Report on Childhood Obesity in China (9): Sugar-sweetened Beverages Consumption and Obesity

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• 作者：Xian Wen SHANG^a ; ^bAuthor Vitae ; Ai Ling LIU^a ; Qian ZHANG^a ; Xiao Qi HU^a ; Song Ming DU^a ; Jun MA^c ; ⁺ ; Gui Fa XU^d ; ⁺ ; Ying LI^e ; ⁺ ; Hong Wei GUO^f ; ⁺ ; Lin DU^g ; ⁺ ; Ting Yu LI^h ; ⁺ ; Guan Sheng MA^a ; ^{mags@chinacdc.cn}
• 关键词：Sugar-sweetened Beverages ; Obesity ; Children
• 刊名：Biomedical and Environmental Sciences
• 出版年：2012
• 出版时间：April, 2012
• 年：2012
• 卷：25
• 期：2
• 页码：125-132
• 全文大小：1K

文摘

Objective

To explore the associations between sugar-sweetened beverage (SSB) consumption and obesity as well as obesity-related cardiometabolic disorders among children in China.

Methods

A total of 6974 (boys 3558, girls 3412) children aged 6-13 years participated in the study. Each participant's height, weight, waist circumference, fasting glucose, triglycerides, total cholesterol, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol were measured. The type of beverage consumption was determined using a self-administered questionnaire.

Results

SSBs were consumed regularly by 46.1 % of the children. The prevalence [adjusted odds ratio (95 % confidence internal (CI)] of obesity was 7.6 % [as the reference group (ref.)], 10.1 % [1.36(1.07, 1.74)], and 11.6 % [1.46(1.21, 1.75)], among children who regularly drank milk, other beverages and SSBs, respectively. Regularly drinking SSBs elevated the likelihood of abdominal obesity [adjusted odds ratio (95 % CI): 1.36 (1.17, 1.59)]. The prevalence [adjusted odds ratio (95 % CI)] of obesity among children who regularly drank sports/caloric beverages, carbonated beverages, sweet tea, and plant protein beverages was 16.8 % [2.00(1.31, 3.07)], 12.7 % [1.52(1.23, 1.88)], 11.5 % [1.52(1.18, 1.95)], and 10.4 % [1.41(1.03, 1.94)], respectively, which was higher than that of regular milk drinkers [7.6 % (ref.)]. The prevalence [adjusted odds ratio (95 % CI)] of abdominal obesity among children who regularly drank sweet tea, fruit/vegetable juices, and carbonated beverages was 17.7 % [1.55(1.26, 1.90)], 16.2 % [1.36(1.09, 1.70)], and 15.3 % [1.24(1.03, 1.50)], respectively, which was much higher than that of regular milk drinkers [12.8 % (ref.)].

Conclusions

Regular SSB consumption was positively related to obesity and abdominal obesity. This relationship should be investigated further using a longitudinal study design.