Nearly HALF of breakfast cereals still contain too much sugar

Breakfast cereals still contain 'unacceptable' amounts of sugar and supermarkets' own-brand products are the worst offenders, campaigners have warned. 

• Campaign groups Action on Sugar and Action on Salt highlighted the dangers
• Malt-O-Meal's Marshmallow Mateys have the most sugar and salt
• This is despite NHS warning for manufacturers to make changes or face action
• Experts now want colourful packaging targeted at children to be banned 

By SAM BLANCHARD HEALTH REPORTER FOR MAILONLINE

PUBLISHED: 00:01 GMT, 26 February 2019 | UPDATED: 01:00 GMT, 26 February 2019

The NHS last summer urged manufacturers to change what they put in cereals or face a mandatory sugar tax like the one on soft drinks.

But Action on Sugar found nearly half still contain large amounts of sugar, with a way to go for companies to meet Public Health England's target of cutting sugar content by 20 per cent. 

The worst offending cereal – Malt-O-Meal's Marshmallow Mateys – was found to be 40 per cent sugar.

The campaign group now say it is 'immoral' to have colourful cartoon packaging aimed at children, and are now calling for it to be banned.  

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The cereals with the most sugar per 100g are (clockwise from top left) Marshmallow Mateys (40.2g), Morrisons Choco Pillows (36.1g), Sainsbury's Frosted Flakes (34g), Morrisons Choco Crackles (32.1g), Tesco Choco Snaps (32.1g), Asda Choco Snaps (32g), Aldi's Harvest Morn Honey & Nut Clusters with Milk Chocolate (30g), and Sainsbury's Choco Hazelnut Squares (29.7g)

Many cereals can provide children with a third of their daily sugar allowance in a single bowl before they even leave for school in the morning, the research showed.

NHS guidelines recommend children consume no more than 19g of sugar each day between four and six years old, rising to 24g for under-10s and 30g for over-11s.

Eating too much sugar can increases children's risk of becoming obese, developing type 2 diabetes later in life, and suffering from tooth decay.  

Marshmallow Mateys contain 40.2g of sugar per 100g, which works out at 12.2g in an average bowl, the research found.

Other cereals containing more than 30g per 100g included Morrisons Choco Pillows (36.1g), Sainsbury's Frosted Flakes (34g) and Morrisons Choco Crackles (32.1g). 

Supermarket own-brand cereals dominated the 20 most sugar-filled options, taking 18 of the places.

After Marshmallow Mateys – made in the US – the worst offending brand-name cereal is Kellogg's Coco Pops Rocks in 20th place, with 27g of sugar per 100g.

Action on Sugar carried out the research on cereals being sold in the UK alongside Action on Salt, finding many products also contain worrying levels of salt.

Only two cereals out of the 77 in the survey – Morrisons Super Smooth Porridge and Sainsbury's Puffed Wheat – were deemed to have healthy levels of sugar and salt. 

'Breakfast cereals should be a healthy choice as they contain fibre and are fortified with vitamins and minerals,' said Kawther Hashem, a nutritionist and campaign lead at Action on Sugar.

'However, our study shows that cereals with packaging that may appeal to children often contain unacceptable amounts of sugar.

'Why aren’t all cereal manufacturers reducing sugar levels as per Public Health England’s evidence-based recommendations and actively marketing healthier (those with green traffic lights for fat, salt and sugar) breakfast cereals to parents and children?

'It is time they used their creative minds to sell their products responsibly.'

The campaign group split the cereals into red (more than 22.5g of sugar per 100g cereal), amber (5g to 22.5g sugar) and green (less than 5g sugar).

HOW MUCH SUGAR IS TOO MUCH? 

The amount of sugar a person should eat in a day depends on how old they are.

Children aged four to six years old should be limited to a maximum of 19 grams per day.

Seven to 10-year-olds should have no more than 24 grams, and children aged 11 and over should have 30g or less.  

