The Importance of the World Health Organization Sugar Guidelines for Dental Health and Obesity Prevention

Breda, João; Jewell, Jo; Keller, Alexandra

doi:10.1159/000491556

Cited by 73 publications

(63 citation statements)

References 22 publications

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“…The main aim of this paper was to estimate TS and FS intake for 3-year-old preschoolers, identify the key food sources and to discuss the health, policy and research implications in the context of the recent WHO guidelines [37]. The results suggest that while there is a degree of subjectivity in assigning FS estimates, the overall figures were consistent with a previous analysis which used the same cohort data [10].…”

Section: Discussionsupporting

confidence: 60%

“…Public health interventions to encourage a reduction in the frequency of consumption and amount of foods high in FS/AS is to be welcomed [37,50,51]. Ultimately, what is required is a more precise understanding of the pattern of dietary sugar intake and the potential influence of FS/AS with other foods as part of a main meal and as snacks, on diet-related diseases such as obesity and dental caries.…”

Section: Discussionmentioning

confidence: 99%

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Estimation and consumption pattern of free sugar intake in 3-year-old Irish preschool children

et al. 2019

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Purposes Dietary free sugars (FS) are the most important risk factor for dental caries and can contribute to excess energy intake. Measuring FS intake is limited by food composition databases and appropriate dietary assessment methods. The aim of this analysis was to estimate total sugar (TS) and FS intakes for Irish pre-schoolers and examine the proportion of dietary TS and FS captured using a short food questionnaire (SFQ). Methods This is a secondary analysis of 3-year-old children from two national surveys; Growing Up in Ireland (GUI), N = 9793 of whom 49% were girls and the National Preschool Nutrition Survey (NPNS), N = 126 and 52% were girls. GUI used SFQs and NPNS used semi-weighed food diaries to collect dietary data from 3-year-old children. Dietary intake databases were linked using an established approach. Mean daily TS and FS intakes and frequency were calculated, and consumption patterns from foods and meals are presented. The proportion of foods that were covered or non-covered by the GUI SFQ was calculated by comparison with the NPNS food diary. Results 75% of 3 year-olds had FS intake greater than the maximum recommended by WHO guidelines for free sugar intake, while 4% met the lower threshold. The median frequency of TS and FS consumption was 5.0 (4.0-6.0) and 4.0 (3.0-5.0) times/day. Less than one-quarter of TS intake (g/day) was non-covered by the GUI SFQ while less than one-third of FS intake was non-covered. Conclusions A large majority of 3-year-old Irish children do not meet the WHO recommended guidelines for FS intake and almost none meet the desired conditional recommendation. SFQs only capture two-thirds of FS intake at this early age.

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Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Estimation and consumption pattern of free sugar intake in 3-year-old Irish preschool children

et al. 2019

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“…The main purpose of this symposium was to give scientists and educators with a focus on cariology and dental public health the opportunity to update their knowledge about the relation between sugar and oral health without neglecting the impact of sugar on general health. We are grateful that some presenters transformed their lecture into a paper which can be found in the same issue of Caries Research as this commentary [Smith et al, 2019;van Loveren et al, 2019;Pieper et al, 2019;Breda et al, 2019]. The scientific committee of this symposium also hoped that the lectures presented at the ORCA-EADPH symposium would contribute to encouraging researchers from the fields of cariology and dental public health to develop tools for patients and populations that enable them to lower sugar intake to an acceptable level, in line with the WHO guideline on sugar intake [World Health Organization, 2015].…”

Section: Doi: 101159/000490951mentioning

confidence: 93%

The Joint ORCA-EADPH Symposium on Sugar: The Oral Health Perspective – A Commentary

Schulte¹,

Tsakos²

2018

Caries Res

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Caries is the most prevalent chronic condition worldwide and the association between high-level intake of sugars and dental decay is strong and well established. Interestingly, to combat caries, dental practitioners and public health dentists in many countries have focused mainly on the application of different kinds of fluorides and fissure sealants but not on the reduction of sugar intake. Furthermore, for many years, sugars have not been the focus of dental research activities presented at the annual conferences of the European Organisation for Caries Research (ORCA) and the European Association of Dental Public Health (EADPH). In 2015, following the publication of the new WHO guidelines on the intake of sugars, the boards of ORCA and EADPH agreed to organize a common symposium entitled “Joint ORCA-ADPH Symposium on Sugar: The Oral Health Perspective”. This symposium was organized by a scientific committee and took place on July 6, 2016, in association with the 63rd ORCA Congress in Athens, Greece. It included 9 lectures highlighting different aspects of sugar consumption, contribution of sugar to dental caries, measuring sugar consumption, and fighting against sugar on a patient and public health basis. The purpose of this commentary is to give background information about the rationale of the above-mentioned symposium.

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“…Therefore, a recent study has proposed the use of alternative sweeteners such as stevia, as a trans-glycosylated food additive that could potentially improve the stability, bioaccessibility, and bioavailability of polyphenols [11]. In addition, the strategy of using other sweeteners is in agreement with the recommendations by the World Health Organization (WHO) to reduce the intake of free sugars to values less than 10% in order to diminish the array of pathophysiological disorders associated with their consumption [12].…”

Section: Introductionmentioning

confidence: 96%

Alternative Sweeteners Modify the Urinary Excretion of Flavanones Metabolites Ingested through a New Maqui-Berry Beverage

Agulló

Domínguez‐Perles

Moreno

et al. 2020

Foods

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Dietary sugar has been largely related to the onset of metabolic diseases such as type 2 diabetes and obesity, among others. The growing awareness on the close relationship between the dietary habits and this health disturbance has encouraged the development of new beverages using alternative sweeteners that could contribute to combat the above referred pathophysiological disorders. To gain further insight into this issue, the present work, upon an acute dietary intervention, evaluated the urinary excretion of flavanones ingested through polyphenols-rich beverages composed of maqui berry and citrus, with the aim of establishing the highest urinary excretion rate and metabolite profiles. The functional beverages evaluated were supplemented with a range of sweeteners including sucrose (natural and high caloric), stevia (natural and non-caloric), and sucralose (artificial and non-caloric) as an approach that would allow reducing the intake of sugars and provide bioactive phenolics (flavanones). The juices developed were ingested by volunteers (n = 20) and the resulting flavanones and their phase II metabolites in urine were analyzed by Ultra-High Performance Liquid Chromatography ElectroSpray Ionization Mass Spectrometry (UHPLC-ESI-MS/MS). A total of 16 metabolites were detected: eriodyctiol, naringenin, and homoeriodyctiol derivatives, where peak concentrations were attained 3.5 h after beverage intake. Sucralose and stevia were the sweeteners that provided the highest urinary excretion for most compounds. Sucrose did not provide a remarkable higher elimination through urine of any compounds in comparison with sucralose or stevia. These results propose two alternative sweeteners to sucrose (sucralose and stevia), an overused, high caloric sweetener that promotes some metabolic diseases.

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The Importance of the World Health Organization Sugar Guidelines for Dental Health and Obesity Prevention

Cited by 73 publications

References 22 publications

Estimation and consumption pattern of free sugar intake in 3-year-old Irish preschool children

Estimation and consumption pattern of free sugar intake in 3-year-old Irish preschool children

The Joint ORCA-EADPH Symposium on Sugar: The Oral Health Perspective – A Commentary

Alternative Sweeteners Modify the Urinary Excretion of Flavanones Metabolites Ingested through a New Maqui-Berry Beverage

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