Sugar-Less Eating Habits for Indian Families: Practical Ways to Reduce Sugar Naturally

For many Indian families, sugar is not limited to sweets. It can quietly become part of everyday life through morning chai, biscuits with tea, sweetened breakfast foods, packaged drinks, desserts after meals, bakery products, flavoured yogurt, mithai, weekend treats and festival foods.

Nobody necessarily sits down and decides to eat “too much sugar.” It often happens gradually.

One spoon of sugar in tea becomes two cups of tea. A biscuit becomes three. A glass of packaged juice seems harmless. A small sweet after lunch becomes a daily habit. Over time, these small choices can add up.

That is why developing sugar-less eating habits can be more practical than following an extremely restrictive “sugar-free diet.”

The goal is not to eliminate every food containing naturally occurring sugar. Instead, Indian families can focus on reducing added and free sugars while eating more whole grains, pulses, vegetables, fruits, nuts, seeds and other minimally processed foods.

India’s ICMR-NIN Dietary Guidelines identify sugar intake contributing more than 5% of daily energy intake, or about 25 g per day based on a 2,000-kcal diet, as “high” sugar intake. The guidelines also state that limiting sugar to 25 g/day is better for health and identify table sugar, jaggery, honey, glucose, fructose and dextrose as examples of added sugars.

The World Health Organization recommends limiting free sugars to less than 10% of total daily energy, with a further reduction to 5% or less suggested for additional health benefits. For someone consuming about 2,000 calories per day, 10% is approximately 50 g and 5% is approximately 25 g.

So what does this mean for an ordinary Indian household?

It means you don’t necessarily need to throw away every sweet food in the kitchen. You need to build better everyday habits.

What Are Sugar-Less Eating Habits?

Sugar-less eating does not necessarily mean eating zero sugar. It means developing habits that reduce unnecessary added/free sugar while keeping the overall diet nutritious and enjoyable. For example:

Instead of:

Two cups of heavily sweetened chai + biscuits

try:

Lightly sweetened or unsweetened chai + roasted chana + fruit

Instead of:

Sweetened breakfast cereal + packaged juice

try:

Vegetable poha + whole fruit

Instead of:

Sweetened yogurt

try:

Plain curd + fruit + a few nuts

Instead of:

Soft drink with lunch

try:

Water, chaas or another unsweetened beverage

The change doesn’t need to be dramatic.

Small improvements repeated every day can be more sustainable than extreme restrictions followed for a week.

Sugar-Free vs Sugar-Less: What’s the Difference?

These terms are often used interchangeably, but they don’t mean exactly the same thing.

TermPractical meaning
Sugar-freeGenerally refers to foods containing very little or no sugar under applicable food-labelling rules
No added sugarNo sugar or sweetening ingredient has been deliberately added
Sugar-lessEveryday term for reducing sugar consumption
Reduced sugarContains less sugar than a comparable product or recipe
Refined-sugar-freeNo refined table sugar, but other sweeteners may still be present
Naturally sweetSweetness mainly comes from naturally occurring sugars in foods

For family eating habits, “sugar-less” is often a useful behavioural goal because it focuses on reducing unnecessary sweetness rather than creating a rigid list of forbidden foods.

Why Indian Families Should Think About Sugar-Less Eating

Indian food culture is incredibly diverse. A typical family may enjoy:

  • Chai
  • Coffee
  • Poha
  • Upma
  • Paratha
  • Idli
  • Dosa
  • Rice
  • Dal
  • Roti
  • Sabzi
  • Curd
  • Paneer
  • Fruits
  • Mithai
  • Namkeen
  • Biscuits
  • Bakery foods

There is nothing inherently wrong with enjoying these foods. The challenge occurs when highly sweetened foods and drinks become daily staples rather than occasional foods.

Modern schedules can make this worse. A busy parent may grab packaged biscuits.

A child may request a sweetened drink after school. A teenager may buy a flavoured coffee.

An office worker may drink three cups of sweet tea. An older family member may have sweets with every cup of tea.

None of these choices looks dramatic on its own. Together, they can create a consistently high-sugar eating pattern.

