The Amount of Carbohydrates in the Modern Diet and the Influence of Food Taxes for Public Health Purposes

  • Suresh D. SharmaEmail author
  • Michele Barone
Part of the SpringerBriefs in Molecular Science book series (BRIEFSMOLECULAR)


This chapter discusses the importance of carbohydrates in inexpensive and good-tasting foods. The behaviour of food consumers has been always influenced by material and immaterial features concerning food and beverage products. Several of these features are related to the marketing strategy, advertising messages, and so on. However, a good and relevant part of motivating reasons concerns the food products ‘as it is’. This reflection involves chemistry, microbiology, and technology of foods and beverages. For these reasons, the industry tends to produce tasty and commonly accepted food products. In relation to sweet products, the synergic effect of fat and sugars at the hedonistic level should be considered. Food preference depends often on sweet tastes, but this attribution can be ascribed to the lipid content in certain foods such as cheeses without high sugar contents. Moreover, the amount of sugars in the human diet is not a direct cause for obesity. Consequently, different strategies have been proposed when speaking of the fight against malnutrition and obesity, including nutritional education, health training, nutritional labellings, marketing campaigns, use of different sugars and fat matters, and the so-called food tax policies. These strategies are considered in detail, especially when speaking of tax policies and sweet surrogates.


Acesulfame potassium Added sugar Food tax Marketing Obesity Sucrose Sweetening power 



