{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T09:46:01Z","timestamp":1792057561936,"version":"4.4.0"},"reference-count":49,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"vor","delay-in-days":67,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp;amp; Child Nutrition"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Excessive added sugars intake in early childhood has been associated with an increased risk of obesity and other non\u2010communicable diseases. In Brazil, packaged foods form a substantial part of children's diets, yet no studies have examined the presence of added sugars in products specifically marketed to this population. This study assessed the prevalence and types of added sugars in packaged foods targeted at infants and children in Brazil, comparing two definitions: the current Brazilian food labelling regulation (ANVISA's definition) and a broader definition aligned with the World Health Organization's free sugars concept. A total of 1118 packaged foods and beverages from a 2020 Brazilian supermarket database featuring child\u2010targeted marketing strategies were analysed. Ingredient lists were screened to identify the presence of added sugar ingredients, and products were classified into 18 food categories. Comparison analyses of the prevalence of presence, number, and types of added sugar ingredients across definitions were conducted. Overall, 73.2% of products contained at least one added sugar ingredient according to ANVISA's definition, increasing to 78.0% under the broader definition. The largest differences between definitions were observed for \u201cFruit and vegetable pur\u00e9es, pulps, and soups for infants\u201d (0% vs. 54.8%) and \u201cFruit juices and other fruit\u2010based beverages\u201d (37.3% vs. 67.8%). \u201cSugars,\u201d including cane sugar and its derivatives, were the most common type of added sugar used, followed by \u201csyrups,\u201d and \u201cmaltodextrin.\u201d These findings reveal the widespread presence of added sugars in Brazilian packaged foods targeted at children. Broader definitions can uncover hidden sources, particularly in processed fruit\u2010based and infant products, underscoring the need for a comprehensive definition that includes all sugars with potential harm to health, to strengthen monitoring efforts and protect children's health.<\/jats:p>","DOI":"10.1111\/mcn.70251","type":"journal-article","created":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T18:54:06Z","timestamp":1788720846000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Extension of Added Sugar Use in Packaged Foods Targeted at Children in Brazil"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0183-8431","authenticated-orcid":false,"given":"Mar\u00edlia","family":"Valls","sequence":"first","affiliation":[{"name":"Nutrition in Foodservice Research Centre, Nutrition Postgraduate Program Federal University of Santa Catarina Florianopolis Santa Catarina Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2328-1277","authenticated-orcid":false,"given":"Tailane","family":"Scapin","sequence":"additional","affiliation":[{"name":"Nutrition in Foodservice Research Centre, Nutrition Postgraduate Program Federal University of Santa Catarina Florianopolis Santa Catarina Brazil"},{"name":"Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation, School of Health and Social Development, Faculty of Health Deakin University Geelong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7547-732X","authenticated-orcid":false,"given":"Marina","family":"Padovan","sequence":"additional","affiliation":[{"name":"Nutrition in Foodservice Research Centre, Nutrition Postgraduate Program Federal University of Santa Catarina Florianopolis Santa Catarina Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0265-090X","authenticated-orcid":false,"given":"Mariana Viera dos Santos","family":"Kraemer","sequence":"additional","affiliation":[{"name":"Nutrition in Foodservice Research Centre, Nutrition Postgraduate Program Federal University of Santa Catarina Florianopolis Santa Catarina Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8179-4855","authenticated-orcid":false,"given":"Ana Carolina","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Nutrition in Foodservice Research Centre, Nutrition Postgraduate Program Federal University of Santa Catarina Florianopolis Santa Catarina Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greyce L.","family":"Bernardo","sequence":"additional","affiliation":[{"name":"Nutrition in Foodservice Research Centre, Nutrition Postgraduate Program Federal University of Santa Catarina Florianopolis Santa Catarina Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2696-0539","authenticated-orcid":false,"given":"Paula Lazzarin","family":"Uggioni","sequence":"additional","affiliation":[{"name":"Nutrition in Foodservice Research Centre, Nutrition Postgraduate Program Federal University of Santa Catarina Florianopolis Santa Catarina Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9219-0179","authenticated-orcid":false,"given":"Maria Cec\u00edlia Cury","family":"Chaddad","sequence":"additional","affiliation":[{"name":"P\u00f5e no R\u00f3tulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6149-8752","authenticated-orcid":false,"given":"Rossana P C","family":"Proen\u00e7a","sequence":"additional","affiliation":[{"name":"Nutrition in Foodservice Research Centre, Nutrition Postgraduate Program Federal University of Santa Catarina Florianopolis Santa Catarina Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.9778\/cmajo.20160076"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2022.03.006"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2022.920710"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40368-022-00745-3"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2022.1037"},{"key":"e_1_2_10_7_1","unstructured":"Brazil.2014. Dietary Guidelines for the Brazilian Population 2014. Ministry of Health.https:\/\/www.fao.org\/nutrition\/education\/food-dietary-guidelines\/regions\/brazil\/en\/."},{"key":"e_1_2_10_8_1","unstructured":"Brazil.2019. Dietary Guideline for Brazilian Children Under 2 Years. Bras\u00edlia: Ministry of Health.https:\/\/bvsms.saude.gov.br\/bvs\/publicacoes\/dietary_guidelines_brazilian_chhildren_under.pdf."},{"key":"e_1_2_10_9_1","unstructured":"Brazil.2020. Brazilian Health Regulatory Agency. Resolution n\u00b0 429 of 2020. Establishes Requirements For The Nutritional Labeling of Packaged Food. Bras\u00edlia: Ministry of Health.https:\/\/www.gov.br\/anvisa\/en\/rules-and-regulations\/arquivos\/rdc-429_2020.pdf."},{"key":"e_1_2_10_10_1","unstructured":"Brazilian Association of Supermarkets. 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