Sugar-Sweetened Beverages and Weight Gain in Children and Adults: A Systematic Review from 2013 to 2015 and a Comparison with Previous Studies

Sugar-Sweetened Beverages and Weight Gain in Children and Adults: A Systematic Review from 2013 to 2015 and a Comparison with Previous Studies
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DOI:
10.1159/000484566
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发表时间:
2017-01-01
期刊:
影响因子:
3.6
通讯作者:
Farpour-Lambert, Nathalie
Farpour-Lambert, Nathalie
中科院分区:
医学3区
文献类型:
--
作者:
Luger, Maria;Lafontan, Max;Farpour-Lambert, Nathalie

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目的:先前的综述部分不一致的发现引发了关于含糖饮料(SSBs)对肥胖发展影响的讨论。目的是系统地审查儿童和成人最近的证据。方法:从MEDLINE、EMBASE和Cochrane数据库中检索2013年1月至2015年10月的数据。对前瞻性队列研究和随机对照试验(rct)进行了系统评价,将SSBs与体重测量联系起来。结果:30篇文献符合纳入标准。前瞻性队列研究(96%,n = 26)显示成人和儿童食用SSBs与体重/BMI呈正相关(n = 242,352),只有一项儿童队列研究显示无关联。三项儿童随机对照试验的结果表明,SSB摄入对BMI/BMI z-score有影响。一项成人随机对照试验显示干预没有显著效果。63%的研究质量良好,30%为中等质量,没有一个是由工业界资助的。结论:最近的证据表明,SSB消费与儿童和成人的肥胖指数呈正相关或有影响。通过将已经发表的证据与新的证据结合起来,我们得出结论,公共卫生政策的目标应该是减少SSBs的消费,并鼓励健康的替代品,如水。(c) 2017作者:s . Karger GmbH, Freiburg出版
Objective: Partly inconsistent findings from previous reviews have fueled discussions on the impact of sugar-sweetened beverages (SSBs) on obesity development. The aim was to systematically review the recent evidence in children and adults. Methods: Data were retrieved from the databases MEDLINE, EMBASE, and Cochrane library for the period January 2013 to October 2015. A systematic review of prospective cohort studies and randomized controlled trials (RCTs) relating SSBs to weight measures was conducted. Results: 30 publications met the inclusion criteria. Prospective cohort studies (96%; n = 26) showed a positive association between consumption of SSBs and weight/BMI in adults and children (n = 242,352), and only one cohort study in children showed no association. Findings from three RCTs in children demonstrated that SSB consumption had an effect on BMI/BMI z-score. The one RCT in adults showed no significant effect of the intervention. 63% of the studies were of good, 30% of medium quality, and none was funded by industry. Conclusion: Recent evidence suggests that SSB consumption is positively associated with or has an effect on obesity indices in children and adults. By combining the already published evidence with the new one, we conclude that public health policies should aim to reduce the consumption of SSBs and encourage healthy alternatives such as water. (c) 2017 The Author(s) Published by S. Karger GmbH, Freiburg