Study on the relationship between sugar-sweetened beverage intake and central obesity in children and adolescents aged 7-17 years from 1997 to 2011 in China

WANG Jin-dong; SUN Yu; SONG Wei-qi; LIANG Fen; NAN Ying; ZHANG Wen-ting; LIU Dan; HU Gui-fang; MAO Chen

doi:10.16462/j.cnki.zhjbkz.2021.05.008

Volume 25 Issue 5

Jun. 2021

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2021 > 25(5): 534-540

WANG Jin-dong, SUN Yu, SONG Wei-qi, LIANG Fen, NAN Ying, ZHANG Wen-ting, LIU Dan, HU Gui-fang, MAO Chen. Study on the relationship between sugar-sweetened beverage intake and central obesity in children and adolescents aged 7-17 years from 1997 to 2011 in China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(5): 534-540. doi: 10.16462/j.cnki.zhjbkz.2021.05.008

Citation:

WANG Jin-dong, SUN Yu, SONG Wei-qi, LIANG Fen, NAN Ying, ZHANG Wen-ting, LIU Dan, HU Gui-fang, MAO Chen. Study on the relationship between sugar-sweetened beverage intake and central obesity in children and adolescents aged 7-17 years from 1997 to 2011 in China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(5): 534-540. doi: 10.16462/j.cnki.zhjbkz.2021.05.008

Citation:

WANG Jin-dong, SUN Yu, SONG Wei-qi, LIANG Fen, NAN Ying, ZHANG Wen-ting, LIU Dan, HU Gui-fang, MAO Chen. Study on the relationship between sugar-sweetened beverage intake and central obesity in children and adolescents aged 7-17 years from 1997 to 2011 in China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(5): 534-540. doi: 10.16462/j.cnki.zhjbkz.2021.05.008

PDF( 1641 KB)

Study on the relationship between sugar-sweetened beverage intake and central obesity in children and adolescents aged 7-17 years from 1997 to 2011 in China

doi: 10.16462/j.cnki.zhjbkz.2021.05.008

WANG Jin-dong¹,
SUN Yu¹,
SONG Wei-qi¹,
LIANG Fen¹,
NAN Ying^{1, 2},
ZHANG Wen-ting¹,
LIU Dan¹,
HU Gui-fang^{1
,
,},
MAO Chen^{1
,
,}

1.
Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China
2.
School of Nursing, Southern Medical University, Guangzhou 510515, China

Funds:

Guangdong Province Universities and Colleges Pearl River Scholar Funded Scheme 2019

The Construction of High-level University of Guangdong G820332010

The Construction of High-level University of Guangdong G618339167

The Construction of High-level University of Guangdong G618339164

Young Elite Scientists Sponsorship Program by CAST 2019QNRC001

More Information

Corresponding author: HU Gui-fang, E-mail: guif_hu@sina.com; MAO Chen, E-mail: maochen9@smu.edu.cn
Received Date: 2021-03-16
Rev Recd Date: 2021-04-28

Available Online: 2021-06-16

Publish Date: 2021-05-10

Abstract

Abstract

Objective To investgate the relationship between sugar-sweetened beverage intake and central obesity among children and adolescents. Methods We used the cross-sectional survey data from 1997 to 2011 in the open database of the "China Health and Nutrition Survey" project, and this study analyzed the relationship between sugar-sweetened beverage intake and central obesity among Chinese children aged 7-17 years. All participants were divided into normal group and pre-central obesity group/central obesity group by the waist circumference. We used the Chi-square test to compare the differences between different groups, and multivariate Logistic liner regression analysis model was used to analyze the influence of sugary drinks on central obesity in children and adolescents. Results Among 1 916 children aged 7 to 17 years, 389 (20.3%) had more than or equal to 3 times of intake of sugar-sweetened beverages per week, 712 (37.2%) had 1-2 times per week, 563 (29.4%) had 1-3 times per month and 252 (13.2%) had less than once a month group. A total of 731 cases (38.2%) developed pre-central obesity/central obesity. After adjusting for related confounding factors, compared with the group who consumes sugary drinks less than once a month group, the group had more than or equal to 3 times a week increased the risk of obesity by 68.0% (95% CI: 1.194-2.364, P=0.003). Besides, age and gender had no significant effect on the relationship between the frequency of sugar-sweetened beverage intake and central obesity. Conclusion Higher frequency of sugar-beverage intake can increase the risk of central obesity in children and adolescents.
- Children,
- Adolescents,
- Sugary drinks,
- Pre-central obesity,
- Central obesity

FullText(HTML)

References(33)

