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Sugar-Sweetened Beverages and Weight Gain in 2-to 5-Year-Old Children
被引:127
作者:
DeBoer, Mark D.
[1
]
Scharf, Rebecca J.
[2
]
Demmer, Ryan T.
[3
]
机构:
[1] Univ Virginia, Dept Pediat, Div Pediat Endocrinol, Charlottesville, VA 22908 USA
[2] Univ Virginia, Dept Pediat, Div Dev Pediat, Charlottesville, VA 22908 USA
[3] Columbia Univ, Mailman Sch Publ Hlth, Dept Endocrinol, New York, NY USA
来源:
基金:
美国国家卫生研究院;
关键词:
sugar sweetened beverages;
weight gain;
obesity;
preschool;
BODY-MASS INDEX;
INCOME PRESCHOOL-CHILDREN;
YOUNG-CHILDREN;
AGED CHILDREN;
UNITED-STATES;
SOFT DRINKS;
CONSUMPTION;
OBESITY;
ADOLESCENTS;
RISK;
D O I:
10.1542/peds.2013-0570
中图分类号:
R72 [儿科学];
学科分类号:
100202 ;
摘要:
BACKGROUND AND OBJECTIVE: Although sugar-sweetened beverage (SSB) consumption has been tightly linked to weight status among older children, the data regarding these relationships in children aged 2 to 5 years have been mixed. Our objective was to evaluate longitudinal and cross-sectional relationships between SSB consumption and weight status among children aged 2 to 5 years. METHODS: We assessed SSB consumption and BMI z scores among 9600 children followed in the Early Childhood Longitudinal Survey-Birth Cohort, using linear and logistic regression and adjusting for race/ethnicity, socioeconomic status, mother's BMI, and television viewing. RESULTS: Higher rates of SSB consumption were associated with higher BMI z scores among children age 4 (P < .05) and 5 (P < .001) but not yet at 2 years. Children aged 5 years who drank SSB regularly (compared with infrequent/nondrinkers) had a higher odds ratio for being obese (1.43, confidence interval 1.10-1.85, P < .01). In prospective analysis, children drinking SSB at 2 years (compared with infrequent/nondrinkers) had a greater subsequent increase in BMI z score over the ensuing 2 years (P,.05). CONCLUSIONS: Similar to what is seen among older children, children aged 2 to 5 years drinking SSB demonstrate both prospective and cross-sectional correlations with higher BMI z score. Pediatricians and parents should discourage SSB consumption to help avoid potential unhealthy weight gain in young children. From a public health standpoint, strong consideration should be made toward policy changes leading to decreases in SSB consumption among children.
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页码:413 / 420
页数:8
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