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Association between soft drink, fruit juice consumption and obesity in Eastern Europe: cross‐sectional and longitudinal analysis of the HAPIEE study
Author(s) -
GarduñoAlanís A.,
Malyutina S.,
Pajak A.,
Stepaniak U.,
Kubinova R.,
Denisova D.,
Pikhart H.,
Peasey A.,
Bobak M.,
Stefler D.
Publication year - 2020
Publication title -
journal of human nutrition and dietetics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.951
H-Index - 70
eISSN - 1365-277X
pISSN - 0952-3871
DOI - 10.1111/jhn.12696
Subject(s) - medicine , obesity , body mass index , demography , confidence interval , psychosocial , czech , population , consumption (sociology) , cross sectional study , environmental health , cohort , fruit juice , food science , social science , linguistics , philosophy , chemistry , pathology , psychiatry , sociology
Background Fruit juice and soft drink consumption have been shown to be related to obesity. However, this relationship has not been explored in Eastern Europe. The present study aimed to assess the cross‐sectional and longitudinal relationships between fruit juice, soft drink consumption and body mass index ( BMI ) in Eastern European cohorts. Methods Data from the Health, Alcohol and Psychosocial factors in Eastern Europe population‐based prospective cohort study, based in Russia, Poland and the Czech Republic, were used. Intakes of sugar‐sweetened beverage ( SSB ), artificially‐sweetened beverage ( ASB ) and fruit juice were estimated from a food frequency questionnaire. Participant BMI values were assessed at baseline ( n = 26 634) and after a 3‐year follow‐up (data available only for Russia, n = 5205). Results Soft drink consumption was generally low, particularly in Russia. Compared to never drinkers of SSB , participants who drank SSB every day had a significantly higher BMI in the Czech [β‐coefficient = 0.28; 95% confidence interval ( CI) = 0.02–0.54], Russian (β‐coefficient = 1.38; 95% CI = 0.62–2.15) and Polish (β‐coefficient = 0.83; 95% CI = 0.29–1.37) cohorts. Occasional or daily ASB consumption was also positively associated with BMI in all three cohorts. Results for daily fruit juice intake were inconsistent, with a positive association amongst Russians (β‐coefficient = 0.75; 95% CI = 0.28–1.21) but a negative trend in the Czech Republic (β‐coefficient = −0.42; 95% CI = −0.86 to 0.02). Russians participants who drank SSB or ASB had an increased BMI after follow‐up. Conclusions Our findings support previous studies suggesting that soft drink consumption (including SSB s and ASB s) is positively related to BMI , whereas our results for fruit juice were less consistent. Policies regarding these beverages should be considered in Eastern Europe to lower the risk of obesity.