Sources and determinants of free sugars intake by 5-year-old Australian children in the SMILE cohort

Reducing free sugars intake is important for the prevention of dental caries and obesity in children. The study aimed to determine the amount and sources of free sugars known to contribute to dental caries, and identify sociodemographic determinants of intake by children aged 5 years in Australia. C...

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Main Authors: Ivaturi, A., Do, L.G., Giles, L., Devenish, Gemma, Scott, Jane A., Ha, D.H., Golley, R., Bell, L.K., Moynihan, P.J.
Format: Journal Article
Language:English
Published: 2024
Subjects:
Online Access:http://purl.org/au-research/grants/nhmrc/1046219
http://hdl.handle.net/20.500.11937/96203
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author Ivaturi, A.
Do, L.G.
Giles, L.
Devenish, Gemma
Scott, Jane A.
Ha, D.H.
Golley, R.
Bell, L.K.
Moynihan, P.J.
author_facet Ivaturi, A.
Do, L.G.
Giles, L.
Devenish, Gemma
Scott, Jane A.
Ha, D.H.
Golley, R.
Bell, L.K.
Moynihan, P.J.
author_sort Ivaturi, A.
building Curtin Institutional Repository
collection Online Access
description Reducing free sugars intake is important for the prevention of dental caries and obesity in children. The study aimed to determine the amount and sources of free sugars known to contribute to dental caries, and identify sociodemographic determinants of intake by children aged 5 years in Australia. Cross-sectional analysis of dietary data from a cohort study, collected using a customized food frequency questionnaire were used to calculate free sugars intake as grams/day and percentage contribution to Estimated Energy Requirement (EER). The percent contribution of food sources to free sugars intake was derived. Sociodemographic determinants of achieving intakes within WHO thresholds (i.e., <5% and <10% Energy were explored with multinomial logistic regression. Complete data were available for 641 children (347 boys, 294 girls). Median (IQR) free sugars intake (g/day) was 31.6 (21.3–47.6) in boys and 28.1 (19.6–47.9) in girls. The median (IQR) percentage contribution to EER was 7.9 (5.4–12.7); 21% and 42% of children had intakes <5% EER and between 5% and <10%, respectively. The main sources of free sugars were: (1) Cakes, Biscuits and Cereal Bars; (2) Sweetened Milk Products (predominantly yoghurts) and (3) Desserts. Maternal university education, single-parent household, and maternal place of birth being Australia or New Zealand were associated with free sugars intake <5% EER. In conclusion, less than a quarter of 5-year-old children in the SMILE cohort achieved the WHO recommendations to limit free sugars to <5% EER. Strategies to lower free sugars intake could target priority populations such migrants, populations with lower levels of education or health literacy and identify areas for intervention in the wider food environments that children are exposed to.
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spelling curtin-20.500.11937-962032024-12-16T05:17:03Z Sources and determinants of free sugars intake by 5-year-old Australian children in the SMILE cohort Ivaturi, A. Do, L.G. Giles, L. Devenish, Gemma Scott, Jane A. Ha, D.H. Golley, R. Bell, L.K. Moynihan, P.J. determinants diet early childhood food food frequency questionnaire food sources survey Reducing free sugars intake is important for the prevention of dental caries and obesity in children. The study aimed to determine the amount and sources of free sugars known to contribute to dental caries, and identify sociodemographic determinants of intake by children aged 5 years in Australia. Cross-sectional analysis of dietary data from a cohort study, collected using a customized food frequency questionnaire were used to calculate free sugars intake as grams/day and percentage contribution to Estimated Energy Requirement (EER). The percent contribution of food sources to free sugars intake was derived. Sociodemographic determinants of achieving intakes within WHO thresholds (i.e., <5% and <10% Energy were explored with multinomial logistic regression. Complete data were available for 641 children (347 boys, 294 girls). Median (IQR) free sugars intake (g/day) was 31.6 (21.3–47.6) in boys and 28.1 (19.6–47.9) in girls. The median (IQR) percentage contribution to EER was 7.9 (5.4–12.7); 21% and 42% of children had intakes <5% EER and between 5% and <10%, respectively. The main sources of free sugars were: (1) Cakes, Biscuits and Cereal Bars; (2) Sweetened Milk Products (predominantly yoghurts) and (3) Desserts. Maternal university education, single-parent household, and maternal place of birth being Australia or New Zealand were associated with free sugars intake <5% EER. In conclusion, less than a quarter of 5-year-old children in the SMILE cohort achieved the WHO recommendations to limit free sugars to <5% EER. Strategies to lower free sugars intake could target priority populations such migrants, populations with lower levels of education or health literacy and identify areas for intervention in the wider food environments that children are exposed to. 2024 Journal Article http://hdl.handle.net/20.500.11937/96203 10.1111/mcn.13671 eng http://purl.org/au-research/grants/nhmrc/1046219 http://purl.org/au-research/grants/nhmrc/1144595 http://creativecommons.org/licenses/by-nc/4.0/ fulltext
spellingShingle determinants
diet
early childhood
food
food frequency questionnaire
food sources
survey
Ivaturi, A.
Do, L.G.
Giles, L.
Devenish, Gemma
Scott, Jane A.
Ha, D.H.
Golley, R.
Bell, L.K.
Moynihan, P.J.
Sources and determinants of free sugars intake by 5-year-old Australian children in the SMILE cohort
title Sources and determinants of free sugars intake by 5-year-old Australian children in the SMILE cohort
title_full Sources and determinants of free sugars intake by 5-year-old Australian children in the SMILE cohort
title_fullStr Sources and determinants of free sugars intake by 5-year-old Australian children in the SMILE cohort
title_full_unstemmed Sources and determinants of free sugars intake by 5-year-old Australian children in the SMILE cohort
title_short Sources and determinants of free sugars intake by 5-year-old Australian children in the SMILE cohort
title_sort sources and determinants of free sugars intake by 5-year-old australian children in the smile cohort
topic determinants
diet
early childhood
food
food frequency questionnaire
food sources
survey
url http://purl.org/au-research/grants/nhmrc/1046219
http://purl.org/au-research/grants/nhmrc/1046219
http://hdl.handle.net/20.500.11937/96203