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Association of low-calorie sweetened product consumption and intakes of free sugar and dietary patterns in UK adults

2026-05-14Artigo científico Acesso aberto
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dc.contributor.authorSeesen, Mathuramat
dc.contributor.authorChang, Kiara
dc.contributor.authorMillett, Christopher
dc.contributor.authorRauber, Fernanda
dc.contributor.authorLevy, Renata B.
dc.contributor.authorTouvier, Mathilde
dc.contributor.authorGregg, Edward W.
dc.contributor.authorVamos, Eszter P.
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblFrontiers Media
dc.date.accessioned2026-08-21T09:25:04Z
dc.date.available2026-08-21T09:25:04Z
dc.date.issued2026-05-14
dc.descriptionPublisher Copyright: Copyright © 2026 Seesen, Chang, Millett, Rauber, Levy, Touvier, Gregg and Vamos.
dc.description.abstractIntroduction – Evidence on the effects of low- and no-calorie sweetened (LCS) product consumption on overall dietary patterns remains limited, despite their frequent promotion as healthier alternatives. This study assessed the association between LCS product consumption and both the levels and temporal trends in free sugar intake and overall dietary patterns among UK adults. Methods – Annual cross-sectional data from the National Diet and Nutrition Survey (NDNS) from 2008/09 to 2018/19 were analyzed. Adults aged ≥18 years (N = 8, 304) were categorized into four levels of LCS product consumption: non-consumers (No-LCS) and three tertiles of consumers (Low-LCS: ≤75.0 g/day, Mid-LCS: >75.0–216.8 g/day, and High-LCS: >216.8 g/day), as measured by four-day food diaries. The associations between LCS product consumption and intakes of free sugar, energy, and minimally processed and ultra-processed foods as determined by the Nova classification were analyzed using multivariable linear regression, adjusted for sociodemographic factors. Results – In 2008/09, 45.9% of participants consumed LCS products, and this proportion remained stable over the 11-year period. Among LCS product consumers, the median LCS product intake increased significantly from 132.0 g/d in 2008/09 to 170.0 g/d in 2018/19. In the No-LCS group, free sugar and energy intakes decreased by −1.0 g/d (95% CI, −1.4 to −0.6) and −6.7 kcal/d (95% CI, −11.4 to −2.1) per year, respectively, with similar declines observed for the High-LCS group. In 2008/09, the mean water and minimally processed food consumption was lower in the High-LCS than the No-LCS group, by −141.2 g/d (95% CI, −203.8 to −78.6) and −306.3 g/d (95% CI, −359.5 to −216.7), respectively, and this difference persisted throughout the study period. Discussion – LCS consumption does not appear to align with potentially beneficial dietary patterns regarding free sugar, ultra-processed food and beverage, and minimally processed food and beverage intakes. These findings underline the importance of policies to consider overall dietary patterns that also address LCS consumption alongside reducing free sugar intake.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1109115
dc.identifier.doi10.3389/fnut.2026.1797836
dc.identifier.issn2296-861X
dc.identifier.otherPURE: 171358131
dc.identifier.otherPURE UUID: 14537f79-1abd-406d-8068-7edafcc9f0e7
dc.identifier.otherScopus: 105042285354
dc.identifier.otherPubMed: 42221779
dc.identifier.otherPubMedCentral: PMC13215840
dc.identifier.otherWOS: 001778601200001
dc.identifier.urihttp://hdl.handle.net/10362/205614
dc.identifier.urlhttps://www.scopus.com/pages/publications/105042285354
dc.language.isoeng
dc.peerreviewedyes
dc.subjectdietary patterns
dc.subjectdietary trends
dc.subjectfree sugar intake
dc.subjectlow- and no-calorie sweetened products
dc.subjectUK adults
dc.subjectultra-processed foods
dc.subjectFood Science
dc.subjectEndocrinology, Diabetes and Metabolism
dc.subjectNutrition and Dietetics
dc.subjectSDG 3 - Good Health and Well-being
dc.titleAssociation of low-calorie sweetened product consumption and intakes of free sugar and dietary patterns in UK adultsen
dc.title.subtitlea national study from 2008 to 2019en
dc.typejournal article
degois.publication.titleFrontiers in Nutrition
degois.publication.volume13
dspace.entity.typePublication
rcaap.rightsopenAccess

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