Years of Age , 2014, Pediatrics.

[9]  C. Basch,et al.  A Comparative Study of the Sodium Content and Calories from Sugar in Toddler Foods Sold in Low- and High-Income New York City Supermarkets , 2014, Global journal of health science.

[10]  Cottrell Rc.  Effect on caries of restricting sugars intake: systematic review to inform WHO guidelines". , 2014 .

[11]  U. Alexy,et al.  Breast-Feeding and Weaning Practices in the DONALD Study: Age and Time Trends , 2014, Journal of pediatric gastroenterology and nutrition.

[12]  J. Mennella.  Ontogeny of taste preferences: basic biology and implications for health. , 2014, The American journal of clinical nutrition.

[13]  L. Andersen,et al.  Changes and tracking of fruit, vegetables and sugar-sweetened beverages intake from 18 months to 7 years in the Norwegian mother and child cohort study , 2013, BMC Public Health.

[14]  A. Ventura,et al.  Early Influences on the Development of Food Preferences , 2013, Current Biology.

[15]  D. Crawford,et al.  Tracking of dietary intakes in early childhood: the Melbourne InFANT Program , 2013, European Journal of Clinical Nutrition.

[16]  Marie E. Latulippe,et al.  The confusing world of dietary sugars: definitions, intakes, food sources and international dietary recommendations. , 2012, Food & function.

[17]  K. Northstone,et al.  Characterization of transition diets spanning infancy and toddlerhood: a novel, multiple-time-point application of principal components analysis. , 2012, The American journal of clinical nutrition.

[18]  J. Mennella,et al.  Complementary Foods and Flavor Experiences: Setting the Foundation , 2012, Annals of Nutrition and Metabolism.

[19]  J. Mann,et al.  Dietary sugars and body weight: systematic review and meta-analyses of randomised controlled trials and cohort studies , 2012, BMJ.

[20]  L. Brazionis,et al.  Characterizing whole diets of young children from developed countries and the association between diet and health: a systematic review. , 2011, Nutrition reviews.

[21]  A. Hilbig,et al.  GRETA: Ernährung von Kleinkindern in Deutschland , 2011 .

[22]  J. Mennella,et al.  Innate and learned preferences for sweet taste during childhood , 2011, Current opinion in clinical nutrition and metabolic care.

[23]  U. Alexy,et al.  Direction of associations between added sugar intake in early childhood and body mass index at age 7 years may depend on intake levels. , 2011, The Journal of nutrition.

[24]  C. Elliott,et al.  Sweet and salty: nutritional content and analysis of baby and toddler foods. , 2011, Journal of public health.

[25]  S. Nicklaus,et al.  The impact of salt, fat and sugar levels on toddler food intake , 2010, British Journal of Nutrition.

[26]  A. Brönstrup,et al.  Säuglingsernährung und Ernährung der stillenden Mutter , 2010, Monatsschrift Kinderheilkunde.

[27]  H. Coulthard,et al.  Long-term consequences of early fruit and vegetable feeding practices in the United Kingdom , 2010, Public Health Nutrition.

[28]  M. Livingstone,et al.  Added sugars and micronutrient dilution , 2009, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[29]  K. Michaelsen,et al.  Complementary Feeding: A Commentary by the ESPGHAN Committee on Nutrition , 2008, Journal of pediatric gastroenterology and nutrition.

[30]  S. Gibson.  Dietary sugars intake and micronutrient adequacy: a systematic review of the evidence , 2007, Nutrition Research Reviews.

[31]  I. Tetens,et al.  Characteristics of misreporters of dietary intake and physical activity , 2007, Public Health Nutrition.

[32]  M. Kersting,et al.  German food composition database for dietary evaluations in children and adolescents , 2007 .

[33]  J. Ludvigsson,et al.  Predictors and dietary consequences of frequent intake of high-sugar, low-nutrient foods in 1-year-old children participating in the ABIS study , 2007, British Journal of Nutrition.

[34]  D. Liem,et al.  Sweet and sour preferences in young children and adults: role of repeated exposure , 2004, Physiology & Behavior.

[35]  M. Kersting,et al.  The DONALD Study , 2004, European journal of nutrition.

[36]  M. Kersting,et al.  Two approaches to derive a proposal for added sugars intake for German children and adolescents , 2003, Public Health Nutrition.

[37]  M. Kersting,et al.  Associations between intake of added sugars and intakes of nutrients and food groups in the diets of German children and adolescents , 2003, British Journal of Nutrition.

[38]  D. Liem,et al.  Sweet and sour preferences during childhood: role of early experiences. , 2002, Developmental psychobiology.

[39]  P. Trumbo,et al.  Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. , 2002, Journal of the American Dietetic Association.

[40]  A. Siega-Riz,et al.  Sociodemographic determinants of added sugar intake in preschoolers 2 to 5 years old. , 2002, Jornal de Pediatria.

[41]  R. Forshee,et al.  The Role of Added Sugars in the Diet Quality of Children and Adolescents , 2001, Journal of the American College of Nutrition.

[42]  S. Greenland,et al.  Simulation study of confounder-selection strategies. , 1993, American journal of epidemiology.

[43]  L. Birch,et al.  Pass the sugar, pass the salt: Experience dictates preference. , 1990 .

[44]  G. Beauchamp,et al.  Acceptance of sweet and salty tastes in 2-year-old children , 1984, Appetite.

[45]  G. Beauchamp,et al.  Dietary experience and sweet taste preference in human infants , 1982, Appetite.

[46]  U. Wahn,et al.  Infant nutrition and nutrition for breastfeeding mothers. , 2010 .

[47]  J. Mennella,et al.  Factors contributing to individual differences in sucrose preference. , 2005, Chemical senses.

[48]  Rachel K. Johnson,et al.  Children and adolescents' choices of foods and beverages high in added sugars are associated with intakes of key nutrients and food groups. , 2004, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.