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Response to Letter: How Much Free Sugars Intake Should Be Recommended for Children Younger Than 2 Years Old?

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11130%2F18%3A10375293" target="_blank" >RIV/00216208:11130/18:10375293 - isvavai.cz</a>

  • Alternative codes found

    RIV/00064203:_____/18:10375293

  • Result on the web

    <a href="https://doi.org/10.1097/MPG.0000000000001803" target="_blank" >https://doi.org/10.1097/MPG.0000000000001803</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1097/MPG.0000000000001803" target="_blank" >10.1097/MPG.0000000000001803</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Response to Letter: How Much Free Sugars Intake Should Be Recommended for Children Younger Than 2 Years Old?

  • Original language description

    Dr Vitolo asks what led the ESPGHAN CoN &apos;&apos;to step away from a definite statement about sugar intake and infants&apos;&apos; in our recent Position paper. We would like to clarify that our recommendation certainly does not mean that we are &apos;&apos;stepping away&apos;&apos; or establishing a &apos;&apos;safe amount&apos;&apos; of sugars for this age group. The American Heart Association (AHA) recommends that &apos;&apos;added&apos;&apos; sugars should be avoided for children younger than 2 years. As explained in our article, the European Food Safety Authority (EFSA) and US definitions of &apos;&apos;added sugars&apos;&apos; do not include sugars present in unsweetened fruit and vegetable juice and fruit juice concentrate, all of which are, however, captured in the WHO definition of free sugars, which we favour. Thus, children younger than 2 years who drink fruit juices and/or consume fruit juice concentrate, jellies, jams, preserves, and fruit spreads would still be following the AHA recommendation to avoid added sugars, whilst still consuming &apos;&apos;free&apos;&apos; sugars. Our recommendations state that &apos;&apos;there is no nutritional requirement for free sugars in infants, children and adolescents&apos;&apos; and suggest that the intake in those younger than 2 years should &apos;&apos;probably be even lower&apos;&apos; than the less than 5% of energy intake recommended for older children, partly considering the potential for sugar in infancy to influence taste and/or food preferences. We, however, did not provide a definitive figure because we found the evidence-base for doing so in this age group is not sufficiently robust, consisting largely of observational studies. Furthermore, we have noted throughout the article the need to limit the intake of free sugars at all ages, and to clarify the terminology and labelling of sugars because consumers may not be aware that free sugars are present in foods and beverages, even when they are labelled as having &apos;&apos;no added sugar&apos;&apos; and &apos;&apos;naturally occurring sugars.&apos;&apos; We hope that such measures would contribute to building a healthier food environment for infants and children.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30219 - Gastroenterology and hepatology

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2018

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Journal of Pediatric Gastroenterology &amp; Nutrition

  • ISSN

    0277-2116

  • e-ISSN

  • Volume of the periodical

    66

  • Issue of the periodical within the volume

    3

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    2

  • Pages from-to

    "E87"-"E88"

  • UT code for WoS article

    000429814300011

  • EID of the result in the Scopus database

    2-s2.0-85042402911