The Relationship Between Free Sugar Intake and Long- Term Weight Change in a cohort of Swedish Older Adults
An-Najah National University
The thesis includes two studies. The first study is a prospective cohort study of the association between free sugars intake and long- term weight change in a cohort of older adults. The data made available to this study from the Malmö Diet and Cancer (MDC) study which was done between 1991-1996 in Sweden. In total 18,133 people were included in the study. The participants were categorized according to their free sugar intake as follows <5%, 5–<7·5%, 7·5–<10%, 10–<15%, 15-<20% and 20E%. The results showed that there was no significant association between free sugars intake and annual weight change, relative annual weight change or BMI change. The results also showed that there was no significant risk of becoming overweight among normal weight men and women based on their free sugars intake. Excluding misreporters and diet changers did not change this conclusion. The results suggest that the only mechanism that free sugars could influence a person’s weight is by disturbing the energy balance. The second study utilizes a qualitative approach using semi-structured interviews with heads of nutrition departments at the Palestinian ministries of health and education and the Palestine Standards Institution to investigate potential challenges facing applying policies to reduce free sugars intake in Palestine. The analysis of the transcribed interviews resulted in three overarching themes, these are Economic Barriers, Health Literacy, Regulations/ Laws.
The Relationship Between Free Sugar Intake and Long- Term Weight Change in a Cohort of Swedish Older Adults