Intake of low and no-calorie sweeteners (LNCS) by the Brazilian population

Barraj, Leila M.; Scrafford, Carolyn G.; Bi, Xiaoyu; Tran, Nga

doi:10.1080/19440049.2020.1846083

Cited by 12 publications

(6 citation statements)

References 17 publications

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“…The rest of the weaknesses exposed referred to the scarcity and quality of scientific studies. For instance, there are few studies about the real consumption of LNCS by general population (Barraj et al, 2020; Drewnowski & Rehm, 2014; González‐Rodríguez et al, 2021; Hunt et al, 2020; Redruello‐Requejo et al, 2021) as well as the effect of different types of LNCS among populations suffering from diseases, on gut microbiota as well as their long‐term effects (Samaniego Vaesken et al, 2021). In addition, it is important not to generalise all scientific knowledge under the broad concept of ‘sweeteners’, but each LNCS should be individually evaluated.…”

Section: Resultsmentioning

confidence: 99%

“…However, if it is estimated that the population may regularly exceed the ADI, the regulatory authority may advise a reduction of LNCS levels in foods or reduce the range of foods in which their use is permitted (Ashwell et al, 2020). A recently published study carried out in a Brazilian population confirmed that the intake of six LNCS from processed foods and beverages, as well as from table-top sweeteners did not exceed their respective ADI (Barraj et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

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Perception and knowledge of low‐ and no‐calorie sweeteners in multidisciplinary stakeholders from Spain

et al. 2022

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Low‐ and no‐calorie sweeteners (LNCS) as a category are one of the most thoroughly evaluated additives, and thus their safety has been largely recognised. However, their potential risks and benefits generate great controversy and discussion within countries' food policies and public debate. The goal of this study was to evaluate the degree of knowledge and the perception of key Spanish stakeholders about the role of LNCS in diet, their safety, regulatory issues and their impact on health and wellness, as well as to complete a SWOT analysis of the Strengths, Weaknesses, Opportunities and Threats regarding this topic from their perspective. Participants (n = 45 stakeholders) completed an anonymous survey about their knowledge and perception of LNCS, their role in the diet, safety and legislation, as well as health issues and completed a SWOT analysis. Most of them agreed with aspects related to safety guarantees and authorisation procedure of LNCS; however, certain disparity in their opinion in relation to several of the topics was observed, especially regarding the possible role of LNCS in diet quality and health. Effective communication strategies to inform professionals and the general population, as well as new research that deepens our knowledge of the role of LNCS in weight management and other health outcomes seem to be urgently needed.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Perception and knowledge of low‐ and no‐calorie sweeteners in multidisciplinary stakeholders from Spain

et al. 2022

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“…In USA, a publication in 2017 showed that 41.4% of adults consumed LNCS, whereas this figure was 25.1% among children [6]. In Brazil, the value was much lower (13%) [7].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, acceptable daily intake (ADI) for most non-nutritive sweeteners (NNS) has been established [21]. Thus far, most studies performed in several countries conclude that the intake of NNS does not exceed the ADI, although with some warnings [7,[22][23][24][25][26]. However, as the use of NNS is expected to increase, surpassing the individual ADI may be possible in the near future.…”

Section: Introductionmentioning

confidence: 99%

Nutritional Description of Foods with Low- and No-Calorie Sweeteners in Spain: The BADALI Project

et al. 2022

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The use of low- and no-calorie sweeteners (LNCS) in foods has increased in recent years in response to the negative effects of free sugar on health. However, the health impact of LNCS is still unclear. Studies of the prevalence of LNCS in foods have been published previously, including in Spain. However, the use of health (HCs) and nutrition claims (NCs) to promote these foods and a full nutritional characterization are largely lacking. For this purpose, we used the BADALI database with 4218 foods present in the Spanish market. Our results show that 9.3% of foods have LNCS (including both intense and polyols). Sucralose and acesulfame K were the intense sweeteners most frequently used (52.4% and 48.2%, respectively), whereas maltitol was the preferred polyol (20.3%). Of all foods with LNCS, 30% also had added sugar. Many more foods with LNCS presented HCs and NCs than those without. Sugar was the nutrient most frequently claimed in NCs for LNCS-containing foods, whereas vitamins were for those without these sweeteners. NCs compliance with regulation was similar in both conditions (60.1% for foods without and 63.9% for foods with LNCS). As expected, foods with LNCS had less total sugar content and energy. Surprisingly, the nutrient profile of yogurts with LNCS changed completely: less total and saturated fat, whereas more proteins and sodium. Biscuits with LNCS contained more fibre. The results of our study reveal that the prevalence of LNCS is becoming high in some food types in Spain and that foods containing LNCS are more frequently promoted with HCs/NCs. In addition, it confirms the general reduction in energy and sugar content expected in foods with LNCS. Furthermore, it suggests a reformulation of products beyond sugar content.

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“…Two recent studies have used nationally representative data from the Pesquisa de Orcçamentos Familiares (POF), [2008][2009] conducted in Brazil by the Instituto Brasileiro de Geografia e Estatistica (IBGE). The first study (Silva Monteiro et al 2018) reported only on the prevalence of use of table-top LNCS and did not estimate the amount of LNCS consumed, while the second (Barraj et al 2021) used LNCS use rates and market share data provided by industry to derive nationally representative estimates of six LNCS intakes from table-top uses as well as from pre-packaged foods. We are not aware of any other similar studies reporting on nationally representative intake of LNCS in Latin America, in part because the representative data needed to evaluate the intakes of LNCS in Latin America are often not available at a national level.…”

Section: Introductionmentioning

confidence: 99%

Screening level intake estimates of low and no-calorie sweeteners in Argentina, Chile, and Peru

Barraj

Tran

2021

Food Additives & Contaminants: Part A

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As obesity rates increase, several countries in Latin America have implemented strategies to curb the consumption of sugars, resulting in reformulations of products with low and no-calorie sweeteners (LNCS). The increased availability of LNCS-containing products raises concerns about the potential risk of exceeding the Acceptable Daily Intake (ADI). Information on the intake of LNCS among Latin American countries are limited by the lack of publicly available national consumption data. Using the Budget Method, screening level intake estimates of six LNCS (acesulfame potassium, aspartame, cyclamate, saccharin, steviol glycosides, and sucralose) were derived for Argentina, Chile, and Peru based on national sales data and product labels. Four tiered assessments were conducted where assumption of LNCS use ranged from the most conservative Tier 1 to the more refined yet conservative LNCS use and concentrations in subsequent tiers. The estimated intakes, applicable to the total population as well as children, were below their ADIs for all tiers. For Tier 2 where average LNCS concentrations were assumed present in all LNCS-containing products, intakes were <60% of the ADI. Estimates for the more refined tiers were comparable to published estimates based on select subpopulations in these countries, validating the approach used in this study.

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Intake of low and no-calorie sweeteners (LNCS) by the Brazilian population

Cited by 12 publications

References 17 publications

Perception and knowledge of low‐ and no‐calorie sweeteners in multidisciplinary stakeholders from Spain

Perception and knowledge of low‐ and no‐calorie sweeteners in multidisciplinary stakeholders from Spain

Nutritional Description of Foods with Low- and No-Calorie Sweeteners in Spain: The BADALI Project

Screening level intake estimates of low and no-calorie sweeteners in Argentina, Chile, and Peru

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