Key Features of Sugar-Less Eating Habits

A family-friendly sugar-less lifestyle can include:

FeatureWhat it looks like
Less added sugarGradually reducing sugar in tea and recipes
Fewer sugary drinksChoosing water, chaas or unsweetened drinks
More whole fruitEating fruit instead of drinking juice
Plain dairyChoosing unsweetened curd
Homemade snacksPreparing snacks with controlled ingredients
Balanced breakfastsCombining grains, protein and vegetables
Smart dessertsSmaller portions and less frequent sweets
Label awarenessChecking sugar on packaged foods
Portion awarenessAvoiding oversized servings
Gradual changeReducing sweetness instead of banning everything
Family participationMaking the change together
Flexible eatingAllowing occasional treats

15 Practical Sugar-Less Eating Habits for Indian Families

1. Reduce Sugar in Chai Gradually

For many Indian households, chai is the easiest place to start. Suppose someone uses:

2 teaspoons × 3 cups = 6 teaspoons of added sugar per day.

Instead of suddenly drinking completely unsweetened tea, reduce gradually.

For example:

Week 1

2 teaspoons → 1.5 teaspoons

Week 2

1.5 → 1 teaspoon

Week 3

1 → ½ teaspoon

Week 4

Try without sugar or continue with a small amount if preferred. The exact timeline doesn’t matter as much as creating a sustainable reduction.

2. Stop Automatically Adding Sugar to Every Drink

Sugar doesn’t need to be the default ingredient. Experiment with:

  • Plain water
  • Lemon water without added sugar
  • Chaas
  • Unsweetened tea
  • Unsweetened coffee
  • Coconut water
  • Infused water

If you currently add sugar to every beverage, start by removing it from just one daily drink.

3. Replace Packaged Fruit Juice With Whole Fruit

This is one of the simplest household changes. Instead of:

One glass of fruit juice

try:

One whole orange, guava, apple or other fruit.

WHO recommends that people over 10 years old consume at least 400 g of fruits and vegetables per day, and its current guidance notes that fruit juice can contain significant free sugars even when no sugar has been added.

Whole fruit also provides fibre that is lost or reduced when fruit is turned into juice.

4. Make Plain Curd the Family Default

Sweetened yogurt and flavoured yogurt can taste very different from plain curd. A practical household strategy is to keep plain curd as the default. You can add:

  • Fresh fruit
  • Cinnamon
  • Cardamom
  • Nuts
  • Seeds

This lets each family member customise their bowl.

5. Keep Biscuits Out of the Daily Routine

Biscuits often become associated with tea. Instead of:

Chai + biscuits every evening

rotate between:

  • Roasted chana
  • Makhana
  • Peanuts
  • Fruit
  • Sprouts chaat
  • Homemade savoury crackers
  • Boiled eggs
  • Paneer
  • Plain curd

The goal isn’t necessarily to ban biscuits. It’s to stop them from becoming an automatic daily habit.

6. Don’t Use Jaggery as a “Free Pass”

This is one of the biggest misconceptions about sugar-less eating. Jaggery is traditional and can be part of Indian recipes, but it is still an added sugar.

ICMR-NIN explicitly includes jaggery and honey among added sugars.

So:

White sugar → jaggery

is not the same as:

High-sugar diet → low-added-sugar diet.

The amount and frequency still matter.

7. Reduce Sweet Breakfast Foods

Breakfast can easily become sweet when families regularly eat:

  • Sweetened cereal
  • Flavoured yogurt
  • Sweet biscuits
  • Sweetened beverages
  • Sweet bakery products

Instead, rotate:

  • Vegetable poha
  • Upma
  • Idli and sambar
  • Moong dal chilla
  • Besan chilla
  • Vegetable oats
  • Eggs with whole-grain toast
  • Dosa with sambar
  • Stuffed vegetable roti

These options don’t require a sweet flavour to be enjoyable.

8. Use Fruit to Satisfy Sweet Cravings

When someone wants something sweet, fruit can be a practical option. Examples:

  • Apple
  • Guava
  • Orange
  • Papaya
  • Pear
  • Pomegranate
  • Watermelon
  • Seasonal local fruit

Fruit contains naturally occurring sugars, so it isn’t “sugar-free.” But it can be a more nutrient-dense choice than many highly sweetened snacks.

9. Make Dessert an Occasion, Not a Routine

Indian families often have sweets for celebrations. That is perfectly compatible with a balanced diet. The important distinction is:

Festival sweet: occasional

versus

Daily dessert: routine

Try keeping sweets for:

  • Festivals
  • Birthdays
  • Family celebrations
  • Special dinners
  • Occasional weekend meals

rather than automatically serving dessert after every lunch and dinner.

