{"title":"泰国大学生饮用含糖饮料与内脏脂肪堆积风险","authors":"Phisit Pouyfung, Jaruneth Petchoo, Suwichak Chaisit","doi":"10.32394/rpzh/205935","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Increased consumption of sugar-sweetened beverages (SSBs) is associated with obesity and metabolic health risks.</p><p><strong>Objective: </strong>This study determined the relationship between SSB intake and body composition, with a focus on visceral fat accumulation among Thai university students.</p><p><strong>Material and methods: </strong>A cross-sectional study was conducted with 387 university students aged 19-22 years. Dietary intake was assessed using a 3-day, 24-hour dietary recall conducted on three consecutive day to quantify SSB consumption. Body composition metrics, including body mass index (BMI), fat mass, and visceral fat levels (VFL), were measured using bioelectrical impedance analysis. Statistical analyses, including t-tests and linear regression, were used to identify the associations between SSB intake and body composition.</p><p><strong>Results: </strong>Sweetened tea, particularly freshly prepared iced milk tea, was most frequently consumed. High sugar consumption from SSB (≥ 24 g/day) was significantly associated with increased fat mass (16.9 ± 9.9 vs. 14.8 ± 7.8 kg, p = 0.021), BMI (22.6 ± 5.0 vs. 21.3 ± 4.2 kg/m², p = 0.007), and VFL > 9 (83.3% vs. 16.7%, p = 0.013). Sugar intake increased progressively across BMI categories: underweight (25.21 g/day), normal-weight (28.78 g/day), overweight (32.18 g/day), and obese (34.00 g/day). Participants with a VFL above 9 consumed over 40 g/day of SSB-derived sugar. At VFL exceeding 10, males had an average BMI of 30.06 ± 2.40 kg/m², whereas females exhibited a dramatically higher BMI of 41.20 ± 3.27 kg/m².</p><p><strong>Conclusions: </strong>Excessive SSB consumption, particularly sweetened tea, is strongly associated with higher visceral fat and unfavorable body composition in young adults. Public health interventions targeting reduced SSB intake are urgently required to address obesity and metabolic health risks. Further longitudinal studies are recommended to confirm causality and inform dietary guidelines.</p>","PeriodicalId":35951,"journal":{"name":"Roczniki Panstwowego Zakladu Higieny","volume":"76 1","pages":"75-85"},"PeriodicalIF":0.0000,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sugar-Sweetened Beverage Consumption and Risk of Visceral Fat Accumulation Among University Students in Thailand.\",\"authors\":\"Phisit Pouyfung, Jaruneth Petchoo, Suwichak Chaisit\",\"doi\":\"10.32394/rpzh/205935\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Increased consumption of sugar-sweetened beverages (SSBs) is associated with obesity and metabolic health risks.</p><p><strong>Objective: </strong>This study determined the relationship between SSB intake and body composition, with a focus on visceral fat accumulation among Thai university students.</p><p><strong>Material and methods: </strong>A cross-sectional study was conducted with 387 university students aged 19-22 years. Dietary intake was assessed using a 3-day, 24-hour dietary recall conducted on three consecutive day to quantify SSB consumption. Body composition metrics, including body mass index (BMI), fat mass, and visceral fat levels (VFL), were measured using bioelectrical impedance analysis. Statistical analyses, including t-tests and linear regression, were used to identify the associations between SSB intake and body composition.</p><p><strong>Results: </strong>Sweetened tea, particularly freshly prepared iced milk tea, was most frequently consumed. High sugar consumption from SSB (≥ 24 g/day) was significantly associated with increased fat mass (16.9 ± 9.9 vs. 14.8 ± 7.8 kg, p = 0.021), BMI (22.6 ± 5.0 vs. 21.3 ± 4.2 kg/m², p = 0.007), and VFL > 9 (83.3% vs. 16.7%, p = 0.013). Sugar intake increased progressively across BMI categories: underweight (25.21 g/day), normal-weight (28.78 g/day), overweight (32.18 g/day), and obese (34.00 g/day). Participants with a VFL above 9 consumed over 40 g/day of SSB-derived sugar. At VFL exceeding 10, males had an average BMI of 30.06 ± 2.40 kg/m², whereas females exhibited a dramatically higher BMI of 41.20 ± 3.27 kg/m².