Zhu Jiawen, Zhu Yuanyuan, Zhao Zihe, Huang Qianling, Liu Changju, Zeng Zhi
School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China.
School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China.
Front Nutr. 2025 Jan 14;11:1465518. doi: 10.3389/fnut.2024.1465518. eCollection 2024.
High intake of sugar-sweetened beverages has been linked to a range of physical, psychological, and emotional issues. Although there were various factors influencing sugar-sweetened beverage intake, the relationship between body esteem and sugar-sweetened beverage intake remains unclear. This study aimed to investigate the association between three dimensions of body esteem (body esteem-appearance, body esteem-attribution, and body esteem-weight) and the likelihood of high sugar-sweetened beverage intake.
A cross-sectional study was conducted among undergraduate students at Nanjing University of Chinese Medicine. Logistic regression analyses were used to assess the association between the three dimensions of body esteem and the risk of high sugar-sweetened beverage intake. Additionally, restricted cubic splines and subgroup analyses were implemented to further explore the associations.
A total of 969 participants were included in the study, with 771 females (79.6%). The mean age of the participants was 20.07 years (standard deviation [SD] = 1.65). After adjusting for covariates, body esteem-appearance was found to be negatively associated with high sugar-sweetened beverage intake (OR = 0.962, 95% CI = 0.935-0.989, = 0.007), while body esteem-attribution was positively associated with high sugar-sweetened beverage intake (OR = 1.091, 95% CI = 1.046-1.139, < 0.001). However, no significant association was found between body esteem-weight and high sugar-sweetened beverage intake ( = 0.781). Restricted cubic spline plots showed no non-linear associations between any dimensions of body esteem and the risk of high sugar-sweetened beverage intake (-nonlinear was 0.912, 0.225, 0.109, respectively). Subgroup analyses revealed no significant interactions.
These findings underscored the significance of targeted health promotion strategies and provided references for educational institutions or governmental bodies to steer undergraduate beverage consumption toward healthier patterns.
高糖饮料的大量摄入与一系列身体、心理和情绪问题有关。尽管影响高糖饮料摄入的因素多种多样，但身体自尊与高糖饮料摄入之间的关系仍不明确。本研究旨在探讨身体自尊的三个维度（身体自尊-外貌、身体自尊-归因和身体自尊-体重）与高糖饮料摄入可能性之间的关联。
在南京中医药大学的本科生中进行了一项横断面研究。采用逻辑回归分析来评估身体自尊的三个维度与高糖饮料高摄入量风险之间的关联。此外，还进行了受限立方样条分析和亚组分析以进一步探究这些关联。
本研究共纳入969名参与者，其中女性771名（79.6%）。参与者的平均年龄为20.07岁（标准差[SD]=1.65）。在调整协变量后，发现身体自尊-外貌与高糖饮料高摄入量呈负相关（OR=0.962，95%CI=0.935-0.989，P=0.007），而身体自尊-归因与高糖饮料高摄入量呈正相关（OR=1.091，95%CI=1.046-1.139，P<0.001）。然而，未发现身体自尊-体重与高糖饮料高摄入量之间存在显著关联（P=0.781）。受限立方样条图显示，身体自尊的任何维度与高糖饮料高摄入量风险之间均不存在非线性关联（非线性检验P值分别为0.912、0.225、0.109）。亚组分析未发现显著的交互作用。
这些发现强调了针对性健康促进策略的重要性，并为教育机构或政府部门引导大学生饮料消费走向更健康模式提供了参考。
