Special Institute for Preventive Cardiology And Nutrition SIPCAN, Salzburg, Austria.
Obes Facts. 2017;10(6):674-693. doi: 10.1159/000484566. Epub 2017 Dec 14.
Partly inconsistent findings from previous reviews have fueled discussions on the impact of sugar-sweetened beverages (SSBs) on obesity development. The aim was to systematically review the recent evidence in children and adults.
Data were retrieved from the databases MEDLINE, EMBASE, and Cochrane library for the period January 2013 to October 2015. A systematic review of prospective cohort studies and randomized controlled trials (RCTs) relating SSBs to weight measures was conducted.
30 publications met the inclusion criteria. Prospective cohort studies (96%; n = 26) showed a positive association between consumption of SSBs and weight/BMI in adults and children (n = 242,352), and only one cohort study in children showed no association. Findings from three RCTs in children demonstrated that SSB consumption had an effect on BMI/BMI z-score. The one RCT in adults showed no significant effect of the intervention. 63% of the studies were of good, 30% of medium quality, and none was funded by industry.
Recent evidence suggests that SSB consumption is positively associated with or has an effect on obesity indices in children and adults. By combining the already published evidence with the new one, we conclude that public health policies should aim to reduce the consumption of SSBs and encourage healthy alternatives such as water.
先前综述中部分不一致的结果引发了关于含糖饮料（SSB）对肥胖发展影响的讨论。本研究旨在系统回顾儿童和成人的最新证据。
从 MEDLINE、EMBASE 和 Cochrane 图书馆数据库中检索 2013 年 1 月至 2015 年 10 月的数据。对 SSB 与体重指标相关的前瞻性队列研究和随机对照试验（RCT）进行了系统评价。
30 篇文献符合纳入标准。前瞻性队列研究（96%；n=26）表明，SSB 消费与成人和儿童的体重/体重指数（n=242352）之间存在正相关，只有一项儿童队列研究显示无相关性。三项儿童 RCT 的结果表明，SSB 消费对 BMI/BMI z 评分有影响。一项成人 RCT 显示干预无显著效果。63%的研究质量良好，30%为中等质量，没有一项研究得到行业资助。
最近的证据表明，SSB 消费与儿童和成人的肥胖指数呈正相关或有影响。通过将已发表的证据与新证据相结合，我们得出结论，公共卫生政策应旨在减少 SSB 的消费，并鼓励使用水等健康替代品。
