University of Texas Health Science Center, School of Public Health, Dallas Campus, Dallas, TX, USA.
Center for Pediatric Population Health, Children's Health System of Texas and University of Texas Health Science Center, Dallas, TX, USA.
J Asthma. 2022 May;59(5):926-933. doi: 10.1080/02770903.2021.1895210. Epub 2021 Mar 10.
United States (US) youth consume an average of 10 teaspoons of added sugar from sugar-sweetened beverages (SSB) on any given day. Few population-based studies have examined the association between SSB consumption and asthma in children and adolescents. This study aimed to examine the association between SSB consumption and asthma in the US pediatric population.
Analytical cross-sectional study.
A total of 9,938 children aged 2-to-17 years old who participated in the 2011-2016 National Health and Nutrition Examination Surveys. SSB consumption was categorized into 3 groups based on the caloric intake from 24-hour food recall data as follows: 1) no consumption (0 kcal/day); 2) moderate consumption (1-499 kcal/day); and 3) heavy consumption (≥ 500 kcal/day). The primary outcome of interest was self-reported current asthma condition.
Asthma prevalence estimates were significantly higher in heavy (16.4%) and moderate (11.0%) SSB consumers versus non-consumers (7.5%) ( < 0.05 for both comparisons). The adjusted odds of asthma were twice that among children with heavy SSB consumption (aOR 2.01, 95% confidence interval [CI] 1.31-3.08) versus non-SSB consumers. The odds of asthma were higher among those who consumed fruit drinks (aOR 2.51, 95% CI 1.55-4.08), non-diet soft drinks (aOR 1.89, 95% CI 1.23-2.89) and sweet tea (aOR 1.87, 95% CI 1.13-3.09) compared to nondrinkers. The effect was independent of obesity status (-interaction = 0.439).
Findings here suggest a dose-response relationship between SSB intake and asthma diagnosis, therefore controlling SSB consumption may potentially improve pulmonary health risk in the US pediatric population.
美国（US）年轻人在任何一天平均从含糖饮料（SSB）中摄入 10 茶匙添加糖。很少有基于人群的研究调查了 SSB 消费与儿童和青少年哮喘之间的关系。本研究旨在检验 SSB 消费与美国儿科人群哮喘之间的关系。
分析性横断面研究。
共有 9938 名年龄在 2 至 17 岁的儿童参加了 2011-2016 年全国健康与营养调查。根据 24 小时食物回忆数据中的卡路里摄入量，将 SSB 消费分为 3 组：1）不消费（0kcal/天）；2）中度消费（1-499kcal/天）；3）重度消费（≥500kcal/天）。主要研究结果是自我报告的当前哮喘状况。
重度（16.4%）和中度（11.0%）SSB 消费者的哮喘患病率明显高于非消费者（7.5%）（两者比较均<0.05）。与非 SSB 消费者相比，重度 SSB 消费者的哮喘调整比值比（aOR）为 2.01（95%置信区间 [CI] 1.31-3.08）。与不喝 SSB 的人相比，饮用水果饮料（aOR 2.51，95%CI 1.55-4.08）、非节食软饮料（aOR 1.89，95%CI 1.23-2.89）和甜茶（aOR 1.87，95%CI 1.13-3.09）的人患哮喘的几率更高。该效果独立于肥胖状态（-交互作用=0.439）。
研究结果表明 SSB 摄入量与哮喘诊断之间存在剂量反应关系，因此控制 SSB 消费可能会降低美国儿科人群的肺部健康风险。
