Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis

Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis
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DOI：
10.1016/s0140-6736(00)04041-1
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发表时间：
2001-02-17
期刊：
LANCET
影响因子：
168.9
通讯作者：
Gortmaker, SL
Gortmaker, SL
中科院分区：
医学1区
文献类型：
--
作者：
Ludwig, DS;Peterson, KE;Gortmaker, SL

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儿童肥胖症的流行率不断上升，部分原因与含糖饮料的消费有关。我们的目的是检查这种relations.Methods我们招募了548个不同种族的学童（年龄11.7岁，SD 0.8）从公立学校在四个马萨诸塞州社区，并研究了他们的前瞻性19个月，1995年10月至5月。1997.我们检查了基线与含糖饮料消费变化之间的关联（自变量），和差异的措施，肥胖，与线性和逻辑回归分析调整潜在的混淆变量和集群的结果在schools.Findings为每一个额外的服务，含糖饮料消费，身体质量指数（BMI）（平均0.24 kg/m2; 95%CI 0.10-0.39; p=0.03）和肥胖频率（比值比1.60; 95%CI 1.14-2.24; p=0.02）在调整人体测量学、人口统计学、饮食后增加。和生活方式变量。含糖饮料的基线消费量也与BMI的变化独立相关（平均每天0.18 kg/m2; 95%CI 0.09-0.27; p=0.02）。解释含糖饮料的消费与儿童肥胖相关。
Background The rising prevalence of obesity in children has been linked in part to the consumption of sugar-sweetened drinks. Our aim was to examine this relation.Methods We enrolled 548 ethnically diverse schoolchildren (age 11.7 years, SD 0.8) from public schools in four Massachusetts communities, and studied them prospectively for 19 months from October, 1995, to May. 1997. We examined the association between baseline and change in consumption of sugar-sweetened drinks (the independent variables), and difference in measures of obesity, with linear and logistic regression analyses adjusted for potentially confounding variables and clustering of results within schools.Findings For each additional serving of sugar-sweetened drink consumed, both body mass index (BMI) (mean 0.24 kg/m(2); 95% CI 0.10-0.39; p=0.03) and frequency of obesity (odds ratio 1.60; 95% CI 1.14-2.24; p=0.02) increased after adjustment for anthropometric, demographic, dietary. and lifestyle variables. Baseline consumption of sugar-sweetened drinks was also independently associated with change in BMI (mean 0.18 kg/m(2) for each daily serving; 95% CI 0.09-0.27; p=0.02).Interpretation Consumption of sugar-sweetened drinks is associated with obesity in children.