Department of Preventive Dental Sciences, Imam Abdulrahman Bin Faisal, College of Dentistry, Dammam, Saudi Arabia.
Department of Applied Oral Sciences, the Forsyth Research Institute, Cambridge, MA, United States.
Front Endocrinol (Lausanne). 2024 Mar 11;14:1174299. doi: 10.3389/fendo.2023.1174299. eCollection 2023.
Sweetened beverage consumption is particularly important in countries such as Kuwait, where the prevalence of obesity is high, and most children drink sweetened beverages daily. To assess the relationship between three most commonly consumed beverages, (soda, milk, and juice) and the incidence of obesity among Kuwaiti children at the critical age of 10-12 year, Longitudinal cohort data of 6,305 children on initial presentation in 2012 (age, 10 years) and follow-up in 2014 (age, 12 years) were obtained from the Kuwait Healthy Life Study. The servings for the three beverages (soda, juice, and milk) were calculated as servings per day groups (0, 1-2, and 3 servings/day or more). Multivariate logistic regression was performed to assess the relationship between developing obesity during 2012-2014 and soda, juice, and milk consumption. Model selection was based on clinically relevant covariates and potential confounders using stepwise model selection. Six percent children become obese between baseline and follow-up visits. High soda drinking showed significant association with developing obesity. High milk consumption (more than 3 servings a day) was also significantly associated with developing obesity. Potential confounders included in the final model were age, sex, governorates, and fitness level, of which none were significant confounders or effect modifiers for the association. Children with high soda consumption had significantly higher prevalence of obesity. High obesity prevalence was observed with high milk consumption at a lower significance level but not with high juice consumption.
在科威特等肥胖症流行率较高的国家，含糖饮料的消费尤其重要，大多数儿童每天都饮用含糖饮料。为了评估三种最常饮用的饮料（苏打水、牛奶和果汁）与科威特儿童肥胖症发病率之间的关系，我们对科威特健康生活研究中 6305 名儿童的纵向队列数据进行了评估。这些儿童在 2012 年（年龄 10 岁）初次就诊时和 2014 年（年龄 12 岁）随访时获得了数据。将三种饮料（苏打水、果汁和牛奶）的摄入量计算为每日摄入量组（0、1-2 和 3 份/天或更多）。采用多元逻辑回归评估 2012-2014 年期间发生肥胖与苏打水、果汁和牛奶消费之间的关系。模型选择基于临床相关协变量和潜在混杂因素的逐步模型选择。6%的儿童在基线和随访期间肥胖。高苏打水饮用与肥胖症的发生显著相关。高牛奶（每天超过 3 份）的摄入也与肥胖症的发生显著相关。纳入最终模型的潜在混杂因素包括年龄、性别、省份和健康水平，其中没有一个是关联的显著混杂因素或效应修饰因子。高苏打水摄入量的儿童肥胖症患病率显著更高。高牛奶摄入量也观察到肥胖症患病率较高，但显著性水平较低，而高果汁摄入量则没有。
