Procedure to Estimate Added and Free Sugars in Food Items from the Swedish Food Composition Database Used in the National Dietary Survey Riksmaten Adolescents 2016–17

Wanselius, Julia; Axelsson, Cecilia; Moraeus, Lotta; Berg, Christina; Mattisson, Iréne; Larsson, Christel

doi:10.3390/nu11061342

Cited by 21 publications

(23 citation statements)

References 19 publications

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“…However, for dairy and fruit-based products such as fruit preserves and juices, for example, that have added and intrinsic sugars, the estimation could be biased. Although a few other methods to estimate free sugars are available, no method is considered standard, free of limitations, and applicable to all contexts [51,52].…”

Section: Discussionmentioning

confidence: 99%

Conflicting Messages on Food and Beverage Packages: Front-of-Package Nutritional Labeling, Health and Nutrition Claims in Brazil

et al. 2019

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We assessed the prevalence of front-of-package (FoP) claims in the Brazilian packaged food supply and examined whether foods with claims were more likely to be high in critical nutrients. Using data from a random 30% subsample of 11,434 foods and beverages collected in the five largest food retailers in Brazil in 2017 (n = 3491), we classified claims into nutrition, health, and environment. We examined whether foods with claims were more likely to be high in critical nutrients using 95% confidence intervals. Claims were found in 41.2% of the products. Nutrition claims were the most prevalent (28.5%), followed by health (22.1%), and environment-related claims (5.2%). More than 85% of the breakfast cereals, granola bars, and nectars contained claims, which were found in 51% of the dairy beverages. Foods with nutrition claims were more likely to be high in critical nutrients (65.3%; 95% CI 62.3, 68.2% vs. 54.1% 95% CI 52.1, 56.0). Products with health (52.9%; 95% CI 49.3, 56.4% vs. 58.5%; 95% CI 56.6, 60.3) and environment-related claims (33.5%; 95% CI 27.0, 40.8% vs. 58.6%; 95% CI 56.9, 60.2%) were less likely to be high in critical nutrients. FoP claims are prevalent in Brazil, and nutrition claims are more likely to have a poorer nutritional profile. Policymakers should consider restricting the presence of claims on unhealthy products.

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Section: Discussionmentioning

confidence: 99%

Conflicting Messages on Food and Beverage Packages: Front-of-Package Nutritional Labeling, Health and Nutrition Claims in Brazil

et al. 2019

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“…It is not possible to distinguish between total and free sugars from the nutritional information presented on the package. Still, breakfast cereals are assumed to have minimal amounts of naturally occurring sugars [60], being mainly produced from grains, which are primarily composed of starch and have very low sugar content (0 to 3 g/100 g [61]). Thus, it is unlikely that our findings regarding sugar content would diverge considerably.…”

Section: Discussionmentioning

confidence: 99%

Examining the Relationship between Sugar Content, Packaging Features, and Food Claims of Breakfast Cereals

et al. 2021

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Excessive free-sugar intake has become highly prevalent in numerous countries, and Portugal is not the exception. One product category that contributes to the daily intake of free sugars is breakfast cereals. In the current work, we identified 289 exemplars from two major retailers in Portugal and collected information on their nutritional profile (e.g., sugar, salt, fiber per 100 g), price, packaging features, type of food claims present (e.g., statements about the composition, sensory features, the origin of the product), and ingredients list. Overall, the sugar content of breakfast cereals was high (Mean = 19.9 g), and less than 10% of the products complied with the current national guidelines (i.e., 5 g of sugar per 100 g of product). Sugar (or other sugar sources) was listed in the top three ingredients for over 85% of the products. On average, each product included about four claims (Mean = 3.9), and sugar content was lower when the claims were related to the product composition. Critically, the sugar content was particularly high for children-oriented products (Mean = 26.4 g). Correlation analysis showed that breakfast cereals with higher sugar content also were cheaper and had lower quantities of fiber, proteins, and salt. Our findings suggest the need to implement strategies to reduce sugar in this product category (e.g., incentivize manufacturers to reformulate products). Also, our results may inform strategies aimed at promoting consumers’ awareness about the sugar content in breakfast cereals and other processed foods, facilitating healthier decision-making.

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“…All the nutrient content information of the food products for the main analyses were procured from the national food composition database (version 20171215) at the Swedish National Food Agency (SFA) [20]. The only exceptions were data on added sugar, which were based on unpublished information provided by the SFA [21]. A sensitivity analysis was performed to test the robustness of the nutrient density assessment and the effect of variations in nutrient composition data.…”

Section: Selection Of Food Products and Nutritional Informationmentioning

confidence: 99%

Sustainability Indicators for Foods Benefiting Climate and Health

et al. 2021

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New methods for combined evaluation of nutritional and environmental aspects of food products are needed to enable a transformation of dietary guidelines integrating both health and environmental perspectives. We evaluated two sustainability aspects; nutrition and climate impact, of foods commonly consumed in Sweden and the implications of using parallel or integrated assessments of these two aspects, also discussing the usability and suitability of these food sustainability indicators in relation to Swedish dietary guidelines, industry food product development, and consumer communication. There were large differences in both nutrient density and climate impact among the different foods. The parallel assessment easily visualized synergies and trade-offs between these two sustainability aspects for the different foods. Coherence with dietary guidelines was good, and suitability and usability deemed satisfying. The integrated indicator showed better coherence with dietary guidelines than indicators based solely on nutrient density or climate impact; however, the difficulty to interpret the score limits its usability in product development and consumer communication. With both methods, advantageous as well as less advantageous plant-based and animal-based food alternatives were suggested. The two alternative methods evaluated could serve as useful tools to drive individual and societal development towards more sustainable food production and consumption.

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Procedure to Estimate Added and Free Sugars in Food Items from the Swedish Food Composition Database Used in the National Dietary Survey Riksmaten Adolescents 2016–17

Cited by 21 publications

References 19 publications

Conflicting Messages on Food and Beverage Packages: Front-of-Package Nutritional Labeling, Health and Nutrition Claims in Brazil

Conflicting Messages on Food and Beverage Packages: Front-of-Package Nutritional Labeling, Health and Nutrition Claims in Brazil

Examining the Relationship between Sugar Content, Packaging Features, and Food Claims of Breakfast Cereals

Sustainability Indicators for Foods Benefiting Climate and Health

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