Food and Agriculture Organization of the United Nations


Diet Intervention Examining the Factors Interacting with Treatment Success


Sweetening power


US Department of Agriculture


  1. Anderson CH (1995) Sugars, sweetness, and food intake. Am J Clin Nutr 62(1):195S–201S. Scholar
  2. Anton SD, Martin CK, Han H, Coulon S, Cefalu WT, Geiselman P, Williamson DA (2010) Effects of stevia, aspartame, and sucrose on food intake, satiety, and postprandial glucose and insulin levels. Appetite 55(1):37–43. Scholar
  3. Arnow B, Kenardy J, Agras WS (1992) Binge eating among the obese: a descriptive study. J Behav Med 15(2):155–170. Scholar
  4. Arnow B, Kenardy J, Agras WS (1995) The emotional eating scale: the development of a measure to assess coping with negative affect by eating. Int J Eat Disord 18(1):79–90.;2-vCrossRefPubMedGoogle Scholar
  5. Baglio E (2017) Chemistry and technology of honey production. Springer International Publishing, ChamGoogle Scholar
  6. Barbieri G, Barone C, Bhagat A, Caruso G, Conley ZR, Parisi S (2014) Sweet compounds in foods: sugar alcohols. The influence of chemistry on new foods and traditional products. Springer International Publishing, Cham, pp 51–59Google Scholar
  7. Barthel D (1989) Modernism and marketing: the chocolate box revisited. Theor Cult Soc 6(3):429–438. Scholar
  8. Birch LL, Zimmerman SI, Hind H (1980) The influence of social-affective context on the formation of children’s food preferences. Child Dev 51(3):856–861. Scholar
  9. Birch LL, McPhee L, Sullivan S, Johnson S (1989) Conditioned meal initiation in young children. Appetite 13(2):105–113. Scholar
  10. Blundell JE, Hill AJ (1993) Binge eating: psychobiological mechanisms. In: Fairburn CG, Wilson GT (eds) Binge eating. Nature, assessment, and treatment. Guilford, London, pp 206–224Google Scholar
  11. Booth DA (1985) Food-conditioned eating preferences and aversions with interceptive elements: conditioned appetites and satieties. Ann NY Acad Sci 443(1):22–41. Scholar
  12. Bradley RM (1972) Development of the taste bud and gustatory papillae in human fetuses. In: Bosma JF (ed) Third symposium on oral sensation and perception: the mouth of the infant. Charles C Thomas, Springfield, pp 139–142Google Scholar
  13. Bradley RM, Mistretta C (1975) Fetal sensory receptors. Physiol Rev 55(3):182–352. Scholar
  14. Bray GA, Popkin BM (1998) Dietary fat intake does affect obesity! Am J Clin Nutr 68(6):1157–1173. Scholar
  15. Bray GA, Nielsen SJ, Popkin BM (2004) Consumption of high-fructose corn syrup in beverages may play a role in the epidemic of obesity. Am J Clin Nutr 79(4):537–543. Scholar
  16. Brunazzi G, Parisi S, Pereno A (2014) The importance of packaging design for the chemistry of food products. Springer International Publishing, ChamCrossRefGoogle Scholar
  17. Cairns G, Angus K, Hastings G (2009) The extent, nature and effects of food promotion to children: a review of the evidence to December 2008. World Health Organization, Geneva. Available Accessed 30th Oct 2018
  18. Colchero MA, Popkin BM, Rivera JA, Wen S (2016) Beverage purchases from stores in Mexico under the excise tax on sugar sweetened beverages: observational study. BMJ 352:h6704. Scholar
  19. Contento I, Balch GI, Bronner YL, Lytle LA, Maloney SK, Olson CM, Swadener SS (1995) The effectiveness of nutrition education and implications for nutrition education policy, programs, and research: a review of research. J Nutr Educ 27(6):277–418Google Scholar
  20. Cowart BJ, Beauchamp GK (1986) The importance of sensory context in young children’s acceptance of salty tastes. Child Dev 57(4):1034–1039. Scholar
  21. Cramer B, Ikan R (1987) Progress in the chemistry and properties of rebaudiosides. In: Grenby TH (ed) Developments in sweeteners. Elsevier, New York, pp 45–48Google Scholar
  22. DeCastro JM, DeCastro E (1989) Spontaneous meal patterns of humans: influence of the presence of other people. Am J Clin Nutr 50(2):237–247. Scholar
  23. Desor JA, Greene LS, Maller O (1975) Preference for sweet and salty in 9- and 15-year old and adult humans. Science 190(4215):686–687. Scholar
  24. Drewnowski A (1987) Fats and food texture: sensory and hedonic evaluations. In: Moskowitz HR (ed) Food texture. Marcel Dekker, New York, pp 217–250Google Scholar
  25. Drewnowski A (1995) Energy intake and sensory properties of food. Am J Clin Nutr 62(5):1081S–1085S. Scholar
