Measuring micronutrient intakes at different levels of sugar consumption in a population in transition: the Transition and Health during Urbanisation in South Africa (THUSA) study

MacIntyre, Una Elizabeth; Venter, C S; Kruger, Annamarie; Serfontein, Marita

doi:10.1080/16070658.2012.11734416

Cited by 9 publications

(14 citation statements)

References 33 publications

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“…The findings of the present study are also similar to those of the regional THUSA study in South African adults which found a small but significant nutrient dilution effect for a number of micronutrients in men and women with higher %EAS intakes [ 17 ]. Another regional South African study in the elderly found micronutrient dilution in women with higher %EAS, but not in men [ 16 ].…”

Section: Discussionsupporting

confidence: 88%

“…The need for further studies in developing countries has been highlighted [ 14 ]. Since 2007, a study on sugar and micronutrient intakes in adults in South Africa has been published [ 17 ]. An analysis of sugar and micronutrient intakes in children aged 6–9 years in South Africa at the national level supported the inclusion of a Food Based Dietary Guideline on sugar consumption [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

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Added Sugar, Macro- and Micronutrient Intakes and Anthropometry of Children in a Developing World Context

et al. 2015

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ObjectiveThe objective of this study was to determine the relationship between added sugar and dietary diversity, micronutrient intakes and anthropometric status in a nationally representative study of children, 1–8.9 years of age in South Africa.MethodsSecondary analysis of a national survey of children (weighted n = 2,200; non weighted n = 2818) was undertaken. Validated 24-hour recalls of children were collected from mothers/caregivers and stratified into quartiles of percentage energy from added sugar (% EAS). A dietary diversity score (DDS) using 9 food groups, a food variety score (FVS) of individual food items, and a mean adequacy ratio (MAR) based on 11 micronutrients were calculated. The prevalence of stunting and overweight/obesity was also determined.ResultsAdded sugar intake varied from 7.5–10.3% of energy intake for rural and urban areas, respectively. Mean added sugar intake ranged from 1.0% of energy intake in Quartile 1 (1–3 years) (Q1) to 19.3% in Q4 (4–8 years). Main sources of added sugar were white sugar (60.1%), cool drinks (squash type) (10.4%) and carbonated cool drinks (6.0%). Added sugar intake, correlated positively with most micronutrient intakes, DDS, FVS, and MAR. Significant negative partial correlations, adjusted for energy intake, were found between added sugar intake and intakes of protein, fibre, thiamin, pantothenic acid, biotin, vitamin E, calcium (1–3 years), phosphorus, iron (4–8 years), magnesium and zinc. The prevalence of overweight/obesity was higher in children aged 4–8 years in Q4 of %EAS than in other quartiles [mean (95%CI) % prevalence overweight 23.0 (16.2–29.8)% in Q4 compared to 13.0 (8.7–17.3)% in Q1, p = 0.0063].ConclusionAlthough DDS, FVS, MAR and micronutrient intakes were positively correlated with added sugar intakes, overall negative associations between micronutrients and added sugar intakes, adjusted for dietary energy, indicate micronutrient dilution. Overweight/obesity was increased with higher added sugar intakes in the 4–8 year old children.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Added Sugar, Macro- and Micronutrient Intakes and Anthropometry of Children in a Developing World Context

et al. 2015

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“…Charlton et al (36) showed this effect in elderly South African women but not men. MacIntyre et al (38) showed that consumers with higher added sugar intake had higher micronutrient intakes, probably because they ate more of all foods. However, when expressed as micronutrients per TE, men and women who consumed the most added sugars consumed less micronutrients per energy.…”

Section: Health Consequences Of Increased Energy From Added Sugarsmentioning

confidence: 99%

Added sugar intake in South Africa: findings from the Adult Prospective Urban and Rural Epidemiology cohort study

Vorster¹,

Kruger²,

Wentzel-Viljoen³

et al. 2014

The American Journal of Clinical Nutrition

104

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Background: Obesity and other noncommunicable disease (NCD) risk factors are increasing in low-and middle-income countries. There are few data on the association between increased added sugar intake and NCD risk in these countries. Objective: We assessed the relation between added sugar intake and NCD risk factors in an African cohort study. Added sugars were defined as all monosaccharides and disaccharides added to foods and beverages during processing, cooking, and at the table. Design: We conducted a 5-y follow-up of a cohort of 2010 urban and rural men and women aged 30-70 y of age at recruitment in 2005 from the North West Province in South Africa. Results: Added sugar intake, particularly in rural areas, has increased rapidly in the past 5 y. In rural areas, the proportion of adults who consumed sucrose-sweetened beverages approximately doubled (for men, from 25% to 56%; for women, from 33% to 63%) in the past 5 y. After adjustment, subjects who consumed more added sugars ($10% energy from added sugars) compared with those who consumed less added sugars had a higher waist circum- Conclusions: This cohort showed dramatic increases in added sugars and sucrose-sweetened beverage consumption in both urban and rural areas. Increased consumption was associated with increased NCD risk factors. In addition, the study showed that the nutrition transition has reached a remote rural area in South Africa. Urgent action is needed to address these trends.

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“…The South African Medical Research Council (6) identified both underand overnutrition as risk factors for disability-adjusted life years and mortality in the South African population. We have previously shown that the diet followed by black Africans in rural areas of the North West Province (NWP) does not meet micronutrient requirements (7)(8)(9)(10) . However, with urbanization and 'modernization' of the diet, increases (but not optimization) of micronutrient intakes have been observed (7) .…”

mentioning

confidence: 99%

Accelerated nutrition transition in the North West Province of South Africa: results from the Prospective Urban and Rural Epidemiology (PURE-NWP-SA) cohort study, 2005 to 2010

Wentzel-Viljoen

Lee

Laubscher

et al. 2018

Public Health Nutr.

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Measuring micronutrient intakes at different levels of sugar consumption in a population in transition: the Transition and Health during Urbanisation in South Africa (THUSA) study

Cited by 9 publications

References 33 publications

Added Sugar, Macro- and Micronutrient Intakes and Anthropometry of Children in a Developing World Context

Added Sugar, Macro- and Micronutrient Intakes and Anthropometry of Children in a Developing World Context

Added sugar intake in South Africa: findings from the Adult Prospective Urban and Rural Epidemiology cohort study

Accelerated nutrition transition in the North West Province of South Africa: results from the Prospective Urban and Rural Epidemiology (PURE-NWP-SA) cohort study, 2005 to 2010

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