Monitoring Trends in Packaged Food Supply for Added Sugar and Sweeteners: Are We Jumping out of the Frying Pan into the Fire?
DOI:
https://doi.org/10.24925/turjaf.v12i8.1457-1466.6791Anahtar Kelimeler:
food additives- added sugar- intense sweeteners- non-nutritive sweeteners- polyolsÖzet
Excessive sugar intake can lead to poor health outcomes. The use of sweeteners is considered as a strategy to reduce added sugar consumption. The presence of sweeteners in food products has increased significantly in many countries. Therefore, the aim of this study was to identify the added sugars and sweeteners in packaged products. 1550 (57.9%) out of 2676 food products contained at least one added sugar. Confectionery and desserts (35.38±24.82 g/100 g), and snack foods (20.70±16.20 g/100 g) were the main categories containing the highest amount of added sugar. 229 (8.6%) out of 2676 food products contained various types of sweeteners. The most popular added sugar was sucrose (62.9%), while the most popular sweetener was sorbitol (28.2%). This is the most comprehensive study in the city center of Edirne province in Türkiye reporting on the types and frequency of added sugars and sweeteners in packaged products. This study offers monitoring to improve the legislation of Türkiye on added sugars and sweeteners used in the food supply.
Referanslar
Acton, R. B., Vanderlee, L., Hobin, E. P., & Hammond, D. (2017). Added sugar in the packaged foods and beverages available at a major Canadian retailer in 2015: a descriptive analysis. Canadian Medical Association Journal Open, (5)1, E1-E6. https://doi.org/10.9778/cmajo.20160076.
Akar Sahingoz, S. (2011). Fast food and snack food consumption of adolescents in Turkey. Healthmed, 5, 378-387.
Bailey, R. L., Fulgoni, V. L., Cowan, A. E., & Gaine, P. C. (2018). Sources of Added Sugars in Young Children, Adolescents, and Adults with Low and High Intakes of Added Sugars. Nutrients, 10(1), 102. https://doi.org/10.3390/nu10010102
Bayram, H. M. and Ozturkcan, A. (2022). Added sugars and non-nutritive sweeteners in the food supply: Are they a threat for consumers? Clinical Nutrition ESPEN, 49, 442-448. https://doi.org/10.1016/j.clnesp.2022.03.006
Celik, I., & Bektas, M. (2020). An Assessment of Turkish Adults’ Knowledge Levels About Their Salt and Sugar Consumption, and Their Attitudes Toward Protecting Children from Excessive Salt and Sugar Consumption. Journal of Pediatric Nursing, 54, e17-e22. https://doi.org/https://doi.org/10.1016/j.pedn.2020.04.009
Chatelan, A., Gaillard, P., Kruseman, M., & Keller, A. (2019). Total, Added, and Free Sugar Consumption and Adherence to Guidelines in Switzerland: Results from the First National Nutrition Survey menuCH. Nutrients, 11(5), 1117. https://doi.org/10.3390/nu11051117
Chen, L., Zhang, Y., Zhou, Y., Shi, D., & Feng, X.-s. (2023). Sweeteners in food samples: An update on pretreatment and analysis techniques since 2015. Food Chemistry, 408, 135248. https://doi.org/10.1016/j.foodchem.2022.135248
Daher, M. I., Matta, J. M., & Abdel Nour, A. M. (2019). Non-nutritive sweeteners and type 2 diabetes: Should we ring the bell? Diabetes Research and Clinical Practice, 155, 107786. https://doi.org/10.1016/j.diabres.2019.107786
Debras, C., Chazelas, E., Srour, B., Druesne-Pecollo, N., Esseddik, Y., Szabo de Edelenyi, F., … Touvier, M. (2022). Artificial sweeteners and cancer risk: Results from the NutriNet-Santé population-based cohort study. PLoS Medicine, 19(3) e1003950. https://doi.org/10.1371/journal.pmed.1003950
Dietary Guidelines for Turkey. (2022). The Ministry of Health of Turkey and The General Directorate of Primary Health Care. ‘‘Dietary Guidelines for Turkey’’, Ankara: Ministry of Health; Ankara, Turkey; 2022. Publication No: 1031.
