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Pediatr Obes. 2019 May 2:e12535. doi: 10.1111/ijpo.12535. [Epub ahead of print]

Consumption of low-calorie sweetened beverages is associated with higher total energy and sugar intake among children, NHANES 2011-2016.

Author information

1
Sumner M. Redstone Global Center for Prevention and Wellness, Milken Institute School of Public Health, The George Washington University, Washington, DC.
2
Department of Exercise and Nutrition Sciences, Milken Institute School of Public Health, The George Washington University, Washington, DC.
3
Department of Pediatrics, Emory University School of Medicine, Emory University, Atlanta, Georgia.
4
Department of Psychological Sciences, Purdue University, West Lafayette, Indiana.
5
Child Wellness Department, Children's Healthcare of Atlanta, Atlanta, GA.

Abstract

OBJECTIVE:

To examine associations between consumption of low-calorie sweetened beverages (LCSBs), sugar, and total energy intake in children in the United States.

METHODS:

We used 24-hour dietary recalls from 7026 children enrolled in the National Health and Nutrition Examination Survey (NHANES) 2011 to 2016 to assess energy and macronutrient intake among LCSB (≥4 oz LCSB, <4 oz SB), SB (≥4 oz SB, <4 oz LCSB), and LCSB + SB consumers (≥4 oz each) compared with water consumers (≥4 oz water, <4 oz LCSB and SBs). Sample weights and complex survey procedures were used for all analyses.

RESULTS:

Adjusting for body mass index (BMI) percentile, LCSB, SB, and LCSB + SB consumption was associated with 196, 312, and 450 more total calories and 15, 39, and 46 more calories from added sugar, respectively, compared with water consumers (P < .05 for all pairwise comparisons). No differences in energy intake were observed between LCSB and SB consumers.

CONCLUSIONS:

These findings challenge the utility of LCSB for weight management in children and adolescents.

KEYWORDS:

artificial sweeteners; diet; diet beverages; non-nutritive sweeteners

PMID:
31044560
DOI:
10.1111/ijpo.12535

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