Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway, NE, Mailstop K26, Atlanta, GA 30341, USA.
J Acad Nutr Diet. 2012 Jan;112(1):125-31. doi: 10.1016/j.jada.2011.08.045. Epub 2011 Dec 22.
High consumption of sugar-sweetened drinks has been associated with obesity and other adverse health consequences. This cross-sectional study examined the association of demographic characteristics, weight status, self-reported academic grades, and behavioral factors with sugar-sweetened soda intake among a nationally representative sample of US high school students. Analysis was based on the 2009 national Youth Risk Behavior Survey and included 16,188 students in grades 9 through 12. The main outcome measure was daily sugar-sweetened soda intake (eg, drank a can, bottle, or glass of soda [excluding diet soda] at least one time per day during the 7 days before the survey). Nationally, 29.2% of students reported drinking sugar-sweetened soda at least one time per day. Logistic regression analyses showed factors significantly associated with sugar-sweetened soda intake at least one time per day included male sex (adjusted odds ratio [OR]=1.47), Hispanic ethnicity (vs whites; OR=0.81), earning mostly B, C, and D/F grades (vs mostly As; OR=1.26, 1.66, and 2.19, respectively), eating vegetables fewer than three times per day (OR=0.72), trying to lose weight (OR=0.72), sleeping <8 hours (OR=1.18), watching television >2 hours/day (OR=1.71), playing video or computer games or using a computer for other than school work >2 hours/day (OR=1.53), being physically active at least 60 minutes/day on <5 days during the 7 days before the survey (OR=1.19), and current cigarette use (OR=2.01). The significant associations with poor self-reported academic grades, inadequate sleep, sedentary behaviors, and cigarette smoking suggest research should examine why soda consumption is associated with these behaviors to inform the design of future nutrition interventions.
高糖饮料的摄入与肥胖和其他健康不良后果有关。本横断面研究调查了人口统计学特征、体重状况、自我报告的学术成绩和行为因素与美国高中生中含糖苏打水摄入量的关系。分析基于 2009 年全国青少年风险行为调查，包括 9 至 12 年级的 16188 名学生。主要结局测量指标是每天含糖苏打水的摄入量（例如，在调查前 7 天内每天至少喝一罐、一瓶或一杯苏打水[不包括无糖苏打水]）。全国范围内，有 29.2%的学生报告每天至少喝一次含糖苏打水。逻辑回归分析显示，与每天至少喝一次含糖苏打水显著相关的因素包括男性（调整后的优势比[OR]=1.47）、西班牙裔（与白人相比；OR=0.81）、主要成绩为 B、C 和 D/F（与主要成绩为 A 相比；OR=1.26、1.66 和 2.19）、每天食用蔬菜少于 3 次（OR=0.72）、试图减肥（OR=0.72）、睡眠不足 8 小时（OR=1.18）、每天看电视超过 2 小时（OR=1.71）、每天玩视频或电脑游戏或使用电脑进行非学业活动超过 2 小时（OR=1.53）、在调查前 7 天内每天至少有 60 分钟的身体活动，但不超过 5 天（OR=1.19）和当前吸烟（OR=2.01）。与自我报告的学业成绩不佳、睡眠不足、久坐行为和吸烟有关的显著关联表明，研究应该研究为什么苏打水的消费与这些行为有关，以便为未来的营养干预措施提供信息。
