000 02311nam a2200145 4500
008 250911b |||||||| |||| 00| 0 eng d
100 _aBartlomiej M Zalewski
245 _aILSI Europe Systematic Review: The Impact of Digestible and Nondigestible Carbohydrate Consumption for Toddlers (1–4 Years) in Relation to Health Outcomes
300 _aPages 1099–1132
520 _aContext Early dietary habits play a crucial role in shaping long-term health outcomes. Understanding the effects of different carbohydrate types on physiological markers is essential for developing evidence-based nutritional guidelines for toddlers. Objective The aim was to systematically evaluate the impact of both digestible and nondigestible carbohydrate intake during early childhood (1–4 years of age) on various health outcomes, including growth patterns, metabolic parameters, and the development of risk of cardiovascular diseases. Data Sources PubMed, Embase, and CENTRAL databases were searched up to April 2022 to identify studies investigating carbohydrate consumption in toddlers. Data Extraction The types of carbohydrates consumed, their sources, and their associations with growth parameters and metabolic markers were extracted. Thirty-one publications, including 18 cohort studies and 2 randomized controlled trials, were included. Data Analysis The risk of bias was assessed using the Mixed Methods Appraisal Tool. A narrative synthesis was performed, with a visual summary table of the direction of effects. Conclusion In toddlers, the negative impact on health risks later in life is more pronounced for digestible dietary carbohydrate intake in liquid forms, such as sugar-sweetened beverages and fruit juice, compared with solid forms. Higher nondigestible carbohydrate (dietary fiber) intake during early childhood showed a beneficial trend on later lipid profile. Further studies are required to comprehensively assess the effect of digestible and nondigestible carbohydrate intake in toddlers on cognitive and psychomotor development, infections, bowel function, and gut microbiota.
654 _acarbohydrate
_asugar
_abeverage
_a glycemic
_abody composition
_abowel habit
700 _aGisela A Weiss
773 0 _025311
_9113494
_d2009
_tNutrition Reviews
_x0029-6643
942 _cJA
999 _c132786
_d132786