medigraphic.com
Instituto Nacional de Salud Pública

2023, Number 3

<< Back Next >>

salud publica mex 2023; 65 (3)

Associated factors to the consumption of non-nutritive sweeteners in the Mexican adult population

Romo-Romo A, Castillo-Martínez L, Aguilar-Salinas CA, Brito-Córdova GX, Martagón AJ, Gómez-Pérez FJ, Almeda-Valdes P

Language: English
References: 28
Page: 200-207
PDF size: 281.02 Kb.


ABSTRACT

Objective. To identify the associated factors to the consumption of non-nutritive sweeteners (NNS) in the Mexican adult population since its consumption has increased exponentially worldwide. Materials and methods. An online survey was applied to 5 038 Mexican adults to evaluate the frequency of NNS consumption and classify the population in tertiles. The sociodemographic, lifestyle and health status characteristics of the participants were compared by gradient of NNS consumption, and a multiple linear regression analysis was performed to determine the associated factors to the NNS consumption. Results. The variables that showed a positive association (p≤0.01) with the consumption of NNS were economic income, BMI, smoking, physical activity, diet quality, the presence of chronic diseases (diabetes, hypertension, or dyslipidemias), and the consumption of fruit. The age and the consumption of confectionery and sugar-sweetened beverages were negatively associated (p ‹0.01) with the consumption of NNS. Conclusion. The results of this study help to characterize the target population that is a consumer of NNS since it is recommended not encourage the preference for sweet taste and to promote a decrease in the consumption of both caloric and NNS, preferring the natural flavor of food.


REFERENCES

  1. Sylvetsky AC, Rother KI. Trends in the consumption of lowcaloriesweeteners. Physiol Behav. 2016;164(Pt B):446-50. https://doi.org/10.1016/j.physbeh.2016.03.030

  2. Nunn R, Young L, Mhurchu CN. Prevalence and types of non-nutritivesweeteners in the New Zealand food supply, 2013 and 2019. Nutrients.2021;13(9):3228. https://doi.org/10.3390/nu13093228

  3. Russell C, Grimes C, Baker P, Sievert K, Lawrence MA. The drivers,trends and dietary impacts of non-nutritive sweeteners in the foodsupply: A narrative review. Nutr Res Rev. 2021;34(2):185-208. https://doi.org/10.1017/S0954422420000268

  4. Dunford EK, Taillie LS, Miles DR, Eyles H, Tolentino-Mayo L, Ng SW.Non-nutritive sweeteners in the packaged food supply—an assessmentacross 4 countries. Nutrients. 2018;10(2):257. https://doi.org/10.3390/nu10020257

  5. Sharma A, Amarnath S, Thulasimani M, Ramaswamy S. Artificial sweetenersas a sugar substitute: Are they really safe? Indian J Pharmacol.2016;48(3):237-40. https://doi.org/10.4103/0253-7613.182888

  6. Tandel KR. Sugar substitutes: Health controversy over perceivedbenefits. J Pharmacol Pharmacother. 2011;2(4):236-43. https://doi.org/10.4103/0976-500X.85936

  7. Risdon S, Battault S, Romo-Romo A, Roustit M, Briand L, Meyer G, et al.Sucralose and cardiometabolic health: current understanding from receptorsto clinical investigations. Adv Nutr. 2021;12(4):1500-13. https://doi.org/10.1093/advances/nmaa185

  8. Pepino MY, Tiemann CD, Patterson BW, Wice BM, Klein S. Sucraloseaffects glycemic and hormonal responses to an oral glucose load. DiabetesCare. 2013;36(9):2530-5. https://doi.org/10.2337/dc12-2221

  9. Suez J, Cohen Y, Valdés-Mas R, Mor U, Dori-Bachash M, Federici S, et al.Personalized microbiome-driven effects of non-nutritive sweeteners onhuman glucose tolerance. Cell. 2022;185(18):3307-3328.e19. https://doi.org/10.1016/j.cell.2022.07.016

  10. Romo-Romo A, Aguilar-Salinas CA, Brito-Córdova GX, Gómez-DíazRA, Almeda-Valdes P. Sucralose decreases insulin sensitivity in healthysubjects: a randomized controlled trial. Am J Clin Nutr. 2018;108(3):485-91. https://doi.org/10.1093/ajcn/nqy152

  11. Méndez-García LA, Bueno-Hernández N, Cid-Soto MA, de LeónKL, Mendoza-Martínez VM, Espinosa-Flores AJ, et al. Ten-week sucraloseconsumption induces gut dysbiosis and altered glucose and insulin levelsin healthy young adults. Microorganisms. 2022;10(2):434. https://doi.org/10.3390/microorganisms10020434

