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This cross-sectional study assessed the nutritional status of 526 home-dwelling and 374 institutionalised older people. Their diets were assessed using a Mini Nutritional Assessment (MNA) and nutrient intakes from 1-3 day food records. Participants were grouped into quartiles of non-milk extrinsic sugar (NMES) consumption, and then compared with energy, nutrient and fibre intakes. The study found high NMES intakes were associated with older age, female sex, poor cognition, low MNA scores, immobility and institutionalisation. Ninety percent of the people in the highest NMES quartile were institutionalised. Among the participants in institutions, low protein and micronutrient intakes occurred in both those with low energy intake and those with very high NMES intakes. In those living at home, protein and nutrient intake declined linearly as NMES increased.
High Intake of Non-milk Extrinsic Sugars Is Associated With Protein and Micronutrient Dilution in Home-Dwelling and Institutionalized Older People. SK Jyväkorpi et al. J Am Med Dir Assoc 18 (4), 301-305.
EXPLANATORY NOTE: Non Milk Extrinsic Sugars are sugars not contained within the cellular structure of food, except lactose in milk and milk products. The difference between NMES and free sugars is NMES includes 50% of the fruit sugars from stewed, dried or canned fruit and free sugars does not.