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Consumption of low-calorie sweeteners: findings from the Campinas Nutrition and Health Survey

Published online by Cambridge University Press:  22 September 2022

Mariana Fagundes Grilo
Affiliation:
Graduate Program in Collective Health, School of Medical Sciences, University of Campinas, Campinas, 13083-887, Brazil Center for Food Studies and Research (NEPA), University of Campinas, Campinas, 13083-852, Brazil
Larissa Marinho Duarte
Affiliation:
Department of Nutrition, Federal University of Parana, Curitiba, 80060-240, Brazil
Sandra Patricia Crispim
Affiliation:
Department of Nutrition, Federal University of Parana, Curitiba, 80060-240, Brazil
Antonio de Azevedo Barros Filho
Affiliation:
Department of Pediatrics, School of Medical Sciences, University of Campinas, Campinas, 13083-887, Brazil
Ana Clara Duran*
Affiliation:
Graduate Program in Collective Health, School of Medical Sciences, University of Campinas, Campinas, 13083-887, Brazil Center for Food Studies and Research (NEPA), University of Campinas, Campinas, 13083-852, Brazil Center for Epidemiological Studies in Nutrition and Health (NUPENS), University of Sao Paulo, Sao Paulo, 01246-904, Brazil
*
* Corresponding author: Ana Clara Duran, email anaduran@unicamp.br

Abstract

We used data from the Campinas Health Survey (ISACamp 2014/15) and the Food Consumption and Nutritional Status Survey (ISACamp-Nutri 2015/16) to estimate the prevalence of the consumption of foods and beverages that contain low-calorie sweeteners (LCS) by individuals ≥ 10 years to estimate the dietary exposure of the population to high levels of LCS. We first estimated the prevalence of consuming LCS-containing foods and beverages and identified the top sources of LCS consumption. We then verified whether the prevalence of consumption varied according to individual-level characteristics or the presence of obesity and diabetes. Finally, we estimated the population dietary exposure to high levels of LCS and compared it with the acceptable daily intake (ADI) levels. Over 40 % of the study population consumed at least one LCS-containing food or beverage. Sweetened beverages, tabletop sweeteners and dairy beverages were the top contributors to the consumption of LCS. Among all age groups, education levels, and income levels, the consumption of LCS-containing foods and beverages ranged from 35 % to 55 %. The prevalence was only slightly greater among higher income 40–59-year-olds than among other income groups and was not higher among individuals with obesity or diabetes. Although dietary exposure to LCS did not exceed the ADI levels, we identified several limitations in our ability to measure exposure to high levels of LCS. Because of these challenges and the unclear evidence linking LCS to better health outcomes, the consumption of LCS-containing foods and beverages should be closely monitored.

Type
Research Article
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of The Nutrition Society

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