COMPARATIVE ANALYSIS OF SUGARED AND SUGAR-FREE SYRUPS USED IN CHILDREN: NUTRITIONAL COMPOSITION, HEALTH IMPACT, AND ACCEPTABILITY
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Abstract
Twelve pediatric syrups (6 sugared, 6 sugar-free) were analyzed for composition, caloric content, and sweeteners. A parental survey (n=85) assessed acceptability and tolerance. Statistical analyses and visualizations were performed.
Sugared syrups contained 3.6–4.5 g sugar per 5 ml (18–20 kcal), while sugar-free syrups contained 0–0.1 g sugar and 2–5 kcal. Sugared syrups showed higher dental caries risk and metabolic concerns. Sugar-free syrups had minimal side effects, mainly mild gastrointestinal symptoms in 8% of cases. Taste preference favored sugared syrups in children under 5 (76% vs 24%, p<0.01).
Sugar-free syrups offer safer alternatives but require attention to sweetener types to ensure acceptability and minimize side effects. Recommendations should be individualized.
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References
1. Moynihan P, Kelly S. Effect on caries of restricting sugar intake: systematic review. J Dent Res. 2014;93(1):8-18.
2. Sylvetsky AC, Rother KI. Trends in the consumption of low-calorie sweeteners. Nutrients. 2018;10(7):818.
3. Ventura AK, Mennella JA. Innate and learned preferences for sweet taste during childhood. Curr Opin Clin Nutr Metab Care. 2011;14(4):379-384.
4. Magnuson BA, et al. Review of the regulation and safety of food additives. Food Chem Toxicol. 2016;89:31-41.
5. Piernas C, et al. Acceptability of sugar-sweetened and sugar-free syrups in pediatric patients: a systematic review. Pediatrics. 2019;143(6):e20190712.
6. Chukwuma C, et al. Effects of non-nutritive sweeteners on children's gut microbiota: a review. Nutrients. 2021;13(8):2805.
7. Sheiham A. Dietary effects on dental diseases. Public Health Nutr. 2001;4(2B):569-591.
8. Malik VS, et al. Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes. Diabetes Care. 2010;33(11):2477-2483.
9. Livesey G. Health potential of polyols as sugar replacers, with emphasis on low glycaemic properties. Nutr Res Rev. 2003;16(2):163-191.
10. Roberts A, Renwick AG. The safety of artificial sweeteners in children. Food Chem Toxicol. 2020;138:111234.
11. Mennella JA. Development of taste preferences. Adv Nutr. 2014;5(3):358S-363S.