Evidence map›Paper›PMID 32862552›Full record

ArticleMaternal & child nutrition2021

High sugar content of European commercial baby foods and proposed updates to existing recommendations.

Jayne Hutchinson, Holly Rippin, Diane Threapleton, Jo Jewell, Haidi Kanamäe, Kristin Salupuu, Margherita Caroli, Angelo Antignani, Lucienne Pace, Charlene Vassallo and 9 more

Abstract read
In one paragraph

Article in Maternal & child nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Jayne HutchinsonNutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, Leeds, UK.ORCID 0000-0002-6251-5013
Holly RippinNutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, Leeds, UK.
Diane ThreapletonNutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, Leeds, UK.
Jo JewellDivision of Noncommunicable Diseases and Promoting Health through the Life-Course, World Health Organization Regional Office for Europe, Copenhagen, Denmark.
Haidi KanamäeNutrition and Exercise Unit, Centre for Health Risks Prevention, National Institute for Health Development, Tallinn, Estonia.
Kristin SalupuuDepartment of Nutrition Research, National Institute for Health Development, Tallinn, Estonia.
Margherita CaroliThe European Childhood Obesity Group (ECOG), Rome, Italy.
Angelo AntignaniDepartment of Clinical Medicine and Surgery, University of Naples, Naples, Italy.
Lucienne PaceHealth Promotion and Disease Prevention Directorate, Msida, Malta.
Charlene VassalloHealth Promotion and Disease Prevention Directorate, Msida, Malta.
Britt LandeDivision Prevention and Public Health, Norwegian Directorate of Health, Oslo, Norway.
Christina HildonenDivision Prevention and Public Health, Norwegian Directorate of Health, Oslo, Norway.
Ana Isabel RitoDepartment of Food and Nutrition, National Health Institute Dr.Ricardo Jorge (INSA), Lisbon, Portugal.
Mariana SantosDepartment of Food and Nutrition, National Health Institute Dr.Ricardo Jorge (INSA), Lisbon, Portugal.
Mojca Gabrijelcic BlenkusNational Institute of Public Health Slovenia, Ljubljana, Solvenia.
Eszter Sarkadi-NagyNational Institute of Pharmacy and Nutrition, Budapest, Hungary.
Gergő ErdeiNational Institute of Pharmacy and Nutrition, Budapest, Hungary.
Janet E CadeNutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, Leeds, UK.
Joao BredaDivision of Noncommunicable Diseases and Promoting Health through the Life-Course, World Health Organization Regional Office for Europe, Copenhagen, Denmark.

Funding

World Health Organization 001
6 · The paper itself

Abstract

The aim was to determine whether commercial baby foods marketed within Europe (up to 36 months of age) have inappropriate formulation and high sugar content and to provide suggestions to update European regulations and recommendations as part of a nutrient profile model developed for this age group. The latter was produced following recommended World Health Organization (WHO) steps, including undertaking a rapid literature review. Packaging information from countries across the WHO European region was used to determine mean energy from total sugar by food category. The percentage of products containing added sugar and the percentage of savoury meal-type products containing pureed fruit were also calculated. A total of 2,634 baby foods from 10 countries were summarised: 768 sold in the United Kingdom, over 200 each from Denmark (319), Spain (241), Italy (430) and Malta (243) and between 99-200 from Hungary, Norway, Portugal, Estonia and Slovenia. On average, approximately a third of energy in baby foods in these European countries came from total sugar, and for most food categories, energy from sugar was higher than 10%. Use of added sugars was widespread across product categories, with concentrated fruit juice most commonly used. Savoury meal-type purees did not contain added sugars except in United Kingdom and Malta; however, fruit as an ingredient was found in 7% of savoury meals, most frequently seen in UK products. Clear proposals for reducing the high sugar content seen in commercial baby foods were produced. These suggestions, relating to both content and labelling, should be used to update regulations and promote product reformulation.

Indexed as

Infant FoodSugarsEuropeHumansHungaryItalyNorwayNutritive ValuePortugalSpainUnited KingdomSugarscommercial foodscomplementary feedingdietary guidelinesfood packaginginfant foodnutrition policysugars

Identifiers

PMID32862552
PMCPMC7729710

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.