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Randomized Controlled Trial
. 2020 Oct 8;12(10):3069.
doi: 10.3390/nu12103069.

Effect of Added Sugar on the Consumption of A Lipid-Based Nutrient Supplement Among 7-24-Month-Old Children

Harriet Okronipa  1   2 , Amado D Quezada-Sánchez  3 , Susan L Johnson  4 , Cloe Rawlinson  5 , Selene Pacheco-Miranda  5 , Mónica Venosa López  5 , Wendy Gonzalez Navarrete  6 , Anabelle Bonvecchio Arenas  5   7
Affiliations
Randomized Controlled Trial

Effect of Added Sugar on the Consumption of A Lipid-Based Nutrient Supplement Among 7-24-Month-Old Children

Harriet Okronipa et al. Nutrients. .

Abstract

Small-quantity lipid-based nutrient supplements (SQ-LNS) could help prevent malnutrition. Our primary objective was to examine the acceptability and consumption of sweetened and unsweetened versions of SQ-LNS before and after 14-days of repeated exposure. A total of 78 mother-infant dyads recruited from health centers in Morelos, Mexico, were randomized to two groups of SQ-LNS (sweetened, LNS-S; unsweetened, LNS-U). During the study, infants were fed SQ-LNS (20 g) mixed with 30 g of complementary food of the caregiver's choice. The amount of supplement-food mixture consumed was measured before, during and after a 14-day home exposure period. We defined acceptability as consumption of at least 50% of the offered food mixture. At initial exposure, LNS-U consumption was on average 44.0% (95% CI: 31.4, 58.5) and LNS-S 34.8% (25.3, 44.0); at final exposure, LNS-U and LNS-S consumption were 38.5% (27.8, 54.0) and 31.5% (21.6, 43.0). The average change in consumption did not differ between the groups (2.2 p.p. (-17.2, 24.4)). We conclude that the acceptability of sweetened and unsweetened SQ-LNS was low in this study population. Since consumption did not differ between supplement versions, we encourage the use of the unsweetened version given the potential effects that added sugar may have on weight gain especially in regions facing the double burden of malnutrition.

Keywords: Mexico; acceptability; malnutrition; small quantity lipid-based nutrient supplements.

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Conflict of interest statement

The authors report no conflicts of interest related to this study. At the time of the study, Wendy Gonzalez was an employee of the Global Alliance for Improved Nutrition (GAIN) and manager of the BPNR project. The funder of the study had no role in the study design, data collection, analysis, interpretation and preparation of the manuscript. The findings and conclusions contained within are those of the authors and do not necessarily reflect positions or policies of GAIN.

Figures

Figure 1
Figure 1
Study profile. In the unsweetened small-quantity lipid-based nutrient supplements group (LNS-U), children were randomized to receive 20 g of unsweetened small-quantity lipid-based nutrient supplements; in the sweetened small-quantity lipid-based nutrient supplements group (LNS-S), children were randomized to receive 20 g of sweetened small-quantity lipid-based nutrient supplements. For both supplement versions, children were fed their assigned version of the supplement mixed with 30 g of a complementary food of the caregiver’s choice during an observed feeding session; and one daily serving of a 30 mL spoon of a complementary food of the caregiver’s choice during a 14-day home exposure session.
Figure 2
Figure 2
Children’s mean consumption patterns of small quantity lipid-based nutrient supplements during a 14-day home exposure period. We identified three consumption groups namely low-medium consumption, high consumption and high variability.
See this image and copyright information in PMC

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