Dunford, E. K., Taillie, L. S., Miles, D. R., Eyles, H., Tolentino-Mayo, L. & Ng, S. W. (2018). Non-Nutritive Sweeteners in the Packaged Food Supply-An Assessment across 4 Countries. Nutrients, 10(2), 257. https://doi.org/10.3390/nu10020257
European Food Safety Authority. (2010). EFSA Panel on Dietetic Products Nutrition and Allergies (NDA). Scientific opinion on dietary reference values for carbohydrates and dietary fibre. EFSA Journal, 8(3), 1462. https://doi.org/10.2903/j.efsa.2010.1462
European Food Safety Authority. (2011). EFSA Panel on Dietetic Products Nutrition and Allergies Scientific Opinion on the substantiation of health claims related to intense sweeteners and contribution to the maintenance or achievement of a normal body weight (ID 1136, 1444, 4299), reduction of post-prandial glycaemic responses (ID 4298), maintenance of normal blood glucose concentrations (ID 1221, 4298), and maintenance of tooth mineralisation by decreasing tooth demineralisation (ID 1134, 1167, 1283) pursuant to Article 13(1) of Regulation (EC) No 1924/2006. EFSA Journal, 9(6), 2229. https://doi.org/10.2903/j.efsa.2011.2229
European Parliament, Council of the European Union. Regulation (EC) No 1333/2008 of the European Parliament and of the Council of 16 December 2008 on food additives (Text with EEA relevance). (2008), available at: http://data.europa.eu/ eli/reg/2008/1333/oj/eng. [Accessed August 2, 2023].
Fagherazzi, G., Gusto, G., Affret, A., Mancini, F. R., Dow, C., Balkau, B., …Boutron-Ruault, M. C. (2017). Chronic Consumption of Artificial Sweetener in Packets or Tablets and Type 2 Diabetes Risk: Evidence from the E3N-European Prospective Investigation into Cancer and Nutrition Study. Annals of Nutrition and Metabolism, 70(1), 51-58. https://doi.org/10.1159/000458769
Food and Drug Administration. (2014). Food Additives & Ingredients – Additional Information about High-Intensity Sweeteners Permitted for Use in Food in the United States, available at: https://www.fda.gov/ Food/IngredientsPackagingLabeling/ FoodAdditivesIngredients/ucm397725.htm. [Accessed August 21, 2023].
Figueiredo, L. D. S., Scapin, T., Fernandes, A. C., & Proença, R. (2018). Where are the low-calorie sweeteners? An analysis of the presence and types of low-calorie sweeteners in packaged foods sold in Brazil from food labelling. Public Health Nutrition, 21(3), 447-453. https://doi.org/10.1017/s136898001700283x
Liu, Y., Cheng, J., Wan, L., & Chen, W. (2022).Total and Added Sugar Intakes Are Increasing among Children and Adolescents in China: Findings from CHNS 1997-2011. Nutrients, 14(16), 3340. https://doi.org/10.3390/nu14163340
Louie, J. C. Y., Lei, L., & Rangan, A. M. (2016). Reliability of a systematic methodology to estimate added sugars content of foods when applied to a recent Australian food composition database. Journal of Food Composition and Analysis, 46, 36-42. https://doi.org/10.1016/j.jfca.2015.11.002
Malik, V. S., & Hu, F. B. (2022). The role of sugar-sweetened beverages in the global epidemics of obesity and chronic diseases. Nature Reviews Endocrinology, 18(4), 205-218. https://doi.org/10.1038/s41574-021-00627-6
Ministry of Health of Turkey. (2021), ‘‘Türkiye Şeker Tüketimini/Kullanımını Azaltma Rehberi’’. The Ministry of Health of Turkey and The General Directorate of Primary Health Care, Ankara: Ministry of Health; Ankara, Turkey; 2021. Publication No: 1201.