  26. Drewnowski A (1997) Taste preferences and food intake. Annu Rev Nutr 17(1):237–253. Scholar
  27. Drewnowski A, Greenwood MR (1983) Cream and sugar: human preferences for high-fat foods. Physiol Behav 30(4):629–633. Scholar
  28. Drewnowski A, Holden-Wiltse J (1992) Taste responses and food preferences in obese women: effects of weight cycling. Int J Obes 16:639–648Google Scholar
  29. Drewnowski A, Brunzell JD, Sande K, Iverius PH, Greenwood MRC (1985) Sweet tooth reconsidered: taste responsiveness in human obesity. Physiol Behav 35(4):617–622. Scholar
  30. Drewnowski A, Halmi KA, Pierce B, Gibbs J, Smith GP (1987a) Taste and eating disorders. Am J Clin Nutr 46(3):442–450. Scholar
  31. Drewnowski A, Bellisle F, Aimez P, Remy B (1987b) Taste and bulimia. Physiol Behav 41(6):621–626. Scholar
  32. Drewnowski A, Krahn D, Demitrack M, Nairn K, Gosnell B (1992) Taste responses and preferences for sweet high-fat foods: evidence for opioid involvement. Physiol Behav 51(2):371–379. Scholar
  33. Flegal KM, Carroll MD, Ogden CL, Johnson CL (2002) Prevalence and trends in obesity among U.S. adults, 1999–2000. J Am Med Assoc 288(14):1723–1727. Scholar
  34. Food Marketing Institute, Better Homes and Gardens Magazine (1988) A study of food patterns and meal consumption. Food Marketing Institute, The Research Department, Washington, DCGoogle Scholar
  35. Freedman D, Kettel Khan L, Serdula M, Srinivasan S, Berenson G (2001) BMI rebound, childhood height and obesity among adults: the Bogalusa heart study. Int J Obes 25(4):543–549. Scholar
  36. Freedman DS, Khan LK, Serdula MK, Dietz WH, Srinivasan SR, Berenson GS (2004) Inter-relationships among childhood BMI, childhood height, and adult obesity: the Bogalusa heart study. Int J Obes 28(1):10–16. Scholar
  37. Frijda N, Kuipers P, ter Schure E (1989) Relations among emotion, appraisal, and emotional action readiness. J Pers Soc Psychol 57(2):212–228. Scholar
  38. Galef BG Jr (1991) A contrarian view of the wisdom of the body as it relates to food selection. Psychol Rev 98(2):218–223. Scholar
  39. Gibney M, Sigman-Grant M, Stanton JL, Keast DR (1995) Consumption of sugars. Am J Clin Nutr 62(1):178S–194S. Scholar
  40. Gortmaker SL, Swinburn BA, Levy D, Carter R, Mabry PL, Finegood DT, Huang T, Marsh T, Moodie ML (2011) Changing the future of obesity: science, policy, and action. Lancet 378(9793):838–847. Scholar
  41. Goyal SK, Samsher GR, Goyal RK (2010) Stevia (Stevia rebaudiana) a bio-sweetener: a review. Int J Food Sci Nutr 61(1):1–10. Scholar
  42. Harris G (2008) Development of taste and food preferences in children. Curr Opin Clin Nutr Metab Care 11(3):315–319. Scholar
  43. Horton R (2018) Offline: NCDs, WHO, and the neoliberal utopia. Lancet 391(10138):2402. Scholar
  44. Houston DC (1979) The adaptation of scavengers. Serengeti: dynamics of an ecosystem. University of Chicago Press, Chicago, pp 263–286Google Scholar
  45. Institute of Medicine, Food and Nutrition Board, Board on Children, Youth, and Families, Committee on Food Marketing and the Diets of Children and Youth, McGinnis M, Appleton Gootman J, Kraak VI (2006) Food marketing to children and youth: threat or opportunity? National Academies Press, Washington, DCGoogle Scholar
  46. Jha P, Chaloupka FJ, Corrao M, Jacob B (2006) Reducing the burden of smoking world-wide: effectiveness of interventions and their coverage. Drug Alcohol Rev 25(6):597–609. Scholar
  47. Kaplan HI, Kaplan HS (1957) The psychosomatic concept of obesity. J Nerv Ment Dis 125(2):191–201. Scholar
  48. Kern DL, McPhee L, Fisher J, Johnson S, Birch LL (1993) The postingestive consequences of fat condition preferences for flavors associated with high dietary fat. Physiol Behav 54:71–76; 54(1):71–76. Scholar
  49. Kloesel L (2000) Sugar substitutes. Int J Pharm Compd 4(2):86–87PubMedGoogle Scholar
  50. Krause MV, Mahan LK (1984) Food, nutrition and diet therapy, 7th edn. WB Saunders Company, PhiladelphiaGoogle Scholar
  51. Le Magnen J (1986) Hunger. Cambridge University Press, CambridgeGoogle Scholar
  52. Lemus-Mondaca R, Vega-Gálvez A, Zura-Bravo L, Ah-Hen K (2012) Stevia rebaudiana Bertoni, source of a high-potency natural sweetener: a comprehensive review on the biochemical, nutritional and functional aspects. Food Chem 132(3):1121–1132. Scholar
