1Section for Epidemiology and Social Medicine,Institute of Medicine,Sahlgrenska Academy,University of Gothenburg,Box 453,SE-405 30,Gothenburg,Sweden.
2Department of Public Health,University of Helsinki,Helsinki,Finland.
Public Health Nutr. 2018 Dec;21(17):3202-3209. doi: 10.1017/S1368980018001829. Epub 2018 Aug 24.
The present study investigated the association between sugar and fat intake in childhood in relation to alcohol use in adolescence. We hypothesized that early exposure to diets high in fat and sugar may affect ingestive behaviours later in life, including alcohol use.Design/Setting/SubjectsChildren from the European IDEFICS/I.Family cohort study were examined at ages 5-9 years and followed up at ages 11-16 years. FFQ were completed by parents on behalf of children, and later by adolescents themselves. Complete data were available in 2263 participants. Children's propensities to consume foods high in fat and sugar were calculated and dichotomized at median values. Adolescents' use of alcohol was classified as at least weekly v. less frequent use. Log-binomial regression linked sugar and fat consumption in childhood to risk of alcohol use in adolescence, adjusted for relevant covariates.
Five per cent of adolescents reported weekly alcohol consumption. Children with high propensity to consume sugar and fat were at greater risk of later alcohol use, compared with children with low fat and low sugar propensity (relative risk=2·46; 95 % CI 1·47, 4·12), independent of age, sex and survey country. The association was not explained by parental income and education, strict parenting style or child's health-related quality of life and was only partly mediated by sustained consumption of sugar and fat into adolescence.
Frequent consumption of foods high in fat and sugar in childhood predicted regular use of alcohol in adolescence.
本研究旨在探讨儿童时期糖和脂肪摄入量与青少年时期饮酒行为之间的关系。我们假设，早期摄入高脂肪和高糖饮食可能会影响生命后期的摄食行为，包括饮酒行为。
设计/背景/研究对象：欧洲 IDEFICS/I.Family 队列研究中的儿童在 5-9 岁时接受检查，并在 11-16 岁时进行随访。父母代表儿童完成了食物频率问卷（FFQ），之后由青少年本人完成。共有 2263 名参与者提供了完整的数据。计算了儿童对高脂肪和高糖食物的偏好程度，并以中位数进行二分。青少年的饮酒行为分为至少每周饮酒和不频繁饮酒。对数二项式回归将儿童时期的糖和脂肪摄入与青少年时期的饮酒风险联系起来，同时调整了相关协变量。
5%的青少年报告每周饮酒。与低脂肪和低糖偏好的儿童相比，高糖和高脂肪偏好的儿童以后饮酒的风险更高（相对风险=2.46；95%CI 1.47,4.12），独立于年龄、性别和调查国家。该关联不能用父母的收入和教育、严格的育儿方式或儿童的健康相关生活质量来解释，而且只部分由持续摄入糖和脂肪进入青春期来解释。
儿童时期频繁摄入高脂肪和高糖食物预示着青少年时期经常饮酒。
