Department of Public Health, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
International Clinical Research Centre, St. Anne's University Hospital Brno, Brno, Czech Republic.
Cent Eur J Public Health. 2023 Mar;31(1):30-37. doi: 10.21101/cejph.a7479.
In Czech children, the burden related to the high body-mass index is rising. In the last three decades, Western eating patterns have influenced Czech children's diet, including the high consumption of sugar-sweetened beverages. This narrative review aims to evaluate evidence of the trend of sugar-sweetened beverages consumption in Czech children and its impact on the prevalence of childhood abnormal adiposity.
A comprehensive literature review in MEDLINE (PubMed) and a hand search using references in identified articles were performed. The inclusion criteria were population-based studies of randomly selected samples of children from 0 to 18 years old, data involving the Czech population, published from 1990 to 2021. The results were organized into three sections - childhood abnormal adiposity, SSBs consumption, and the association between SSBs consumption and abnormal adiposity.
The studies showed a significant increase in abnormal adiposity in both genders and all age categories. The highest prevalence of abnormal adiposity was observed in boys and younger children. On the contrary, sugar-sweetened beverages showed a significant decline in daily consumption among Czech children of both genders and all age categories. No results were found for consequences of abnormal adiposity concerning sugar-sweetened beverages consumption.
Findings from this review could serve public health experts to detect the areas of a gap in research and establish potential interventions in vulnerable groups. Observation of potential obesogenic contributors - including sugar-sweetened beverages - should be an integral part of effective action against the obesity pandemic.
在捷克儿童中,与高体重指数相关的负担正在增加。在过去的三十年中,西方的饮食模式影响了捷克儿童的饮食,包括高糖饮料的消费。本叙述性评论旨在评估捷克儿童含糖饮料消费趋势的证据及其对儿童异常肥胖流行率的影响。
在 MEDLINE(PubMed)中进行全面的文献检索,并在手检中使用已确定文章中的参考文献。纳入标准为 0 至 18 岁儿童随机抽样的人群为基础的研究,数据涉及捷克人群,发表时间为 1990 年至 2021 年。结果分为三个部分 - 儿童异常肥胖、SSB 消费以及 SSB 消费与异常肥胖之间的关联。
研究表明,两性和所有年龄段的儿童异常肥胖的发生率都显著增加。异常肥胖的最高发生率出现在男孩和年幼的儿童中。相反,在两性和所有年龄段的捷克儿童中,含糖饮料的日消费量均呈显著下降趋势。没有发现异常肥胖与含糖饮料消费后果之间的结果。
本综述的研究结果可以为公共卫生专家提供帮助,以发现研究中的差距领域,并为弱势群体建立潜在的干预措施。观察潜在的致肥胖因素 - 包括含糖饮料 - 应该是有效对抗肥胖流行的综合行动的一个组成部分。