Zhenni Zhu1,2, Yuna He2, Zhengyuan Wang1, Xin He3, Jiajie Zang1, Changyi Guo1, Xiaodong Jia1, Yaping Ren4, Chengdi Shan5, Jing Sun2, Jian Huang2, Gangqiang Ding2, Fan Wu1. 1. Division of Health Risk Factors Monitoring and Control, Shanghai Municipal Centre for Disease Control and Prevention, Shanghai, China. 2. National Institute for Nutrition and Health, Chinese Centre for Disease Control and Prevention, Beijing, China. 3. Division of Non-Communicable Diseases Prevention and Control, Shanghai Municipal Centre for Disease Control and Prevention, Shanghai, China. 4. Department of Public Health, Shanghai Pudong District Centre for Disease Control and Prevention, Shanghai, China. 5. Department of Public Health, Shanghai Huangpu District Centre for Disease Control and Prevention, Shanghai, China.
Abstract
BACKGROUND: The intake of sugar-sweetened beverages (SSBs) has been linked to an increased risk of cardiometabolic diseases. OBJECTIVES: This study aims to examine associations between SSB intake and cardiometabolic risks among Chinese children and adolescences. METHODS: Data from 3958 participants aged 6-17 years old were obtained in Shanghai, China, from September to October 2015. A 3-day dietary record and a food-frequency questionnaire (FFQ) were applied to assess SSB consumption and frequency. Anthropometric and laboratory measurements were conducted to measure cardiometabolic indicators. RESULTS: After adjusting for age, sex, daily energy intake, pubertal stage, sedentary time, maternal education, and household income, SSB consumption was positively associated with serum total cholesterol and low-density lipoprotein-cholesterol (LDL-C), while it was inversely associated with systolic blood pressure (P < .05). The participants in the highest intake category (≥201.7 mL/day) of SSB consumption had 0.10 (95%CI, 0.02-0.18) mmol/L higher total cholesterol and 0.09 (95%CI, 0.03-0.16) mmol/L higher LDL-C levels than the nonconsumption group (0 mL/day). There was a quasi-U-shaped trend in LDL-C across the categories of >0 mL/day SSB consumption. SSB frequency was positively associated with BMI (P = .04). CONCLUSIONS: SSB intake was positively associated with serum cholesterol and was weakly associated with BMI in Chinese children and adolescents, independent of energy intake.
BACKGROUND: The intake of sugar-sweetened beverages (SSBs) has been linked to an increased risk of cardiometabolic diseases. OBJECTIVES: This study aims to examine associations between SSB intake and cardiometabolic risks among Chinese children and adolescences. METHODS: Data from 3958 participants aged 6-17 years old were obtained in Shanghai, China, from September to October 2015. A 3-day dietary record and a food-frequency questionnaire (FFQ) were applied to assess SSB consumption and frequency. Anthropometric and laboratory measurements were conducted to measure cardiometabolic indicators. RESULTS: After adjusting for age, sex, daily energy intake, pubertal stage, sedentary time, maternal education, and household income, SSB consumption was positively associated with serum total cholesterol and low-density lipoprotein-cholesterol (LDL-C), while it was inversely associated with systolic blood pressure (P < .05). The participants in the highest intake category (≥201.7 mL/day) of SSB consumption had 0.10 (95%CI, 0.02-0.18) mmol/L higher total cholesterol and 0.09 (95%CI, 0.03-0.16) mmol/L higher LDL-C levels than the nonconsumption group (0 mL/day). There was a quasi-U-shaped trend in LDL-C across the categories of >0 mL/day SSB consumption. SSB frequency was positively associated with BMI (P = .04). CONCLUSIONS:SSB intake was positively associated with serum cholesterol and was weakly associated with BMI in Chinese children and adolescents, independent of energy intake.
Authors: Sondos M Flieh; Luis A Moreno; María L Miguel-Berges; Peter Stehle; Ascensión Marcos; Dénes Molnár; Kurt Widhalm; Laurent Béghin; Stefaan De Henauw; Anthony Kafatos; Catherine Leclercq; Marcela Gonzalez-Gross; Jean Dallongeville; Cristina Molina-Hidalgo; Esther M González-Gil Journal: Nutrients Date: 2020-12-05 Impact factor: 5.717