</p><p><strong>Conclusions: </strong>Excessive SSB consumption, particularly sweetened tea, is strongly associated with higher visceral fat and unfavorable body composition in young adults. Public health interventions targeting reduced SSB intake are urgently required to address obesity and metabolic health risks. Further longitudinal studies are recommended to confirm causality and inform dietary guidelines.</p>\",\"PeriodicalId\":35951,\"journal\":{\"name\":\"Roczniki Panstwowego Zakladu Higieny\",\"volume\":\"76 1\",\"pages\":\"75-85\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-06-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Roczniki Panstwowego Zakladu Higieny\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.32394/rpzh/205935\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/6/9 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Roczniki Panstwowego Zakladu Higieny","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.32394/rpzh/205935","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/9 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
摘要
背景：含糖饮料（SSBs）的消费增加与肥胖和代谢健康风险有关。目的：本研究确定SSB摄入量与身体组成的关系，重点研究泰国大学生的内脏脂肪积累。材料与方法：对387名19-22岁的大学生进行横断面研究。膳食摄入量评估采用3天，24小时的饮食回顾，连续三天进行量化SSB摄入量。使用生物电阻抗分析测量身体组成指标，包括体重指数（BMI）、脂肪量和内脏脂肪水平（VFL）。统计分析，包括t检验和线性回归，用于确定SSB摄入量和身体成分之间的关联。结果：加糖茶，尤其是新鲜制作的冰奶茶，是最常被饮用的。SSB的高糖摄入（≥24 g/天）与脂肪量增加（16.9±9.9 vs. 14.8±7.8 kg, p = 0.021）、BMI（22.6±5.0 vs. 21.3±4.2 kg/m²，p = 0.007）和VFL bbb9 （83.3% vs. 16.7%, p = 0.013）显著相关。糖摄入量在BMI类别中逐渐增加：体重过轻（25.21 g/天）、体重正常（28.78 g/天）、超重（32.18 g/天）和肥胖（34.00 g/天）。VFL高于9的参与者每天摄入超过40克的ssb衍生糖。当VFL超过10时，雄性的平均BMI为30.06±2.40 kg/m²，而雌性的BMI为41.20±3.27 kg/m²。结论：过度饮用SSB，特别是甜茶，与年轻人内脏脂肪增加和不利的身体组成密切相关。迫切需要针对减少SSB摄入量的公共卫生干预措施来解决肥胖和代谢健康风险。建议进行进一步的纵向研究，以确认因果关系并为饮食指南提供信息。
Sugar-Sweetened Beverage Consumption and Risk of Visceral Fat Accumulation Among University Students in Thailand.
Background: Increased consumption of sugar-sweetened beverages (SSBs) is associated with obesity and metabolic health risks.
Objective: This study determined the relationship between SSB intake and body composition, with a focus on visceral fat accumulation among Thai university students.
Material and methods: A cross-sectional study was conducted with 387 university students aged 19-22 years. Dietary intake was assessed using a 3-day, 24-hour dietary recall conducted on three consecutive day to quantify SSB consumption. Body composition metrics, including body mass index (BMI), fat mass, and visceral fat levels (VFL), were measured using bioelectrical impedance analysis. Statistical analyses, including t-tests and linear regression, were used to identify the associations between SSB intake and body composition.
Results: Sweetened tea, particularly freshly prepared iced milk tea, was most frequently consumed. High sugar consumption from SSB (≥ 24 g/day) was significantly associated with increased fat mass (16.9 ± 9.9 vs. 14.8 ± 7.8 kg, p = 0.021), BMI (22.6 ± 5.0 vs. 21.3 ± 4.2 kg/m², p = 0.007), and VFL > 9 (83.3% vs. 16.7%, p = 0.013). Sugar intake increased progressively across BMI categories: underweight (25.21 g/day), normal-weight (28.78 g/day), overweight (32.18 g/day), and obese (34.00 g/day). Participants with a VFL above 9 consumed over 40 g/day of SSB-derived sugar. At VFL exceeding 10, males had an average BMI of 30.06 ± 2.40 kg/m², whereas females exhibited a dramatically higher BMI of 41.20 ± 3.27 kg/m².
Conclusions: Excessive SSB consumption, particularly sweetened tea, is strongly associated with higher visceral fat and unfavorable body composition in young adults. Public health interventions targeting reduced SSB intake are urgently required to address obesity and metabolic health risks. Further longitudinal studies are recommended to confirm causality and inform dietary guidelines.
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