Popular snacks contain a surprising amount of sugar and even a single can of Coca Cola (35g of sugar) or one Mars bar (33g) contains more than the maximum amount of sugar a child should have over a whole day.  

A bowl of Frosties contains 24g of sugar, meaning a 10-year-old who has Frosties for breakfast has probably reached their limit for the day before they even leave the house.  

Children who eat too much sugar risk damaging their teeth, putting on fat and becoming overweight, and getting type 2 diabetes which increases the risk of heart disease and cancer.

Source: NHS 

Almost half of all the cereals – 38 out of 77 – were rated red for sugar, while 37 were amber.

Last year, chief executive of NHS England Simon Stevens warned sugary breakfast cereals should be treated in the same way as fizzy drinks to fight childhood obesity.

Mr Stevens said food manufacturers will have to change the way they produce breakfast cereals if the Government's obesity strategy is to succeed.

Giving evidence to the Commons Health and Social Care Committee, he said it was concerning that products marketed as healthy often contained large amounts of sugar.

'On average children are having the equivalent of three sugar lumps at breakfast,' he said at the time. 

Packaging often featuring animals and bright colours add to cereals' appeal to children, experts fear, and critics say companies should be stopped from using them.

Professor Graham MacGregor, chairman of both Action on Sugar and Action on Salt, said: 'This survey shows that companies that make packaging of unhealthy products targeted at children are completely irresponsible. 

'It is immoral that breakfast cereals companies can get away with it, it is time we made it easier for parents and only allow those cereals which carry a green label to be allowed to feature cartoons on packaging which may appeal to children.

'In our view the government needs to ban use of such packaging on unhealthy products.'   

Salt is also a problem, campaigners said, with 65 of the cereals in today's research receiving an amber warning, meaning they contained more than 1.6g per 100g of cereal.

NHS guidelines recommend children consume no more than 2g of salt each day as toddlers, 3g daily between the ages of four and six, 5g between seven and 10, and 6g per day for over-11s. 

For salt, Marshmallow Mateys was again the worst offender and the only cereal to receive a red rating for its 1.6g – more than is in a bag of ready salted crisps.

Director of Action on Salt, Katharine Jenner, said: 'As a parent, it is frustratingly hard to try and find food and drink products that are both nutritionally balanced and appeal to your children.

'Instead we have something of a "Sophie’s Choice", where we have to decide between high sugar products – putting our children at risk of obesity, type 2 diabetes and tooth decay, or high salt products – putting our children at risk of high blood pressure and cardiovascular disease later in life. It is ridiculous.' 

HOW MUCH SUGAR AND SALT DO UK BREAKFAST CEREALS CONTAIN? RANKED BY SUGAR CONTENT PER 100G OF CEREAL (Source: Action on Sugar, Action on Salt) 

