College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, Canada.
Appl Physiol Nutr Metab. 2012 Oct;37(5):900-6. doi: 10.1139/h2012-074. Epub 2012 Jun 14.
Sweetened beverage intake has risen in past decades, along with a rise in prevalence of overweight and obesity among children. Our objective was to examine the relationship between beverage intake patterns and overweight and obesity among Canadian children. Beverage intake patterns were identified by cluster analysis of data from the cross-sectional Canadian Community Health Survey 2.2. Intake data were obtained from a single 24-hour recall, height and weight were measured, and sociodemographic data were obtained via interview. Data on children and adolescents aged 2-18 years who met inclusion criteria (n = 10 038) were grouped into the following categories: 2-5 years (male and female), 6-11 years (female), 6-11 years (male), 12-18 years (female), and 12-18 years (male). χ² test was used to compare rates of overweight and obesity across clusters. Logistic regression was used to determine the association between overweight and obesity and beverage intake patterns, adjusting for potential confounders. Clustering resulted in distinct groups of who drank mostly fruit drinks, soft drinks, 100% juice, milk, high-fat milk, or low-volume and varied beverages (termed "moderate"). Boys aged 6-11 years whose beverage pattern was characterized by soft drink intake (553 ± 29 g) had increased odds of overweight-obesity (odds ratio 2.3, 95% confidence interval 1.2-4.1) compared with a "moderate" beverage pattern (23 ± 4 g soft drink). No significant relationship emerged between beverage pattern and overweight and obesity among other age-sex groups. Using national cross-sectional dietary intake data, Canadian children do not show a beverage-weight association except among young boys who drink mostly soft drinks, and thus may be at increased risk for overweight or obesity.
在过去几十年中，含糖饮料的摄入量增加了，儿童超重和肥胖的患病率也随之上升。我们的目的是研究饮料摄入模式与加拿大儿童超重和肥胖之间的关系。通过对加拿大社区健康调查 2.2 的横断面数据进行聚类分析，确定了饮料摄入模式。通过单次 24 小时回忆获得摄入数据，通过访谈获得身高和体重以及社会人口统计学数据。符合纳入标准的 2-18 岁儿童和青少年的数据（n=10038）分为以下几类：2-5 岁（男、女）、6-11 岁（女）、6-11 岁（男）、12-18 岁（女）和 12-18 岁（男）。使用 χ²检验比较不同聚类组超重和肥胖的发生率。使用逻辑回归确定超重和肥胖与饮料摄入模式之间的关联，同时调整潜在的混杂因素。聚类形成了不同的群体，包括主要饮用果汁、软饮料、100%果汁、牛奶、高脂肪牛奶或低容量和多种饮料的人群（称为“中等”）。与“中等”饮料模式（23±4g 软饮料）相比，6-11 岁男孩的饮料模式以软饮料摄入为特征（553±29g），超重肥胖的几率增加（比值比 2.3，95%置信区间 1.2-4.1）。在其他年龄性别组中，饮料模式与超重和肥胖之间没有明显的关系。利用全国性的横断面膳食摄入数据，加拿大儿童没有表现出与饮料相关的体重增加，除了那些主要喝软饮料的小男孩，他们可能面临超重或肥胖的风险增加。
