Free Sugars Intake among Chinese Adolescents and Its Association with Dental Caries: A Cross-Sectional Study

Yang, Qiping; Xi, Yue; Liu, Hanmei; Luo, Jing; Ouyang, Yufeng; Sun, Minghui; Yong, Cuiting; Xiang, Caihong; Lin, Qian

doi:10.3390/nu13030765

Cited by 21 publications

(11 citation statements)

References 57 publications

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“…To the best of our knowledge, this study is the first to characterize the current pattern of SSF consumption in medical college students according to sex and to explore the association between the MPAI and SSF intake in students from Shanghai, China. To date, most studies have addressed these issues in children or adolescents, but few have focused on college students [ 36 , 37 ]. Compared with children and adolescents, college students may consume higher SSF because of their characteristic independence and immaturity.…”

Section: Discussionmentioning

confidence: 99%

Association between Mobile Phone Addiction Index and Sugar-Sweetened Food Intake in Medical College Students Stratified by Sex from Shanghai, China

et al. 2021

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This study’s objective was to depict sugar-sweetened food (SSF) consumption in medical college students stratified by sex from Shanghai, China, and to explore the association between the Mobile Phone Addiction Index (MPAI) and SSF intake. The data were obtained from 1121 medical college students from the Fudan University, Shanghai, China, who took an online questionnaire investigation in December 2020. Data included demographics, the MPAI, the Nutrition Literacy Assessment Questionnaire (NLAQ), total and food expenditure per month, the International Physical Activity Questionnaire (IPAQ), and a food frequency questionnaire (carbonated beverages (CB), other sugar-based beverages (OSBB), sugar/chocolate). We evaluated the association between the MPAI and three types of SSF intake according to multivariate logistic regression analysis stratified by sex. The mean CB, OSBB, and sugar/chocolate intakes were, respectively, 65.66 mL/d, 74.20 mL/d, and 4.96 g/d in men and 30.42 mL/d, 71.48 mL/d, and 4.99 g/d in women. The MPAI was positively associated with SSF intake, regardless of sex. In men, the CB and OSBB odds ratios (ORs) were, respectively, 1.023 (95% CI: 1.004–1.042), 1.019 (95% CI: 1.001–1.038); and in women, the CB, OSBB, and sugar/chocolate ORs were, respectively, 1.026 (95% CI: 1.013–1.039), 1.020 (95% CI: 1.007–1.033), and 1.019 (95% CI: 1.006–1.032). Age, NLAQ, total expenditure, food expenditure, and total physical activity also were related to SSF intake. Age and the application capacity of the NLAQ were negatively associated with SSF intake, whereas comprehension capacity of the NLAQ, total and food expenditure, and total physical activity were positively associated with SSF intake. This study confirmed that SSF intake is widespread among medical college students from Shanghai, China, even if they have relatively high nutrition health literacy. From a public health perspective, it is necessary to reduce SSF intake in medical college students by decreasing the MPAI, controlling the total and food expenditure per month in high-consumption areas, and improving the application ability of the NLAQ. Further studies are needed to explore the MPAI and other potential factors that may influence SSF intake of college students by expanding the sample size of college students throughout China, and the causal association between them.

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Section: Discussionmentioning

confidence: 99%

Association between Mobile Phone Addiction Index and Sugar-Sweetened Food Intake in Medical College Students Stratified by Sex from Shanghai, China

et al. 2021

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“…Although a few studies revealed the sugar and energy content of carbonated [18] and non-carbonated beverages [19] (including juice drinks, tea-based beverages, sports drinks and energy drinks) in Beijing, the sugar content of other common beverages, such as protein beverages, were still unclear, and the sample sizes were not big enough (93 carbonated beverages and 463 non-carbonated beverages). Besides, only 1 study took the quantity of sugar intake of children from beverages into account [20]. For this reason, it is our duty to focus on the sugar content in each beverage, the amount of sugar children took from the beverages each time, and whether the amount met the recommending standards or not under the current open policy.…”