Product Name	Serving Size (g)	Salt Per 100 ( g )	Salt Per Serving ( g )	Sugars Per 100 ( g )	Sugars Per Serving ( g )
Malt O Meal Marshmallow Mateys	30	1.6	0.5	40.2	12.2
Morrisons Choco Pillows	30	0.5	0.1	36.1	10.8
Sainsbury's Frosted Flakes	30	0.59	0.18	34	10.2
Morrisons Choco Crackles	30	0.75	0.22	32.1	9.6
Tesco Choco Snaps	30	0.7	0.2	32.1	9.6
Asda Choco Snaps	30	0.75	0.22	32	9.6
Aldi Harvest Morn Honey & Nut Clusters With Milk Chocolate	45	0.65	0.29	30	13
Sainsbury's Choco Hazelnut Squares	30	0.62	0.19	29.7	8.9
Co op Choco Rice Crispies	30	0.65	0.2	29	8.8
Aldi Harvest Morn Frosted Flakes	30	0.53	0.16	29	8.6
Asda Frosted Flakes	30	0.53	0.16	29	8.6
The Co-operative Frosted Flakes	30	0.53	0.16	29	8.6
Lidl Crownfield Choco Rice	30	0.38	0.11	28.9	8.7
Morrisons Frosted Flakes	30	0.53	0.16	28.5	8.6
Tesco Frosted Flakes	30	0.5	0.2	28.5	8.6
Tesco Pillows With Choco - Nut Filling	30	0.5	0.2	28.2	8.5
Aldi Harvest Morn Honey Nut Crunchy Corn Flakes	40	0.47	0.19	28	11
Aldi Harvest Morn Choco Rice	30	0.56	0.17	28	8.5
Sainsbury's Choco Rice Pops	30	0.66	0.2	28	8.4
Kellogg's Coco Pops Rocks	30	0.75	0.23	27	8.1
Tesco Pillows with Milk Chocolate Filling	30	0.5	0.2	26.2	7.9
Asda Cocoa Wheaties	40	0.4	0.16	26	10
Asda Frosted Wheaties	40	0.41	0.33	26	10
Asda Jungle Bites	30	0.5	0.15	26	7.8
Nestle Nesquik	30	0.44	0.28	25	13
Kellogg's Unicorn Froot Loops	30	1.13	0.34	25	7.5
Tesco Multigrain Boulders	30	0.6	0.2	25	7.5
Asda Golden Balls	30	0.58	0.17	25	7.5
Morrisons Boulders	30	0.58	0.17	25	7.5
Asda Coco Squares	30	0.55	0.17	25	7.5
Lidl Crownfield Frosted Flakes	30	0.49	0.15	24.9	7.5
Asda Honey Hoops	30	0.55	0.17	24	7.2
Morrisons Honey Loops	30	0.55	0.17	24	7.2
Asda Choco Flakes	30	0.55	0.17	24	7.2
Lidl Crownfield Choco Shells	30	0.37	0.11	23.9	7.2
Lidl Crownfield Choco Hoops	30	0.6	0.18	23.5	7.1
Aldi Harvest Morn Honey & Nut Clusters	45	0.71	0.32	23	10
Harvest Morn Honey Hoops	30	0.69	0.21	23	6.8
Tesco Crunchy Cookie Cereal	30	0.4	0.1	22.1	6.6
Asda Cookie Crunch	30	0.38	0.11	22	6.6
Nestle Cookie Crisp	30	0.79	0.24	22	6.7
Harvest Morn Choco Hoops	30	0.28	0.08	22	6.7
Asda Choco Hoops	30	0.43	0.13	22	6.6
Morrisons Choco Hoops	30	0.43	0.13	22	6.6
Tesco Choco Hoops	30	0.4	0.1	22	6.6
Lidl Crownfield Cereal Cookie	30	0.62	0.19	21.9	6.6
Lidl Crownfield Corn Flakes Honey & Peanuts	30	0.46	0.14	21.9	6.6
Aldi Harvest Morn Golden Puffs	40	0.11	0.04	21	8.4
Asda Chosen by You Choco Balls	30	0.3	0.09	21	6.3
Lidl Crownfield Honey Hoops	30	0.19	0.06	20.9	6.3
Asda Choco-Nut Squares	30	0.05	0.02	20	6
Sainsbury's Choco Hoops	30	0.15	0.05	19.7	5.9
Aldi Harvest Morn Multi-Grain Hoops	30	0.61	0.18	19	5.8
Asda Multigrain Hoops	30	0.55	0.17	19	5.7
Morrisons Magic Balance	40	0.65	0.26	18.7	7.5
Tesco Multigrain Hoops	30	0.6	0.2	17	5.1
Morrisons Super Hoops	30	0.58	0.17	17	5.1
Co-operative Multigrain Hoops	30	0.58	0.17	17	5.1
Kellogg's Coco Pops	30	0.7	0.21	17	5.1
Kellogg's Rice Krispies Multi-Grain Shapes	30	0.18	0.05	15	4.5
The Co-operative Malt Crunchies	30	0.6	0.18	14	4.2
Sainsbury's Wholegrain Malties	40	0.6	0.24	13.9	5.6
Kellogg's Crunchy Nut Peanut Butter Clusters	45	0.45	0.2	12	5.4
Lizis Adventurers Banana Granola	30	0.1	0.1	11.6	3.5
Lizi's Adventurers Strawberry Granola	30	0.1	0.1	11.5	3.5
Asda Malted Wheaties	40	0.43	0.17	11	4.4
Morrisons Mighty Malties	40	0.43	0.17	11	4.4
Co-op Crispy Rice	30	0.7	0.2	9.4	2.8
Lidl Crownfield Rice Snaps	30	0.88	0.26	8.9	2.7
Aldi Harvest Morn Crisp Rice	30	0.74	0.22	8.8	2.7
Asda Rice Snaps	30	0.73	0.22	8.8	2.7
Morrisons Rice Crackles	30	0.73	0.22	8.8	2.7
Tesco Rice Snaps	30	0.7	0.2	8.8	2.7
Kellogg's Corn Flakes	30	1.13	0.34	8	2.4
Kellogg's Rice Krispies	30	1	0.3	7.9	2.4
Morrisons Super Smooth Porridge	40	0	0	1	0.4
Sainsbury's Puffed Wheat	30	0.01	0.01	0.6	0.5

