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首页> 外文期刊>Nutrients >Young Children’s Sugar-Sweetened Beverage Consumption and 5-Year Change in BMI: Lessons Learned from the Timing of Consumption
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Young Children’s Sugar-Sweetened Beverage Consumption and 5-Year Change in BMI: Lessons Learned from the Timing of Consumption

机译：幼儿的糖甜味饮料消费和5年的BMI变化：从消费时间中吸取的经验教训

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Sugar-sweetened beverages (SSBs) are an already known risk factor for weight gain in childhood. To identify windows of opportunity for public health interventions, insight into the consumption behavior of SSBs is needed. We investigated whether total SSB consumption was related to body mass index (BMI) change and overweight and compared whether the timing of consumption over the day differed between low and high consumers. In the Dutch GECKO Drenthe birth cohort, a cohort embedded within the Groningen Expert Center for Kids with Obesity (GECKO), height and weight were measured by trained nurses at age 5/6 years (y) and 10/11 y ( N = 1257). BMI was standardized for age and sex (BMI-z). In the food pattern questionnaire completed by parents at age 5/6 y, beverages were assessed for seven time segments (breakfast, morning, lunch at school, lunch at home, afternoon, dinner, and evening). Linear and logistic regression analyses were adjusted for potential confounders (sex, baseline BMI-z, parental BMI, parental education level, maternal age at birth, maternal smoking during pregnancy). The median daily SSB consumption frequency ranged from 1.9 times per day (1.5–2.0, 25th–75th percentile) in the lowest quartile to 4.9 times per day (4.6–5.5) in the highest quartile. In the highest compared to the lowest quartile of SSB consumption frequency, the confounder-adjusted odds ratio for overweight incidence was 3.12 (95% CI, 1.60–6.07). The difference in consumption between quartile 1 and quartile 4 occurred mainly during main meals and in the evening, e.g., at breakfast (31% vs. 98%, p 0.001), lunch at home (32% vs. 98%, p 0.001), and dinner (17% vs. 72%, p 0.001). These drinking occasions characterizing high SSB consumers mostly occurred in the home environment, where parental influence on dietary behaviors is profound. Therefore, these results exposed a window of opportunity, leading to the advice for parents to offer their children sugar-free drinks to quench thirst with main meals.
机译：糖甜饮料（SSBS）是一种已知的儿童体重增加的风险因素。要识别公共卫生干预措施的Windows，需要深入了解SSB的消费行为。我们调查了总SSB消费是否与体重指数（BMI）变化和超重相关，并比较了当天的消费时间是否有低消费者。在荷兰壁虎Drenthe出生队列中，通过在5/6岁（Y）和10/11 y（n = 1257）的培训的护士（n = 1257 ）。 BMI是标准化的年龄和性别（BMI-Z）。在父母5/6岁年龄完成的食品模式调查问卷中，饮料被评估为七个时间段（早餐，早上，在学校午餐，家里的午餐，下午，晚餐和晚上）。针对潜在混淆（性，基线BMI-Z，父母BMI，父母教育水平，出生时的产妇年龄，妊娠期间的母亲吸烟）调整线性和逻辑回归分析。中位数每日SSB消耗频率从每天的1.9次（1.5-2.0，第25百分位数）在最低四分位数至4.9倍（4.6-5.5）中的最高四分位数。在与SSB消耗频率的最低四分位数相比，超重发病率的混淆程度比为3.12（95％CI，1.60-6.07）。四分位数1和四分位数4之间的消费差异主要在夜间和晚上发生，例如，在早餐（31％对98％，P <0.001），在家里午餐（32％与98％，P < 0.001）和晚餐（17％对72％，p <0.001）。这些饮酒场合在家庭环境中表现出高的SSB消费者主要发生在家庭环境中，父母对饮食行为的影响是深刻的。因此，这些结果暴露了一个机会窗口，导致父母提供他们的儿童无糖饮料，以促进主饭。

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