Dietary intakes, sources, and determinants of free sugars amongst Lebanese children and adolescents: findings from two national surveys

Jomaa, Lamis; Hamamji, Samer; Kharroubi, Samer A.; Diab-El-Harake, Marwa; Chokor, Fatima Al Zahraa; Nasreddine, Lara

doi:10.1007/s00394-020-02444-5

Cited by 11 publications

(15 citation statements)

References 51 publications

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“…More than 40% of under-five children were found to exceed the WHO upper limit for FS intake (10% EI), while this proportion increased to 62% in older children and adolescents (Jomaa et al, 2021). The top contributors to FS intake in both age groups (underfive children and 5-18 years old) were SSBs and biscuits and chocolates (Jomaa et al, 2021).…”

Section: Sodium and Fructose Intake Levels In Lebanonmentioning

confidence: 97%

“…Based on the WHO definition of free sugar (FS), which includes added sugar in addition to sugars naturally present in honey, syrups, fruit juices, and fruit juice concentrate, a recent study estimated free sugar intake amongst Lebanese children and adolescents based on two national surveys. The study showed that the contribution of FS to daily energy intake (EI) increased from 8.5% in under-five children to 11.9% in school-aged children and adolescents (aged 5-18 years) (Jomaa et al, 2021). More than 40% of under-five children were found to exceed the WHO upper limit for FS intake (10% EI), while this proportion increased to 62% in older children and adolescents (Jomaa et al, 2021).…”

Section: Sodium and Fructose Intake Levels In Lebanonmentioning

confidence: 99%

“…The study showed that the contribution of FS to daily energy intake (EI) increased from 8.5% in under-five children to 11.9% in school-aged children and adolescents (aged 5-18 years) (Jomaa et al, 2021). More than 40% of under-five children were found to exceed the WHO upper limit for FS intake (10% EI), while this proportion increased to 62% in older children and adolescents (Jomaa et al, 2021). The top contributors to FS intake in both age groups (underfive children and 5-18 years old) were SSBs and biscuits and chocolates (Jomaa et al, 2021).…”

Section: Sodium and Fructose Intake Levels In Lebanonmentioning

confidence: 99%

“…on sugar reduction are lacking in Lebanon, and policies focusing on sugar reduction are completely absent. In addition, only a few studies have been conducted to assess sugar intake in the population (Afshin et al, 2015;Nasreddine et al, 2020;Jomaa et al, 2021;Naja et al, 2021), or to investigate the food environment in aspects pertinent to sugar consumption. For instance, acknowledging that exposure to food marketing may influence children's food preferences and consumption patterns, including their consumption of sugar-sweetened foods and beverages, a recent study has performed a content analysis of food advertisements on local TV channels during children's viewing time in Lebanon (Nasreddine et al, 2019b).…”

Section: Salt and Intake Reduction Strategies Inmentioning

confidence: 99%

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The Sweet and Salty Dietary Face of Hypertension and Cardiovascular Disease in Lebanon

et al. 2022

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According to the World Health Organization (WHO), an estimated 1.28 billion adults aged 30–79 years worldwide have hypertension; and every year, hypertension takes 7.6 million lives. High intakes of salt and sugar (mainly fructose from added sugars) have been linked to the etiology of hypertension, and this may be particularly true for countries undergoing the nutrition transition, such as Lebanon. Salt-induced hypertension and fructose-induced hypertension are manifested in different mechanisms, including Inflammation, aldosterone-mineralocorticoid receptor pathway, aldosterone independent mineralocorticoid receptor pathway, renin-angiotensin system (RAS), sympathetic nervous system (SNS) activity, and genetic mechanisms. This review describes the evolution of hypertension and cardiovascular diseases (CVDs) in Lebanon and aims to elucidate potential mechanisms where salt and fructose work together to induce hypertension. These mechanisms increase salt absorption, decrease salt excretion, induce endogenous fructose production, activate fructose-insulin-salt interaction, and trigger oxidative stress, thus leading to hypertension. The review also provides an up-to-date appraisal of current intake levels of salt and fructose in Lebanon and their main food contributors. It identifies ongoing salt and sugar intake reduction strategies in Lebanon while acknowledging the country’s limited scope of regulation and legislation. Finally, the review concludes with proposed public health strategies and suggestions for future research, which can reduce the intake levels of salt and fructose levels and contribute to curbing the CVD epidemic in the country.

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Section: Sodium and Fructose Intake Levels In Lebanonmentioning

confidence: 97%

Section: Sodium and Fructose Intake Levels In Lebanonmentioning

confidence: 99%

Section: Sodium and Fructose Intake Levels In Lebanonmentioning

confidence: 99%

Section: Salt and Intake Reduction Strategies Inmentioning

confidence: 99%

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The Sweet and Salty Dietary Face of Hypertension and Cardiovascular Disease in Lebanon

et al. 2022

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“…Excessive intake of free sugar (FS) among children has been reported in several settings [1][2][3]. High intake of FS has been of concern due to its negative impact on health [4,5].…”

Section: Introductionmentioning

confidence: 99%

Maternal Knowledge, Attitude and Practices toward Free Sugar and the Associations with Free Sugar Intake in Children

Mumena

2021

Nutrients

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Research addressing factors related to free sugar (FS) consumption among children in Saudi Arabia is lacking. We aimed to evaluate maternal knowledge, attitude, and practices toward FS and the associations with children’s intake of FS. This cross-sectional study included 424 Saudi children aged 6–12 years and their mothers. Data related to maternal knowledge, attitude, and practices were collected using an online survey. Data concerning children’s habitual intake of FS were collected through phone interviews using a validated food frequency questionnaire. Limited knowledge on FS was observed among mothers of children [median 7.00 [interquartile range 6.00–8.00] out of 11.0. Maternal knowledge was not correlated with maternal attitude or practices toward FS. Maternal knowledge towards FS did not predict children’s intake of FS, whereas maternal attitude and practices toward limiting the consumption of FS predicted lower intake of FS among Saudi children, particularly the FS consumed from solid food sources (B: −5.73 [95% confidence interval (CI): −9.79 to −1.66]) and (B: −6.85 [95% CI: −11.9 to −1.80]), respectively. Despite the limited knowledge pertaining to FS among mothers in Saudi Arabia, they were making efforts to limit their children’s consumption of FS.

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Replacement of refined sugar by natural sweeteners: focus on potential health benefits

Arshad

Rehman

Saif

et al. 2022

Heliyon

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Dietary intakes, sources, and determinants of free sugars amongst Lebanese children and adolescents: findings from two national surveys

Cited by 11 publications

References 51 publications

The Sweet and Salty Dietary Face of Hypertension and Cardiovascular Disease in Lebanon

The Sweet and Salty Dietary Face of Hypertension and Cardiovascular Disease in Lebanon

Maternal Knowledge, Attitude and Practices toward Free Sugar and the Associations with Free Sugar Intake in Children

Replacement of refined sugar by natural sweeteners: focus on potential health benefits

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