10. Read Food Labels

Sugar can appear under different names. Look for ingredients such as:

  • Sugar
  • Sucrose
  • Glucose
  • Fructose
  • Dextrose
  • Syrups
  • Honey
  • Jaggery
  • Malt-based sweeteners

A product marketed as “healthy” can still contain substantial sugar. For packaged food, compare products using the nutrition panel rather than relying solely on the front-of-pack marketing.

11. Keep Sugary Drinks Out of Everyday Family Meals

Soft drinks, sweetened juices, energy drinks, flavoured beverages and sweetened milk drinks can make sugar intake rise quickly. WHO specifically recommends limiting sugar-sweetened beverages as part of reducing free sugar intake.

Make water the default beverage. Then provide other options occasionally.

12. Add Protein and Fibre to Meals

Sugar-less eating isn’t simply about removing sugar. Meals should also be satisfying. Combine:

Carbohydrate + protein + vegetables/fibre + healthy fat

For example:

Breakfast

Poha + peanuts + vegetables

Lunch

Roti + dal + sabzi + curd

Snack

Fruit + nuts

Dinner

Rice + rajma + vegetables + salad

A balanced meal can make constant snacking less tempting.

13. Make Homemade Snacks

Homemade food gives families greater control over ingredients. Try:

  • Roasted makhana
  • Roasted chana
  • Vegetable chilla
  • Oat crackers
  • Seed crackers
  • Sprouts chaat
  • Homemade dhokla
  • Paneer tikka
  • Vegetable rolls

You don’t have to make every snack from scratch. Even preparing two or three options in advance can make a difference.

14. Reduce Sweetness in Homemade Recipes

If a recipe calls for one cup of sugar, don’t automatically assume you must use exactly that amount. Experiment. Reduce gradually and compensate with flavour from:

  • Cinnamon
  • Cardamom
  • Vanilla
  • Fennel
  • Nutmeg
  • Coconut
  • Nuts
  • Fruit

Your family’s taste preferences can adapt over time.

15. Make the Whole Family Participate

Sugar reduction becomes much easier when everyone follows the same basic habits. Instead of telling one family member:

“You cannot eat sweets.”

make the household rule:

“We keep sweets for special occasions.”

That sounds less restrictive and is much easier to maintain.

Sugar-Less Indian Breakfast Ideas

BreakfastSugar-less advantage
Vegetable pohaNaturally savoury
Moong dal chillaProtein-rich option
Besan chillaFilling and savoury
Idli + sambarNo added sugar required
Vegetable upmaEasy savoury breakfast
Dosa + sambarNaturally savoury
Vegetable oatsFibre-rich option
Egg + whole-grain toastProtein-focused
Ragi dosaTraditional grain option
Paneer bhurji + rotiProtein + whole-grain option

Breakfast doesn’t need to taste sweet to be satisfying.

Sugar-Less Indian Snack Ideas

A family snack drawer can include:

  • Roasted chana
  • Makhana
  • Peanuts
  • Almonds
  • Walnuts
  • Seeds
  • Fruit
  • Sprouts
  • Plain curd
  • Homemade chilla
  • Boiled eggs
  • Paneer cubes

Example weekly rotation

DaySnack
MondayRoasted chana
TuesdayFruit + nuts
WednesdayMakhana
ThursdaySprouts chaat
FridayPlain curd + fruit
SaturdayVegetable chilla
SundayHomemade snack

This prevents the same food from becoming boring.

Sugar-Less Family Lunch Ideas

A balanced Indian lunch can be very simple.

Option 1

  • 2 rotis
  • Dal
  • Seasonal sabzi
  • Curd
  • Salad

Option 2

  • Rice
  • Rajma
  • Vegetable
  • Cucumber

Option 3

  • Roti
  • Chole
  • Mixed vegetable
  • Plain curd

Option 4

  • Vegetable khichdi
  • Curd
  • Salad

The objective is not to eliminate carbohydrates. WHO’s current guidance says carbohydrates should primarily come from whole grains, vegetables, fruits and pulses.

Sugar-Less Dinner Ideas

Dinner can follow the same basic principle.

