Consumption of Low-Calorie Sweeteners among Children Aged 6 Months to 5 Years in the United States, NHANES 2017–2020

Although the American Academy of Pediatrics advises against low-calorie sweeteners (LCS) consumption by children 1 LCS serving/d (1607 kcal). LCS consumption was not associated with carbohydrate or fat intake. LCS consumption, primarily from fruit drinks and non-Greek yogurt, is prevalent among Unit...

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Published in:The Journal of nutrition 2024-11, Vol.154 (11), p.3416-3423
Main Authors: Zhu, Xinyu, Sylvetsky, Allison C, Luo, Hanqi, Hartman, Terryl J, Welsh, Jean A
Format: Article
Language:English
Subjects:
Age
Beverages
Carbohydrates
Child, Preschool
Children
Childrens health
Consumption patterns
Cross-Sectional Studies
Diet
Dietary intake
dietary patterns
Energy Intake
Female
Food consumption
Fruits
Humans
Infant
Low calorie
low-calorie sweeteners
Male
national nutrition surveillance
Nutrients
Nutrition
Nutrition Surveys
Pediatrics
Sodium
Subgroups
Sugar
Surveys
Sweeteners
Sweetening Agents - administration & dosage
Syrups & sweeteners
United States
Yogurt
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container_issue 11
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container_title The Journal of nutrition
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creator Zhu, Xinyu
Sylvetsky, Allison C
Luo, Hanqi
Hartman, Terryl J
Welsh, Jean A
description Although the American Academy of Pediatrics advises against low-calorie sweeteners (LCS) consumption by children 1 LCS serving/d (1607 kcal). LCS consumption was not associated with carbohydrate or fat intake. LCS consumption, primarily from fruit drinks and non-Greek yogurt, is prevalent among United States preschoolers, and this consumption is associated with greater intake of total sugar, added sugar, and sodium.
doi_str_mv 10.1016/j.tjnut.2024.08.028
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The objective of this study was to describe the intake, sources, and dietary patterns associated with LCS consumption among United States infants and preschoolers. We used cross-sectional 24-h dietary recall data (day 1) among 1497 children aged 6 mo to 5 y from the National Health and Nutrition Examination Survey 2017–2020 prepandemic. Complex survey procedures and sampling weights were applied to compare LCS consumption patterns (prevalence and frequency [times/day] of any LCS, any LCS-containing beverages [LCSBs], and any LCS-containing foods [LCSFs], with each occurrence of consumption = 1 “serving”) across demographic subgroups and to assess the associated nutrients and % of total energy intake (TEI). Thirty-one percent of children aged 6 mo to 5 y consumed ≥1 LCSB and/or LCSF on a given day. The prevalence of LCS consumption increased with age, 10.5% (6 to &lt;12 mo) to 34.3% (2–5 y). Among LCS consumers, mean serving frequency was 1.4 times/d, with no differences by age or sex. Of all LCSBs servings consumed, 64.0% were fruit drinks; 57.8% of all LCSFs servings were non-Greek yogurt. As consumption levels increased from no LCS to &gt;1 serving/d, intake of the following also increased: total sugar (+1.8% TEI, P-trend = 0.04), added sugar (+1.1%, P-trend = 0.048), sodium (+304 mg, P-trend = 0.04), and fiber (+0.8 g, P-trend = 0.01). In contrast, protein intake was lower (−0.7% TEI, P-trend = 0.02). Those consuming 1 LCS serving/d consumed more total energy than LCS nonconsumers (1606 compared with 1401 kcal), but TEI did not increase further with &gt;1 LCS serving/d (1607 kcal). LCS consumption was not associated with carbohydrate or fat intake. 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The objective of this study was to describe the intake, sources, and dietary patterns associated with LCS consumption among United States infants and preschoolers. We used cross-sectional 24-h dietary recall data (day 1) among 1497 children aged 6 mo to 5 y from the National Health and Nutrition Examination Survey 2017–2020 prepandemic. Complex survey procedures and sampling weights were applied to compare LCS consumption patterns (prevalence and frequency [times/day] of any LCS, any LCS-containing beverages [LCSBs], and any LCS-containing foods [LCSFs], with each occurrence of consumption = 1 “serving”) across demographic subgroups and to assess the associated nutrients and % of total energy intake (TEI). Thirty-one percent of children aged 6 mo to 5 y consumed ≥1 LCSB and/or LCSF on a given day. The prevalence of LCS consumption increased with age, 10.5% (6 to &lt;12 mo) to 34.3% (2–5 y). Among LCS consumers, mean serving frequency was 1.4 times/d, with no differences by age or sex. 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ispartof The Journal of nutrition, 2024-11, Vol.154 (11), p.3416-3423
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source ScienceDirect Journals
subjects Age
Beverages
Carbohydrates
Child, Preschool
Children
Childrens health
Consumption patterns
Cross-Sectional Studies
Diet
Dietary intake
dietary patterns
Energy Intake
Female
Food consumption
Fruits
Humans
Infant
Low calorie
low-calorie sweeteners
Male
national nutrition surveillance
Nutrients
Nutrition
Nutrition Surveys
Pediatrics
Sodium
Subgroups
Sugar
Surveys
Sweeteners
Sweetening Agents - administration & dosage
Syrups & sweeteners
United States
Yogurt
title Consumption of Low-Calorie Sweeteners among Children Aged 6 Months to 5 Years in the United States, NHANES 2017–2020
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