Prospective associations between sugar-sweetened beverage intakes and cardiometabolic risk factors in adolescents
- 1 August 2013
- journal article
- Published by Elsevier BV in The American Journal of Clinical Nutrition
- Vol. 98 (2), 327-334
- https://doi.org/10.3945/ajcn.112.051383
Abstract
Background: High sugar-sweetened beverage (SSB) consumption is associated with cardiometabolic disturbances in adults, but this relation is relatively unexplored in children and adolescents. Objective: We tested the hypothesis that higher SSB intakes are associated with increases in cardiometabolic risk factors between 14 and 17 y of age. Design: Data were provided by 1433 adolescent offspring from the Western Australian Pregnancy Cohort (Raine) Study. At 14 and 17 y of age, SSB intakes were estimated by using a food-frequency questionnaire; body mass index (BMI), waist circumference, blood pressure, fasting serum lipids, glucose, and insulin were measured, and overall cardiometabolic risk was estimated. Prospective associations between cardiovascular disease risk factors and SSB intake were examined with adjustment for age, pubertal stage, physical fitness, socioeconomic status, and major dietary patterns. Results: The average SSB intake in consumers (89%) was 335 g/d or 1.3 servings/d. Girls who moved into the top tertile of SSB consumption (>1.3 servings/d) between 14 and 17 y of age had increases in BMI (3.8%; 95% CI: 1.8%, 5.7%), increased overweight and obesity risk (OR: 4.8, 95% CI: 2.1, 11.4), and greater overall cardiometabolic risk (OR: 3.2; 95% CI: 1.6, 6.2) (all P-trend ≤ 0.001). Girls and boys who moved into the top tertile of SSB intake showed increases in triglycerides (7.0–8.4%; P-trend ≤ 0.03), and boys showed reductions in HDL cholesterol (−3.1%; 95% CI: −6.2%, 0.1%; P-trend < 0.04) independent of BMI. Some associations were attenuated after adjustment for major dietary patterns. Conclusion: Increased SSB intake may be an important predictor of cardiometabolic risk in young people, independent of weight status.This publication has 28 references indexed in Scilit:
- A Randomized Trial of Sugar-Sweetened Beverages and Adolescent Body WeightThe New England Journal of Medicine, 2012
- Sweetened Beverage Consumption, Incident Coronary Heart Disease, and Biomarkers of Risk in MenCirculation, 2012
- Lipid concentrations in children and adolescents: it is not all about obesityThe American Journal of Clinical Nutrition, 2011
- Dietary Sources of Energy, Solid Fats, and Added Sugars among Children and Adolescents in the United StatesJournal of the American Dietetic Association, 2010
- Dietary patterns and markers for the metabolic syndrome in Australian adolescentsNutrition, Metabolism and Cardiovascular Diseases, 2010
- Sugar-Sweetened Beverages, Serum Uric Acid, and Blood Pressure in AdolescentsThe Journal of Pediatrics, 2009
- Synergy Between Adiposity, Insulin Resistance, Metabolic Risk Factors, and Inflammation in AdolescentsDiabetes Care, 2009
- Establishing a standard definition for child overweight and obesity worldwide: international surveyBMJ, 2000
- Effects of frequent ultrasound during pregnancy: a randomised controlled trialThe Lancet, 1993
- Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording.1991