DinnerExample
Roti mealRoti + dal + sabzi
Rice mealBrown/regular rice + rajma + vegetables
Khichdi mealMoong khichdi + curd
Paneer mealPaneer + roti + vegetables
Egg mealEgg curry + roti + salad
South IndianIdli/dosa + sambar
Gujarati-styleRoti + dal + sabzi + salad
Maharashtrian-styleBhakri + usal + vegetable
Punjabi-styleRoti + dal + seasonal sabzi

Regional Indian food can easily fit into a lower-added-sugar eating pattern.

Sugar-Less Beverage Choices for Indian Families

Instead ofTry
Sugary soft drinkChilled water
Sweetened juiceWhole fruit
Sweet chaiReduced-sugar chai
Sweet lassiPlain chaas
Flavoured milkPlain milk
Sweet iced teaUnsweetened iced tea
Sugary coffeeReduced-sugar coffee
Packaged energy drinkWater + balanced meal/snack
Sweetened milkshakeFruit + plain curd

The Indian Chai Problem: A Practical Example

Imagine a family of four. Suppose two adults each drink 3 cups of chai daily, while two other family members drink 2 cups each. That’s:

3 + 3 + 2 + 2 = 10 cups of tea per day.

If each cup contains 2 teaspoons of added sugar:

10 × 2 = 20 teaspoons of sugar per day.

This doesn’t mean every family drinks this much sugar, and teaspoon sizes can vary.

But the example demonstrates how small amounts multiplied across multiple people and multiple cups can become significant.

Reducing each cup by even half a teaspoon would remove approximately:

10 × 0.5 = 5 teaspoons of added sugar per day

from the family’s routine.

The important lesson is not the exact number. It is the power of repeated habits.

Sugar-Less Eating for Children

Children don’t need a diet based around strict food bans. Instead, parents can build habits such as:

Breakfast

Poha, idli, chilla or eggs instead of sugary cereals every day.

School snack

Fruit, homemade snack or nuts where age-appropriate and safe.

Drinks

Water as the default.

Dessert

Occasional rather than automatic.

Family meals

Children eat the same balanced foods as the rest of the family.

WHO notes that dietary behaviours and food preferences developed during childhood and adolescence can extend into adulthood.

This makes the family environment particularly important.

Sugar-Less Eating Habits for Teenagers

Teenagers often consume sugar outside the home. Potential sources include:

  • Sweetened coffee
  • Milkshakes
  • Soft drinks
  • Packaged juices
  • Desserts
  • Chocolates
  • Bakery foods
  • Sweetened breakfast products

Parents may have limited control over every meal. Instead, teach teenagers how to make better choices. For example:

Daily: water or unsweetened beverage

Most days: balanced meals

Occasionally: dessert or sweetened drink

This teaches decision-making rather than simply imposing restrictions.

Sugar-Less Eating for Working Adults

Busy adults often rely on convenience. A practical office snack kit can contain:

  • Roasted chana
  • Unsalted or lightly salted nuts
  • Fruit
  • Plain yogurt
  • Homemade crackers

This can reduce dependence on:

  • Biscuits
  • Sweet bakery items
  • Vending-machine snacks
  • Sugary beverages

Preparation matters more than motivation. If the healthier option is already available, it becomes easier to choose.

Sugar-Less Eating Habits for Older Adults

Older family members may have different nutritional needs. Simple options include:

  • Vegetable soup
  • Dal
  • Plain curd
  • Soft fruits
  • Vegetable khichdi
  • Roti and sabzi
  • Moong dal
  • Paneer
  • Unsweetened beverages

If someone has diabetes, kidney disease, swallowing problems or another medical condition, dietary changes should be individualised.

Healthy Sugar Swaps for Indian Families

Common habitBetter everyday alternative
Sugar-heavy chaiGradually reduced sugar
Biscuits with every teaRoasted chana
Sweetened yogurtPlain curd + fruit
JuiceWhole fruit
Soft drinkWater/chaas
Sweet breakfast cerealPoha/upma
Dessert after every mealDessert occasionally
Sweetened coffeeReduced-sugar coffee
Sugary milkshakePlain milk + fruit
Jaggery-loaded snackLess-sweet homemade snack

Natural Sugar vs Added Sugar

This is one of the most important concepts for families.

