Drastic action recommended

23 July 2015
Volume 31 · Issue 6

The Scientific Advisory Committee on Nutrition (SACN) has passed on final recommendations to the Government relating to sugar and also fibre and wholegrains as part of their ‘Carbohydrates and Health’ report.  The British Dietetic Association is supporting the recommendations from SACN.

The British Dietetic Association, founded in 1936, is the professional association for dietitians in Great Britain and Northern Ireland. It is the nation’s largest organisation of food and nutrition professionals with over 8,000 members.  The BDA is also an active trade union.

Dietitians are the only qualified health professionals that assess, diagnose and treat diet and nutrition problems at an individual and wider public health level. Uniquely, dietitians use the most up to date public health and scientific research on food, health and disease, which they translate into practical guidance to enable people to make appropriate lifestyle and food choices.

SACN has advised the Government to radically reduce the intake recommendation of free sugars in the population’s diet.

SACN has also advised the Government to increase the recommended intake of fibre in the population’s diet.

Free Sugars:

Free sugars are those added to food (e.g. sucrose (table sugar), glucose) or those naturally present in honey, syrups and unsweetened fruit juices, but exclude lactose in milk and milk products.

SACN has recommended that free sugars account for no more than 5 per cent of daily energy intake. This is:

19g or five sugar cubes for children aged four to six.

24g or six sugar cubes for children aged seven to 10.

30g or seven sugar cubes for children aged 11 years and over, based on average population diets.

SACN were asked by the Department of Health and the Food Standards Agency to examine the latest evidence on the links between consumption of carbohydrates, sugars, starch and fibre and a range of health outcomes, such as heart disease, type 2 diabetes, bowel health and tooth decay, to ensure the Government’s position on consumption was up to date.

Through this review, SACN found that:

High levels of sugar consumption are associated with a greater risk of tooth decay.

The higher the proportion of sugars in the diet, the greater the risk of high energy intake.

Drinking high sugar beverages results in weight gain and increases in BMI in teenagers and children.

Consuming too many high sugar beverages increases the risk of developing type 2 diabetes.

 As a result, SACN recommends that:

The average population intake of free sugars should account for no more than 5 per cent of daily dietary energy intake.

The term ‘free sugars’is adopted, replacing the terms ‘Non Milk Extrinsic Sugars (NMES)’ and ‘added sugars’.

The consumption of sugar sweetened beverages (e.g. fizzy drinks, soft drinks and squash) should be minimised by both children and adults.

Fibre and Wholegrains:

The SACN report also looked at the amount of carbohydrates and fibre being consumed, and the link to health outcomes and recommended that:

The current recommendation that starchy carbohydrates, wholegrain where possible, should form 50 per cent of daily calorie intake is maintained.

Those aged 16 and over increase their intake of fibre to 30g a day, 25g for 11 to 15 year olds, 20g for five to 11 year olds and 15g for two to five year olds.

Responding to the SACN ‘Carbohydrates and Health’report and the recommendations that are now with the government, BDA Honorary Chairman, Fiona McCullough, said:

“We have known for a number of years, and further evidence presented shows, that as a nation, we are consuming too much sugar.  The time is now right to address this issue head on and improve the nation’s health in both the long and short term.”

“I also welcome the need to increase fibre in the nation’s diet. 

“Let’s make no mistake that the recommendations sitting on the desk of the government will be challenging to deliver, but I can assure you that dietitians around the UK are up for this challenge.  Indeed, the profession has been at the forefront of many of the issues raised, such as adopting a policy in favour of taxing sugary fizzy drinks two years ago.

“The experts have presented credible evidence and the ball is now firmly in the government’s court to seize this opportunity to improve the nation’s health.  While we all have a personal role to play in our individual health and the health of our families, we do need political will and momentum behind this. ”

Mick Armstrong, Chair of the British Dental Association, said:

"We have an historic opportunity here to end Britain's addiction to sugar. The government now has the evidence and a clear duty to send the strongest possible signal to the food industry, that while added sugar might be helping their sales, it is hurting their customers.

"Tooth decay remains the number one reason for hospital admissions among young children. By halving recommended sugar intake we could start bringing down the multi million pound bill we all pay for expanding waistlines and sick mouths.

"If David Cameron wants to give some meaning to his pledges on prevention he can start today, by finally acknowledging the huge burden sugar is placing on the NHS."

The BDA has long championed action on sugar, both to discourage consumption and encourage reformulation of sweetened food and drinks, and welcomed support this week from the British Medical Association (BMA) for a sugar levy.