Abstract
Purpose
The aim of this study was to estimate total sugar intake and sugar intake-related dietary habit and nutrient intake of middle school students.
Methods
Subjects included 1,184 middle school students (476 males and 708 females) residing in Jeju. This research analyzed daily dietary intakes of subjects using the 24 hour recall method and surveyed the dietary habit related to total sugar intake using questionnaires. Descriptive analysis, chi-square test, t-test, and ANOVA, using the SAS program were used for analysis of data.
Results
The average daily total sugar intake was 60.3 g (male 50.5 g, female 66.9 g). Total sugar intake per meal was 6.5 g (10.8%) from breakfast, 9.0 g (14.9%) from lunch, 11.8 g (19.6%) from dinner, and 33.0 g (54.7%) from snacks. Food groups that contribute to the majority of total sugar intake were grains and their products (23.0 g), milk (11.0 g), fruits and their products (7.3 g), sugars and sweets (6.1 g), and vegetables and their products (5.8 g). In terms of total sugar intakes by cooking methods, desserts showed a greater amount than main and side dishes, and indicated in order of amount as follows: bread and cookies (11.5 g), dairy products (7.5 g), ice cakes (6.2 g), beverages (5.3 g), and fruits (4.5 g). Total sugar consumption was high for rice and side dishes such as noodles (10.2 g), fried foods (2.9 g), stir-fried foods (2.0 g), and cooked rice with seasoning (1.7 g). The daily intake of natural sugar, added sugar, and natural and added sugar was 18.3 g, 35.8 g, and 6.2 g, respectively. The high sugar intake group, which was over 20% of the energy from total sugar intakes, consumed significantly less Fe, Zn, vitamin B6, niacin, and vitamin E than the low sugar intake group, which was below 20%.
Figures and Tables
Table 7
1) Low sugar group: below 10% of the percentage of energy gained from the total sugars according to daily energy intake
2) Medium sugar group: 10-20% of the percentage of energy gained from the total sugars according to daily energy intake
3) High sugar group: over 20% of the percentage of energy gained from the total sugars according to daily energy intake 4) Mean ± SD
5) Significant difference between boys and girls by Chi-square 6) Not significant difference between boys and girls by Chi-square
*p < 0.05, **p < 0.01, ***p < 0.001
References
1. World Health Organization (CH); Food and Agriculture Organization of the United Nations (IT). Carbohydrates in human nutrition: report of a joint FAO/WHO Expert Consultation Rome. 14-18 April 1997; Rome: Food and Agriculture Organization;1998.
2. Korea Food and Drug Administration. Food labelling regulation. Cheongju: Korea Food and Drug Administration;2006.
3. United States Department of Agriculture, United States Department of Health and Human Services. Nutrition and your health: dietary guidelines for Americans. Home and garden bulletin No. 232. 5th edition. Washington, D.C.: Government Printing Office;2000.
4. Shankar P, Ahuja S, Sriram K. Non-nutritive sweeteners: review and update. Nutrition. 2013; 29(11-12):1293–1299.
5. National Health and Medical Research Council (AU). Dietary guidelines for Australian adults. Canberra: National Health and Medical Research Council;2003.
6. Rayner M, Scarborough P, Williams C. The origin of Guideline Daily Amounts and the Food Standards Agency's guidance on what counts as 'a lot' and 'a little'. Public Health Nutr. 2004; 7(4):549–556.
7. Institute of Grocery Distribution (GB). IGD Working Group Report. Report of the IGD/PIC Industry Nutrition Strategy Group technical working group on Guideline Daily Amounts (GDAs). Watford: Institute of Grocery Distribution;2005.
8. The Korean Nutrition Society. Dietary reference intakes for Koreans. 1st revision. Seoul: The Korean Nutrition Society;2010.
9. World Health Organization (CH). WHO Technical Report Series No. 916: diet, nutrition and the prevention of chronic diseases. Report of the joint WHO/FAO expert consultation. Geneva: World Health Organization;2003.
