Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Communication
  • Published:

Contribution of ‘noncore’ foods and beverages to the energy intake and weight status of Australian children

Abstract

Objectives:

The Australian Guide to Healthy Eating is based on five core food groups and water. Foods or beverages that do not fit into these groups are considered extra or ‘noncore’. We tested the hypotheses that noncore foods and beverages make a greater proportional contribution to mean daily energy intakes of: (1) children, compared with other age groups; and (2) overweight and obese children, compared with healthy weight children.

Design, setting and subjects:

We used data from 13 858 participants aged 2 to 80+ y who had 24-h dietary recall data collected in the 1995 cross-sectional Australian National Nutrition Survey. ANOVA was used to compare the percentage of energy provided by noncore foods and beverages by age and weight status.

Results:

Children (5 to 12 y) and adolescents (13 to 18 y) obtained significantly more (P<0.001) of their daily food energy from noncore foods (41.5 and 43.4%, respectively) than all other age groups. These age groups also obtained significantly more (P<0.001) of their daily beverage energy from noncore beverages (30.7 and 36.9%, respectively). Results were not consistent with weight status, although very young (2–4 y) obese children obtained significantly more energy (P<0.05) from noncore beverages than children in a healthy weight range. Younger children may also have consumed a greater quantity of foods and beverages. Under-reporting may have obscured similar results for older children.

Conclusions:

By definition, noncore foods and beverages are surplus to the requirements of a healthy diet. We found that Australian children consume these foods and beverages in excess.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3

Similar content being viewed by others

References

  • Bandini LG, Vu D, Must A, Cyr H, Goldberg A & Dietz WH (1999): Comparison of high-calorie, low-nutrient dense food consumption among obese and non-obese adolescents. Obes. Res. 7, 438–443.

    Article  CAS  PubMed  Google Scholar 

  • Bell AC & Swinburn BA (2004): What are the key food groups to target for preventing obesity and improving nutrition in schools? Eur. J. Clin. Nutr. 58, 258–263.

    Article  CAS  PubMed  Google Scholar 

  • Berenson GS, Srinivasan SR & Nicklas TA (1998): Atherosclerosis: a nutritional disease of childhood. Am. J. Cardiol. 82, 22T–29T.

    Article  CAS  PubMed  Google Scholar 

  • Campbell K & Crawford D (2001): Family food environments as determinants of preschool-aged children's eating behaviours: implications for obesity prevention policy. A review. Aust. J. Nutr. Diet 58, 19–25.

    Google Scholar 

  • Cole TJ, Belizzi MC, Flegal KM & Dietz WH (2000): Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320, 1240–1243.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Cook P, Rutishauser IHE & Seelig M (2001): Comparable Data on Food and Nutrient Intake and Physical Measurements from the 1983, 1985 and 1995 National Nutrition Surveys. Brisbane: Australian Food and Nutrition Monitoring Unit.

    Google Scholar 

  • Coon KA & Tucker KL (2002): Television and children's consumption patterns. A review of the literature. Minerva Pediatr. 54, 423–436.

    CAS  PubMed  Google Scholar 

  • Dietz WH (1994): Critical periods in childhood for the development of obesity. Am. J. Clin. Nutr. 59, 955–959.

    Article  CAS  PubMed  Google Scholar 

  • DiMeglio DP & Mattes RD (2000): Liquid versus solid carbohydrate: effects on food intake and body weight. Int. J. Obes. Relat. Metab. Disord. 24, 794–800.

    Article  CAS  PubMed  Google Scholar 

  • Epstein LH, Myers MD, Raynor HA & Saelens BE (1998): Treatment of pediatric obesity. Pediatrics 101, 554–570.

    CAS  PubMed  Google Scholar 

  • Fisher JO, Johnson RK, Lindquist C, Birch L & Goran M (2000): Influence of body composition on the accuracy of reported energy intake in children. Obes. Res. 8, 597–603.

    Article  CAS  PubMed  Google Scholar 

  • Heitmann BL, Lissner L & Osler M (2000): Do we eat less fat or just report so? Int. J. Obes. Relat. Metab. Disord. 24, 435–442.

