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Intake, sources, and determinants of free sugars intake in Australian children aged 12-14 months
Gemma Devenish1, Elinor Ytterstad2, Andrea Begley1
1School of Public Health, Curtin University, Perth, Western Australia, Australia.
Insights
Free sugar intake in infants is linked to health issues. Commercial infant foods and sweet treats are key sources for Australian babies, with socio-economic factors influencing intake levels.
Area of Science:
- Nutrition Science
- Public Health
- Pediatrics
Background:
- Free sugar consumption is a significant public health concern, associated with childhood adiposity and dental caries.
- Limited data exists on free sugar intake and its sources during the critical first two years of life.
- Understanding early life sugar intake is crucial for developing effective public health interventions.
Purpose of the Study:
- To identify the primary food sources of free sugars in Australian infants aged 12-14 months.
- To investigate factors associated with meeting the World Health Organisation (WHO) guideline for free sugar intake.
- To examine the relationship between socio-economic status and free sugar consumption in early childhood.
Main Methods:
- A cross-sectional analysis of dietary data from 828 Australian infants (12-14 months old).
- Dietary intake was assessed using 3-day nonconsecutive 24-hour recalls and food records.
- Multiple logistic regression was employed to analyze factors associated with exceeding WHO sugar intake recommendations (<5% and <10% of energy).
Main Results:
- Mean free sugar intake was 8.8 g/day, contributing 3.6% of total energy intake.
- Commercial infant foods (26.6%), cereal-based products (19.7%), yoghurt (9.6%), and fruit/vegetable beverages (7.4%) were major contributors.
- Infants from disadvantaged socio-economic backgrounds were more likely to exceed the <5% energy recommendation for free sugars.
Conclusions:
- Commercial infant foods are a substantial source of free sugars for Australian infants.
- Dietary free sugar intake in early life is influenced by social determinants, particularly socio-economic disadvantage.
- Targeted strategies addressing food sources and socio-economic factors are needed to reduce free sugar intake in infants.
Abstract:
The consumption of free sugars is directly associated with adiposity and dental caries in early childhood; however, intake data in the first 2 years of life are limited. This cross-sectional analysis aims to identify major food sources of free sugars for Australian children aged 12-14 months and investigate factors associated with meeting the World Health Organisation (WHO) Guideline for sugars intake. Three days of nonconsecutive dietary data were collected via a 24-hr recall and 2-day food record for 828 participants. Usual intake of energy, total sugars, and free sugars were estimated, along with food group contributions to free sugars. Multiple logistic regression analysis was used to investigate factors associated with exceeding the WHO conservative recommendation that <5% of energy should come from free sugars. Mean free sugars intake was 8.8 (SD 7.7, IQR 3.7-11.6) g/day, contributing 3.6% (SD 2.8, IQR 1.6-4.8) of energy. Only 2.4% of participants exceeded the WHO recommendation that <10% of energy should come from free sugars, with 22.8% of participants exceeding the <5% recommendation. Children from households with greater socio-economic disadvantage (IRSAD <5, OR = 1.94) and in the lowest income bracket (OR = 2.10) were more likely to have intakes ≥5% of energy. Major food sources of free sugars were commercial infant foods (26.6%), cereal-based products (19.7%), namely, sweet biscuits (8.3%) and cakes (7.6%), followed by yoghurt (9.6%), and fruit and vegetable beverages (7.4%). These findings highlight the substantial contribution of infant foods to free sugars intakes and provide further evidence that dietary intakes are influenced by social determinants.
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