Sonneville Kendrin R, Long Michael W, Rifas-Shiman Sheryl L, Kleinman Ken, Gillman Matthew W, Taveras Elsie M
Division of Adolescent Medicine, Boston Children's Hospital, Boston, Massachusetts, USA; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA; Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.
Obesity (Silver Spring). 2015 Jan;23(1):170-6. doi: 10.1002/oby.20927. Epub 2014 Oct 18.
To examine the tracking and significance of beverage consumption in infancy and childhood.
Among 1163 children in Project Viva, we examined associations of fruit juice and water intake at 1 year (0 oz, 1-7 oz [small], 8-15 oz [medium], and ≥16 oz [large]) with juice and sugar-sweetened beverage (SSB) intake and BMI z-score during early (median 3.1 years) and mid-childhood (median 7.7 years).
In covariate adjusted models, juice intake at 1 year was associated with greater juice and SSB intake during early and mid-childhood and also greater adiposity. Children who drank medium and large amounts of juice at 1 year had higher BMI z-scores during both early (medium: β = 0.16 [95% CI = 0.01-0.32]; large: β = 0.28 [95% CI = 0.01-0.56]) and mid-childhood (medium: β = 0.23 [95% CI = 0.07-0.39]; large: β = 0.36 [95% CI = 0.08-0.64]). After covariate adjustment, associations between water intake at 1 year and beverage intake and adiposity later in childhood were null.
Higher juice intake at 1 year was associated with higher juice intake, SSB intake, and BMI z-score during early and mid-childhood. Assessing juice intake during infancy could provide clinicians with important data regarding future unhealthy beverage habits and excess adiposity during childhood.
研究婴幼儿期饮料摄入情况的追踪及其意义。
在“活力计划”的1163名儿童中，我们研究了1岁时果汁和水的摄入量（0盎司、1 - 7盎司[少量]、8 - 15盎司[中等量]和≥16盎司[大量]）与儿童早期（中位数3.1岁）和中期（中位数7.7岁）的果汁、含糖饮料（SSB）摄入量及BMI z评分之间的关联。
在协变量调整模型中，1岁时的果汁摄入量与儿童早期和中期更高的果汁及SSB摄入量以及更高的肥胖程度相关。1岁时饮用中等量和大量果汁的儿童在儿童早期（中等量：β = 0.16 [95%置信区间 = 0.01 - 0.32]；大量：β = 0.28 [95%置信区间 = 0.01 - 0.56]）和中期（中等量：β = 0.23 [95%置信区间 = 0.07 - 0.39]；大量：β = 0.36 [95%置信区间 = 0.08 - 0.64]）的BMI z评分更高。经过协变量调整后，1岁时的水摄入量与儿童后期的饮料摄入量及肥胖程度之间无关联。
1岁时较高的果汁摄入量与儿童早期和中期较高的果汁摄入量、SSB摄入量及BMI z评分相关。评估婴儿期的果汁摄入量可为临床医生提供有关儿童未来不健康饮料习惯和肥胖问题的重要数据。
