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Entry ID
464
Entry Date
January 19, 2023 11:43 am
Reference Id
T9l8yAKU3rhtdELf
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CFDR Reviewer
Document Status
Published
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Name
Flora Wang
Email
gareth.willowstribe@dietitians.ca
Language
English
Year
2022
Category
Research
Presentation Preference
Presentation
Title
Association between added sugars intake and the Healthy Eating Index-2015 among Canadian children—Analyses from the Canadian Community Health Survey – Nutrition 2015 Public Use Microdata File
Names, Organizational Affiliations, and Locations of all Authors
F. Wang1, L. Chiavaroli2,3, A.P. Ng3, L. Ricciuto3, C. DiAngelo1, S. Marsden1, J. Sievenpiper2-6; 1Nutrition Information Service, Canadian Sugar Institute, Toronto, ON
2Toronto 3D Knowledge Synthesis and Clinical Trials Unit, Clinical Nutrition and Risk Factor Modification Centre, St. Michael’s Hospital, Toronto, ON
3Department of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, ON
4Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON
5Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON
6Division of Endocrinology and Metabolism, St. Michael’s Hospital, Toronto, ON
2Toronto 3D Knowledge Synthesis and Clinical Trials Unit, Clinical Nutrition and Risk Factor Modification Centre, St. Michael’s Hospital, Toronto, ON
3Department of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, ON
4Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON
5Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON
6Division of Endocrinology and Metabolism, St. Michael’s Hospital, Toronto, ON
Introduction/Purpose
There is continuing debate regarding the impact of added sugars consumption on overall diet quality, which remains a research gap using relevant Canadian data.
Objective(s)/Process or Summary of Content
This study aimed to assess the association between added sugars intake and Healthy Eating Index (HEI)-2015 as an indicator of diet quality among Canadian children.
Method(s)/Systemic Approach Used
The first 24-hour dietary recalls of children (2-8 years, n=1896) from the 2015 Canadian Community Health Survey-Nutrition Public Use Microdata File were used to calculate added sugars intake (as a percentage of energy, %E) and HEI scores. The association between total HEI scores and added sugar intakes was tested for nonlinearity in a regression model using higher-order polynomial terms. HEI component scores were compared between quintiles of added sugars intake using ANOVA adjusted for age, sex, and dietary misreporting status.
Results/Conclusions
The intake ranges of added sugars by quintiles were Q1: 14.0 %E. There was a negative nonlinear association between added sugars intake and total HEI scores (β1 = -0.82, β2 = 0.84, p<0.0001). Those in Q5 had significantly lower total HEI scores than all other quintiles, but no difference was observed among Q2 to Q4. When comparing HEI component scores between quintiles, total fruit and total protein scores were lower in Q5 compared to the other quintiles (Q1 to Q4), and there was no difference across all quintiles in whole grain and fatty acid scores.
Conclusions(s)/Recommendations
There was a negative nonlinear association between added sugars intake and HEI- 2015 scores among Canadian children, with a greater reduction in diet quality for those with the highest added sugars intake.
Significance to Dietetics
This research provides the first evidence to assess diet quality using Healthy Eating Index-2015 among Canadian children with different added sugars intake.
Funded by
Canadian Sugar Institute
Original Work
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Co-Authors Review and Notification
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