Premium
The associations between sugar‐sweetened beverage intake and cardiometabolic risks in Chinese children and adolescents
Author(s) -
Zhu Zhenni,
He Yuna,
Wang Zhengyuan,
He Xin,
Zang Jiajie,
Guo Changyi,
Jia Xiaodong,
Ren Yaping,
Shan Chengdi,
Sun Jing,
Huang Jian,
Ding Gangqiang,
Wu Fan
Publication year - 2020
Publication title -
pediatric obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.226
H-Index - 69
eISSN - 2047-6310
pISSN - 2047-6302
DOI - 10.1111/ijpo.12634
Subject(s) - medicine , anthropometry , obesity , blood pressure , environmental health , cholesterol , body mass index , demography , sociology
Summary 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.