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Updated: Oct 20, 2025

Psychophysical Tracking Method to Measure Taste Preferences in Children and Adults
Published on: July 16, 2016
Dietary sugar intake among preschool-aged children: a cross-sectional study
Anisha Mahajan1, Jessica Yu1, Jaimie L Hogan1
1Departments of Human Health and Nutritional Sciences (Mahajan, Yu, Hogan, Carriero, Duncan, Ma), and Family Relations and Applied Nutrition (Jewell, Buchholz, Haines), and Guelph Family Health Study (Annis, Sadowski), and Department of Mathematics and Statistics (Darlington), University of Guelph, Guelph, Ont.
Insights
Most preschool children consume excessive free sugar, exceeding recommendations. However, sugar intake was not significantly linked to body weight or other measures in this study.
Area of Science:
- Pediatric Nutrition
- Public Health
- Childhood Obesity
Background:
- Excessive sugar intake in young children is a significant public health concern.
- Understanding sugar consumption patterns is crucial for addressing childhood health issues.
Purpose of the Study:
- To assess total, free, and added sugar intake in preschool-aged children.
- To investigate the relationship between sugar consumption and anthropometric measures like body weight and waist circumference.
Main Methods:
- A cross-sectional cohort study involving 109 preschool children (1.5-5 years).
- Sugar intake was analyzed from 3-day food records using specialized software and manual review.
- Linear regression models were used to examine associations between sugar intake and anthropometric data.
Main Results:
- Mean daily intakes: 86g total sugar, 31g free sugar, 26g added sugar.
- 80% of children exceeded the recommended free sugar intake (5% of daily energy).
- Bakery products were the primary source of free and added sugars. A weak inverse association was found between free sugar intake and waist circumference.
Conclusions:
- Preschool children frequently exceed free sugar recommendations.
- No significant associations were found between overall sugar intake and measured anthropometric indicators.
- Findings can inform public health policies and early intervention programs for sugar consumption in young children.
Background:
Excessive intake of sugar in young children is a public health concern. Our study objectives were to examine intakes of total, free and added sugar among preschool-aged children and to investigate their associations with body weight, body mass index Z-scores, percent fat mass and waist circumference.
Methods:
The cross-sectional cohort study included preschool-aged children between 1.5 and 5 years of age, enrolled in pilot studies of the Guelph Family Health Study, Guelph, Ontario, from 2014 to 2016. Daily intake of total sugar was determined using a food processor software; daily intakes of free and added sugar, and food sources were determined through manual inspection of 3-day food records. Anthropometric measures were completed by trained research staff. We used linear regression models with generalized estimating equations to estimate associations between sugar intakes and anthropometric measures.
Results:
We included 109 children (55 girls and 54 boys) in 77 families. Mean daily intakes were 86 (standard deviation [SD] 26) g for total sugar, 31 (SD 15) g for free sugar and 26 (SD 13) g for added sugar. Of participants, 80% (n = 87) had intakes of free sugar greater than 5% of their daily energy intake. The most frequent food sources of free and added sugar were bakery products. A weak inverse association between free sugar intake (kcal/1000 kcal) and waist circumference (cm) (β = -0.02, 95% confidence interval -0.04 to -0.0009) was found, but no significant associations were noted between sugar intake and other anthropometric measures.
Interpretation:
Most of the preschool-aged children in this study had free sugar intakes greater than current recommendations; overall, their total, free and added sugar intakes were not associated with the anthropometric measures. This study can be used to inform policy development for sugar intake in young children and apprise early intervention programs.
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