Steno Diabetes Center Aarhus, Aarhus University Hospital, 8200 Aarhus, Denmark.
Department of Clinical Medicine, University of Aarhus, 8200 Aarhus, Denmark.
Nutrients. 2023 Feb 2;15(3):764. doi: 10.3390/nu15030764.
A healthy diet is essential to prevent childhood obesity, however, adherence to a healthy diet is challenging. The aim of this study was to give a comprehensive overview of the literature investigaating associations between food and beverages and overweight/obesity in children and adolescents in order to identify dietary risk factors. A systematic search was performed in four databases and observational studies were included. Meta-analysis was performed using the random effect model. Sixty records met inclusion criteria and 14 different food or beverage categories were identified. A higher intake of sugar-sweetened beverages increased the odds of overweight/obesity by 1.20 ( < 0.05) ( = 26) and higher intake of fast food increased the odds of overweight/obesity by 1.17 ( < 0.05) ( = 24). Furthermore, higher intake of meat (OR 1.02, < 0.05 (:7)) and refined grains (OR 1.28, < 0.05 (:3)) was associated with an increased risk of overweight/obesity. In contrast, higher intake of whole grain (OR 0.86, = 0.04 (:5)) and more surprisingly sweet bakery (OR 0.59, < 0.05 (:3)) was associated with a decreased risk of overweight/obesity. In conclusion, a higher intake of sugar-sweetened beverages and a higher intake of fast food was identified as the primary dietary risk factors for overweight/obesity. Future research is needed to strengthen the generalizability of these results.
健康的饮食对于预防儿童肥胖至关重要,然而,坚持健康的饮食是具有挑战性的。本研究的目的是对调查儿童和青少年超重/肥胖与食物和饮料之间关系的文献进行全面综述,以确定饮食相关的风险因素。我们在四个数据库中进行了系统检索,并纳入了观察性研究。使用随机效应模型进行荟萃分析。有 60 条记录符合纳入标准,确定了 14 种不同的食物或饮料类别。含糖饮料摄入较高会使超重/肥胖的几率增加 1.20(<0.05)(OR=26),快餐摄入较高会使超重/肥胖的几率增加 1.17(<0.05)(OR=24)。此外,肉类(OR=1.02,<0.05(95%CI:7))和精制谷物(OR=1.28,<0.05(95%CI:3))摄入较高与超重/肥胖的风险增加相关。相比之下,全谷物(OR=0.86,=0.04(95%CI:5))和更令人惊讶的甜面包店(OR=0.59,<0.05(95%CI:3))摄入较高与超重/肥胖的风险降低相关。总之,含糖饮料摄入较高和快餐摄入较高被确定为超重/肥胖的主要饮食风险因素。需要进一步的研究来加强这些结果的普遍性。