Micronutrient dilution associated with added sugar intake in elderly black South African women

Charlton K.E., Kolbe-Alexander T.L. and Nel J.H. (2005) Micronutrient dilution associated with added sugar intake in elderly black South African women. European Journal of Clinical Nutrition, 59 9: 1030-1042. doi:10.1038/sj.ejcn.1602208

Author Charlton K.E.
Kolbe-Alexander T.L.
Nel J.H.
Title Micronutrient dilution associated with added sugar intake in elderly black South African women
Journal name European Journal of Clinical Nutrition   Check publisher's open access policy
ISSN 0954-3007
Publication date 2005-01-01
Year available 2005
Sub-type Article (original research)
DOI 10.1038/sj.ejcn.1602208
Open Access Status Not yet assessed
Volume 59
Issue 9
Start page 1030
End page 1042
Total pages 13
Language eng
Subject 2701 Medicine (miscellaneous)
1106 Human Movement and Sports Science
Abstract Objectives: To investigate the association between added sugar and macronutrient and micronutrient intakes, and to assess whether added sugar intake is related to biochemical indices of nutritional status, Mini-Nutritional Assessment (MNA) score, body mass index (BMI) and performance on physical function tests. Design: A cross-sectional, analytical study. Setting and subjects: Convenient sample of 285 institutionalised and community-dwelling black South African men and women aged 60+y. Methods: An interviewer-administered 24-h dietary recall and MNA were performed. Serum albumin, vitamin B12, ferritin, cholesterol, haemoglobin, red blood cell (RBC) folate and plasma vitamin C were measured. Handgrip strength, BMI, 'sit-to-stand' and 'get-up-and-go' tests were measured. Outcome variables were analysed according to tertiles of added sugar, in grams and as a percentage of total energy (% E). Results: In each tertile of sugar intake, mean MNA score fell in the 'at-risk' classification. In women, energy, protein, % E protein, fibre, thiamin, riboflavin, niacin, vitamin B6, folate, pantothenic acid, biotin, vitamin C, calcium, iron, magnesium, phosphorus, zinc, copper and selenium intake were significantly lowest in subjects in the highest % E sugar tertile. In men, no differences were found for micronutrient intake according to tertiles of total added sugar or % E added sugar. Physical function declined with increasing sugar intake, and suboptimal RBC folate and plasma ascorbic acid status was associated with increasing sugar intake (in women). No relationship was found between added sugar intake and the very high prevalence (65%) of obesity in women. Conclusion: A nutrient-diluting effect of added sugars intake was demonstrated in elderly black South African women. Further studies in this population are required in order to develop food-based dietary guidelines, which include messages on added sugar intake.
Keyword Added sugars
Micronutrient intake
Nutrient dilution
South Africans
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
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