Division of Public Health Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.
Division of Periodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.
Nutr Health. 2023 Sep;29(3):465-477. doi: 10.1177/02601060221139588. Epub 2022 Nov 16.
Sugar-sweetened beverages (SSB) are an independent risk factor for obesity and other non-communicable diseases. Socioeconomic status (SES) is one of the key drivers for the purchase and consumption of SSBs among children and adults; however, there is a lack of strong evidence. This study aims to determine the association between SES and consumption patterns of SSBs across populations.
The review was conducted according to PRISMA guidelines. PubMed, MEDLINE, Scopus, EMBASE, LILACS, Web of Science, Cochrane, and CINHAL databases were searched for relevant articles until 2022. Participants included children, adolescents, and adults who consumed different SSBs and were assessed based on their SES. The random-effects model was used to obtain the pooled odds ratio (OR). Twenty-one studies (152,070 participants) met the inclusion criteria. The risk of bias was assessed using the Newcastle-Ottawa tool, with the majority of the studies indicating medium to high quality. Eight ORs from four studies (34,454 participants) were considered for meta-analysis. Results showed those belonging to high SES had 48% lower odds of consuming the SSBs (OR 0.52; 95% CI: 0.42-0.61; = 0.017). The overall quality of evidence was ascertained using GRADE criteria, illustrating a moderate certainty of evidence between SSB consumption and SES.
Meta-analysis suggests that SES influences the consumption pattern of SSBs, with high SES having lower odds of SSB consumption.
含糖饮料（SSB）是肥胖和其他非传染性疾病的独立危险因素。社会经济地位（SES）是儿童和成人购买和消费 SSB 的主要驱动因素之一；然而，目前缺乏强有力的证据。本研究旨在确定 SES 与人群中 SSB 消费模式之间的关联。
本综述按照 PRISMA 指南进行。在 2022 年之前，检索了 PubMed、MEDLINE、Scopus、EMBASE、LILACS、Web of Science、Cochrane 和 CINHAL 数据库中的相关文章。参与者包括饮用不同 SSB 的儿童、青少年和成年人，并根据 SES 进行评估。使用随机效应模型获得汇总优势比（OR）。21 项研究（152070 名参与者）符合纳入标准。使用纽卡斯尔-渥太华工具评估偏倚风险，大多数研究表明质量为中到高。四项研究（34454 名参与者）的八项 OR 进行了荟萃分析。结果表明，SES 较高的人饮用 SSB 的几率降低了 48%（OR 0.52；95%CI：0.42-0.61； = 0.017）。使用 GRADE 标准确定证据的总体质量，表明 SSB 消费和 SES 之间存在中等确定性的证据。
荟萃分析表明，SES 影响 SSB 的消费模式，SES 较高的人饮用 SSB 的几率较低。
