Development and Relative Validation of a Food Frequency Questionnaire to Assess Non-Nutritive Sweeteners Intake among Pregnant Women in Santiago, Chile: A Pilot Study
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Published:2023-05-29
Issue:11
Volume:15
Page:2518
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ISSN:2072-6643
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Container-title:Nutrients
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language:en
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Short-container-title:Nutrients
Author:
López-Arana Sandra1ORCID, Peralta Rebeca2, Sambra Verónica1ORCID, Abrigo Karen1, Prado Gabriel1ORCID, Cáceres Paola1ORCID, Carvajal Bielka3, Gotteland Martin12ORCID
Affiliation:
1. Department of Nutrition, Faculty of Medicine, University of Chile, Av. Independencia 1027, Independencia, Santiago 8380453, Chile 2. Institute of Nutrition and Food Technology (INTA), University of Chile, Av. El Líbano 5524, Macúl, Santiago 7830490, Chile 3. Department of Women and Newborn’s Health Promotion, Faculty of Medicine, University of Chile, Av. Independencia 1027, Independencia, Santiago 8380453, Chile
Abstract
Studies on the effects of non-nutritive sweeteners (NNSs) among pregnant women are scarce and have produced mixed results. One of the major challenges is to accurately assess NNS intake, especially in countries that have implemented policies to prevent obesity and where many foods and beverages have been progressively reformulated to partially or totally replace sugar with NNSs. This study aimed to develop and assess the relative validity of a food frequency questionnaire (FFQ) for use in pregnant women. We developed an FFQ to examine the intake of seven NNSs (acesulfame-k, aspartame, cyclamate, saccharin, sucralose, steviol glycosides, and D-tagatose). This questionnaire was piloted in 29 pregnant women (median age = 31.2 y; 25th–75th percentile: 26.9–34.7) to assess NNS intake over the previous month, compared to 3-day dietary records (3-DR). The validity of this dietary method was assessed using Spearman’s correlation coefficient, Lin´s concordance correlation coefficient (CCC), and Bland–Altman plots. Spearman’s correlations between the FFQ on NNSs and 3-DR ranged from 0.50 for acesulfame K to 0.83 for saccharin. CCC ranged between 0.22 and 0.66. The Bland–Altman plots showed an overestimation of saccharin, sucralose, and steviol glycosides intake by the FFQ on NNSs compared with 3-DR, and an underestimation of acesulfame K and aspartame. Overall, the NNSs most frequently consumed were sucralose, and none of the participants exceeded the acceptable daily intake for any of the NNSs evaluated. The FFQ on NNSs seems to be reasonably valid in the assessment of NNSs among pregnant women.
Funder
Fondo Nacional de Investigación y Desarrollo en Salud, FONIS
Subject
Food Science,Nutrition and Dietetics
Reference51 articles.
1. Serra-Majem, L., Raposo, A., Aranceta-Bartrina, J., Varela-Moreiras, G., Logue, C., Laviada, H., Socolovsky, S., Pérez-Rodrigo, C., Aldrete-Velasco, J.A., and Meneses Sierra, E. (2018). Ibero–American consensus on low-and no-calorie sweeteners: Safety, nutritional aspects and benefits in food and beverages. Nutrients, 10. 2. Edulcorantes no calóricos en la mujer en edad reproductiva: Documento de consenso;Cavagnari;Nutr. Hosp.,2020 3. Consumption of non-nutritive sweeteners during pregnancy;Ayoob;Am. J. Obstet. Gynecol.,2020 4. Artificial sweetener use among children: Epidemiology, recommendations, metabolic outcomes, and future directions;Sylvetsky;Pediatr. Clin. N. Am.,2011 5. Understanding the metabolic and health effects of low-calorie sweeteners: Methodological considerations and implications for future research;Sylvetsky;Rev. Endocr. Metab. Disord.,2016
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