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Sugar content in yogurt - a health concern, study warns

Yogurt is an ‘unrecognised’ source of dietary sugar

Jo Carlowe

Wednesday, 19 September 2018

The sugar content of most types of yogurt is well above the recommended threshold, health experts have warned.

An analysis* of the nutrient content of available UK supermarket products, published in the online journal BMJ Open, found that organic varieties, often viewed as healthier options, contain some of the highest average sugar content, at 13.1g/100g.

Yogurt may be an “unrecognised” source of dietary sugar, particularly for young children, who eat a lot of it, highlight the researchers.

The evidence suggests that yogurt and other fermented dairy products aid digestive and overall health. A good source of “friendly” bacteria, they also contain protein, calcium, iodine and vitamin B.

UK and US dietary guidelines recommend low fat and low sugar dairy products, and the researchers wanted to assess how far yogurt products, particularly those marketed to children, meet these guidelines. Children up to the age of three in the UK eat more yogurt than any other age group.

They therefore assessed the nutrient content of almost 900 yogurts and yogurt products, which were available from five major UK online supermarket chains in October/November 2016.

All the products were grouped into eight categories: children’s, which included fromage frais; dairy alternatives, such as soy; desserts; drinks; flavoured; fruit; natural/Greek; and organic.

Low fat and low sugar were classified according to European Union regulations, currently used for the front of pack food traffic light labelling system used in the UK: 3g of fat/100g or less or 1.5g or less for drinks; and a maximum of 5g of total sugars/100g.

The sugar content varied enormously both within and across the categories, the analysis showed. But, with the exception of natural/Greek yogurts, the average sugar content of products in all the categories was well above the low sugar threshold.

Fewer than one in 10 (9%) qualified as low sugar, almost none of which were in the children’s category. This is “concerning,” given the rise in childhood obesity and the prevalence of tooth decay among young children, say the researchers.

Unsurprisingly, desserts contained the most total sugar, at an average 16.4g/100g, an amount that represents more than 45 per cent of energy intake. These were followed by products in the children’s, flavoured, fruit, and organic categories.

In these categories, total average sugars ranged from 10.8g/100g in children’s products to 13.1g/100g in organic products. This compares with an average of 5g/100 g for natural/Greek yogurts.

By and large, average fat content was either below or just above the low fat threshold. Desserts had the highest fat content and the broadest range, averaging 5.2g/100g.

This is an observational study, and as such, can’t establish cause, added to which it covered only products sold in five supermarket chains.

But, write the researchers: “While yogurt may be less of a concern than soft drinks and fruit juices, the chief sources of free sugars in both children and adults’ diets, what is worrisome is that yogurt, as a perceived ‘healthy food,’ may be an unrecognised source of free/added sugars in the diet.”

This is particularly true of the organic yogurts analysed, they say.

“While the organic label refers to production, the well documented ‘health-halo effect’ means that consumers most often underestimate the caloric content and perceive the nutritional contents of organic products, including yogurts, more favourably.”

They conclude: “Not all yogurts are as healthy as perhaps consumers perceive them, and reformulation for the reduction of free sugars is warranted.”

*Moore JB, Horti A, Fielding BA. Evaluation of the nutrient content of yogurts: a comprehensive survey of yogurt products in the major UK supermarkets. BMJ Open 2018;8:e021387. doi: 10.1136/bmjopen-2017-021387

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