Naturally occurring sugars

These are naturally present in foods such as:

  • Whole fruits
  • Milk
  • Some vegetables

Added/free sugars

These include sugars added during:

  • Cooking
  • Food manufacturing
  • Beverage preparation
  • Baking

WHO also includes sugars naturally present in honey, syrups and fruit juices within free sugars.

Therefore:

An apple and a sugary apple-flavoured drink are not nutritionally equivalent simply because both contain “apple.”

Food form matters.

Why Whole Fruit Is Different From Fruit Juice

Consider two choices:

Choice A

One whole orange.

Choice B

A glass of orange juice. Both may contain naturally occurring sugar.

But the whole fruit retains its structure and fibre and usually takes longer to consume.

WHO’s current guidance specifically recommends whole fruits and vegetables and notes that fruit juice, including juice without added sugar, can contain significant free sugars.

So a practical family rule can be:

Eat fruit more often than you drink fruit.

Benefits of Sugar-Less Eating Habits

1. Lower Added Sugar Intake

Reducing sugar in drinks, snacks and recipes can lower overall free-sugar consumption.

2. Better Dietary Quality

When sugary foods are reduced, families can replace them with foods such as:

  • Fruits
  • Vegetables
  • Pulses
  • Whole grains
  • Nuts
  • Seeds
  • Protein-rich foods

WHO describes a healthy diet as one based on adequacy, balance, moderation and diversity.

3. Better Control Over Everyday Eating

Instead of eating according to cravings or convenience, families develop predictable routines.

4. Less Dependence on Sweet Drinks

Making water the household default can be one of the simplest changes.

5. Easier Portion Management

Lower-sugar eating doesn’t require eliminating all treats. It simply makes everyday food less dependent on sweetness.

6. Family-Wide Habits

When parents, children and grandparents make the change together, nobody feels singled out.

7. Potentially Better Dental Habits

Frequent exposure to free sugars is associated with dental caries. WHO recommends reducing free sugar intake throughout life.

A 7-Day Sugar-Less Family Meal Example

DayBreakfastLunchSnackDinner
MondayVegetable pohaRoti + dal + sabziRoasted chanaKhichdi + curd
TuesdayMoong chillaRice + rajma + saladFruit + nutsRoti + paneer
WednesdayIdli + sambarRoti + chole + sabziMakhanaDosa + sambar
ThursdayVegetable upmaRice + dal + vegetablesPlain curdRoti + egg curry
FridayRagi dosaRoti + dal + sabziGuava + nutsVegetable khichdi
SaturdayBesan chillaRajma riceSprouts chaatPaneer + roti
SundayEggs + toastFamily mealFruit + curdDal + roti + vegetables

This is an illustrative menu, not a personalised diet plan.

A 30-Day Sugar-Less Habit Challenge

Instead of trying to change everything at once, use a monthly approach.

Week 1: Drinks

Focus on:

  • Less sugar in chai
  • Less sugar in coffee
  • No routine soft drinks
  • More water

Week 2: Snacks

Reduce:

  • Biscuits
  • Sweet bakery products
  • Chocolates

Increase:

  • Fruit
  • Nuts
  • Roasted chana
  • Makhana

Week 3: Breakfast

Replace sugary breakfast foods with:

  • Poha
  • Upma
  • Chilla
  • Idli
  • Eggs
  • Vegetable oats

Week 4: Desserts

Move desserts from:

daily → occasional

and experiment with smaller portions. This gradual approach is usually easier for a family than attempting a complete overnight dietary transformation.

How to Handle Festivals and Family Functions

Indian families cannot realistically avoid sweets forever. During festivals:

Choose your favourite sweet

Instead of eating five varieties, choose one or two favourites.

Keep portions small

A small serving can still feel festive.

Eat savoury foods too

Don’t spend the entire day eating sweets.

Keep water available

Stay hydrated.

Avoid continuous grazing

Serve food at planned times.

Return to normal habits afterward

A festival meal doesn’t need to become a week-long sugar habit.

What Not to Do

Don’t completely ban every sweet food

Extreme restriction can make certain foods feel even more attractive.

Don’t replace sugar with unlimited jaggery

Jaggery is still added sugar.

Don’t assume “natural” means unlimited

Honey, dates and dried fruits can still contribute sugars and calories.

Don’t skip meals to compensate for dessert

This may make overeating more likely.