  53. Levy DT, Mabry PL, Graham AL, Orleans CT, Abrams DB (2010) Reaching healthy people 2010 by 2013: a SimSmoke simulation. Am J Prev Med 38(3):S373–S381. Scholar
  54. Logue AW (1986) The psychology of eating and drinking. Freeman, New YorkGoogle Scholar
  55. Macht M (1999) Characteristics of eating in anger, fear, sadness, and joy. Appetite 33(1):129–139. Scholar
  56. McCann BS, Warnick GR, Knopp RH (1990) Changes in plasma, lipids, and dietary intake accompanying shifts in perceived work-load and stress. Psychosom Med 52(1):97–108. Scholar
  57. McCloy J, McCloy RF (1979) Enkephalin, hunger and obesity. Lancet 314(8134):156. Scholar
  58. Mennella JA, Beauchamp GK (1996) Taste and smell perception during human infancy. In: Calpaldi ED (ed) Why we eat what we eat: the psychology of eating. American Psychological Association, Washington, DC, pp 83–112CrossRefGoogle Scholar
  59. Mistretta CM (1981) Neurophysiological and anatomical aspects of taste development. In: Ash RN, Alberts JR, Peterson MR (eds) Development of perception, vol 1. Academic Press, New York, pp 433–455Google Scholar
  60. Oliver G, Wardle J (1999) Perceived effects of stress on food choice. Physiol Behav 66(3):511–515. Scholar
  61. Parisi S (2002) Profili evolutivi dei contenuti batterici e chimico-fisici in prodotti lattiero-caseari. Ind Aliment 41(412):295–306Google Scholar
  62. Parisi S (2003) Evoluzione chimico-fisica e microbiologica nella conservazione di prodotti lattiero - caseari. Ind Aliment 42(423):249–259Google Scholar
  63. Parisi S (2012) Food packaging and food alterations. The user-oriented approach. Smithers Rapra Technology Ltd., ShawburyGoogle Scholar
  64. Parisi S (2013) Food industry and packaging materials. User-oriented guidelines for users. Smithers Rapra Technology Ltd., ShawburyGoogle Scholar
  65. Perissé J, Sizaret F, François P (1969) The effect of income and the structure of the diet. FAO nutrition newsletter vol 7. Food and Agriculture Organization of the United Nations (FAO), Rome, pp 1–9Google Scholar
  66. Phillips KC (1987) Stevia: steps in developing a new sweetener. In: Grenby TH (ed) Developments in sweeteners. Elsevier New York, p 1.5Google Scholar
  67. Pliner P, Melo N (1997) Good neophobia in humans: effects of manipulated arousal and individual differences in sensation seeking. Physiol Behav 61(2):331–335. Scholar
  68. Popkin BM (1994) The nutrition transition in low-income countries: an emerging crisis. Nutr Rev 52(9):285–298. Scholar
  69. Popkin BM, Paeratakul S, Zhai F, Ge K (1995) Dietary and environmental correlates of Obesity in a population study in China. Obes Res 3(S2):135s–143s. Scholar
  70. Powell LM, Chaloupka FJ (2009) Food prices and obesity: evidence and policy implications for taxes and subsidies. Milbank Q 87(1):229–257. Scholar
  71. Putnam JJ, Allshouse JE (1970) Food consumption, prices and expenditures, 1970–97. Statistical bulletin no. 965, April 1999. United States Department of Agriculture, Economic Research Service, Food and Rural Economics Division, Washington, DCGoogle Scholar
  72. Rolls BJ (1986) Sensory-specific satiety. Nutr Rev 44(3):93–101. Scholar
  73. Rolls BJ (1999) Do chemosensory changes influence food intake in the elderly? Physiol Behav 66(2):193–197. Scholar
  74. Rolls BJ, McDermott M (1991) Effects of age on sensory-specific satiety. Am J Clin Nutr 54(6):988–996. Scholar
  75. Rowe RC, Sheskey PJ, Owen SC (eds) (2006) Handbook of pharmaceutical excipient, 5th edn. The Royal Pharmaceutical Society of Great Britain, London, and the American Pharmacists Association, Washington, DCGoogle Scholar
  76. Sacks G, Veerman L, Moodie M, Swinburn B (2010) ‘Traffic-light’ nutrition labelling and ‘junk-food’ tax: a modelled comparison of cost-effectiveness for obesity prevention. Int J Obes (London) 35(7):1001–1009. Scholar
  77. Sanjur D (1982) Social and cultural perspectives in nutrition. Prentice-Hall, Englewood Cliffs, p 336Google Scholar
  78. Schmidt R, Janssen E, Haussler O, Duriez X, Baron R (2000) Evaluating toothpaste sweetening. Cosmet Toilet 115:49–53Google Scholar
  79. Sclafani A (1991) Starch and sugar tastes in rodents: an update. Brain Res Bull 27(3–4):383–386. Scholar
  80. Slochower J (1983) Excessive eating: the role of emotions and environment. Human Sciences Library, New YorkGoogle Scholar
