Exposure to a Slightly Sweet Lipid-Based Nutrient Supplement During Early Life Does Not Increase the Preference for or Consumption of Sweet Foods and Beverages by 4-6-y-Old Ghanaian Preschool Children: Follow-up of a Randomized Controlled Trial

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dc.contributor.authorOkronipa, H.
dc.contributor.authorArimond, M.
dc.contributor.authorYoung, R.R.
dc.contributor.authorArnold, C.D.
dc.contributor.authorAdu-Afarwuah, S.
dc.contributor.authorTamakloe, S.M.
dc.contributor.authorBentil, H.J.
dc.contributor.authorOcansey, M.E.
dc.contributor.authorKumordzie, S.M.
dc.contributor.authorOaks, B.M.
dc.contributor.authorDewey, K.G.
dc.date.accessioned2019-05-20T16:10:00Z
dc.date.available2019-05-20T16:10:00Z
dc.date.issued2019-03
dc.description.abstractBackground: Whether consuming sweet foods early in life affects sweet food preferences and consumption later in childhood is unknown. Objective: We tested the hypothesis that exposure to a slightly sweet lipid-based nutrient supplement (LNS) early in life would not increase preference for or consumption of sweet items at preschool age. Methods: We followed up children who had participated in a randomized trial in Ghana in which LNS was provided to 1 group of women during pregnancy and 6 mo postpartum and to their infants from ages 6-18 mo (LNS group). The control group (non-LNS group) received iron and folic acid during pregnancy or multiple micronutrients during pregnancy and 6 mo postpartum, with no infant supplementation. At 4-6 y, we obtained data from caregivers on children's food and beverage preferences and consumption (n = 985). For a randomly selected subsample (n = 624), we assessed preference for sweet items using a photo game (range in potential scores, 0-15). For the photo game and reported consumption of sweet items, we examined group differences using predetermined noninferiority margins equivalent to an effect size of 0.2. Results: Median (quartile 1, quartile 3) reported consumption of sweet items (times in previous week) was 14 (8, 23) in the LNS group and 16 (9, 22) in the non-LNS group; in the photo game, the number of sweet items selected was 15 (11, 15) and 15 (11, 15), respectively. The upper level of the 95% CI of the mean difference between LNS and non-LNS groups did not exceed the noninferiority margins for these outcomes. Caregiver-reported preferences for sweet items also did not differ between groups (P = 0.9). Conclusion: In this setting, where child consumption of sweet foods was common, exposure to a slightly sweet LNS early in life did not increase preference for or consumption of sweet foods and beverages at preschool age. This trial was registered at clinicaltrials.gov as NCT00970866.en_US
dc.identifier.otherDOI: 10.1093/jn/nxy293
dc.identifier.otherVol.149(3): pp 532-541
dc.identifier.urihttp://ugspace.ug.edu.gh/handle/123456789/30124
dc.language.isoenen_US
dc.publisherJournal of Nutritionen_US
dc.subjectSweet fooden_US
dc.subjectSugar-sweetened beverageen_US
dc.subjectPreferenceen_US
dc.subjectConsumptionen_US
dc.subjectLipid-based nutrient supplementsen_US
dc.subjectChildrenen_US
dc.subjectGhanaen_US
dc.titleExposure to a Slightly Sweet Lipid-Based Nutrient Supplement During Early Life Does Not Increase the Preference for or Consumption of Sweet Foods and Beverages by 4-6-y-Old Ghanaian Preschool Children: Follow-up of a Randomized Controlled Trialen_US
dc.typeArticleen_US

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