American Journal of Clinical Nutrition, Vol 62, 851S-867S, Copyright © 1995 by The American Society for Clinical Nutrition, Inc

REVIEW ARTICLES

Intake of carbohydrate and its components--international comparisons, trends over time, and effects of changing to low-fat diets

AM Stephen, GM Sieber, YA Gerster and DR Morgan
Division of Nutrition and Dietetics, College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Canada.

This paper by Dr. Alison Stephen et al should have been published in the supplement titled New dimension in carbohydrates [Am J Clin Nutr 61(suppl):915S-1011S]. However, the paper was inadvertently omitted at the time of submission of the supplement for publication. We later printed this article in the October 1995 issue of the Journal, although it should be considered as a contribution to the previously published supplement.

Carbohydrate constitutes the major source of dietary energy for all peoples of the world. However, it has been difficult to make accurate determinations of intakes of carbohydrate and its constituents because of lack of individual assessments in which carbohydrate components are included. For many countries, only food balance information is available and values for total carbohydrate are often derived by difference. Available information indicates that carbohydrate consumption decreased in many industrialized nations as prosperity led to an increased consumption of fat. Fat intakes have fallen over the past two decades and carbohydrate intakes have increased, but still do not approach the 60-70%contribution of carbohydrate to total energy in developing countries. A negative image for carbohydrate has led to a reluctance to accept it as a legitimate dietary component, particularly in North America. New evidence of the beneficial effects of starch in the diet indicates that increased consumption of carbohydrate, especially in the form of starch, should be promoted in Western countries.

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