中国儿童和青少年无糖饮料摄入量与儿童肥胖之间的关系。

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2024-01-08 DOI:10.1111/ijpo.13096

Jun Zhang, Yan Li, Fan Li, Min He, Jingxi Li, Shuangxia Zhang, Wenzhi Zhao, Yuhan Tang, Yanyan Li, Jingfan Xiong, Ping Yao

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引用次数: 0

摘要

背景：无糖饮料（SFB）摄入量与中国儿童肥胖的关系尚不清楚：无糖饮料（SFB）摄入量与中国儿童肥胖之间的关系尚不清楚：描述中国儿童和青少年的无糖饮料摄入情况，评估无糖饮料摄入量与不同类型肥胖之间的关系：方法：本研究基于正在进行的队列项目 "深圳市校本营养与生长评估监测"（EMSNGS）的基线数据。研究使用食物频率调查问卷收集了3227名9-17岁学生的食物消费量信息。体格和临床检查由经过培训的调查员和临床医生进行。通过多变量二元逻辑回归模型评估了SFB摄入量与一般肥胖、超重/肥胖、腹部肥胖、代谢性不健康超重（MUOW）/代谢性不健康肥胖（MUO）之间的关系：参与者的年龄中位数为 13.28 岁。参与者中 55.2% 为男孩，66.1% 为青少年。自来水饮用量的中位数为 16.67 毫升/天。在对潜在的混杂因素进行调整后，每天的 SFB 摄入量每增加 100 毫升，超重/肥胖（OR = 1.14；95%CI：1.06-1.23）、腹部肥胖（OR = 1.12；95%CI：1.03-1.23）和 MUOW/MUO （OR = 1.12；95%CI：1.02-1.21）的风险就分别增加。分层分析表明，家庭收入可能会影响SFB摄入量与超重/肥胖（交互作用P=0.021）和腹部肥胖（交互作用P=0.031）之间的关系：结论：SFB摄入量与中国儿童肥胖呈正相关，尤其是高收入家庭的儿童。

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Association between sugar-free beverage intake and childhood obesity among Chinese children and adolescents

Background

The relationship between sugar-free beverage (SFB) intake and childhood obesity among Chinese children is unknown.

Objectives

To describe the status of SFB consumption among children and adolescents in China and assess the association between SFB intake and different types of obesity.

Methods

The study was based on the baseline data of an ongoing cohort project named Evaluation and Monitoring on School-based Nutrition and Growth in Shenzhen (EMSNGS). Food frequency questionnaires were used to collect information on SFB consumption in 3227 students aged 9–17. Physical and clinical examinations were conducted by trained investigators and clinicians. Multivariable binary logistic regression models were performed to assess the association between SFB intake and general obesity, overweight/obesity, abdominal obesity, metabolically unhealthy overweight (MUOW)/metabolically unhealthy obesity (MUO).

Results

The median age of the participants was 13.28 years. Among the participants, 55.2% were boys, and 66.1% were adolescents. The median SFB consumption was 16.67 mL/d. After adjusting for potential confounding factors, each 100 mL increase in daily SFB intake was associated with an increased risk of overweight/obesity (OR = 1.14; 95%CI: 1.06–1.23), abdominal obesity (OR = 1.12; 95%CI: 1.03–1.23), and MUOW/MUO (OR = 1.12; 95%CI: 1.02–1.21), respectively. Stratified analyses showed that family income may have an impact on the association between SFB intake and overweight/obesity (P for interaction = 0.021) and abdominal obesity (P for interaction = 0.031).

Conclusion

SFB intake was positively associated with childhood obesity in Chinese children, particularly among individuals with high-income families.

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.