Determination of sugar types and content in formulated milk of infants and children in Malaysia

Authors

  • Noor Nazahiah Bakri Universiti Teknologi MARA
  • Intan Nur Amalina Rashid Universiti Teknologi MARA
  • Fathin Faiza Abdul Rahman Universiti Teknologi MARA
  • Zatilfarihiah Rasdi Universiti Teknologi MARA
  • Nor Faezah Md Bohari Universiti Teknologi MARA
  • Nawwal Alwani Mohd Radzi Universiti Teknologi MARA
  • Ahmad Nadzri Mohamad Universiti Teknologi MARA

DOI:

https://doi.org/10.11113/mjfas.v15n5.1495

Keywords:

Formulated milk, sugar content, free sugar, infants and children

Abstract

High sugar intake contributes to an increased risk of non-communicable diseases such as diabetes, obesity, hypertension, and dental caries. Infants and young children who drink formulated milk have been exposed to free sugars early in their life. Objectives: To determine the amount of free sugar in different brands of formulated milk that are available in Malaysia and to compare the recommended serving size of the formulated milk according to the guideline of daily free sugar intake by WHO for infants and children. Methods: High-Performance Liquid Chromatography (HPLC) was used to determine the sugar amount in five different brands of age-specific formulated milk (0-9 years old). The sugar amount for each sample was determined by 1:100 dilution of milk and HPLC for 8 minutes. Percentage of free sugar intake per day was calculated based on the HPLC result and the recommended serving size per day was compared to the nutritional label of the formulated milk and further compared to the recommended calorie intake by WHO. Results: The total free sugar for all samples were ranged from 0.08% - 23.28% out of the total calories for each age. One out of the 20 aged-specific formulated milk exceeded the WHO recommendation of free sugar intake per day. Conclusion: The amount of sugar in formulated milk should be monitored by health policy as some of the formulated milk has exceeded the recommended free sugar intake by WHO.

Author Biographies

Noor Nazahiah Bakri, Universiti Teknologi MARA

Centre for Population Oral Health and Clinical Prevention, Faculty of Dentistry

Intan Nur Amalina Rashid, Universiti Teknologi MARA

Centre for Population Oral Health and Clinical Prevention, Faculty of Dentistry

Fathin Faiza Abdul Rahman, Universiti Teknologi MARA

Centre for Population Oral Health and Clinical Prevention, Faculty of Dentistry

Zatilfarihiah Rasdi, Universiti Teknologi MARA

Centre of Preclinical Sciences Studies, Faculty of Dentistry

Nor Faezah Md Bohari, Universiti Teknologi MARA

Centre for Population Oral Health and Clinical Prevention, Faculty of Dentistry

Nawwal Alwani Mohd Radzi, Universiti Teknologi MARA

Centre for Population Oral Health and Clinical Prevention, Faculty of Dentistry

Ahmad Nadzri Mohamad, Universiti Teknologi MARA

Faculty of Information Management

References

Ballard, O., Morrow, A. L. 2013. Human milk composition: nutrients and bioactive factors. Pediatric Clinics, 60(1), 49-74.

Hernell, O. 2011. Human milk vs. cow’s milk and the evolution of infant formulas. Milk and Milk Products in Human Nutrition, 67, 17-28.

Institute of Medicine (US) Committee on the Evaluation of the Addition of Ingredients New to Infant Formula. 2004. Infant formula: Evaluating the safety of new ingredients. Retrieved from: https://www.ncbi.nlm.nih.gov/ books/NBK215837

Islam, S. M. S., Purnat, T. D., Phuong, N. T. A., Mwingira, U., Schacht, K., Fröschl, G. 2014. Non‐Communicable Diseases (NCDs) in developing countries: a symposium report. Globalization and health, 10(1), 81.

Ismail, A. I., Sohn, W. 1999. A systematic review of clinical diagnostic criteria of early childhood caries. Journal of Public Health Dentistry, 59(3), 171-191.

Johnson, R. J., Segal, M. S., Sautin, Y., Nakagawa, T., Feig, D. I., Kang, D. H., Sánchez-Lozada, L. G. 2007. Potential role of sugar (fructose) in the epidemic of hypertension, obesity and the metabolic syndrome, diabetes, kidney disease, and cardiovascular disease. The American journal of clinical nutrition, 86(4), 899-906.

Koletzko, B., Brands, B., Poston, L., Godfrey, K., Demmelmair, H. 2012. Early nutrition programming of long-term health. Proceedings of the Nutrition Society, 71(3), 371-378.

Lenton, S., Nylander, T., Teixeira, S. C., Holt, C. 2015. A review of the biology of calcium phosphate sequestration with special reference to milk. Dairy Science & Technology, 95(1), 3-14.

Lucas, A., Morley, R., Cole, T. J., Gore, S. M. 1994. A randomised multicentre study of human milk versus formula and later development in preterm infants. Archives of Disease in Childhood-Fetal and Neonatal Edition, 70(2), F141-F146.

Martin, C. R., Ling, P. R., Blackburn, G. L. 2016. Review of infant feeding: key features of breast milk and infant formula. Nutrients, 8(5), 279.

National Coordinating Committee on Food and Nutrition (NCCFN). 2017. Recommended nutrient intake for Malaysia. Putrajaya, Malaysia: Ministry of Health Malaysia.

Nicolau, B., Thomson, W. M., Steele, J. G., Allison, P. J. 2007. Life‐course epidemiology: concepts and theoretical models and its relevance to chronic oral conditions. Community Dentistry and Oral Epidemiology, 35(4), 241-249.

Rozenberg, S., Body, J. J., Bruyère, O., Bergmann, P., Brandi, M. L., Cooper, C., Rizzoli, R. 2016. Effects of dairy products consumption on health: benefits and beliefs—A commentary from the Belgian Bone Club and the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases. Calcified Tissue International, 98(1), 1-17.

Sexton, D. L. 2004. Determination of Lactose by Reversed-Phase High Performance Liquid Chromatography (Unpublished master thesis). Retrieved from. http://dc.etsu.edu/etd/878

Tornheim, K., Ruderman, N. B. 2011. Intermediary metabolism of carbohydrate, protein, and fat. In R. Ahima (Ed.) Metabolic basis of obesity (pp. 25-51). New York, NY: Springer.

World Health Organization. 2013. Global action plan for the prevention and control of noncommunicable diseases

-2020. Geneva: World Health Organization.

World Health Organization. 2015. Guideline: Sugars intake for adults and children. Geneva: World Health Organization.

Downloads

Published

10-10-2019