Evidence map›Paper›PMID 34954081›Full record

ArticleJournal of the Academy of Nutrition and Dietetics2022

Prevalence of Low-Calorie Sweeteners and Related Front-of-Package Claims in the Brazilian Packaged Food Supply.

Mariana Fagundes Grilo, Lindsey Smith Taillie, Camila Zancheta Ricardo, Laís Amaral Mais, Ana Paula Bortoletto Martins, Ana Clara Duran

Abstract read
In one paragraph

Article in Journal of the Academy of Nutrition and Dietetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 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

6 authors.

Mariana Fagundes GriloGraduate Program in Collective Health, School of Medical Sciences, University of Campinas, Campinas, Brazil.
Lindsey Smith TaillieUniversity of North Carolina, Chapel Hill, North Carolina.
Camila Zancheta RicardoSchool of Public Health, University of Chile, Región Metropolitana, Chile.
Laís Amaral MaisBrazilian Institute for Consumer Defense, São Paulo, Brazil.
Ana Paula Bortoletto MartinsBrazilian Institute for Consumer Defense, São Paulo, Brazil; Center for Epidemiological Studies in Nutrition and Health, University of São Paulo, São Paulo, Brazil.
Ana Clara DuranGraduate Program in Collective Health, School of Medical Sciences, University of Campinas, Campinas, Brazil; Center for Food Studies and Research, University of Campinas, Campinas, Brazil; Center for Epidemiological Studies in Nutrition and Health, University of São Paulo, São Paulo, Brazil. Electronic address: anaduran@unicamp.br.

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
UNC CLINICAL AND TRANSLATIONAL SCIENCE AWARD: BPCAUL1RR025747 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2008 to 2011
$44.6M
UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Venkata Saroja Voruganti · 1999 to 2026
$31.6M
NCATS NIH HHS UL1 TR002489NCRR NIH HHS UL1 RR025747NIDDK NIH HHS P30 DK056350
6 · The paper itself

Abstract

backgroundLow-calorie sweeteners (LCSs) are increasingly being used worldwide, including in foods and beverages commonly consumed by children.

objectiveTo examine the prevalence of LCSs in packaged foods and beverages sold in Brazil, whether LCSs are added to products with advertising directed to children, and whether foods and beverages with LCSs include front-of-package (FoP) LCS-related health and nutrition claims.

designCross-sectional study.

settingA sample (n = 11,434) of packaged foods and beverages sold by the top 5 largest Brazilian food retailers was examined to identify LCSs and added sugars, and a subsample (n = 3491) was examined to determine the presence of advertising directed to children and FoP LCS-related claims in foods and beverages with LCSs. MAIN OUTCOME AND MEASURES: The prevalence of foods and beverages with different types of LCSs in the Brazilian food supply, among ultra-processed foods and beverages and among foods and beverages with added sugars, were measured. Foods and beverages with advertising directed to children were checked to see if these products had LCSs and how many products with LCSs had FoP labels with LCS-related claims. STATISTICAL ANALYSES: Mean and 95% CIs were used to determine the overall prevalence of foods and beverages with LCSs and in the different assessed stratifications.

resultsThe prevalence of LCSs was 9.3% (95% CI 8.8-9.9) in Brazilian packaged foods and beverages, 14.6% (95% CI 13.8-15.4) in ultra-processed products alone, and 5.7% (95% CI 4.2-7.7) in foods and beverages with advertising directed to children. About 83% of food and beverage with LCSs were also sweetened with added sugars. LCSs were most frequently added to nonalcoholic sweetened beverages, breakfast cereals, and granola bars. Forty percent of foods and beverages with LCS did not present any FoP LCS-related claim.

conclusionThis study shows that LCSs are present in 15% of ultra-processed foods and beverages in Brazil, largely used in combination with added sugars, and are found in foods and beverages with advertising directed to children. Clearer FoP information regarding the presence of LCSs, in particular in products with advertising directed to children, can help consumers make more informed choices regarding LCS consumption.

Indexed as

BeveragesSweetening AgentsBrazilChildCross-Sectional StudiesFood SupplyHumansPrevalenceSugarsSugarsSweetening AgentsAdvertisingChildrenLabelingLow-calorie sweetenersPackages

Identifiers

PMID34954081
PMCPMC9213564

What OpenQuestion holds

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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.