Bibliographic Details
| Title: |
Consumption of low-calorie sweetened products and trends in intakes of free sugar, energy, and water among UK adults: a cross-sectional study. |
| Authors: |
Seesen, Mathuramat (AUTHOR), Chang, Kiara (AUTHOR), Parnham, Jennie C (AUTHOR), Laverty, Anthony A (AUTHOR), Millett, Christopher (AUTHOR), Rauber, Fernanda (AUTHOR), Levy, Renata B (AUTHOR), Gregg, Edward W (AUTHOR), Vamos, Eszter P (AUTHOR) |
| Source: |
Lancet. Nov2024:Supplement 1, Vol. 404, pS33-S33. 1p. |
| Subjects: |
Dietary patterns, Food diaries, Evidence gaps, College presidents, Drinking (Physiology), Soft drinks |
| Abstract: |
UK policies on sugar reduction encourages the use of alternative lower sugar products including those that contain low-calorie sweetener (LCS). This study addresses an important gap in research and provides data on the associations between LCS product consumption and intakes of free sugar, energy, and water from a nationally representative sample of UK adults. This study analysed continuous cross-sectional data from the National Diet and Nutrition Survey from 2008/09 to 2018/19, including 8304 adults aged 18 and over (mean 48·7, SD 18·3) in the UK. Participants were classified into LCS consumption groups (No-LCS, Low-LCS, Mid-LCS, and High-LCS) based on 4-day diet diaries. Multivariable linear regression examined trends in free sugar, energy, and water across LCS groups, adjusting for sociodemographic variables (year and interaction terms between year and LCS groups were included). No significant difference in free sugar or energy intake observed between the No-LCS and High-LCS groups in 2008/09 which persisted in 2018/19. The No-LCS group exhibited a significant decrease in intakes of free sugar (–1·0 g/year; 95% CI –1·4 to –0·6) and energy (–6·0 kcal/year; 95% CI –11·4 to –2·1) over 11-year period, with similar trends observed in the High-LCS groups. Notably, the High-LCS group consumed lower amounts of water (–141·2 grams/day; 95% CI –203·8 to –78·6) compared to the No-LCS group in 2008/09, which remained consistent throughout the study, despite the similar increasing trends with the No-LCS group. This is the first study on the association between LCS product consumption and free sugar intake among UK adults. High LCS product consumption was not associated with reduced free sugar or energy intake but was associated with decreased water intake. These findings highlight the need for UK sugar reduction policies to consider a comprehensive dietary pattern beyond promoting LCS. The main limitation is potential information bias from self-reported dietary records. This study is supported by the National Institute for Health and Care Research (NIHR) School for Public Health Research (SPHR) (Grant Reference Number NIHR 204000). The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. MS is funded by the Imperial College President's PhD Scholarships. The funder had no involvement in the study design, data collection, data analysis, data interpretation, or writing of this manuscript. [ABSTRACT FROM AUTHOR] |
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| Database: |
Psychology and Behavioral Sciences Collection |
