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糖饮料消费与韩国成年人肥胖和代谢综合征的关系:来自 2012-2016 年韩国国家健康和营养检查调查(KNHANES)的横断面研究。

Sugar-Sweetened Beverage Consumption in Relation to Obesity and Metabolic Syndrome among Korean Adults: A Cross-Sectional Study from the 2012⁻2016 Korean National Health and Nutrition Examination Survey (KNHANES).

机构信息

Department of Food and Nutrition, Chung-Ang University, Gyeonggi-do 17546, Korea.

Institute of Health and Environment, Seoul National University, Seoul 08826, Korea.

出版信息

Nutrients. 2018 Oct 9;10(10):1467. doi: 10.3390/nu10101467.


DOI:10.3390/nu10101467
PMID:30304842
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6213560/
Abstract

It is well known that the consumption of sugar-sweetened beverages (SSBs) increases the risk of developing obesity and metabolic syndrome (MetS). However, there are not many studies investigating the link between SSBs and increased incidences of diseases in the Asian population, and in particular, in Korea. We explored the association of SSB consumption with the risk of developing obesity and MetS among Korean adults (12,112 participants from the 2012⁻2016 Korean National Health and Nutrition Examination Survey). We calculated the total SSB consumption frequency by counting each beverage item, including soda beverages, fruit juices, and sweetened rice drinks. Obesity was defined as a body mass index ≥25 kg/m², and MetS was defined using the National Cholesterol Education Program, Adult Treatment Panel III. A survey logistic regression analyses was conducted to examine the association of SSB consumption with obesity and MetS, adjusting for related confounders such as age, energy intake, household income, education, alcohol drinking, smoking status, and physical activity. The SSB consumption was positively associated with an increased risk of the prevalence for obesity (Odd ratio (OR): 1.60; 95% confidence interval (CI): 1.23⁻2.09; for trend = 0.0009) and MetS (OR: 1.61; 95% CI: 1.20⁻2.16; for trend = 0.0003) among women. In men, SSB consumption only contributed to a higher prevalence of obesity (OR: 1.38; 95% CI: 1.11⁻1.72; for trend = 0.0041). In conclusion, increased consumption of SSBs was closely linked with a higher prevalence of obesity and MetS in the Korean population.

摘要

众所周知,饮用含糖饮料(SSB)会增加肥胖和代谢综合征(MetS)的风险。然而,针对 SSB 与亚洲人群疾病发生率增加之间的关联,尤其是在韩国,研究并不多。我们探讨了 SSB 消费与韩国成年人(2012-2016 年韩国国家健康和营养检查调查的 12112 名参与者)发生肥胖和 MetS 风险之间的关系。我们通过计算包括苏打饮料、果汁和甜米饮料在内的每种饮料的总 SSB 消费频率来计算 SSB 消费。肥胖定义为 BMI≥25kg/m²,代谢综合征采用国家胆固醇教育计划成人治疗小组 III 定义。采用问卷调查逻辑回归分析来检验 SSB 消费与肥胖和代谢综合征之间的关联,同时调整年龄、能量摄入、家庭收入、教育、饮酒、吸烟状况和身体活动等相关混杂因素。SSB 消费与肥胖(比值比(OR):1.60;95%置信区间(CI):1.23-2.09;趋势检验 = 0.0009)和代谢综合征(OR:1.61;95%CI:1.20-2.16;趋势检验 = 0.0003)的流行呈正相关。在男性中,SSB 消费仅导致肥胖的患病率升高(OR:1.38;95%CI:1.11-1.72;趋势检验 = 0.0041)。总之,SSB 摄入量的增加与韩国人群肥胖和代谢综合征的患病率升高密切相关。

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本文引用的文献

[1]
Association between sugar-sweetened beverage consumption and incident hypertension in Korean adults: a prospective study.

Eur J Nutr. 2018-1-25

[2]
Sugar-Sweetened Beverage Consumption and Risks of Obesity and Hypertension in Chinese Children and Adolescents: A National Cross-Sectional Analysis.

Nutrients. 2017-11-30

[3]
Consumption of sugar-sweetened beverages and type 2 diabetes incidence in Thai adults: results from an 8-year prospective study.

Nutr Diabetes. 2017-6-19

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Recent trends in the prevalence of underweight, overweight, and obesity in Korean adults: The Korean National Health and Nutrition Examination Survey from 1998 to 2014.

J Epidemiol. 2017-9

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Soft drink consumption is associated with increased incidence of the metabolic syndrome only in women.

Br J Nutr. 2017-1

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BMC Public Health. 2017-1-21

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BMC Public Health. 2017-1-13

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Soft drink intake and the risk of metabolic syndrome: A systematic review and meta-analysis.

Int J Clin Pract. 2017-2

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Association between Alcohol Intake and Hemoglobin A1c in the Korean Adults: The 2011-2013 Korea National Health and Nutrition Examination Survey.

PLoS One. 2016-11-28

[10]
Frequent Consumption of Sugar- and Artificially Sweetened Beverages and Natural and Bottled Fruit Juices Is Associated with an Increased Risk of Metabolic Syndrome in a Mediterranean Population at High Cardiovascular Disease Risk.

J Nutr. 2016-8

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