An Exploration of the Role of Sugar-Sweetened Beverage in Promoting Obesity and Health Disparities.

An Exploration of the Role of Sugar-Sweetened Beverage in Promoting Obesity and Health Disparities.
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含糖饮料在促进肥胖和健康差距中的作用探讨

DOI:
10.1007/s13679-020-00421-x
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发表时间:
2021-03
影响因子:
8.8
通讯作者:
Stanhope KL
Stanhope KL
中科院分区:
医学2区
文献类型:
--
作者:
Sigala DM;Stanhope KL

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含糖饮料(SSB)在肥胖病因学中的机制作用尚未确定。我们讨论与其他食物相比,食用 SSB (1) 是否会自动导致无法补偿其所含能量? (2) 未能引起体内平衡激素反应? (3) 通过激活大脑的奖赏通路来促进享乐饮食?我们根据证据来解决:(4) 限制向弱势群体定向销售 SSB 和其他不健康食品是否会降低他们的肥胖患病率?缺乏数据证明,与等热量摄入其他饮料或食物相比,摄入 SSB 会促进体重增加,并且这与其未能引起足够的稳态激素反应有关。然而,最近的数据将体重增加与大脑中的奖赏激活与可口的食物线索联系起来,并表明甜味和 SSB 的摄入会增强对食物线索的奖赏反应。尚未进行调查这些反应的特异性的研究。尽管如此,目前的数据为大量证据提供了生物学基础,表明向弱势群体(包括儿童、有色人种和社会经济地位较低的人)定向销售SSB和其他不健康食品(现实生活中美味的食物线索)正在增加他们患肥胖症的风险。虽然SSB摄入量与体重增加之间的关联机制尚不清楚,但目前的科学证据强烈表明,采取积极主动的环境措施,以有针对性的营销形式减少对美味食物的接触,将降低弱势群体肥胖的风险。
The mechanistic role of sugar-sweetened beverage (SSB) in the etiology of obesity is undetermined. We address whether, compared to other foods, does consumption of SSB (1) automatically lead to failure to compensate for the energy it contains? (2) fail to elicit homeostatic hormone responses? (3) promote hedonic eating through activation of the brain’s reward pathways? We followed the evidence to address: (4) Would restriction of targeted marketing of SSB and other unhealthy foods to vulnerable populations decrease their prevalence of obesity? The data are lacking to demonstrate that SSB consumption promotes body weight gain compared with isocaloric consumption of other beverages or foods and that this is linked to its failure to elicit adequate homeostatic hormone responses. However, more recent data have linked body weight gain to reward activation in the brain to palatable food cues and suggest that sweet tastes and SSB consumption heightens the reward response to food cues. Studies investigating the specificity of these responses have not been conducted. Nevertheless, the current data provide a biological basis to the body of evidence demonstrating that the targeted marketing (real life palatable food cues) of SSB and other unhealthy foods to vulnerable populations, including children and people of color and low socioeconomic status, is increasing their risk for obesity. While the mechanisms for the association between SSB consumption and body weight gain cannot be identified, current scientific evidence strongly suggests that proactive environmental measures to reduce exposure to palatable food cues in the form of targeting marketing will decrease the risk of obesity in vulnerable populations.
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发表时间: 2017-03-01
影响因子: 7.1
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