Warner Marcella L, Harley Kim, Bradman Asa, Vargas Gloria, Eskenazi Brenda
Center for Children's Environmental Health Research, School of Public Health, University of California, 2150 Shattuck Avenue, Suite 600, Berkeley, CA 94720-7380, USA.
Obesity (Silver Spring). 2006 Nov;14(11):1966-74. doi: 10.1038/oby.2006.230.
The prevalence of overweight in United States children, 2 to 5 years old, has increased 2-fold since 1975, with the highest prevalence in Mexican Americans. The objective of this study was to determine the association between current soda consumption and overweight in 2-year-old Mexican-American children.
The Center for the Health Assessment of Mothers and Children of Salinas study is a longitudinal study of the health of low-income Latino pregnant women and their children living in the Salinas Valley, CA. Six hundred pregnant women were enrolled (October 1999 to October 2000), and their children were followed until 2 years of age. This cross-sectional analysis includes the 354 children who completed the 2-year follow-up interview. Standing height (centimeters) and weight (grams) were measured at 2 years. Overweight was defined as > or =95th percentile of the sex-specific BMI for each child's age.
Fifty-five (15.5%) children were overweight. Over half (56%) reported consuming any soda in the last week. After covariate adjustment, compared with no soda consumption, <1 soda/d was not related to overweight (adjusted odds ratio, 0.97; 95% confidence interval, 0.47, 1.99), but > or =1 soda/d was significantly associated with overweight (adjusted odds ratio, 3.39; 95% confidence interval, 1.43, 8.07), and the test for trend was significant (p = 0.02).
At 2 years of age, the prevalence of overweight among the Center for the Health Assessment of Mothers and Children of Salinas cohort is higher than the national prevalence estimate for Mexican-American 2- to 5-year-old children and is significantly associated with current soda consumption. Interventions to reduce consumption of soda in young Mexican-American children should be considered.
自1975年以来,美国2至5岁儿童的超重患病率增加了两倍,其中墨西哥裔美国人的患病率最高。本研究的目的是确定当前苏打水摄入量与2岁墨西哥裔美国儿童超重之间的关联。
萨利纳斯母婴健康评估中心的研究是一项对居住在加利福尼亚州萨利纳斯山谷的低收入拉丁裔孕妇及其子女的健康状况进行的纵向研究。招募了600名孕妇(1999年10月至2000年10月),并对她们的孩子进行随访至2岁。这项横断面分析包括完成2年随访访谈的354名儿童。在2岁时测量站立身高(厘米)和体重(克)。超重定义为每个孩子年龄对应的性别特异性BMI大于或等于第95百分位数。
55名(15.5%)儿童超重。超过一半(56%)的儿童报告在过去一周内饮用过任何苏打水。在进行协变量调整后,与不饮用苏打水相比,每天饮用苏打水少于1杯与超重无关(调整后的优势比为0.97;95%置信区间为0.47, 1.99),但每天饮用苏打水1杯及以上与超重显著相关(调整后的优势比为3.39;95%置信区间为1.43, 8.07),趋势检验具有显著性(p = 0.02)。
在2岁时,萨利纳斯母婴健康评估中心队列中的超重患病率高于墨西哥裔美国2至5岁儿童的全国患病率估计值,并且与当前苏打水摄入量显著相关。应考虑采取干预措施以减少墨西哥裔美国幼儿的苏打水消费量。