References

[1]	Güngör NK. Overweight and obesity in children and adolescents[J]. J Clin Res Pediatr Endocrinol, 2014, 6(3): 129-143. DOI: 10.4274/jcrpe.1471.
[2]	Xi B, Zong XN, Kelishadi R, et al. International waist circumference percentile cutoffs for central obesity in children and adolescents aged 6 to 18 years[J]. J Clin Endocrinol Metab, 2020, 105(4): e1569-e1583. DOI: 10.1210/clinem/dgz195.
[3]	Lobstein T, Baur L, Uauy R, et al. Obesity in children and young people: a crisis in public health[J]. Obes Rev, 2004, 5(Suppl 1): 4-104. DOI: 10.1111/j.1467-789x.2004.00133.x.
[4]	Pereira MA. Sugar-sweetened and artificially-sweetened beverages in relation to obesity risk[J]. Adv Nutr, 2014, 5(6): 797-808. DOI: 10.3945/an.114.007062.
[5]	Ayer J, Charakida M, Deanfield JE, et al. Lifetime risk: childhood obesity and cardiovascular risk[J]. Eur Heart J, 2015, 36(22): 1371-1376. DOI: 10.1093/eurheartj/ehv089.
[6]	Ludwig DS, Peterson KE, Gortmaker SL. Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis[J]. Lancet, 2001, 357(9255): 505-508. DOI: 10.1016/s0140-6736(00)04041-1.
[7]	Katzmarzyk PT, Broyles ST, Champagne CM, et al. Relationship between soft drink consumption and obesity in 9-11 years old children in a multi-national study[J]. Nutrients, 2016, 8(12): E770. DOI: 10.3390/nu8120770.
[8]	Bes-Rastrollo M, Sayon-Orea C, Ruiz-Canela M, et al. Impact of sugars and sugar taxation on body weight control: a comprehensive literature review[J]. Obesity (Silver Spring), 2016, 24(7): 1410-1426. DOI: 10.1002/oby.21535.
[9]	Keller A, Bucher Della Torre S. Sugar-sweetened beverages and obesity among children and adolescents: a review of systematic literature reviews[J]. Child Obes, 2015, 11(4): 338-346. DOI: 10.1089/chi.2014.0117.
[10]	Collison KS, Zaidi MZ, Subhani SN, et al. Sugar-sweetened carbonated beverage consumption correlates with BMI, waist circumference, and poor dietary choices in school children[J]. BMC Public Health, 2010, 10: 234. DOI: 10.1186/1471-2458-10-234.
[11]	Vinciguerra F, Tumminia A, Roppolo F, et al. Impact of unhealthy childhood and unfavorable parents' characteristics on adiposity in schoolchildren[J]. Diabetes Metab Res Rev, 2019, 35(8): e3199. DOI: 10.1002/dmrr.3199.
[12]	Hasnain SR, Singer MR, Bradlee ML, et al. Beverage intake in early childhood and change in body fat from preschool to adolescence[J]. Child Obes, 2014, 10(1): 42-49. DOI: 10.1089/chi.2013.0004.
[13]	Zhang B, Zhai FY, Du SF, et al. The China Health and Nutrition Survey, 1989-2011[J]. Obes Rev, 2014, 15 Suppl 1(1): 2-7. DOI: 10.1111/obr.12119.
[14]	中国疾病预防控制中心营养与食品安全所, 湖北省疾病预防控制中心, 首都儿科研究所, 等. 人群健康监测人体测量方法[S]. 北京: 中华人民共和国卫生部, 2013. National institute for Nutrition and Health Chinese Center for Disease Control and Prevention, Hubei Provincial Center for Disease Control and prevention, Capital Institute of Pediatrics, et al. Anthropometric measurements method in health surveillance[S]. Beijing: Ministry of Health of the People's Republic of China, 2013.
[15]	马冠生, 季成叶, 马军, 等. 中国7~18岁学龄儿童青少年腰围界值点研究[J]. 中华流行病学杂志, 2010, 31(6): 609-615. DOI: 10.3760/cma.j.issn.0254-6450.2010.06.003. Ma GS, Ji CY, Ma J, et al. Waist circumference reference values for screening cardiovascular risk factors in Chinese children and adolescents aged 7-18 years[J]. Chin J Epidemiol, 2010, 31(6): 609-615. DOI: 10.3760/cma.j.issn.0254-6450.2010.06.003.
[16]	Ardeshirlarijani E, Jalilpiran Y, Daneshzad E, et al. Association between sugar-sweetened beverages and waist circumference in adult populations: a meta-analysis of prospective cohort studies[J]. Clin Nutr ESPEN, 2021, 41: 118-125. DOI: 10.1016/j.clnesp.2020.10.014.
[17]	中国营养学会. 中国居民膳食营养素参考摄入量[J]. 营养学报, 2001, 23(3): 193-196. DOI: 10.3321/j.issn:0512-7955.2001.03.001. Chinese Society for Nutrition. Chinese dietary reference intakes, DRIs[J]. Acta Nutr Sin, 2001, 23(3): 193-196. DOI: 10.3321/j.issn:0512-7955.2001.03.001.
[18]	Qi Q, Chu AY, Kang JH, et al. Sugar-sweetened beverages and genetic risk of obesity[J]. N Engl J Med, 2012, 367(15): 1387-1396. DOI: 10.1056/nejmoa1203039.
