Kral Tanja V E, Stunkard Albert J, Berkowitz Robert I, Stallings Virginia A, Moore Reneé H, Faith Myles S
Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Obesity (Silver Spring). 2008 Aug;16(8):1802-8. doi: 10.1038/oby.2008.287. Epub 2008 May 29.
Increased intake of sugar-sweetened beverages and fruit juice has been associated with overweight in children.
This study prospectively assessed beverage consumption patterns and their relationship with weight status in a cohort of children born at different risk for obesity.
Participants were children born at low risk (n = 27) or high risk (n = 22) for obesity based on maternal prepregnancy BMI (kg/m(2)). Daily beverage consumption was generated from 3-day food records from children aged 3-6 years and coded into seven beverage categories (milk, fruit juice, fruit drinks, caloric and non-caloric soda, soft drinks including and excluding fruit juice). Child anthropometric measures were assessed yearly.
High-risk children consumed a greater percentage of daily calories from beverages at age 3, more fruit juice at ages 3 and 4, more soft drinks (including fruit juice) at ages 3-5, and more soda at age 6 compared to low-risk children. Longitudinal analyses showed that a greater 3-year increase in soda intake was associated with an increased change in waist circumference, whereas a greater increase in milk intake was associated with a reduced change in waist circumference. There was no significant association between change in intake from any of the beverage categories and change in BMI z-score across analyses.
Children's familial predisposition to obesity may differentially affect their beverage consumption patterns. Future research should examine the extent to which dietary factors may play a role in pediatric body fat deposition over time.
儿童摄入含糖饮料和果汁增多与超重有关。
本研究前瞻性评估了不同肥胖风险出生队列儿童的饮料消费模式及其与体重状况的关系。
根据母亲孕前体重指数（kg/m²），参与者为肥胖低风险（n = 27）或高风险（n = 22）出生的儿童。通过3至6岁儿童3天的饮食记录得出每日饮料消费量，并编码为七类饮料（牛奶、果汁、果汁饮料、含热量和不含热量的苏打水、含或不含果汁的软饮料）。每年评估儿童的人体测量指标。
与低风险儿童相比，高风险儿童在3岁时从饮料中摄入的每日热量百分比更高，在3岁和4岁时摄入更多果汁，在3至5岁时摄入更多软饮料（包括果汁），在6岁时摄入更多苏打水。纵向分析表明，苏打水摄入量3年的较大增加与腰围变化增加有关，而牛奶摄入量的较大增加与腰围变化减少有关。在各项分析中，任何饮料类别的摄入量变化与BMI z评分变化之间均无显著关联。
儿童肥胖的家族易感性可能会不同程度地影响他们的饮料消费模式。未来的研究应探讨饮食因素在儿童随时间推移的体脂沉积中可能发挥作用的程度。
