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Sugar-containing beverage intake in toddlers and body composition up to age 6 years: the Generation R study
E T M Leermakers1, J F Felix2, N S Erler3
11] Department of Epidemiology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands [2] The Generation R Study Group, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Insights
Early intake of sugar-containing beverages (SCBs) is linked to higher body mass index (BMI) in girls up to age six. These findings suggest limiting SCB consumption in early life is crucial for healthy childhood development.
Area of Science:
- Pediatric Nutrition
- Childhood Obesity Research
- Developmental Pediatrics
Background:
- Sugar-containing beverage (SCB) intake is linked to higher childhood body mass index (BMI).
- The impact of SCB consumption during infancy on BMI development remains unclear.
- This study investigates early SCB intake and its long-term effects on children's growth and body composition.
Purpose of the Study:
- To examine the association between sugar-containing beverage (SCB) intake at 13 months of age and body mass index (BMI) development until 6 years.
- To assess the relationship between early SCB intake and body composition at age 6 years.
Main Methods:
- A prospective cohort study of 2371 Dutch children.
- SCB intake assessed at 13 months using a validated Food Frequency Questionnaire.
- BMI and body composition (Dual-energy X-ray absorptiometry) measured up to age 6 years.
Main Results:
- Higher SCB intake at 13 months was associated with significantly higher BMI in girls at ages 2, 3, 4, and 6 years.
- A trend towards a higher android/gynoid fat ratio was observed in girls with high SCB intake, but not overall body fat percentage.
- No significant association was found between early SCB intake and BMI or body composition in boys; however, boys with high intake were taller at age 6.
Conclusions:
- Increased sugar-containing beverage (SCB) intake in infancy is associated with higher BMI in girls through age 6.
- These findings highlight that the detrimental effects of SCB consumption begin early in life.
- Dietary recommendations to limit SCB intake should be provided early in childhood to promote healthy development.
Background/Objective:
Intake of sugar-containing beverages (SCBs) has been associated with higher body mass index (BMI) in childhood. The potential effect of SCB intake during infancy is unclear. We examined the association of SCB intake at 13 months with BMI development until 6 years and body composition at age 6 years.
Subjects/Methods:
This study included 2371 Dutch children from a population-based prospective cohort study. SCB intake at 13 months was assessed using a Food Frequency Questionnaire with validation against 24-h recalls and was standardized for total energy. BMI was calculated from repeated weight and height measurements, and age- and sex-specific s.d. scores were calculated. Adiposity was measured using Dual-energy X-ray absorptiometry.
Results:
In girls, higher SCB intake at 13 months was significantly associated with higher BMI at ages 2, 3, 4 and 6 years (at age 6 years BMI (s.d. score) increase 0.11 (95% confidence interval (CI) +0.00; 0.23), high versus low intake). We observed a tendency towards higher android/gynoid fat ratio in girls with high intake (s.d. increase 0.14 (95% CI -0.02; 0.29), versus low intake) but not with body fat percentage. In boys, there was no association with BMI or body composition, but boys with high SCB intake at 13 months were taller at age 6 years (s.d. increase 0.14 (95% CI +0.00; 0.27), versus low intake).
Conclusions:
Higher SCB intake at 13 months was associated with higher BMI up to age 6 years in girls but not in boys. Our results imply that the unfavorable effects of SCB intake start early in life and that dietary advice regarding limiting SCB intake should already be given early in life.
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