The Relationships between Sugar-Sweetened Beverage Intake and Cardiometabolic Markers in Young Children - 24/01/13
Address correspondence to: Andrew A. Bremer, MD, PhD, Department of Pediatrics, Division of Endocrinology, Vanderbilt University School of Medicine, 11134 A Doctors' Office Tower, 2200 Children's Way, Nashville, TN 37232-9170Abstract |
Background |
The consumption of sugar-sweetened beverages has been implicated as a major contributor to the development of obesity and cardiometabolic disease.
Objective |
To evaluate the relationships between sugar-sweetened beverage intake and cardiometabolic markers in young children.
Design |
A cross-sectional analysis of the National Health and Nutrition Examination Survey data collected by the National Center for Health Statistics.
Participants |
A total of 4,880 individuals aged 3 to 11 years from nationally representative samples of US children participating in the National Health and Nutrition Examination Survey during 1999-2004 were studied.
Main outcome measures |
Concentrations of total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglyceride, and C-reactive protein as well as waist circumference and body mass index percentile for age–sex.
Statistical analyses performed |
Multivariate linear regression analyses were performed to determine independent associations between each outcome variable and the number of serving equivalents of sugar-sweetened beverages consumed after adjusting for age, sex, race, poverty status, physical activity, and energy intake.
Results |
Increased sugar-sweetened beverage intake was independently associated with increased C-reactive protein concentrations (P=0.003), increased waist circumference (P=0.04), and decreased high-density lipoprotein cholesterol concentrations (P<0.001). Subgroup analyses demonstrated differences in the association of sugar-sweetened beverage intake with metabolic markers and anthropometric measurements among age ranges, sex, and racial/ethnic groups.
Conclusions |
In this cross-sectional analysis of children's dietary data, sugar-sweetened beverage intake was independently associated with alterations in lipid profiles, increased markers of inflammation, and increased waist circumference in children. Prospective studies are needed, but awareness of these trends is essential in combating the growing metabolic and cardiovascular disease burden in the pediatric population.
Le texte complet de cet article est disponible en PDF.Keywords : Sugar-sweetened beverage, Epidemiology, Lipids, Nutrition
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| FUNDING/SUPPORT This work was supported in part by Vanderbilt Clinical and Translational Science Award no. UL1 RR024975-01 from the National Center for Research Resources of the National Institutes of Health. |
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| STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors. |
Vol 113 - N° 2
P. 219-227 - février 2013 Retour au numéro
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