  12. Sánchez-Tapia M, Miller AW, Granados-Portillo O, Tovar AR, Torres N.The development of metabolic endotoxemia is dependent on the type ofsweetener and the presence of saturated fat in the diet. Gut Microbes.2020;12(1):1801301. https://doi.org/10.1080/19490976.2020.1801301

  13. Bian X, Chi L, Gao B, Tu P, Ru H, Lu K. Gut microbiome response tosucralose and its potential role in inducing liver inflammation in mice.Front Physiol. 2017;8:487. https://doi.org/10.3389/fphys.2017.00487

  14. Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, AinsworthBE, et al. International physical activity questionnaire: 12-country reliabilityand validity. Med Sci Sports Exerc. 2003;35(8):1381-95. https://doi.org/10.1249/01.MSS.0000078924.61453.FB

  15. Medina C, Barquera S, Janssen I. Validity and reliability of the InternationalPhysical Activity Questionnaire among adults in Mexico. Rev PanamSalud Publica. 2013;34(1):21-8 [cited Jan 31, 2022]. Available from: https://iris.paho.org/handle/10665.2/9158

  16. The IPAQ Group. International Physical Activity Questionnaire. 2022[cited Jan 31, 2022]. Available from: www.ipaq.ki.se

  17. Norte-Navarro AI, Ortiz-Moncada R. Spanish diet quality accordingto the healthy eating index. Nutr Hosp. 2011;26(2):330-6. https://doi.org/10.3305/nh.2011.26.2.4630

  18. Romo-Romo A, Castillo-Martínez L, Aguilar-Salinas CA, Brito-CórdovaGX, Martagón AJ, Gómez-Pérez FJ, et al. Supplementary information: associatedfactors to the consumption of non-nutritive sweeteners in theMexican adult population. Github Repository. 2022 [cited Nov 3, 2022].Available from: https://github.com/Romo-Romo/Supplementary-Information-Non-nutritive-sweeteners-consumption-in-Mexico

  19. Romo-Romo A, Almeda-Valdés P, Brito-Córdova GX, Gómez-Pérez FJ.Prevalence of non-nutritive sweeteners consumption in a population ofpatients with diabetes in Mexico. Gac Med Mex. 2017;153(1):61-74 [citedJan 31, 2022]. Available from: https://www.medigraphic.com/pdfs/gaceta/gm-

  20. 2017/gm171j.pdf20. Mathe-Soulek K, Roseman MG. Consumer perceptions of nonnutritivesweetened coffee in the quick service restaurant industry. J FoodProd Mark. 2015;21(3):293-305. https://doi.org/10.1080/10454446.2013.843489

  21. Grech A, Kam CO, Gemming L, Rangan A. Diet-quality and socio-demographicfactors associated with non-nutritive sweetener use in the Australianpopulation. Nutrients. 2018;10(7):833. https://doi.org/10.3390/nu10070833

  22. Drewnowski A, Rehm CD. Consumption of low-calorie sweetenersamong U.S. adults is associated with higher Healthy Eating Index (HEI2005) scores and more physical activity. Nutrients. 2014;6(10):4389-403.https://doi.org/10.3390/nu6104389

  23. Sylvetsky AC, Jin Y, Clark EJ, Welsh JA, Rother KI, Talegawkar SA.Consumption of low-calorie sweeteners among children and adultsin the United States. J Acad Nutr Diet. 2017;117(3):441-8. https://doi.org/10.1016/j.jand.2016.11.004

  24. Anderson GH, Foreyt J, Sigman-Grant M, Allison DB. The use oflow-calorie sweeteners by adults: impact on weight management. J Nutr.2012;142(6):1163S-1169S. https://doi.org/10.3945/jn.111.149617

  25. Gibson SA, Horgan GW, Francis LE, Gibson AA, Stephen AM. Lowcalorie beverage consumption is associated with energy and nutrientintakes and diet quality in British adults. Nutrients. 2016;8(1):9. https://doi.org/10.3390/nu8010009

  26. Piernas C, Mendez MA, Ng SW, Gordon-Larsen P, Popkin BM.Low-calorie- and calorie-sweetened beverages: diet quality, food intake,and purchase patterns of US household consumers. Am J Clin Nutr.2014;99(3):567-77. https://doi.org/10.3945/ajcn.113.072132

  27. Logue C, O’Mahony M, Phair E, Dougherty H, McDaid C, GallagherA. Knowledge and perceptions of low-calorie sweeteners in an adultpopulation. Proc Nutr Soc. 2017;76(OCE3):E64. https://doi.org/10.1017/S0029665117001379

  28. Farhat G, Dewison F, Stevenson L. Knowledge and perceptions ofnon-nutritive sweeteners within the UK adult population. Nutrients.2021;13(2):1-14. https://doi.org/10.3390/nu13020444




2020     |     www.medigraphic.com