Abstract

The present study describes the consumption patterns of sweetened food and drink products in a Catholic Middle Eastern Canadian community and examines its associations with physical activity, sedentary behaviours and BMI. A two-stage cross-sectional design was used. In Stage 1 (n 42), 24 h recalls enabled the identification of sweetened products. In Stage 2 (n 192), an FFQ was administered to measure the daily consumption of these products and to collect sociodemographic and behavioural data. Sweetened products were defined as processed culinary ingredients and ultra-processed products for which total sugar content exceeded 20% of total energy. Three Catholic Middle Eastern churches located in Montreal, Canada. Normoglycaemic men and women (18-60 years old). Twenty-six sweetened products represented an average consumption of 75·4 g total sugars/d or 15·1% of daily energy intake (n 190, 56% women). Soft drinks, juices, sweetened coffee, chocolate, cookies, cakes and muffins were the main sources of consumption and mostly consumed between meals. Age (exp (β) = 0·99; P < 0·01), physical activity (exp (β) = 1·08; P < 0·01) and recreational computer use (exp (β) = 1·17; P < 0·01) were independently associated with sweetened product consumption. The association between sweetened product consumption and physical activity was U-shaped. BMI was not significantly associated with sweetened product consumption but all participants regardless of BMI were above the WHO recommendation for free sugars. Being physically active and spending less time using a computer may favour a reduced consumption of sweetened products. Very active individuals may, however, overconsume such products.

Highlights

  • Cereals were not included in the list since the total sugar content of various cereals found in the Canada Nutrient File (CNF) ranged from 4 % to 52 %

  • The present paper describes for the first time the consumption patterns of sweetened food and drink products in a Catholic Middle Eastern Canadian community and reports its associations with sedentary behaviours, physical activity and BMI

  • In a previous paper we reported that sweetened products are consumed by Middle Eastern Canadians while performing both physical and mental activities[43]

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Summary

Methods

During Stage 1, 24 h recalls (n 42) were administered to measure total sugar intake (from all food sources), total energy intake, and to identify the list of sweetened products consumed in the studied community. This list served as the basis of an FFQ administered in Stage 2 to measure the daily consumption of sweetened products and to collect sociodemographic and behavioural data (n 192). In Stage 2, consumption of sweetened products was calculated using the FFQ data on frequency of consumption and portion sizes and the average amount of total sugars contained in a mean portion of each food product using the CNF. We verified whether fat content (daily grams of total fats from sweetened products) was related to the dependent and exposure variables, and if it could be a potential confounder or covariate

Results
Discussion
Implications and conclusion

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