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Sugar-Containing Beverages Consumption and Obesity in Children Aged 4-5 Years in Spain: the INMA Study
Sandra Gonzalez-Palacios1,2, Eva-María Navarrete-Muñoz1,2, Manoli García-de-la-Hera1,2
1Department of Public Health, History of Medicine and Gynecology, Miguel Hernández University and Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), 03010 Alicante, Spain.
Insights
Sugar-containing beverage (SCB) consumption is linked to obesity in preschoolers. Daily intake of over one SCB drink significantly increases obesity odds, particularly from packaged juices.
Area of Science:
- Pediatric Nutrition
- Obesity Research
- Public Health
Background:
- Childhood obesity is a growing concern globally.
- Evidence linking sugar-containing beverage (SCB) consumption to obesity in preschool-aged children is limited.
- Understanding dietary patterns in early childhood is crucial for long-term health outcomes.
Purpose of the Study:
- To investigate the association between SCB consumption and obesity in preschool children.
- To differentiate the impact of packaged juices versus sugar-sweetened soft drinks on obesity risk.
Main Methods:
- Cross-sectional analysis of 1823 preschool children (4-5 years) from the INfancia y Medio Ambiente (INMA) Project.
- SCB consumption categorized as <1 drink/week, 1-7 drinks/week, and >1 drink/day (1 drink = 175 mL).
- Multiple logistic regression used to calculate odds ratios (OR) for obesity, adjusting for covariates.
Main Results:
- Average SCB consumption was 79.1 mL/day, predominantly from packaged juices (80.9%).
- Children consuming >1 SCB drink/day had significantly higher odds of obesity (OR = 3.23) compared to those consuming <1 drink/week.
- Each additional daily SCB drink increased obesity odds (OR = 1.55); higher packaged juice intake showed a significant association with obesity (OR = 1.55).
Conclusions:
- Higher SCB consumption is associated with increased obesity risk in preschool children.
- Packaged juices appear to be a primary driver of this association, more so than sugar-sweetened soft drinks.
- Interventions targeting SCB intake, especially packaged juices, may be beneficial for preventing childhood obesity.
Abstract:
The consumption of sugar-containing beverages (SCB) has been associated with obesity although the evidence in preschool children is scarce. Cross-sectional analyses were performed to assess the association between obesity and SCB consumption (packaged juices and sugar-sweetened soft drinks) in 1823 children at the age of 4-5 years from the INfancia y Medio Ambiente (INMA) Project. One drink was defined as a glass of 175 mL, and the consumption of SCB was categorized in <1, 1-7 drinks/week and > 1 drink/day. We used multiple logistic regression to estimate odds ratios (OR). The average SCB consumption was 79.1 mL/day, mainly from packaged juices (80.9%). The SCB consumption was lower in non-obese children than in children with obesity, 76.6 vs 118.4 mL/day (p = 0.02). After adjusting for covariates, children who consumed >1 drink/day showed elevated odds of obesity, OR = 3.23 (95% confidence interval (CI): 1.48-6.98) compared to children who consumed <1 SCB drink a week. Each additional SCB drink per day was associated with higher odds of obesity, OR = 1.55 (1.14-2.09). Higher consumption of packaged juices, but not sugar-sweetened soft drinks, was significantly associated with higher odds of obesity, OR = 1.55 (1.09-2.15) and OR = 1.59 (0.76-3.39), respectively. A higher SCB consumption is associated with obesity in preschool children, mainly due to the consumption of packaged juices.
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