Don’t judge family members

Change works better when people feel supported.

Don’t chase perfection

A balanced routine is more realistic than a perfect one.

Sugar-Less Family Rules That Are Easy to Remember

A household can keep just ten simple rules:

  1. Water is the default drink.
  2. Reduce sugar in chai gradually.
  3. Eat whole fruit more often than juice.
  4. Keep biscuits as an occasional food.
  5. Use plain curd instead of sweetened yogurt.
  6. Don’t treat jaggery as sugar-free.
  7. Include vegetables in main meals.
  8. Keep sweets for occasions rather than every day.
  9. Read packaged-food labels.
  10. Make changes as a family.

These rules are simple enough to remember even during busy weeks.

Frequently Asked Questions

What does sugar-less eating mean?

Sugar-less eating generally means reducing unnecessary added/free sugars while maintaining a balanced diet. It does not necessarily mean eliminating naturally occurring sugars from foods such as whole fruit and milk.

How much sugar should an Indian family eat?

ICMR-NIN’s Dietary Guidelines identify more than 25 g/day, based on a 2,000-kcal diet, as high sugar intake. WHO recommends free sugars below 10% of total energy, ideally below 5% for additional health benefits. Individual needs vary.

Is jaggery healthier than sugar?

Jaggery is still an added sugar. It should not be treated as a free or unlimited alternative to table sugar. ICMR-NIN includes jaggery among added sugars.

Is honey sugar-free?

No. Honey contains sugars and WHO classifies the sugars naturally present in honey as free sugars.

Can I eat fruit on a sugar-less diet?

Yes, whole fruit can be part of a balanced diet. The goal of sugar-less eating is primarily to reduce unnecessary added/free sugars rather than eliminate whole fruit.

Should Indian families stop eating rice and roti?

Not necessarily. WHO recommends that carbohydrates primarily come from sources such as whole grains, vegetables, fruits and pulses. Portion size and overall dietary balance matter.

Is fruit juice healthy if there is no added sugar?

Fruit juice may contain no added sugar but can still contain significant free sugars. Whole fruit is generally a better everyday choice.

Can children follow sugar-less eating habits?

Children can benefit from family habits that limit sugary drinks and highly sweetened foods while providing a varied diet. However, children’s nutritional needs differ by age and development.

Can people with diabetes follow these habits?

Reducing added/free sugar can be part of a healthy dietary pattern, but diabetes management also involves total carbohydrate intake, meal composition, physical activity, medication and individual needs. People with diabetes should follow personalised advice from their healthcare professional or registered dietitian.

How quickly should a family reduce sugar?

There is no single required timeline. Gradual reductions, particularly in tea, coffee and frequently eaten snacks, may be easier for many families to maintain.

Final Thoughts

Sugar-less eating doesn’t have to mean a kitchen full of restrictions. Indian families already have a huge advantage: our traditional food culture offers countless naturally savoury, nutritious and satisfying options.

Poha.

Upma.

Dal.

Roti.

Sabzi.

Idli.

Dosa.

Chilla.

Rajma.

Chole.

Curd.

Paneer.

Fruit.

Nuts.

Seeds.

These foods can form the foundation of a balanced family diet without requiring every meal to be sweet.

The biggest change may simply be learning to notice where sugar has become automatic.

Maybe it is the second spoon of sugar in chai. Maybe it is the daily biscuit. Maybe it is the soft drink with lunch.

Maybe it is the dessert after dinner. Maybe it is the belief that jaggery or honey can be consumed without limits.

Once families identify these habits, they can change them one at a time. The goal isn’t to make food boring.

It is to make sweet foods special again instead of making sweetness the default flavour of everyday life.

A sustainable sugar-less lifestyle for an Indian family is not about perfection.

It is about less added sugar, more whole foods, sensible portions, better routines and enjoying traditional foods without letting sweets dominate the entire diet.

Health Disclaimer

This article is for general educational purposes and is not a substitute for personalised medical or dietary advice. Sugar-less eating does not mean eliminating all carbohydrates or naturally occurring sugars.

People with diabetes, kidney disease, food allergies, eating disorders or other medical conditions may have specific dietary requirements and should consult a qualified healthcare professional or registered dietitian before making significant dietary changes. Children, pregnant women and older adults may also have individual nutritional needs that should be considered separately.