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Dietary intake of non-nutritive sweeteners in type 1 diabetes mellitus children.

Abstract

The aims of the current cross-sectional study were (1) to assess the intake of aspartame, cyclamate, acesulfame-k, neohesperidine dihydrochalcone, sucralose, saccharin, steviol glycosides and neotame among children with type 1 diabetes mellitus (T1D); (2) to compare the obtained intakes with the respective acceptable daily intake (ADI) values; and (3) to conduct a scenario analysis to obtain practical guidelines for a safe consumption of non-nutritive sweeteners (NNS) among children with T1D. T1D patients of the Paediatrics Department of the University Hospitals Leuven were invited to complete a food frequency questionnaire designed to assess NNS intake using a tier 2 and tier 3 exposure assessment approach. A scenario analysis was conducted by reducing the P95 consumption of the most contributing food categories in order to reach a total sweetener intake lower than or equal to the ADI. Estimated total intakes higher than ADIs were only found for the P95 consumers only of acesulfame-k, cyclamate and steviol glycosides (tier 2 and tier 3 approach). Scenario analysis created dietary guidelines for each age category for diet soda, bread spreads and dairy drinks. There is little chance for T1D children to exceed the ADI of the different NNS, however diabetes educators and dieticians need to pay attention regarding the use of NNS.

Authors+Show Affiliations

a Department of Health and Technology , University College Leuven , Leuven , Belgium.b Department of Pediatrics , University Hospitals Leuven , Leuven , Belgium. c Department of Development and Regeneration , KU Leuven , Leuven , Belgium.d Clinical Nutrition Unit, Department of Endocrinology , University Hospitals Leuven , Leuven , Belgium.d Clinical Nutrition Unit, Department of Endocrinology , University Hospitals Leuven , Leuven , Belgium.d Clinical Nutrition Unit, Department of Endocrinology , University Hospitals Leuven , Leuven , Belgium.a Department of Health and Technology , University College Leuven , Leuven , Belgium.d Clinical Nutrition Unit, Department of Endocrinology , University Hospitals Leuven , Leuven , Belgium. e Department of Clinical and Experimental Endocrinology , KU Leuven , Leuven , Belgium.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26523968

Citation

Dewinter, Louise, et al. "Dietary Intake of Non-nutritive Sweeteners in Type 1 Diabetes Mellitus Children." Food Additives & Contaminants. Part A, Chemistry, Analysis, Control, Exposure & Risk Assessment, vol. 33, no. 1, 2016, pp. 19-26.
Dewinter L, Casteels K, Corthouts K, et al. Dietary intake of non-nutritive sweeteners in type 1 diabetes mellitus children. Food Addit Contam Part A Chem Anal Control Expo Risk Assess. 2016;33(1):19-26.
Dewinter, L., Casteels, K., Corthouts, K., Van de Kerckhove, K., Van der Vaerent, K., Vanmeerbeeck, K., & Matthys, C. (2016). Dietary intake of non-nutritive sweeteners in type 1 diabetes mellitus children. Food Additives & Contaminants. Part A, Chemistry, Analysis, Control, Exposure & Risk Assessment, 33(1), pp. 19-26. doi:10.1080/19440049.2015.1112039.
Dewinter L, et al. Dietary Intake of Non-nutritive Sweeteners in Type 1 Diabetes Mellitus Children. Food Addit Contam Part A Chem Anal Control Expo Risk Assess. 2016;33(1):19-26. PubMed PMID: 26523968.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary intake of non-nutritive sweeteners in type 1 diabetes mellitus children. AU - Dewinter,Louise, AU - Casteels,Kristina, AU - Corthouts,Karen, AU - Van de Kerckhove,Kristel, AU - Van der Vaerent,Katrien, AU - Vanmeerbeeck,Kelly, AU - Matthys,Christophe, Y1 - 2015/11/16/ PY - 2015/11/3/entrez PY - 2015/11/3/pubmed PY - 2016/10/8/medline KW - Non-caloric sweeteners KW - diabetes KW - dietary exposure KW - guideline SP - 19 EP - 26 JF - Food additives & contaminants. Part A, Chemistry, analysis, control, exposure & risk assessment JO - Food Addit Contam Part A Chem Anal Control Expo Risk Assess VL - 33 IS - 1 N2 - The aims of the current cross-sectional study were (1) to assess the intake of aspartame, cyclamate, acesulfame-k, neohesperidine dihydrochalcone, sucralose, saccharin, steviol glycosides and neotame among children with type 1 diabetes mellitus (T1D); (2) to compare the obtained intakes with the respective acceptable daily intake (ADI) values; and (3) to conduct a scenario analysis to obtain practical guidelines for a safe consumption of non-nutritive sweeteners (NNS) among children with T1D. T1D patients of the Paediatrics Department of the University Hospitals Leuven were invited to complete a food frequency questionnaire designed to assess NNS intake using a tier 2 and tier 3 exposure assessment approach. A scenario analysis was conducted by reducing the P95 consumption of the most contributing food categories in order to reach a total sweetener intake lower than or equal to the ADI. Estimated total intakes higher than ADIs were only found for the P95 consumers only of acesulfame-k, cyclamate and steviol glycosides (tier 2 and tier 3 approach). Scenario analysis created dietary guidelines for each age category for diet soda, bread spreads and dairy drinks. There is little chance for T1D children to exceed the ADI of the different NNS, however diabetes educators and dieticians need to pay attention regarding the use of NNS. SN - 1944-0057 UR - https://www.unboundmedicine.com/medline/citation/26523968/Dietary_intake_of_non_nutritive_sweeteners_in_type_1_diabetes_mellitus_children_ L2 - http://www.tandfonline.com/doi/full/10.1080/19440049.2015.1112039 DB - PRIME DP - Unbound Medicine ER -