10. Ruxton CH, Gardner EJ, McNulty HM. Is sugar consumption detrimental to health? A review of the evidence 1995-2006. Crit Rev Food Sci Nutr. 2010; 50(1):1–19.
11. Chung CE. Control of total energy intake is key of obesity prevention. In : Symposium of the Korea Food and Nutrition Foundation; 2004 Oct 5; Seoul Lotte Hotel Emerald Hall. Seoul: Korea Food and Nutrition Foundation;2004.
12. Chung CE. Dietary intakes and food sources of total sugars from Korean National Health and Nutrition Examination Survey 2001-2002. Korean J Nutr. 2007; 40:Suppl. 9–21.
13. Lee HS, Kwon SO, Yon M, Kim D, Lee JY, Nam J, Park SJ, Yeon JY, Lee SK, Lee HY, Kwon OS, Kim CI. Dietary total sugar intake of Koreans: based on the Korea National Health and Nutrition Examination Survey (KNHANES), 2008-2011. J Nutr Health. 2014; 47(4):268–276.
14. Kim SH, Chung HK. Sugar supply and intake of Koreans. Korean J Nutr. 2007; 40:Suppl. 22–28.
15. Ko YS, Kim EM, Lee HS. A study of dietary intake of total sugars by elementary students in Jeju province. J Nutr Health. 2015; 48(1):81–93.
16. Korea Centers for Disease Control and Prevention. Korean Pediatric Society. Committee for the Growth Standard for Korean Children and Adolescents. Growth chart in Korean children and adolescent. Cheongwon: Korea Centers for Disease Control and Prevention;2007.
17. Choi SK, Choi HJ, Chang NS, Cho SH, Choi YS, Park HK, Joung HJ. Snacking behaviors of middle and high school students in Seoul. Korean J Community Nutr. 2008; 13(2):199–206.
18. Kim SH, Kim KY, Kim HJ, Lee SS, Kim SY. A survey on added sugar intakes from general snacks by adolescents in Daejeon and development of educational materials for guiding their optimal intakes of sugars. J Korean Living Sci Assoc. 2008; 11(1):5–19.
19. Park YG, Lee EM, Kim CS, Eom JH, Byun JA, Sun NK, Lee JH, Heo OS. Survey on the content and intake pattern of sugar from elementary and middle school foodservices in Daejeon and Chungcheong province. J Korean Soc Food Sci Nutr. 2010; 39(10):1545–1554.
20. Kim HY, Park SJ, Chung SY, Choi SH, Oh SW, Lee JS, Choi IS, Shin MS, Song JS. Monitoring the sugar content and intake in school meals from Incheon and Chuncheon. Korean J Food Sci Technol. 2011; 43(1):58–64.
21. Choi MH, Kwon KI, Kim JY, Lee JS, Kim JW, Park HK, Kim MC, Kim GH. Safety management of children's foods: dietary intakes of total sugar and monitoring of total sugar contents in foods. Safe Food. 2008; 3(1):22–29.
22. Yu NH, Kim MJ, Han JS. A study on the food intake frequency, dietary habits and nutrition knowledge of middle school students who like sweets in Busan. J Korean Soc Food Sci Nutr. 2007; 36(6):735–744.
23. Ministry of Health and Welfare, Korea Institute for Health and Social Affairs. 2001 National health and nutrition survey. Seoul: Korea Institute for Health and Social Affairs;2002.
24. Burt BA. Relative consumption of sucrose and other sugars: has it been a factor in reduced caries experience? Caries Res. 1993; 27:Suppl 1. 56–63.
25. Gross LS, Li L, Ford ES, Liu S. Increased consumption of refined carbohydrates and the epidemic of type 2 diabetes in the United States: an ecologic assessment. Am J Clin Nutr. 2004; 79(5):774–779.