Associated substitution and complementation patterns of processed discretionary foods and drinks on total energy and added sugar intake.
J Hum Nutr Diet
; 36(5): 1942-1950, 2023 10.
Article
in En
| MEDLINE
| ID: mdl-37002619
ABSTRACT
BACKGROUND:
Processed discretionary foods and drinks (industrialised sugary drinks, sweet and savoury snacks, and grain-based sweets) are often target of policies aimed at regulating the food environment. We aimed to understand if a lower intake of processed foods or drinks is associated with substitution or complementation patterns and overall intake.METHODS:
We analysed a subsample with two 24-h dietary recalls of the Mexican National Health and Nutrition Survey 2012 (358 children, 253 adolescents and 278 adults). We compared within-person, energy and added sugar intakes between days with and without consumption of each food group with fixed-effects regressions. We estimated the relative change (change in intake when not consumed/average intake when consumed × 100).RESULTS:
Processed discretionary foods were not fully substituted, as total energy was 200-400 kcal/day lower when these foods were not consumed. The change in total intake was larger than the intake when consumed (i.e., complemented) for industrialised sugary drinks in adolescents (-136%) and adults (-215%), and sweet, savoury snacks for children (-141%). The change was lower (i.e., partially substituted) for grain-based sweets among children (-78%) and adolescents (-73%). For added sugars, most processed discretionary groups were complemented.CONCLUSIONS:
Days without intake of processed discretionary foods were associated with lower total energy and lower added sugar intake compared to days when those foods were consumed. This suggests that regulatory policies to reduce the intake of processed foods could have a meaningful impact on improving the overall diet.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Energy Intake
/
Diet
Type of study:
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Child
/
Humans
Language:
En
Journal:
J Hum Nutr Diet
Journal subject:
CIENCIAS DA NUTRICAO
Year:
2023
Type:
Article
Affiliation country:
Mexico