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Prospective associations between sugar-sweetened beverage intakes and cardiometabolic risk factors in adolescents


Ambrosini, GL and Oddy, WH and Huang, RC and Mori, TA and Beilin, LJ and Jebb, SA, Prospective associations between sugar-sweetened beverage intakes and cardiometabolic risk factors in adolescents, American Journal of Clinical Nutrition, 98, (2) pp. 327-334. ISSN 0002-9165 (2013) [Refereed Article]

DOI: doi:10.3945/ajcn.112.051383


BACKGROUND: High sugar-sweetened beverage (SSB) consumption is associated with cardiometabolic disturbances in adults, but this relation is relatively unexplored in children and adolescents.

OBJECTIVE: We tested the hypothesis that higher SSB intakes are associated with increases in cardiometabolic risk factors between 14 and 17 y of age.

DESIGN: Data were provided by 1433 adolescent offspring from the Western Australian Pregnancy Cohort (Raine) Study. At 14 and 17 y of age, SSB intakes were estimated by using a food-frequency questionnaire; body mass index (BMI), waist circumference, blood pressure, fasting serum lipids, glucose, and insulin were measured, and overall cardiometabolic risk was estimated. Prospective associations between cardiovascular disease risk factors and SSB intake were examined with adjustment for age, pubertal stage, physical fitness, socioeconomic status, and major dietary patterns.

RESULTS: The average SSB intake in consumers (89%) was 335 g/d or 1.3 servings/d. Girls who moved into the top tertile of SSB consumption (>1.3 servings/d) between 14 and 17 y of age had increases in BMI (3.8%; 95% CI: 1.8%, 5.7%), increased overweight and obesity risk (OR: 4.8, 95% CI: 2.1, 11.4), and greater overall cardiometabolic risk (OR: 3.2; 95% CI: 1.6, 6.2) (all P-trend ≤ 0.001). Girls and boys who moved into the top tertile of SSB intake showed increases in triglycerides (7.0-8.4%; P-trend ≤ 0.03), and boys showed reductions in HDL cholesterol (-3.1%; 95% CI: -6.2%, 0.1%; P-trend < 0.04) independent of BMI. Some associations were attenuated after adjustment for major dietary patterns.

CONCLUSION: Increased SSB intake may be an important predictor of cardiometabolic risk in young people, independent of weight status.

Item Details

Item Type:Refereed Article
Research Division:Biomedical and Clinical Sciences
Research Group:Nutrition and dietetics
Research Field:Sport and exercise nutrition
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Nutrition
UTAS Author:Oddy, WH (Professor Wendy Oddy)
ID Code:107812
Year Published:2013
Web of Science® Times Cited:123
Deposited By:Menzies Institute for Medical Research
Deposited On:2016-03-24
Last Modified:2017-11-06

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