https://www.dailymail.co.uk/health/article-6743033/Nearly-HALF-breakfast-cereals-contain-sugar.html

The man with an 'unrelenting' 22-hour erection caused by an illegal TANNING INJECTION

A 41-year-old man needed hospital treatment for an erection that had lasted 22 hours after he injected a tanning supplement.

• The unidentified man bought the drug melanotan from a bodybuilding shop
• It had given the man two-hour long erections before but his tan was 'very good' 
• After hospital treatment he was suffering with erectile dysfunction a month later 

By VANESSA CHALMERS HEALTH REPORTER FOR MAILONLINE

PUBLISHED: 14:25 GMT, 25 February 2019 | UPDATED: 18:41 GMT, 25 February 2019

The man, who lives in Scotland, bought melanotan, which is illegal to sell in the UK, at a bodybuilding shop. He injected it into his abdomen.

The synthetic hormone, also known as the 'Barbie drug', triggered the unidentified man's case of priapism, the medical term for a prolonged erection, which usually lasts four to six hours. 

The patient had to endure a barrage of injections into his sore penis to relieve the erection, narrowly avoiding surgery.

But four weeks later, the man was suffering with erectile dysfunction - a permanent side effect in severe cases of priapism. 

Doctors said they had never seen a case like it, and said it served as a warning about dodgy tanning products on the market. 

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A 41-year-old man needed hospital treatment for an erection that had lasted 22 hours after he injected an illegal tanning supplement that he bought in a bodybuilding shop

The team at Queen Elizabeth University Hospital, Glasgow, led by Dr Barend Albert Dreyer reported the story in BMJ Case Reports.

Melanotan is a synthetic hormone used for tanning that works by increasing the levels of melanin, a natural dark pigment in the skin. 

The doctors revealed the man had been purchasing the melanotan solution over the counter for several months and he usually had a very good tan response. 

Products such as melanotan, steroids and image enhancing drugs such as clenbuterol to lose weight, are common among the bodybuilding scene and increasingly in the general population, too. 

But melanotan is not legal in the UK because no-one is sure of its dangers.

WHAT IS MELANOTAN?

Melanotan is a synthetic hormone used for tanning that works by increasing the levels of melanin, a natural dark pigment in the skin.  

This pigment is part of the body’s natural response to the sun, and increasing levels of melanin results in skin darkening or tanning. 

There are 2 types of Melanotan – Melanotan I and Melanotan II.

It is currently illegal to sell tan injections such as Melanotan, as this product is unlicensed. 

Melanotan is illegal in the UK because it has not been tested for safety, quality or effectiveness and no one knows what the possible side effects are or how serious they could be.

