Low calorie sweetener and macronutrient intake in the US adult population:NHANES 2007‐2010

Abstract

The effectiveness of Low Calorie Sweeteners (LCS) for weight management is an area of debate but data on their use is lacking. Prevalence of LCS and macronutrient intake among US adults (19+y;n=9634, N=213,173,877) was determined using both NHANES 2007‐2010 nonconsecutive 24 hr dietary recalls and the National Cancer Institute usual intake method. We categorized individuals into LCS usage groups as zero LCS use (56%; NO), LCS use 1‐2x/2 day (23%; LO), or LCS use 蠅3x/2 day (21%; HI) based on use of LCS in foods, beverages, and condiments. Those in the highest LCS group, when compared to those who did not use LCS, were more likely to be: female, non‐Hispanic white, age 51‐70y, college educated, of higher income or BMI >30 kg/m2 (all p<0.001). Mean ± SEM daily intake by LCS group adjusted for age, racial‐ethnic group and sex No LCS LO LCS HI LCS Energy (kcal) 2254 ± 31 2120±32 2081±33 Carbohydrate (gm) 278.7 ±3.1 255.0±3.3 239.0±3.2 Protein (gm) 81.7± 1.6 80.6±1.7 82.8±2.0 Total Fat (gm) 83.1±1.7 80.7±1.6 83.8±1.9 Total Sugars (gm) 133.5±2.4 115.1±1.7 99.3±2.0 Dietary Fiber (gm) 15.8±0.5 16.8±0.5 16.9±0.5 Those who reported the higher LCS use evidenced mean total daily intake that was lower in total energy, carbohydrate, and sugar intake than those who did not use LCS. These data are consistent with available published randomized controlled trials on the impact of use of LCS in weight management and underscore the need for future research in this area. Research Support: PepsiCo, Inc. Global R&D