Modeling the Effect of Replacing Sugar-Sweetened Beverage Consumption with Water on Energy Intake, HBI Score, and Obesity Prevalence.
Modeling the Effect of Replacing Sugar-Sweetened Beverage Consumption with Water on Energy Intake, HBI Score, and Obesity Prevalence.
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DOI：
10.3390/nu8070395
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发表时间：
2016-06-28
期刊：
影响因子：
5.9
通讯作者：
Poti J
中科院分区：
文献类型：
--
作者：
Duffey KJ;Poti J
含糖饮料 (SSB) 通过增加能量摄入而导致体重过度增加。用水代替 SSB 是一种有望帮助降低过多能量摄入的策略。使用 NHANES 2007-2012 年美国成年人 (n = 19,718) 的全国代表性数据，我们研究了用水替代 SSB 对健康饮料指数 (HBI) 评分和肥胖患病率的影响。用水代替 8 盎司的 SSB 可以将饮料中的能量百分比从 17% 降低到 11%（对于那些每天消耗 1 份 SSB 的人）。在所有 SSB 消费组中（1-2 份/天和 >2 份/天），饮料中的能量百分比均有所下降。当一份水替代一份 SSB 时，成年人的 HBI 分数提高了 9% 至 21%。利用之前发表的随机对照试验 (RCT) 和对测量体重减轻的荟萃分析，我们还预测肥胖患病率会降低（观察值：35.2%；预测值 33.5%–34.9%，p < 0.05），正常体重患病率会增加（观察值：29.7%；高体重减轻率：31.3%，p < 0.05）。我们的研究结果提供了进一步的流行病学证据，表明水代替 SSB 可以作为限制能量摄入并帮助个人满足饮料摄入建议的策略。
Sugar-sweetened beverages (SSB) contribute to excessive weight gain through added energy intake. Replacing SSB with water is one strategy that has shown promise in helping lower excessive energy intake. Using nationally representative data from US adults (n = 19,718) from NHANES 2007–2012 we examine the impact of replacing SSB with water on Healthy Beverage Index (HBI) scores and obesity prevalence. Replacing an 8-ounce serving of SSB with water lowered the percent of energy from beverages from 17% to 11% (among those consuming 1 serving SSB/day). Reductions in the percent energy from beverages were observed across all SSB consumption groups (1–2 servings/day and >2 servings/day). Among adults there was a 9% to 21% improvement in HBI score when one serving of water replaced one serving of SSB. Using previously published randomized controlled trials (RCT) and meta-analyses of measured weight loss we also predicted a reduction in the prevalence of obesity (observed: 35.2%; predicted 33.5%–34.9%, p < 0.05) and increase in the prevalence of normal weight (observed: 29.7%; high weight loss: 31.3%, p < 0.05). Our findings provide further epidemiologic evidence that water in the place of SSB can be used as a strategy to limit energy intake and help individuals meet beverage intake recommendations.