Using doubly labeled water to validate associations between sugar-sweetened beverage intake and body mass among White and African-American adults.

Using doubly labeled water to validate associations between sugar-sweetened beverage intake and body mass among White and African-American adults.
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DOI:
10.1038/ijo.2013.130
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发表时间:
2014-04
影响因子:
4.9
通讯作者:
Arab, L.
Arab, L.
中科院分区:
医学2区
文献类型:
--
作者:
Emond, J. A.;Patterson, R. E.;Jardack, P. M.;Arab, L.

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关于成人中含糖饮料(SSB)摄入量和肥胖的证据是混合的,可能是由于报告偏倚。确定报告偏倚对SSB摄入量增加与超重/肥胖之间任何关联的影响。在饮食评估和双标记水研究(n=250)中检查成人的饮料摄入量和超重/肥胖状态(BMI ≥25 kg/m2)。四个基于网络的24小时召回评估了饮食摄入量。SSB摄入分为不摄入、每天1-99千卡和每天>99千卡。Logistic回归模型调整总热量摄入,年龄,种族,教育和饮食质量比较SSB摄入超重/肥胖状态。为了研究饮食自我报告偏倚,在一个“真实报告者”子集中重复分析:那些自我报告的总热量摄入在双标记水评估总能量消耗的25%以内的人(n=108)。一半的参与者超重/肥胖;更多的超重/肥胖参与者比正常体重参与者食用SSB(69% vs. 47%; p<0.001)。其他饮料的摄入量没有因肥胖而异。与非洲裔美国人参与者(68%; p=0.002)相比,较少的白色参与者(48%)消耗SSB。与不摄入相比,摄入SSB达到中位数摄入量使超重/肥胖的风险增加一倍(OR:2.1,95% CI:1.0-4.3; p=0.046),摄入SSB超过中位数的风险增加一倍以上(OR:2.6,95% CI:1.2-6.0; p=0.018)。当仅限于真正的报告者时,SSB摄入量显着增加了超重/肥胖的风险近4倍。低报SSB摄入量可能会削弱SSB摄入量与超重/肥胖风险之间的真实关联。
Evidence is mixed regarding sugar-sweetened beverage (SSB) intake and adiposity among adults, perhaps due to reporting bias. To determine the impact of reporting bias on any associations between increased SSB intake and overweight/obesity. Beverage intake and overweight/obese status (BMI ≥25 kg/m2) was examined among adults from a dietary assessment and doubly labeled water study (n=250). Four web-based, 24-hour recalls assessed dietary intake. SSB intake was categorized as no intake, 1–99 kcals per day, and >99 kcals per day. Logistic regression models adjusted for total caloric intake, age, race, education and diet quality compared SSB intake to overweight/obese status. To investigate dietary self-reporting bias, analyses were replicated in a subset of “true reporters”: those with self-reported total caloric intake within 25% of total energy expenditure per doubly labeled water assessments (n=108). One-half of participants were overweight/obese; more overweight/obese participants consumed SSB than normal weight participants (69% vs. 47%; p<0.001). Intake of other beverages did not differ by adiposity. Less White participants (48%) consumed SSB compared to African-American participants (68%; p=0.002). Compared to no intake, SSB intake up to the median intake doubled the risk of being overweight/obese (OR: 2.1, 95% CI: 1.0–4.3; p=0.046), and SSB intake over the median more than doubled the risk (OR: 2.6, 95% CI: 1.2–6.0; p=0.018). When limited to true reporters, SSB intake significantly increased the risk of being overweight/obese by nearly 4 fold. Underreporting of SSB intake may be attenuating true associations of SSB intake and the risk of being overweight/obese.
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