School of Biological Sciences, The University of Hong Kong, Pokfulam, Hong Kong Special Administrative Region, China.
Faculty of Natural Sciences, Institute of Nutrition, Consumption and Health, Paderborn University, Paderborn, Germany.
Eur J Nutr. 2020 Sep;59(6):2357-2367. doi: 10.1007/s00394-019-02084-4. Epub 2019 Sep 5.
Previous studies in older Australians have reported higher alcohol intake in those with low added sugar intake, yet the relationship between energy in liquid form [alcoholic beverages vs. sugar-sweetened beverages (SSB)] and measures of obesity has not been evaluated. We aimed to assess the association between the energy derived from SSB and alcoholic beverages, and to model the association between the substitution of SSB with alcoholic beverages and waist circumference.
In this cross-sectional analysis, dietary data from the Australian Health Survey 2011-12 were analyzed. Participants with implausible dietary intake were excluded by applying the Goldberg cut-off. Usual SSB intake of adults ≥ 19 years old was estimated using the Multiple Source Method and participants were classified into zero-, low- or high-SSB consumers according to their usual SSB intake. Energy from alcoholic beverages in the three SSB consumption groups was compared using multivariable general linear models. A substitution model was used to assess the association between the replacement of SSB with alcoholic beverages and waist circumference.
Zero-SSB consumers made up 33% of the included participants. In all age groups, zero-SSB consumers had significantly higher energy intakes from alcoholic beverages than low- and high-SSB consumers. Low- and high-SSB consumers had similar consumption of alcoholic beverages. Substituting SSB intake with alcoholic beverage intake was not associated with significant differences in waist circumference in most age groups.
Australian adults who avoid SSB are common but consume substantially more energy in the form of alcoholic beverages. An increase in alcoholic beverage intake could be an 'unintended consequence' of strictly discouraging SSB consumption.
以前在澳大利亚老年人中的研究报告称，低添加糖摄入量的人群饮酒量较高，但液体形式的能量[酒精饮料与含糖饮料（SSB）]与肥胖测量值之间的关系尚未得到评估。我们旨在评估 SSB 和酒精饮料中能量与腰围之间的关联，并建立 SSB 与酒精饮料替代与腰围之间关联的模型。
在这项横断面分析中，分析了 2011-12 年澳大利亚健康调查的饮食数据。通过应用戈德堡截止值，排除了饮食摄入不可信的参与者。使用多源法估算了年龄在 19 岁及以上成年人的 SSB 常规摄入量，并根据其 SSB 常规摄入量将参与者分为零 SSB、低 SSB 或高 SSB 消费者。使用多变量一般线性模型比较了三个 SSB 消费组中酒精饮料的能量。使用替代模型来评估用酒精饮料替代 SSB 与腰围之间的关联。
零 SSB 消费者占纳入参与者的 33%。在所有年龄组中，零 SSB 消费者的酒精饮料能量摄入量明显高于低 SSB 和高 SSB 消费者。低 SSB 和高 SSB 消费者的酒精饮料消耗量相似。在大多数年龄组中，用 SSB 替代酒精饮料摄入与腰围无显著差异相关。
澳大利亚成年人避免 SSB 很常见，但会消耗大量的酒精饮料形式的能量。严格限制 SSB 摄入可能会产生酒精饮料摄入增加的“意外后果”。
