Dubois Lise, Farmer Anna, Girard Manon, Peterson Kelly
Department of Epidemiology and Community Medicine, Institute of Population Health, University of Ottawa, Ontario, Canada.
J Am Diet Assoc. 2007 Jun;107(6):924-34; discussion 934-5. doi: 10.1016/j.jada.2007.03.004.
To examine the relationship between consumption of sugar-sweetened beverages (eg, nondiet carbonated drinks and fruit drinks) and the prevalence of overweight among preschool-aged children living in Canada.
Data come from the Longitudinal Study of Child Development in Québec (1998-2002).
SUBJECTS/SETTING: A representative sample (n=2,103) of children born in 1998 in Québec, Canada. A total of 1,944 children (still representative of the same-age children in this population) remaining at 4 to 5 years in 2002 participated in the nutrition study.
Data were collected via 24-hour dietary recall interview. Frequency of sugar-sweetened beverage consumption between meals at age 2.5, 3.5, and 4.5 years was recorded and children's height and weight were measured. Multivariate regression analysis was done with Statistical Analysis System software. Weighted data were adjusted for within-child variability and significance level was set at 5%.
Overall, 6.9% of children who were nonconsumers of sugar-sweetened beverages between meals between the ages of 2.5 to 4.5 years were overweight at 4.5 years, compared to 15.4% of regular consumers (four to six times or more per week) at ages 2.5 years, 3.5 years, and 4.5 years. According to multivariate analysis, sugar-sweetened beverage consumption between meals more than doubles the odds of being overweight when other important factors are considered in multivariate analysis. Children from families with insufficient income who consume sugar-sweetened beverages regularly between the ages of 2.5 and 4.5 years are more than three times more likely to be overweight at age 4.5 years compared to nonconsuming children from sufficient income households.
Regular sugar-sweetened beverage consumption between meals may put some young children at a greater risk for overweight. Parents should limit the quantity of sweetened beverages consumed during preschool years because it may increase propensity to gain weight.
研究加拿大学龄前儿童饮用含糖饮料（如非低糖碳酸饮料和果汁饮料）与超重患病率之间的关系。
数据来自魁北克儿童发展纵向研究（1998 - 2002年）。
研究对象/研究背景：1998年出生在加拿大魁北克的儿童的代表性样本（n = 2103）。2002年时，共有1944名4至5岁的儿童（仍代表该年龄段儿童）参与了营养研究。
通过24小时饮食回顾访谈收集数据。记录2.5岁、3.5岁和4.5岁时餐间饮用含糖饮料的频率，并测量儿童的身高和体重。使用统计分析系统软件进行多变量回归分析。对加权数据进行了儿童内部变异性调整，显著性水平设定为5%。
总体而言，在2.5至4.5岁餐间不饮用含糖饮料的儿童中，4.5岁时超重的占6.9%，而在2.5岁、3.5岁和4.5岁时每周饮用四次及以上（即经常饮用）含糖饮料的儿童中，超重的占15.4%。根据多变量分析，在考虑其他重要因素的多变量分析中，餐间饮用含糖饮料使超重几率增加一倍多。2.5至4.5岁经常饮用含糖饮料的低收入家庭儿童，与来自收入充足家庭的不饮用儿童相比，4.5岁时超重的可能性高出三倍多。
餐间经常饮用含糖饮料可能会使一些幼儿超重风险增加。家长应限制学龄前儿童饮用甜味饮料的量，因为这可能会增加体重增加的倾向。
