Xu Fang, Park Sohyun, Siegel Karen R
1 Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
2 Division of Nutrition, Physical Activity and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Am J Health Promot. 2018 Sep;32(7):1489-1497. doi: 10.1177/0890117117746187. Epub 2017 Dec 18.
This study assessed the associations between sociodemographic and behavioral characteristics and sugar-sweetened beverage (SSB) intake among US adults with diabetes or prediabetes.
Quantitative, cross-sectional study.
The 2013 Behavioral Risk Factor Surveillance System.
A total of 13 268 adults with diabetes and 9330 adults with prediabetes (median response rate: 46.8%).
The outcome measure was SSB intake (0, >0 to <1, and ≥1 time/day). The exposure measures were sociodemographic and behavioral characteristics.
Both crude and age-adjusted prevalences were calculated. Multinomial logistic regressions were used to estimate the adjusted prevalence ratio (PR) for SSB intake by participants' characteristics.
In 2013, 22.0% adults with diabetes and 38.2% adults with prediabetes consumed SSBs ≥1 time/day. Among adults with diabetes, adjusted PR for consuming SSBs ≥1 time/day was significantly greater for those who had shorter duration of diabetes (≤5 years: PR = 1.47; 6-10 years: PR = 1.33 vs ≥11 years), less frequently self-checking blood sugar (≥0 to <1 time/day: PR = 1.69; ≥1 to <3 times/day: PR = 1.43 vs ≥3 times/day), and no self-management of diabetes course taken (PR = 1.25 vs yes). Among adults with prediabetes, testing blood sugar ≤3 years was not associated with consuming SSBs ≥1 time/day.
Daily SSB intake was associated with various characteristics among adults with diabetes or prediabetes. The findings can inform efforts to decrease SSB intake among high-risk populations.
本研究评估了美国糖尿病或糖尿病前期成年人的社会人口学和行为特征与含糖饮料（SSB）摄入量之间的关联。
定量横断面研究。
2013年行为危险因素监测系统。
共有13268名糖尿病成年人和9330名糖尿病前期成年人（中位应答率：46.8%）。
结果指标为SSB摄入量（0次、每天>0至<1次和≥1次）。暴露指标为社会人口学和行为特征。
计算了粗患病率和年龄调整患病率。采用多项逻辑回归来估计参与者特征与SSB摄入量的调整患病率比（PR）。
2013年，22.0%的糖尿病成年人和38.2%的糖尿病前期成年人每天饮用SSB≥1次。在糖尿病成年人中，糖尿病病程较短者（≤5年：PR = 1.47；6 - 10年：PR = 1.33 vs≥11年）、自我血糖检测频率较低者（每天≥0至<1次：PR = 1.69；每天≥1至<3次：PR = 1.43 vs≥3次）以及未参加糖尿病课程自我管理的人（PR = 1.25 vs是），每天饮用SSB≥1次的调整PR显著更高。在糖尿病前期成年人中，血糖检测≤3年与每天饮用SSB≥1次无关。
糖尿病或糖尿病前期成年人的每日SSB摄入量与多种特征相关。这些发现可为降低高危人群SSB摄入量的努力提供参考。
