{"id":18042,"date":"2021-06-07T12:00:43","date_gmt":"2021-06-07T16:00:43","guid":{"rendered":"http:\/\/caloriecontrol.org\/?p=18042"},"modified":"2022-07-19T14:44:07","modified_gmt":"2022-07-19T18:44:07","slug":"harris-poneranz-response","status":"publish","type":"post","link":"https:\/\/caloriecontrol.org\/harris-poneranz-response\/","title":{"rendered":"Survey Uses Parent Data To Draw Wide Conclusions About Sugar and Sweetener Labeling"},"content":{"rendered":"\n<p><strong>Keith Ayoob, EdD, RDN, FAND<\/strong><\/p>\n\n\n\n<p>This study looks at parents\u2019 ability to identify added sugar, low-and no-calorie sweeteners (LNCS), and juice in children\u2019s beverages.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color\"><a>Parents were randomly assigned to view one of the following<\/a>:<\/p>\n\n\n\n<ol class=\"wp-block-list\" type=\"1\"><li>The front of the package by itself, or<\/li><li>The front and back\/side of the package, (whichever included the nutrition facts panel (NFP) and the ingredients list, and the percentage of juice).&nbsp;<\/li><\/ol>\n\n\n\n<p>The parents were offered a \u201cYes or No\u201d response to indicate whether they thought the beverage contained added sugar or LNCS. They were also asked to use a sliding scale (0%-100%) in order to indicate their understanding of the beverage\u2019s percentage of juice.<\/p>\n\n\n\n<p>Parents were then asked to indicate whether products with names identifying the type of beverage (i.e. \u201cjuice drink\u201d or \u201c100% juice\u201d, etc.) contained added sugar or LNCS. Finally, they were asked to indicate the percentage of juice the beverage contained.&nbsp;<\/p>\n\n\n\n<p>Among the findings:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The majority of parents, up to 90%, depending on the product, were competent in identifying beverages with added sugar.&nbsp; When shown the ingredient list, their accuracy improved further.&nbsp;<\/li><li>Fewer than half of the parents correctly determined that drinks did not contain added sugar, based on the beverages\u2019 statements of identity (legal definitions).&nbsp; This suggests that parents may be unfamiliar with the formal distinctions between the various beverages.<\/li><\/ul>\n\n\n\n<p>How informative is this study?&nbsp; Perhaps less so than the authors had hoped, for several reasons.&nbsp; First, the authors admitted the survey tool hadn\u2019t been validated.&nbsp; How should we interpret the results of a study that used an unvalidated tool?&nbsp; Some in the scientific community might have difficulty taking these results seriously.&nbsp;<\/p>\n\n\n\n<p>Further, the authors\u2019 conclusion that, \u201cThe present findings support the need for revised regulations that clearly and consistently convey drink ingredients, including added sugar, LNCS and type and percentage of juice,\u201d is troubling.&nbsp; It could also be argued that many physicians and healthcare professionals are similarly unfamiliar with legal beverage descriptions.&nbsp; The authors\u2019 conclusion stops short of suggesting that if consumers were simply more knowledgeable, then they would choose water that is unflavored, flavored water that is not sweetened with sugar or LNCS, or 100% juice, as opposed to beverages with added sugar or LNCS. &nbsp;<\/p>\n\n\n\n<p>The assumption that consumers would make different choices if more information were \u200eavailable is baseless. Merely providing additional product ingredient information won\u2019t necessarily alter behavior. This information may help inform choices, but it won\u2019t necessarily change them. To suggest otherwise dismisses the consumer\u2019s power of free choice.&nbsp; Providing caloric information on menu boards at fast food restaurants, for example, doesn\u2019t necessarily prompt consumers to order differently.&nbsp; Their menu decisions, however, may be more informed. &nbsp;<\/p>\n\n\n\n<p>Moreover, in addition to 100% juice, beverages that include LNCS may be very useful options when reducing added sugars is a goal.