上海市浦东新区学生含糖饮料消费与超重肥胖的关系
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摘要
目的了解上海市浦东新区学生超重肥胖情况和含糖饮料消费情况与超重肥胖的关系,为控制和预防学生超重肥胖提供依据。方法采用多阶段分层随机抽样的方法,分别调查3所小学、4所初中和2所高中学生的7种含糖饮料消费情况和超重肥胖情况。调查包括问卷调查、膳食调查和体格测量。结果本次共调查学生616名,其超重率和肥胖率分别为17.86%和13.64%。碳酸饮料平均每周消费149.01～199.00 ml、果蔬汁饮料平均每周消费199.01～249.00 ml和乳酸菌饮料平均每周消费299.01～349.00 ml与学生超重肥胖的发生显著相关,OR(95%CI)分别为3.95(1.03～15.19)、2.84(1.03～7.86)、4.24(1.47～12.18)。结论学生含糖饮料的消费量与超重肥胖存在一定的关联,建议学生适当减少含糖饮料的消费。
[Objective]To investigate the overweight and obesity of students in Pudong New Area of Shanghai,and the association between consumption of sugar-sweetened beverages and overweight and obesity,provide information for controlling and preventing overweight and obesity among students. [Methods]A stratified multi-stage random sampling survey was performed to investigate students' consumption of seven kinds of sugar-sweetened beverages and overweight and obesity in three primary schools,four middle schools and two high schools. Questionnaire,dietary survey and physical examination formed the survey. [Results]Among616 students,the rate of overweight and obesity was 17.86% and 13.64% respectively. The average weekly consumption of carbonated beverage for 149.01-199.00 ml,the average weekly consumption of fruit and vegetable juice beverage for 199.01-249.00 ml and the average weekly consumption of lactobacillus beverage for 299.01-349.00 ml were significantly associated with students' overweight and obesity,and OR(95% CI) was 3.95(1.03-15.19),2.84(1.03-7.86) and 4.24(1.47-12.18),respectively.[Conclusion]Consuming amount of sugar-sweetened beverages is significantly associated with overweight and obesity in students.It is recommended that the students' consumption of sugar-sweetened beverages should be decreased.
[Objective]To investigate the overweight and obesity of students in Pudong New Area of Shanghai,and the association between consumption of sugar-sweetened beverages and overweight and obesity,provide information for controlling and preventing overweight and obesity among students. [Methods]A stratified multi-stage random sampling survey was performed to investigate students' consumption of seven kinds of sugar-sweetened beverages and overweight and obesity in three primary schools,four middle schools and two high schools. Questionnaire,dietary survey and physical examination formed the survey. [Results]Among616 students,the rate of overweight and obesity was 17.86% and 13.64% respectively. The average weekly consumption of carbonated beverage for 149.01-199.00 ml,the average weekly consumption of fruit and vegetable juice beverage for 199.01-249.00 ml and the average weekly consumption of lactobacillus beverage for 299.01-349.00 ml were significantly associated with students' overweight and obesity,and OR(95% CI) was 3.95(1.03-15.19),2.84(1.03-7.86) and 4.24(1.47-12.18),respectively.[Conclusion]Consuming amount of sugar-sweetened beverages is significantly associated with overweight and obesity in students.It is recommended that the students' consumption of sugar-sweetened beverages should be decreased.
引文
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[15]MALIK VS,PAN A,WILLETT WC,et al. Sugar-sweetened beverages and weight gain in children and adults:a systematic review and metaanalysis[J].Am J Clin Nutr,2013,98(4):1084-1102.
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[17]TSIROS MD,SINN N,BRENNAN L,et al. Cognitive behavioral therapy improves diet and body composition in overweight and obese adolescents[J].Am J Clin Nutr,2008,87(5):1134-1140.
[2]陈贻珊,张一民,孔振兴,等.我国儿童青少年超重、肥胖流行现状调查[J].中华疾病控制杂志,2017,21(9):866-869,878.
[3]博庆丽.合肥市中小学生超重、肥胖的影响因素及综合干预效果的观察与评价[D].合肥:安徽医科大学,2010:39-41.
[4]张竺泉.沈阳市沈北新区小学生超重和肥胖现况调查及影响因素研究[D].长春:吉林大学,2016:21-22.
[5]SHANG XW,LIU AL,ZHANG Q,et al. Report on childhood obesity in China(9):sugar-sweetened beverages consumption and obesity[J].Biomed Environ Sci,2012,25(2):125-132.
[6]WILSON TA,LIU Y,ADOLPH AL,et al. Behavior modification of diet and parent feeding practices in a community-vs primary care-centered intervention for childhood obesity[J/OL].J Nutr Educ Behav,2018,50,20.[2018-09-15].https://www.jneb.org/article/S1499-4046(18)30540-2/fulltext. DOI:https://doi.org/10.1016/j.jneb.2018.05.010.
[7]ECK KM,DINESEN A,GARCIA E,et al."Your Body feels better when you drink water":parent and school-age children's sugar-sweetened beverage cognitions[J].Nutrients,2018,10(9):1232.
[8]段一凡,马冠生.含糖饮料消费与肥胖及其相关疾病的关系[J].中国学校卫生,2010,31(6):764-766.
[9]BROWNELLK D,FRIEDEN TR. Ounces of prevention the public policy case for taxes on sugared beverages[J].N Engl J Med,2009,360(18):1805-1808.
[10]李辉,宗心南,季成叶,等.中国2~18岁儿童青少年超重和肥胖筛查体重指数界值点的研究[J].中华流行病学杂志,2010,31(6):616-620.
[11]王向军,杨漾,吴艳强,等.上海市7~18岁学生1985至2014年的超重和肥胖流行趋势[J].中国循证儿科杂志,2017,12(2):126-130.
[12]景方圆,李迎君,范春红.中国儿童青少年含糖饮料消费与肥胖的相关性研究[J].预防医学,2018,30(5):494-497,501.
[13]李红丽.辽宁省3~6年级小学生零食和饮料消费现状调查[D].长春:吉林大学,2017:14.
[14]黄秋,邵继红,徐璐,等.城市居民含糖饮品的消费量与肥胖的关联研究[J].安徽医科大学学报,2013,48(1):30-33.
[15]MALIK VS,PAN A,WILLETT WC,et al. Sugar-sweetened beverages and weight gain in children and adults:a systematic review and metaanalysis[J].Am J Clin Nutr,2013,98(4):1084-1102.
[16]丁彩翠,郭海军,宋超,等.含糖饮料消费与肥胖及体重改变关系的meta分析[J].中国慢性病预防与控制,2015,23(7):506-511.
[17]TSIROS MD,SINN N,BRENNAN L,et al. Cognitive behavioral therapy improves diet and body composition in overweight and obese adolescents[J].Am J Clin Nutr,2008,87(5):1134-1140.