Mossavar-Rahmani, Y., Kamensky, V., Manson, J. E., Silver, B., Rapp, S. R., Haring, B., … Wassertheil-Smoller, S. (2019). Artificially Sweetened Beverages and Stroke, Coronary Heart Disease, and All-Cause Mortality in the Women’s Health Initiative. Stroke, 50(3), 555-562. https://doi.org/10.1161/strokeaha.118.023100
Probst, Y. C., Dengate, A., Jacobs, J., Louie, J. C., & Dunford, E. K. (2017). The major types of added sugars and non-nutritive sweeteners in a sample of Australian packaged foods. Public Health Nutrition, 20(18), 3228-3233. https://doi.org/10.1017/s136898001700218x
Riboli, E., Beland, F. A., Lachenmeier, D. W., Marques, M. M., Phillips, D. H., Schernhammer, E., … Madia, F. (2023). Carcinogenicity of aspartame, methyleugenol, and isoeugenol. Lancet Oncology, 24(8), 848-850. https://doi.org/10.1016/s1470-2045(23)00341-8
Rogers, M. A., & Amer, H. (2022). Food as we knew it: Food processing as an evolutionary discourse. Trends in Food Science & Technology, 128, 68-74. https://doi.org/https://doi.org/10.1016/j.tifs.2022.07.015
Samaniego-Vaesken, M. d. L., González-Fernández, B., Partearroyo, T., Urrialde, R. and Varela-Moreiras, G. (2021). Updated Database and Trends of Declared Low- and No-Calorie Sweeteners From Foods and Beverages Marketed in Spain. Frontiers in Nutrition, 8, 670422. https://doi.org/10.3389/fnut.2021.670422
Samaniego-Vaesken, M. d. L., Partearroyo, T., Cano, A., Urrialde, R., & Varela-Moreiras, G. (2019). Novel database of declared low- and no-calorie sweeteners from foods and beverages available in Spain. Journal of Food Composition and Analysis, 82, 103234. https://doi.org/10.1016/j.jfca.2019.103234
Samaniego-Vaesken, M. L., Ruiz, E., Partearroyo, T., Aranceta-Bartrina, J., Gil, Á., González-Gross, M., Ortega, R. M., Serra-Majem, L., & Varela-Moreiras, G. (2018). Added Sugars and Low- and No-Calorie Sweeteners in a Representative Sample of Food Products Consumed by the Spanish ANIBES Study Population. Nutrients, 10(9), 1265. https://doi.org/10.3390/nu10091265
Sambra, V., López-Arana, S., Cáceres, P., Abrigo, K., Collinao, J., Espinoza, A., Valenzuela, S., Carvajal, B., Prado, G., Peralta, R., & Gotteland, M. (2020). Overuse of Non-caloric Sweeteners in Foods and Beverages in Chile: A Threat to Consumers’ Free Choice? Frontiers in Nutrition, 7, 68. https://doi.org/10.3389/fnut.2020.00068
Toews, I., Lohner, S., Küllenberg de Gaudry, D., & Meerpohl, J. (2019). Association between intake of non-sugar sweeteners and health outcomes: systematic review and meta-analyses of randomised and non-randomised controlled trials and observational studies. British Medical Journal, 364, k4718. https://doi.org/10.1136/bmj.k4718
Turkish Food Codex. (2013), ‘‘Food additives communique. Turkey: Ministry of health of Turkey’’, available at,https://www.mevzuat.gov.tr/mevzuat?MevzuatNo1⁄418532&MevzuatTur1⁄47&MevzuatTertip1⁄45. [Accessed 2 August 2023].
World Health Organization. (2015), ‘‘Guideline: sugar intake for adults and children’’, available at, https://www.who.int/publications/i/item/9789241549028. [Accessed 01 August 2023].
World Health Organization. (2021), ‘‘Obesity and overweight’’, available at, https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. [Accessed 05 August 2023].
World Health Organization. (2022), ‘‘WHO European Regional Obesity Report’’, Copenhagen: WHO Regional Office for Europe, 2022. Licence: CC BY-NC-SA 3.0 IGO.
Wölnerhanssen, B. K., Meyer-Gerspach, A. C., Beglinger, C., & Islam, M. S. (2020). Metabolic effects of the natural sweeteners xylitol and erythritol: A comprehensive review. Critical Reviews in Food Science and Nutrition, 60,12, 1986-1998. https://doi.org/10.1080/10408398.2019.1623757
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