Department of Food and Nutrition, School of Agriculture, Food and Wine, The University of Adelaide, Glen Osmond, Adelaide, SA 5064, Australia.
Robinson Research Institute, The University of Adelaide, Adelaide, SA 5006, Australia.
Nutrients. 2023 Sep 28;15(19):4196. doi: 10.3390/nu15194196.
Recently, the World Health Organization recommended avoiding low-calorie sweeteners (LCS) during pregnancy due to concerns that it may be linked to adverse pregnancy outcomes and offspring wellbeing. This study examined the patterns and predictors of LCS consumption among pregnant women in Australia. A survey was conducted among 422 pregnant women aged 18-50 years. Sociodemographic, lifestyle, dietary intake including LCS consumption, pregnancy-related characteristics, and awareness about the health effects of LCS were assessed. We used latent class analysis and multinomial logistic regression to identify LCS consumption patterns and predictors of consumption patterns, respectively. The mean (SD) age of the women was 30 (4.6) years. Three LCS consumption patterns were identified: infrequent or non-consumers representing 50% of the women, moderate consumers encompassing 40% of the women, and the remaining were habitual consumers. Over two-thirds (71%) of women were not aware of the potential adverse effects of LCS, and only a quarter of them were concerned about the possible adverse effects on their health and their offspring. Increasing age and living with a medical condition decreased the likelihood of moderate consumption by 7% and 55%, respectively. Frequent sugar-sweetened beverage consumption and gestational diabetes predicted habitual LCS consumption. This research suggested widespread LCS consumption among pregnant women in Australia, but lower awareness of its potential adverse health effects. Interventions to increase awareness of potential adverse effects are warranted.
最近，世界卫生组织建议孕妇避免摄入低卡路里甜味剂（LCS），因为担心它可能与不良妊娠结局和后代健康有关。本研究调查了澳大利亚孕妇 LCS 消费的模式和预测因素。对 422 名年龄在 18-50 岁的孕妇进行了调查。评估了社会人口统计学、生活方式、饮食摄入（包括 LCS 消费）、与妊娠相关的特征以及对 LCS 健康影响的认识。我们分别使用潜在类别分析和多项逻辑回归来确定 LCS 消费模式和消费模式的预测因素。女性的平均（SD）年龄为 30（4.6）岁。确定了三种 LCS 消费模式：不经常或不消费的占 50%的女性，中等消费的占 40%的女性，其余的是习惯性消费者。超过三分之二（71%）的女性不知道 LCS 的潜在不良影响，只有四分之一的女性担心它可能对自己的健康和后代产生不良影响。年龄增长和患有医疗状况分别使中等消费的可能性降低了 7%和 55%。频繁饮用含糖饮料和妊娠糖尿病预测习惯性 LCS 消费。这项研究表明，澳大利亚孕妇普遍消费 LCS，但对其潜在不良健康影响的认识较低。有必要开展提高对潜在不良影响认识的干预措施。
