Department of Public Health, History of Medicine and Gynecology, Miguel Hernández University and Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), 03010 Alicante, Spain.
Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
Nutrients. 2019 Aug 1;11(8):1772. doi: 10.3390/nu11081772.
The consumption of sugar-containing beverages (SCB) has been associated with obesity although the evidence in preschool children is scarce. Cross-sectional analyses were performed to assess the association between obesity and SCB consumption (packaged juices and sugar-sweetened soft drinks) in 1823 children at the age of 4-5 years from the INfancia y Medio Ambiente (INMA) Project. One drink was defined as a glass of 175 mL, and the consumption of SCB was categorized in <1, 1-7 drinks/week and > 1 drink/day. We used multiple logistic regression to estimate odds ratios (OR). The average SCB consumption was 79.1 mL/day, mainly from packaged juices (80.9%). The SCB consumption was lower in non-obese children than in children with obesity, 76.6 vs 118.4 mL/day ( = 0.02). After adjusting for covariates, children who consumed >1 drink/day showed elevated odds of obesity, OR = 3.23 (95% confidence interval (CI): 1.48-6.98) compared to children who consumed <1 SCB drink a week. Each additional SCB drink per day was associated with higher odds of obesity, OR = 1.55 (1.14-2.09). Higher consumption of packaged juices, but not sugar-sweetened soft drinks, was significantly associated with higher odds of obesity, OR = 1.55 (1.09-2.15) and OR = 1.59 (0.76-3.39), respectively. A higher SCB consumption is associated with obesity in preschool children, mainly due to the consumption of packaged juices.
含糖饮料（SCB）的消费与肥胖有关，尽管学龄前儿童的证据很少。本横断面分析旨在评估 1823 名 4-5 岁儿童的肥胖与 SCB 消费（包装果汁和含糖软饮料）之间的关系，这些儿童来自 INfancia y Medio Ambiente（INMA）项目。一杯定义为 175 毫升，SCB 消费分为<1、1-7 次/周和>1 次/天。我们使用多因素逻辑回归来估计比值比（OR）。平均 SCB 消费为 79.1 毫升/天，主要来自包装果汁（80.9%）。与肥胖儿童相比，非肥胖儿童的 SCB 消费较低，分别为 76.6 和 118.4 毫升/天（=0.02）。在调整了协变量后，与每周饮用<1 次 SCB 的儿童相比，每天饮用>1 次 SCB 的儿童肥胖的几率更高，OR=3.23（95%置信区间（CI）：1.48-6.98）。每天多喝 1 份 SCB 饮料与肥胖的几率增加相关，OR=1.55（1.14-2.09）。更高的包装果汁消费，而不是含糖软饮料消费，与肥胖的几率增加显著相关，OR=1.55（1.09-2.15）和 OR=1.59（0.76-3.39）。较高的 SCB 消费与学龄前儿童肥胖有关，主要是由于包装果汁的消费。
