Send to

Choose Destination
Br J Nutr. 2016 Jun;115(11):2067-74. doi: 10.1017/S0007114516001367. Epub 2016 Apr 15.

Commercial complementary food consumption is prospectively associated with added sugar intake in childhood.

Author information

1Nutritional Epidemiology,Department of Nutrition and Food Sciences,Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) Study,University of Bonn,44225 Dortmund,Germany.
2Research Institute of Child Nutrition (FKE),University of Bonn,44225 Dortmund,Germany.


Given that commercial complementary food (CF) can contain high levels of added sugar, a high consumption may predispose to a preference for sweet taste later in life. This study examined cross-sectional associations between commercial CF consumption and added sugar intake in infancy as well as its prospective relation to added sugar intake in pre-school and primary-school age children. In all, 288 children of the Dortmund Nutritional and Anthropometric Longitudinally Designed Study with 3-d weighed dietary records at 0·5 and 0·75 (infancy), 3 and 4 (pre-school age) and 6 and 7 years of age (primary-school age) were included in this analysis. Individual commercial CF consumption as percentage of total commercial CF (%cCF) was averaged at 0·5 and 0·75 years. Individual total added sugar intake (g/d, energy percentage/d) was averaged for all three age groups. Multivariable logistic and linear regression models were used to analyse associations between %cCF and added sugar intake. In infancy, a higher %cCF was associated with odds for high added sugar intake from CF and for high total added sugar intake (>75th percentile, P<0·033). Prospectively, a higher %cCF was related to higher added sugar intake in both pre-school (P<0·041) and primary-school age children (P<0·039), although these associations were attenuated in models adjusting for added sugar intake in infancy. A higher %cCF in infancy may predispose to higher added sugar intake in later childhood by virtue of its added sugar content. Therefore, offering home-made CF or carefully chosen commercial CF without added sugar might be one strategy to reduce sugar intake in infancy and later on.


%cCF percentage of commercial complementary food; Added sugar; CF complementary food; Commercial complementary foods; DONALD Study Dortmund Nutritional and Anthropometric Longitudinally Designed Study; En% energy percentage; Home-made complementary foods; Infant feeding; Sweet preference

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Cambridge University Press
Loading ...
Support Center