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[婴儿游离糖的摄入与超重。一项纵向研究]

[Consumption of free sugars and excess weight in infants. A longitudinal study].

作者信息

Jardí Cristina, Aranda Núria, Bedmar Cristina, Ribot Blanca, Elias Irene, Aparicio Estefania, Arija Victoria

机构信息

Grupo de Investigación en Nutrición y Salud Mental (NUTRISAM), Institut d'Investigació Sanitària Pere Virgili (IISPV), Universitat Rovira i Virgili, Reus, Tarragona, España.

Grupo de Investigación en Nutrición y Salud Mental (NUTRISAM), Institut d'Investigació Sanitària Pere Virgili (IISPV), Universitat Rovira i Virgili, Reus, Tarragona, España.

出版信息

An Pediatr (Engl Ed). 2019 Mar;90(3):165-172. doi: 10.1016/j.anpedi.2018.03.018.

DOI:10.1016/j.anpedi.2018.03.018
PMID:29773523
Abstract

INTRODUCTION

The consumption of free sugars has been related to excess weight, with the WHO recommending an intake of <10% of total energy. The aim of this study is to assess the association between the consumption of free sugars at 12 months and the risk of excess weight at 30 months in healthy children.

MATERIAL AND METHODS

A longitudinal study was conducted on 81 children followed-up from birth to 30 months. A record was made of the clinical history and anthropometry, at birth, and at 12 and 30 months. Weight status was classified as with or without excess weight, according to WHO values. At 12 months, the intake of energy and nutrients was analysed by differentiating the intake of free and natural sugars. Multivariate analyses adjusted for the main confounding variables were performed.

RESULTS

Free sugars were consumed by 40.4% of the 12-month-old children, being higher than that recommended, and being significantly higher in children with excess weight at 30 months (60.9%). The higher intake of free sugars at 12 months is associated with an increased risk of excess weight at 30 months (OR: 1.130, 95% CI: 1.032-1.238).

CONCLUSIONS

The consumption of free sugars is much higher than that recommended in 12-month-old infants. This high intake could be a risk factor for excess weight, even at early ages.

摘要

引言

游离糖的摄入与体重超标有关,世界卫生组织建议游离糖摄入量应低于总能量的10%。本研究旨在评估健康儿童12个月时游离糖的摄入量与30个月时体重超标的风险之间的关联。

材料与方法

对81名从出生到30个月进行随访的儿童开展了一项纵向研究。记录了出生时、12个月和30个月时的临床病史和人体测量数据。根据世界卫生组织的标准,将体重状况分为超重或未超重。在12个月时,通过区分游离糖和天然糖的摄入量来分析能量和营养素的摄入情况。对主要混杂变量进行了多变量分析。

结果

40.4%的12个月大儿童摄入了游离糖,高于推荐量,且在30个月时超重的儿童中这一比例显著更高(60.9%)。12个月时游离糖摄入量较高与30个月时体重超标风险增加相关(比值比:1.130,95%置信区间:1.032 - 1.238)。

结论

12个月大婴儿游离糖的摄入量远高于推荐量。即使在早期,这种高摄入量也可能是体重超标的一个风险因素。

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