Section: Introductionmentioning

confidence: 99%

Sugar Content of Market Beverages and Children’s Sugar Intake from Beverages in Beijing, China

Wen

Yan

et al. 2021

Nutrients

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(1) Background: This study aims to find the sugar content of market beverages and estimate the sugar intake from beverages among students in Beijing. (2) Methods: Using snapshotting, we collected the sugar content of beverages through their packages or nutrition labels. Combined with the statistic of student beverage consumption, we estimated students’ sugar intake. (3) Results: The median sugar content of total beverages was 9.0 g/100 mL, among which the fruits/vegetable juices and beverages had the highest sugar content (10.0 g/100 mL). Sugar content in most beverages in Beijing was generally higher than the recommendations, and fruit/vegetable juices and beverages exceeded the most. The median of sugar intake from beverages among students was 5.3 g/d, and the main sources were fruit/vegetable juices and beverages, protein beverages and carbonated beverages. Sugar intake from beverages differed according to gender, age and living area. Higher sugar intake was found among boys, older students and rural students. (4) Conclusions: Sugar content in market beverages in Beijing were high. Gender, age and residence were the influencing factors of sugar intake. Targeted measures should be taken to decrease the sugar content in beverages, especially the fruit/vegetable juices and beverages and the sugar intake among students.

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“…The finding of this study is particularly important when considering the increase in risk factors for LPR in China, such as the increasing of free sugars consumption and prevalence of obesity [ 10 , 38 , 39 , 40 , 41 ]. In our previous study, we found out that the daily consumption of free sugars was 53.1 g among adolescents, and 43.2% of the participants consumed more than 50 g/d of free sugars [ 42 ]. A meta-analysis summarized the trends in overweight and obesity among children and adolescents in China from 1991 to 2015 and found that the prevalence of overweight and obesity increased from 5.0% and 1.7% in 1991–1995 to 11.7% and 6.8% in 2011–2015, respectively [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

The Association between Free Sugars Consumption and Laryngopharyngeal Reflux: A Cross-Sectional Study among Chinese Adolescents

Lin

Yang

et al. 2021

Nutrients

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There is a lack of evidence to show prevalence of laryngopharyngeal reflux (LPR) and the association between LPR and dietary factors. Adolescents consume the most amount of free sugars among the Chinese population. We conducted this study to investigate the prevalence of LPR in Chinese adolescents and explore the association between free sugars consumption and LPR. A cross-sectional study was conducted on 1517 middle school students in Hunan, China. An online questionnaire was applied to collect data on the condition of LPR, consumption of free sugars and other self-reported covariates. Height, weight and waist circumference were collected by anthropometric measurements. Logistic regression was applied to assess the association between LPR and free sugars consumption. The mean and standard deviation of free sugars consumption was 53.14 ± 44.75 (g/d). The prevalence of LPR was 8.11%. A positive association was observed between LPR and higher free sugars consumption after adjusted multiple covariates, with adjusted odds ratio (95% confident interval) of 1.656 (1.125–2.438). The prevalence of LPR among Chinese adolescents was high. Further analytic studies with strict design are required to test the association between LPR and free sugar consumption. Systematic strategies and policies should to be developed to reduce the intake of free sugars in order to prevent LPR.

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Free Sugars Intake among Chinese Adolescents and Its Association with Dental Caries: A Cross-Sectional Study

Cited by 21 publications

References 57 publications

Association between Mobile Phone Addiction Index and Sugar-Sweetened Food Intake in Medical College Students Stratified by Sex from Shanghai, China

Association between Mobile Phone Addiction Index and Sugar-Sweetened Food Intake in Medical College Students Stratified by Sex from Shanghai, China

Sugar Content of Market Beverages and Children’s Sugar Intake from Beverages in Beijing, China

The Association between Free Sugars Consumption and Laryngopharyngeal Reflux: A Cross-Sectional Study among Chinese Adolescents

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