    Article  CAS  PubMed  Google Scholar 

  • James J, Thomas P, Cavan D & Kerr D (2004): Preventing childhood obesity by reducing consumption of carbonated drinks: cluster randomised controlled trial. BMJ 328, 1237–1240.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kelder SH, Perry CL & Klepp KI (1994): Longitudinal tracking of adolescent smoking, physical activity and food choices and behaviours. Am. J. Public Health 84, 1121–1126.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kemper HC, Post GB & Twisk JW (1997): Rate of maturation during the teenage years: nutrient intake and physical activity between ages 12 and 22. Int. J. Sport Nutr. 7, 229–240.

    Article  CAS  PubMed  Google Scholar 

  • Livingstone MBE & Robson PJ (2000): Measurement of dietary intake in children. Proc. Nutr. Soc. 59, 279–293.

    Article  CAS  PubMed  Google Scholar 

  • Ludwig DS, Peterson KE & Gortmaker SL (2001): Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet 357, 505–508.

    Article  CAS  PubMed  Google Scholar 

  • Magarey A, Daniels LA & Smith A (2001): Fruit and vegetable intakes of Australians aged 2–18 years: an evaluation of the 1995 National Nutrition Survey data. Aust. NZ J. Public Health 25, 155–161.

    Article  CAS  Google Scholar 

  • McLennan W & Podger A (1995): National Nutritional Survey User's Guide. Canberra: ABS.

    Google Scholar 

  • Must A (1996): Morbidity and mortality associated with elevated body weight in children and adolescents. Am. J. Clin. Nutr. 63 (Suppl 3), S445–S447.

    Article  Google Scholar 

  • Neilsen SJ, Siega-Riz AM & Popkin BM (2002): Trends in energy intake in U.S. between 1977 and 1996: Similar shifts seen across age groups. Obes. Res. 10, 370–378.

    Article  Google Scholar 

  • NHMRC (2003): Clinical Practice Guidelines for the Management of Overweight and Obesity in Children and Adolescents. Canberra: Commonwealth of Australia.

  • NHMRC & DHA (2003): Food for Health: Dietary Guidelines for Children and Adolescents in Australia. Canberra: Commonwealth of Australia.

  • Smith A, Kellet E & Schmerlaib Y (1998): The Australian Guide to Healthy Eating. Canberra: Commonwealth Department of Health and Family Services.

    Google Scholar 

  • State Government Victoria, Department of Education and Training (2003): Smart eating for parents and schools. Better Health Channel:www.betterhealth.vic.gov.au.January 2003.

  • Story M (2003): Television and food advertising: an international health threat to children? Nutr. Diet 60, 72–73.

    Google Scholar 

  • Swinburn BA & Bell AC : A comprehensive approach to obesity prevention. In: Clinical Obesity and Related Metabolic Disease in Adults and Children, eds PG Kopelman, I Caterson, W Dietz, Oxford: Blackwell Publishing, in press.

  • US Department of Agriculture (2000): Agricultural Research Service. Continuing Survey of Food Intake by Individuals, 1994–1996, 1998. CD-ROM.

  • Zuppa JA, Morton H & Mehta KP (2003): Television food advertising: Counterproductive to children's health? A content analysis using the Australian Guide to Health Eating. Nutr. Diet 60, 78–84.

    Google Scholar 

Download references

Acknowledgements

We thank Carl Gibbons for his assistance with the NNS95 database. Colin Bell was supported by a VicHealth Public Health Research Fellowship.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to A C Bell.

Additional information

Guarantor: AC Bell.

Contributors: CB wrote the initial draft of the paper, and analysed and interpreted the data. PK contributed to the data analysis and assisted in preparation of the paper. AM contributed to the original concept of analysing core vs noncore foods and both she and BS provided assistance in interpreting the data in preparation of the paper.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bell, A., Kremer, P., Magarey, A. et al. Contribution of ‘noncore’ foods and beverages to the energy intake and weight status of Australian children. Eur J Clin Nutr 59, 639–645 (2005). https://doi.org/10.1038/sj.ejcn.1602091

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ejcn.1602091

Keywords

This article is cited by

Search

Quick links