Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China.
Division of Birth Cohort Study, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou 510623, China.
Nutrients. 2017 Nov 30;9(12):1302. doi: 10.3390/nu9121302.
We investigated the consumption of sugar-sweetened beverage (SSB) and its association with obesity and hypertension in a national sample of children and adolescents in China, where many low- and middle-income families live. Data were obtained from a 2014 national intervention program against obesity in Chinese children and adolescents aged 6-17 years. Height, weight, waist circumference, and blood pressure were measured. Information of SSB consumption, socioeconomic status, dietary intake, screen time, and physical activity were self-reported. Multivariate logistic regression was used to assess the association of SSB consumption with obesity and hypertension. A total of 66.6% of the 53,151 participants reported consuming SSB. The per capita and per consumer SSB intake were 2.84 ± 5.26 servings/week and 4.26 ± 5.96 servings/week, respectively. Boys, older children, and adolescents, and individuals with long screen time or high physical activity or low parental education level were more likely to consume SSB. Participants who were high SSB consumers had a higher odds ratio (1.133, 95% CI: 1.054-1.217) than non-consumers for having abdominal obesity after adjustment for age, sex, residence, socioeconomic status, diet, screen time, and physical activity. However, SSB consumption was not associated with general obesity or hypertension in children and adolescents. In conclusion, more than half of the children and adolescents in China consumed SSB, which was independently related to a high risk of abdominal obesity. The results of this study indicated that SSB reduction strategies and policies may be useful in preventing obesity among Chinese children and adolescents.
我们在中国的一项全国性儿童和青少年肥胖干预计划中调查了含糖饮料（SSB）的消费情况及其与肥胖和高血压的关系，该计划覆盖了许多低收入和中等收入家庭。数据来自于 2014 年针对中国 6-17 岁儿童和青少年的全国性肥胖干预计划。测量了身高、体重、腰围和血压。SSB 消费、社会经济状况、饮食摄入、屏幕时间和身体活动等信息均为自我报告。采用多变量逻辑回归来评估 SSB 消费与肥胖和高血压的关联。共有 53151 名参与者中的 66.6%报告了 SSB 的消费情况。人均和消费者人均 SSB 摄入量分别为每周 2.84 ± 5.26 份和 4.26 ± 5.96 份。男孩、年龄较大的儿童和青少年，以及屏幕时间较长、身体活动水平较高或父母教育程度较低的个体更有可能消费 SSB。与非消费者相比，高 SSB 消费者的腹部肥胖患病风险比（OR）更高（1.133，95%CI：1.054-1.217），调整年龄、性别、居住地点、社会经济状况、饮食、屏幕时间和身体活动后，该比值依然具有统计学意义。然而，SSB 消费与儿童和青少年的一般肥胖或高血压无关。总之，中国一半以上的儿童和青少年消费 SSB，这与腹部肥胖风险增加独立相关。本研究结果表明，减少 SSB 的策略和政策可能有助于预防中国儿童和青少年肥胖。
