Association between soft drink, fruit juice consumption and obesity in Eastern Europe: cross-sectional and longitudinal analysis of the HAPIEE study.
Association between soft drink, fruit juice consumption and obesity in Eastern Europe: cross-sectional and longitudinal analysis of the HAPIEE study.
复制标题
DOI：
10.1111/jhn.12696
复制
发表时间：
2020-03
期刊：
影响因子：
--
通讯作者：
Stefler D
中科院分区：
文献类型：
--
作者：
Garduño-Alanís A;Malyutina S;Pajak A;Stepaniak U;Kubinova R;Denisova D;Pikhart H;Peasey A;Bobak M;Stefler D
果汁和软饮料的消费已被证明与肥胖有关。然而，这种关系尚未在东欧得到探索。本研究旨在评估东欧人群果汁、软饮料消费量和体重指数 (BMI) 之间的横向和纵向关系。使用了在俄罗斯、波兰和捷克共和国开展的基于东欧人口的前瞻性队列研究中的健康、酒精和心理社会因素的数据。通过食物频率调查问卷估算含糖饮料（SSB）、人工甜味剂饮料（ASB）和果汁的摄入量。参与者的 BMI 值在基线（n = 26 634）和 3 年随访后进行评估（数据仅适用于俄罗斯，n = 5205）。软饮料消费量普遍较低，尤其是在俄罗斯。与从不饮用 SSB 的人相比，每天饮用 SSB 的捷克人的 BMI 显着较高 [β 系数 = 0.28； 95% 置信区间 (CI) = 0.02–0.54]、俄罗斯（β 系数 = 1.38；95% CI = 0.62–2.15）和波兰（β 系数 = 0.83；95% CI = 0.29–1.37）队列。在所有三个队列中，偶尔或每天摄入 ASB 也与 BMI 呈正相关。每日果汁摄入量的结果并不一致，俄罗斯人呈正相关（β系数 = 0.75；95% CI = 0.28–1.21），但捷克共和国呈负相关（β系数 = -0.42；95% CI = -0.86 至 0.02）。饮用 SSB 或 ASB 的俄罗斯参与者在随访后体重指数有所增加。我们的研究结果支持了之前的研究，即软饮料消费（包括 SSB 和 ASB）与 BMI 呈正相关，而我们对果汁的结果不太一致。东欧应考虑制定有关这些饮料的政策，以降低肥胖风险。
Fruit juice and soft drink consumption have been shown to be related to obesity. However, this relationship has not been explored in Eastern Europe. The present study aimed to assess the cross‐sectional and longitudinal relationships between fruit juice, soft drink consumption and body mass index (BMI) in Eastern European cohorts. Data from the Health, Alcohol and Psychosocial factors in Eastern Europe population‐based prospective cohort study, based in Russia, Poland and the Czech Republic, were used. Intakes of sugar‐sweetened beverage (SSB), artificially‐sweetened beverage (ASB) and fruit juice were estimated from a food frequency questionnaire. Participant BMI values were assessed at baseline (n = 26 634) and after a 3‐year follow‐up (data available only for Russia, n = 5205). Soft drink consumption was generally low, particularly in Russia. Compared to never drinkers of SSB, participants who drank SSB every day had a significantly higher BMI in the Czech [β‐coefficient = 0.28; 95% confidence interval (CI) = 0.02–0.54], Russian (β‐coefficient = 1.38; 95% CI = 0.62–2.15) and Polish (β‐coefficient = 0.83; 95% CI = 0.29–1.37) cohorts. Occasional or daily ASB consumption was also positively associated with BMI in all three cohorts. Results for daily fruit juice intake were inconsistent, with a positive association amongst Russians (β‐coefficient = 0.75; 95% CI = 0.28–1.21) but a negative trend in the Czech Republic (β‐coefficient = −0.42; 95% CI = −0.86 to 0.02). Russians participants who drank SSB or ASB had an increased BMI after follow‐up. Our findings support previous studies suggesting that soft drink consumption (including SSBs and ASBs) is positively related to BMI, whereas our results for fruit juice were less consistent. Policies regarding these beverages should be considered in Eastern Europe to lower the risk of obesity.
登录
查看更多内容
影响因子：
4.9
作者：
Pan, A.;Malik, V. S.;Hao, T.;Willett, W. C.;Mozaffarian, D.;Hu, F. B.
通讯作者：
Hu, F. B.
影响因子：
4.4
作者：
Marques, Adilson;Peralta, Miguel;de Matos, Margarida Gaspar
通讯作者：
de Matos, Margarida Gaspar
影响因子：
4.2
作者：
Ferreira-Pego, Cintia;Babio, Nancy;Salas-Salvado, Jordi
通讯作者：
Salas-Salvado, Jordi
影响因子：
7.1
作者：
Fagherazzi, Guy;Vilier, Alice;Clavel-Chapelon, Francoise
通讯作者：
Clavel-Chapelon, Francoise
影响因子：
8.2
作者：
Romaguera, D.;Norat, T.;Wareham, N. J.
通讯作者：
Wareham, N. J.