[19]	国务院新闻办公室. 中国居民营养与慢性病状况报告(2020年)[EB/OL]. (2020-12-23)[2021-03-04]. http://www.scio.gov.cn/xwfbh/xwbfbh/wqfbh/42311/44583/index.htm#2, 2020-12-23. The Information Office of the State Council. Report on Chinese Residents' Chronic Diseases and Nutrition 2020[EB/OL]. (2020-12-23)[2021-03-04]. http://www.scio.gov.cn/xwfbh/xwbfbh/wqfbh/42311/44583/index.htm#2, 2020-12-23.
[20]	白英龙, 许志勇, 牛欣, 等. 沈阳市初中生超重肥胖和含糖饮料摄入关联性分析[J]. 中国学校卫生, 2020, 41(1): 113-116. DOI: 10.16835/j.cnki.1000-9817.2020.01.030. Bai YL, Xu ZY, Niu X, et al. Correlation analysis between overweight and obesity and intake of sugary drinks among junior high school students in Shenyang[J]. Chin J Sch Heal, 2020, 41(1): 113-116. DOI: 10.16835/j.cnki.1000-9817.2020.01.030.
[21]	Wolfram G, Bechthold A, Boeing H, et al. Evidence-based guideline of the German Nutrition Society: fat intake and prevention of selected nutrition-related diseases[J]. Ann Nutr Metab, 2015, 67(3): 141-204. DOI:141. 10.1159/000437243.
[22]	Segovia J, Orellana M, Sarmiento JP, et al. The effects of taxing sugar-sweetened beverages in Ecuador: an analysis across different income and consumption groups[J]. PLoS One, 2020, 15(10): e0240546. DOI: 10.1371/journal.pone.0240546.
[23]	张琴, 朱琰泓, 彭谦, 等. 周行为记录在小学生含糖饮料知信行综合干预应用中的效果评价[J]. 中国健康教育, 2021, 37(1): 63-66. DOI: 10.16168/j.cnki.issn.1002-9982.2021.01.013. Zhang Q, Zhu YH, Peng Q, et al. Effect of the application of weekly behavior records in comprehensive intervention on KAP of sugary beverages among pupils[J]. Chin J Heal Educ, 2021, 37(1): 63-66. DOI: 10.16168/j.cnki.issn.1002-9982.2021.01.013.
[24]	Lim S, Zoellner JM, Lee JM, et al. Obesity and sugar-sweetened beverages in African-American preschool children: a longitudinal study[J]. Obesity (Silver Spring), 2009, 17(6): 1262-1268. DOI: 10.1038/oby.2008.656.
[25]	de Ruyter JC, Olthof MR, Seidell JC, et al. A trial of sugar-free or sugar-sweetened beverages and body weight in children[J]. N Engl J Med, 2012, 367(15): 1397-1406. DOI: 10.1056/nejmoa1203034.
[26]	张姝. 沈阳市某区初中生含糖饮料摄入情况与超重肥胖的相关性研究[D]. 大连: 大连医科大学, 2019. Zhang S. Study on the relationship between the intake of sugar-sweetened beverages and the overweight and obesity among junior high school students in A district of Shenyang[D]. Dalian: Dalian Medical University, 2019.
[27]	Malik VS, Schulze MB, Hu FB. Intake of sugar-sweetened beverages and weight gain: a systematic review[J]. Am J Clin Nutr, 2006, 84(2): 274-288. DOI: 10.1093/ajcn/84.1.274.
[28]	Nissinen K, Mikkilä V, Männistö S, et al. Sweets and sugar-sweetened soft drink intake in childhood in relation to adult BMI and overweight. The Cardiovascular Risk in Young Finns Study[J]. Public Health Nutr, 2009, 12(11): 2018-2026. DOI: 10.1017/s1368980009005849.
[29]	穆亚平, 赵方, 马洪刚, 等. 儿童及青少年肥胖症糖脂代谢异常早期诊断和干预的研究[J]. 中国实用儿科杂志, 2011, 26(8): 587-591. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSEK201108011.htm Mu YP, Zhao F, Ma HG, et al. Research into abnormal glucose and lipid metabolism in early diagnosis and intervention in obese children and adolescents[J]. Chin J Pract Pediatr, 2011, 26(8): 587-591. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSEK201108011.htm
[30]	Xia JY, Lloyd-Jones DM, Khan SS. Association of body mass index with mortality in cardiovascular disease: New insights into the obesity paradox from multiple perspectives[J]. Trends Cardiovasc Med, 2019, 29(4): 220-225. DOI: 10.1016/j.tcm.2018.08.006.
[31]	Lopez NV, Ayala GX, Corder K, et al. Parent support and parent-mediated behaviors are associated with children's sugary beverage consumption[J]. J Acad Nutr Diet, 2012, 112(4): 541-547. DOI: 10.1016/j.jand.2011.11.013.
[32]	Moreno MA, Furtner F, Rivara FP. Advice for patients. Sugary drinks and childhood obesity[J]. Arch Pediatr Adolesc Med, 2009, 163(4): 400. DOI: 10.1001/archpediatrics.2009.16.
[33]	Dehghan M, Akhtar-Danesh N, Merchant AT. Childhood obesity, prevalence and prevention[J]. Nutr J, 2005, 4: 24. DOI: 10.1186/1475-2891-4-24.