Dataset Information

Low-Calorie Sweeteners: Disturbing the Energy Balance Equation in Adolescents?

ABSTRACT: OBJECTIVE:The aim of this study was to investigate the relationship between low-calorie sweeteners (LCSs), energy intake, and weight in US youth. METHODS:Data were collected from individuals aged 2 to 19 years who participated in the National Health and Nutrition Examination Survey (NHANES) 2009-2010 (n??=??3,296), 2011-2012 (n??=??3,139), and 2013-2014 (n??=??3,034). Logistic regression, unadjusted and adjusted for age, sex, race/ethnicity, income, energy intake, and physical activity, was used to estimate the odds of obesity in LCS consumers versus nonconsumers, both overall and across product categories (foods vs. beverages) and sociodemographic subgroups. RESULTS:Among adolescents, the odds of obesity were 55% and 70% higher in LCS beverage consumers than in nonconsumers in unadjusted and adjusted models, respectively. Energy intakes did not differ based on LCS consumption. In contrast, associations between LCS consumption and obesity risk were not statistically significant among children (2-11 y old), except in boys and those who self-identified as Hispanic. CONCLUSIONS:LCS consumption is associated with increased odds of obesity among adolescents. This relationship is strikingly independent of total energy intake. Although findings should be interpreted cautiously because of the limitations of self-reported dietary intake and the cross-sectional nature of this analysis, the observational analysis in this study supports the need to investigate the mechanisms by which LCS may influence body weight, independently of changes in energy intake.

SUBMITTER: Sylvetsky AC

PROVIDER: S-EPMC5724388 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature

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Low-Calorie Sweeteners: Disturbing the Energy Balance Equation in Adolescents?

Sylvetsky Allison C AC Jin Yichen Y Mathieu Kevin K DiPietro Loretta L Rother Kristina I KI Talegawkar Sameera A SA

Obesity (Silver Spring, Md.) 20171031 12

<h4>Objective</h4>The aim of this study was to investigate the relationship between low-calorie sweeteners (LCSs), energy intake, and weight in US youth.<h4>Methods</h4>Data were collected from individuals aged 2 to 19 years who participated in the National Health and Nutrition Examination Survey (NHANES) 2009-2010 (n = 3,296), 2011-2012 (n = 3,139), and 2013-2014 (n = 3,034). Logistic regression, unadjusted and adjusted for age, sex, race/ethnicity, income, energy intake, and physical act ...[more]

PMID: 29086493

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Project description:BackgroundConsumption of low-calorie sweeteners (LCSs) has increased markedly during the past several decades, yet the prevalence of LCS consumption in recent years is currently unknown.ObjectiveThe aim of this study was to describe LCS consumption in the United States and to characterize consumption by sociodemographic subgroups, source, frequency, eating occasion, and location.DesignCross-sectional study using National Health and Nutrition Examination Survey data from 2009 to 2012. The prevalence of LCS consumption was assessed using two 24-hour dietary recalls, while the frequency (number of times per day), occasion (meal vs snack vs alone), and location of LCS consumption (at home vs away from home) was assessed using data from the one, in-person, 24-hour dietary recall.ParticipantsNational Health and Nutrition Examination Survey participants (2 years old or older) either in 2009-2010 (n=9,047) or in 2011-2012 (n=7,939). After excluding participants with implausible energy intake (n=44), the final sample size was 16,942.Main outcome measuresThe primary outcome was the proportion of individuals consuming one or more foods, beverages, or packets containing LCSs during at least one of their two dietary recalls.Statistical analyses performedData were weighted to provide national estimates and Stata frequency procedures for complex survey design were used for all analyses.ResultsOur findings were that 25.1% of children and 41.4% adults reported consuming LCSs. Most LCS consumers reported use once daily (80% of children, 56% of adults) and frequency of consumption increased with body weight in adults. LCS consumption was higher in females compared with males among adults, and in obese individuals, compared with overweight and normal-weight individuals. Individuals of non-Hispanic white race/ethnicity also had higher prevalence of consumption compared with non-Hispanic blacks and Hispanics and those in the highest tertile of income had higher LCS consumption compared with individuals of middle or low income across LCS product categories in adults, and for LCS beverages and LCS foods in children. Most LCS consumers reported consuming LCS with meals (64% of adults, 62% of children) and the majority of LCS consumption occurred at home (71% and 72% among adults and children, respectively).ConclusionsLCS consumption is highly prevalent in the United States, among both children and adults. Well-controlled, prospective trials are required to understand the health impact of this widespread LCS exposure.

Dataset Information

Low-Calorie Sweeteners: Disturbing the Energy Balance Equation in Adolescents?

Publications

Low-Calorie Sweeteners: Disturbing the Energy Balance Equation in Adolescents?

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