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Prospective associations between sugar-sweetened beverage intakes and cardiometabolic risk factors in 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.
History
Publication title
American Journal of Clinical NutritionVolume
98Pagination
327-334ISSN
0002-9165Department/School
Menzies Institute for Medical ResearchPublisher
Amer Soc Clinical NutritionPlace of publication
9650 Rockville Pike, Subscriptions, Rm L-3300, Bethesda, USA, Md, 20814-3998Repository Status
- Restricted