The MHRA (Medicines and Healthcare products Regulatory Agency) tests medical products in the UK. They are warning people not to use Melanotan and they say that the product is being 'advertised and sold illegally'.

The drug is sold online or under the counter at gyms and beauty salons and because the drug is self-injected, there are fears that users are putting themselves at risk of infections such as hepatitis or HIV. 

Source: Cancer Research UK and NHS.

The man said that the label or seller didn't give any indications of major side effects, and dosage was in 'number of phials', so it was unclear how much medication was in each injection. 

He had suffered with two-hour erections after using it previously. But this time, after injecting a phial into his stomach, his penis was painful and 'unable to be used' within an hour.

He arrived at A&E after 22 hours, after attempting to soothe the pain with ice at his home. 

Tests confirmed that the man had low-flow priapism, which is the result of blood being trapped in the erection chambers. 

It can occur without a known reason in men who are otherwise healthy, but it also affects men with sickle-cell disease.

After injections every five minutes by doctors for around half an hour, the man finally saw his erection subside. 

The International Society of Sexual Medicine recommends that penile shunting procedures be considered when first line treatment has not worked or as a first option for priapism episodes lasting more than 72 hours.

The doctors said the man avoided a surgical shunt, which is a passageway that is surgically inserted into the penis to divert the blood flow and allow circulation to return to normal. 

The report said: 'Although this patient claimed he did not take any other drugs, concomitant substance misuse was not definitively ruled out as he self-discharged before a toxicology screen could be performed.

'It may be possible that he also misused other drugs from the body-building store and these may have contributed to his erectile dysfunction.'  

The patient had approximately two weeks of swelling after returning home and initially no erections whatsoever. 

'In the last week, however, he had started to have some spontaneous erections though they were shortlived and unable to be sustained for use,' the report said.

Dr Dreyer added: 'Priapism is an uncommon presentation to the accident and emergency department, and in my one year of urology in Glasgow this is the only case that I have seen. 

'We chose to write this case up as it presented a rare/unheard of cause of an uncommon disease.'

Forms of melanotan has been suggested as a possible therapeutic for the treatment of erectile dysfunction, but the doctor's said cases such as this unfortunate man's needed to be taken into account. 

Dr Dreyer said: 'Our patient said that if he had known about priapism as a potential side-effect he would never have considered using Melanotan. 

'More widespread knowledge around this side effect may help decrease Melanotan misuse.  He will avoid melanotan use in future and stick to sun-beds.'

WHAT IS PRIAPISM? 

Priapism is a long-lasting painful erection which can cause permanent damage to your penis if not treated quickly, including scarring and permanent erectile dysfunction. 

Priapism can occur in all age groups, including newborns. However, it usually affects men in two different age groups: between the ages of 5 and 10, and 20 and 50. 

The condition develops when blood in the penis becomes trapped and is unable to drain. 

There are two types of priapism: low-flow and high-flow.

Low-flow priapism: This is the result of blood being trapped in the erection chambers. It often occurs without a known cause in men who are otherwise healthy, but it also affects men with sickle-cell disease, leukemia (cancer of the blood), or malaria.

High-flow priapism: This is more rare and is usually not painful. It is the result of a ruptured artery from an injury to the penis or the perineum (the area between the scrotum and anus), which prevents blood in the penis from circulating normally.

Do:

• try to urinate
• have a warm bath or shower
• drink lots of water
• go for a gentle walk
• try exercises such as squats or running on the spot
• take painkillers like paracetemol if you need to  

Don't

• do not apply ice packs or cold water to your penis – this can make things worse
• do not have sex or masturbate – it won't make your erection go away
• do not drink alcohol
• do not smoke 

The goal of all treatment is to make the erection go away and preserve the ability to have erections in the future, and may include surgical ligation, intravenous injection and surgical shunt. 

Source: NHS and Cleveland Clinic 

https://www.dailymail.co.uk/health/article-6742745/Man-41-needs-hospital-treatment-end-22-HOUR-erection-caused-illegal-tanning-supplement.html