  81. Stanton MV, Robinson JL, Kirkpatrick SM, Farzinkhou S, Avery EC, Rigdon J, Offringa LC, Trepanowski JF, Hauser ME, Hartle JC, Cherin RJ, King AC, Ioannidis JP, Desai M, Gardner CD, Gardner CD (2017) DIETFITS study (diet intervention examining the factors interacting with treatment success)—study design and methods. Contemp Clin Trials 53:151–161. Scholar
  82. Stewart J, De Wit H, Eikelboom R (1984) Role of unconditioned and conditioned drug effects in the self-administration of opiates and stimulants. Psychol Rev 91(2):251–268. Scholar
  83. Sundaresan K (2018) Sweetening strategies. Prepared Foods 187(9):60–64Google Scholar
  84. Swinburn B, Sacks G, Hall KD, McPherson K, Finegood DT, Moodie M, Gortmaker S (2011) The global obesity pandemic: shaped by global drivers and local environments. Lancet 378(9793):804–814. Scholar
  85. Swithers SE, Davidson TL (2008) A role for sweet taste: calorie predictive relations in energy regulation by rats. Behav Neurosci 122(1):161–173. Scholar
  86. Szpylka J, Thiex N, Acevedo B, Albizu A, Angrish P, Austin S, Bach Knudsen KE, Barber CA, Berg D, Bhandari SD, Bienvenue A, Cahill K, Caldwell J, Campargue C, Cho F, Collison MW, Cornaggia C, Cruijsen H, Das M, De Vreeze M, Deutz I, Donelson J, Dubois A, Duchateau GS, Duchateau L, Ellingson D, Gandhi J, Gottsleben F, Hache J, Hagood G, Hamad M, Haselberger PA, Hektor T, Hoefling R, Holroyd S, Holt DL, Horst JG, Ivory R, Jaureguibeitia A, Jennens M, Kavolis DC, Kock L, Konings EJM, Krepich S, Krueger DA, Lacorn M, Lassitter CL, Lee S, Li H, Liu A, Liu K, Lusiak BD, Lynch E, Mastovska K, McCleary BV, Mercier GM, Metra PL, Monti L, Moscoso CJ, Narayanan H, Parisi S, Perinello G, Phillips MM, Pyatt S, Raessler M, Reimann LM, Rimmer CA, Rodriguez A, Romano J, Salleres S, Sliwinski M, Smyth G, Stanley K, Steegmans M, Suzuki H, Swartout K, Tahiri N, Ten Eyck R, Torres Rodriguez MG, Van Slate J, Van Soest PJ, Vennard T, Vidal R, Hedegaard RSV, Vrasidas I, Vrasidas Y, Walford S, Wehling P, Winkler P, Winter R, Wirthwine B, Wolfe D, Wood L, Woollard DC, Yadlapalli S, Yan X, Yang J, Yang Z, Zhao G (2018) Standard method performance requirements (SMPRs®) 2018.001: sugars in animal feed, pet food, and human food. J AOAC Int 101(4):1280–1282. Scholar
  87. Tuomisto T, Tuomisto MT, Hetherington MM (1998) Reasons for initiation and cessation of eating in obese men and women and the affective consequence of eating in everyday situations. Appetite 30(2):211–222. Scholar
  88. USDA (1995) Nutrition & your health: dietary guidelines for Americans. Home and garden bulletin No. 232. United States Department of Agriculture (USDA), Washington, DC. Available Accessed 30 Oct 2018
  89. Vos T, Carter R, Barendregt J, Mihalopoulos C, Veerman JL, Magnus A, Cobiac L, Bertram MY, Wallace AL, ACE–Prevention Team (2010) Assessing Cost-Effectiveness in Prevention (ACE–Prevention): Final report. University of Queensland, Brisbane and Deakin University, MelbourneGoogle Scholar
  90. Wansink B (1994) Antecedents and mediators of eating bouts. Fam Consum Sci Res J 23(2):166–182. Scholar
  91. Wansink B (2002) Changing eating habits on the home front: lost lessons from World War II research. J Public Policy Mark 21(1):90–99. Scholar
  92. Wansink B (2003) Profiling nutritional gatekeepers: three methods for differentiating influential cooks. Food Qual Prefer 14(4):289–297. Scholar
  93. Wansink B, Sudman S (2002) Consumer panels, 2nd edn. American Marketing Association, ChicagoGoogle Scholar
  94. Wansink B, Sonka ST, Cheney MM (2002) A cultural hedonic framework for increasing the consumption of unfamiliar foods: soy acceptance in Russia and Columbia. Rev Agric Econ 24(2):353–365. Scholar
  95. Wansink B, Cheney MM, Chan N (2003) Exploring comfort food preferences across age and gender. Physiol Behav 79(4–5):739–747. Scholar
  96. Weingarten HP, Kulikovsky OT (1989) Taste-to-postingestive consequence conditioning: is the rise in sham feeding with repeated experience a learning phenomenon? Physiol Behav 45(3):471–476. Scholar
  97. Wise R (1988) The neurobiology of craving: implications for the understanding and treatment of addiction. J Abnorm Psychol 97(2):118–132. Scholar

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Authors and Affiliations

  1. 1.Department of Biochemistry and Molecular BiologyPennsylvania State UniversityUniversity Park, State CollegeUSA
  2. 2.Associazione “Componiamo il Futuro” (CO.I.F.)PalermoItaly

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