A Cantoral1, M M Téllez-Rojo1, A S Ettinger2,3, H Hu4, M Hernández-Ávila1, K Peterson3,5. 1. National Institute of Public Health, Cuernava, Morelos, Mexico. 2. Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, USA. 3. Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, MI, USA. 4. Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada. 5. Department of Nutrition and Department of Social and Behaviorial Sciences, Harvard School of Public Health, Boston, MA, USA.
Abstract
BACKGROUND: Consumption of sugar-sweetened beverages (SSB) has been associated with risk of obesity, but little evidence exists to evaluate if age of introduction and cumulative SSB consumption increases risk in children. OBJECTIVES: The objective of the study was to estimate the relationship between age of introduction and cumulative SSB consumption with risk of obesity in 227 Mexican children. METHODS: SSB intake was measured every 6 months; age of introduction and cumulative consumption during the pre-school period were calculated. Height, weight, waist circumference, SSB intake and other relevant variables were measured at age 8-14 years and obesity defined using standard criteria. RESULTS: All participants were introduced to SSB before age 24 months and most (73%) before 12 months. Early SSB introduction (≤12 months) was not significantly associated with increased odds of obesity (odds ratio [OR] = 2.00, 95% confidence interval [CI]: 0.87, 4.59). However, children in the highest tertile of cumulative SSB consumption, compared with the lowest, had almost three times the odds of general (OR = 2.99, 95% CI: 1.27, 7.00) and abdominal (OR = 2.70, 95% CI: 1.03, 7.03) obesity at age 8-14 years. CONCLUSIONS: High SSB consumption increased the likelihood of obesity in 8-14-year-old children. Our results suggest that SSB intake should be delayed and excessive SSB consumption in pre-school period should be avoided.
BACKGROUND: Consumption of sugar-sweetened beverages (SSB) has been associated with risk of obesity, but little evidence exists to evaluate if age of introduction and cumulative SSB consumption increases risk in children. OBJECTIVES: The objective of the study was to estimate the relationship between age of introduction and cumulative SSB consumption with risk of obesity in 227 Mexican children. METHODS:SSB intake was measured every 6 months; age of introduction and cumulative consumption during the pre-school period were calculated. Height, weight, waist circumference, SSB intake and other relevant variables were measured at age 8-14 years and obesity defined using standard criteria. RESULTS: All participants were introduced to SSB before age 24 months and most (73%) before 12 months. Early SSB introduction (≤12 months) was not significantly associated with increased odds of obesity (odds ratio [OR] = 2.00, 95% confidence interval [CI]: 0.87, 4.59). However, children in the highest tertile of cumulative SSB consumption, compared with the lowest, had almost three times the odds of general (OR = 2.99, 95% CI: 1.27, 7.00) and abdominal (OR = 2.70, 95% CI: 1.03, 7.03) obesity at age 8-14 years. CONCLUSIONS: High SSB consumption increased the likelihood of obesity in 8-14-year-old children. Our results suggest that SSB intake should be delayed and excessive SSB consumption in pre-school period should be avoided.
Authors: Mercedes de Onis; Adelheid W Onyango; Elaine Borghi; Amani Siyam; Chizuru Nishida; Jonathan Siekmann Journal: Bull World Health Organ Date: 2007-09 Impact factor: 9.408
Authors: Victor Kipnis; Douglas Midthune; Laurence Freedman; Sheila Bingham; Nicholas E Day; Elio Riboli; Pietro Ferrari; Raymond J Carroll Journal: Public Health Nutr Date: 2002-12 Impact factor: 4.022
Authors: B W Jensen; M Nichols; S Allender; A de Silva-Sanigorski; L Millar; P Kremer; K Lacy; B Swinburn Journal: Pediatr Obes Date: 2013-06-19 Impact factor: 4.000
Authors: Adrienne S Ettinger; Héctor Lamadrid-Figueroa; Martha M Téllez-Rojo; Adriana Mercado-García; Karen E Peterson; Joel Schwartz; Howard Hu; Mauricio Hernández-Avila Journal: Environ Health Perspect Date: 2008-09-02 Impact factor: 9.031
Authors: Yue Wu; Karen E Peterson; Brisa N Sánchez; Dana C Dolinoy; Adriana Mercado-Garcia; Martha M Téllez-Rojo; Jaclyn M Goodrich Journal: Epigenetics Date: 2018-12-22 Impact factor: 4.528
Authors: Jennifer L LaBarre; Karen E Peterson; Maureen T Kachman; Wei Perng; Lu Tang; Wei Hao; Ling Zhou; Alla Karnovsky; Alejandra Cantoral; Martha María Téllez-Rojo; Peter X K Song; Charles F Burant Journal: J Clin Endocrinol Metab Date: 2020-07-01 Impact factor: 5.958