&nbsp; The 2019 <a href=\"https:\/\/pediatrics.aappublications.org\/content\/144\/5\/e20192765\">policy statement of the American Academy of Pediatrics<\/a> aligns, as it states: \u201cIndividuals affected by certain conditions (e.g., obesity and type 1 or 2 diabetes mellitus) may benefit from the use of LNCS if substituted for caloric sweeteners.\u201d&nbsp;<\/p>\n\n\n\n<p>The authors also discount the possibility that the more consumers know about LNCS, the more they will realize they have no reason to fear them.&nbsp; These ingredients are simply tools for reducing sugar intake.&nbsp; As with all tools, they should be used wisely.&nbsp; LNCS are not a \u201ccure\u201d for obesity, type 2 diabetes or any condition, nor should they be given the burden of being such.&nbsp; &nbsp;<\/p>\n\n\n\n<p>Finally, it\u2019s doubtful that consumers are familiar with the mountain of research documenting the safety of LNCS across all populations, including children.&nbsp; Although LNCS are not recommended for children under age two years, this is not due to issues of safety.&nbsp; Rather, the goal in infants and toddlers is to provide a diet that doesn\u2019t displace valuable nutrients in the often-modest volume of food and fluids this age group consumes. &nbsp;Proper labeling should inform consumers about food and beverage products and their ingredients by providing accurate information that assist them in making choices that fit the needs of their children and themselves.&nbsp;<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><em>Harris JL, Pomeranz JL. Misperceptions about added sugar, non-nutritive sweeteners and juice in popular children&#8217;s drinks: Experimental and cross-sectional study with U.S. parents of young children (1-5\u2009years). Pediatr Obes. 2021 Apr 7:e12791. doi: 10.1111\/ijpo.12791.<\/em><\/p>\n\n\n\n<div style=\"height:54px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft size-large\"><img decoding=\"async\" width=\"150\" height=\"150\" src=\"http:\/\/caloriecontrol.org\/wp-content\/uploads\/Keith_Ayoob-headshot-HiRes-square-150x150-1.jpg\" alt=\"\" class=\"wp-image-16654\" srcset=\"https:\/\/caloriecontrol.org\/wp-content\/uploads\/Keith_Ayoob-headshot-HiRes-square-150x150-1.jpg 150w, https:\/\/caloriecontrol.org\/wp-content\/uploads\/Keith_Ayoob-headshot-HiRes-square-150x150-1-95x95.jpg 95w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/figure><\/div>\n\n\n\n<p><strong>Keith Ayoob, EdD, RDN, FAND,\u00a0<\/strong>is an Associate Clinical Professor Emeritus at the Albert Einstein College of Medicine. As a pediatric nutritionist and registered dietitian, Dr. Ayoob is also a past national spokesperson for the Academy of Nutrition and Dietetics. Dr. Ayoob is a consultant with the Calorie Control Council Advisory Board and the Global Stevia Institute (GSI), GSI is supported by PureCircle Ltd, a global leader in purified stevia leaf extract production.  <\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Keith Ayoob, EdD, RDN, FAND This study looks at parents\u2019 ability to identify added sugar, low-and no-calorie sweeteners (LNCS), and juice in children\u2019s beverages. Parents were randomly assigned to view one of the following: The front of the package by itself, or The front and back\/side of the package, (whichever included the nutrition facts panel [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":18043,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[188,176,140],"tags":[],"class_list":["post-18042","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-children","category-diabetes-month-hcp","category-press-releases"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Survey Uses Parent Data To Draw Wide Conclusions About Sugar and Sweetener Labeling - Calorie Control Council<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/caloriecontrol.org\/harris-poneranz-response\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Survey Uses Parent Data To Draw Wide Conclusions About Sugar and Sweetener Labeling - Calorie Control Council\" \/>\n<meta property=\"og:description\" content=\"Keith Ayoob, EdD, RDN, FAND This study looks at parents\u2019 ability to identify added sugar, low-and no-calorie sweeteners (LNCS), and juice in children\u2019s beverages. 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