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Report on Childhood Obesity in China (9): sugar-sweetened beverages Consumption and Obesity

Biomedical and Environmental Sciences 2012年第2期25卷 125-132页

作者： SHANG Xian Wen LIU Ai Ling ZHANG Qian HU Xiao Qi DU Song Ming MA Jun XU Gui Fa LI Ying GUO Hong Wei DU Lin LI Ting Yu MA Guan Sheng National Institute for Nutrition and Food Safety Chinese Center for Disease Control and Prevention Beo＇ing 100021 China Union School of Public Health Peking Union Medical College Beijing 100730 China Beijing University Health Science Center Beijing 100191 China Shandong University Jinan 250012 Shandong China Public Health College Harbin Medical University Haerbin 150081 Heilongjiang China Fudan University Shanghai 200032 China Guangzhou Center for Diseases Prevention and Control Guangzhou 510440 Guangdong China Chongqing Children＇s Hospital Chongqing 400014 China

Objective To explore the associations between sugar-sweetened beverage （SSB） consumption and obesity as well as obesity-related cardiometabolic disorders among children in China. Methods A total of 6974 （boys 3558, girls 3412） children aged 6-13 years participated in the study. Each participant’s height, weight, waist circumference, fasting glucose, triglycerides, total cholesterol, high- density lipoprotein cholesterol, and low-density lipoprotein cholesterol were measured. The type of beverage consumption was determined using a self-administered questionnaire. Results SSBs were consumed regularly by 46.1% of the children. The prevalence [adjusted odds ratio （95% confidence internal （CI）] of obesity was 7.6% [as the reference group （ref.）], 10.1% [1.36（1.07, 1.74）], and 11.6% [1.46（1.21, 1.75）], among children who regularly drank milk, other beverages and SSBs, respectively. Regularly drinking SSBs elevated the likelihood of abdominal obesity [adjusted odds ratio （95% CI）： 1.36 （1.17, 1.59）]. The prevalence [adjusted odds ratio （95% CI）] of obesity among children who regularly drank sports/caloric beverages, carbonated beverages, sweet tea, and plant protein beverages was 16.8% [2.00（1.31, 3.07）], 12.7% [1.52（1.23, 1.88）], 11.5% [1.52（1.18, 1.95）], and 10.4% [1.41（1.03, 1.94）], respectively, which was higher than that of regular milk drinkers [7.6 % （ref.）]. The prevalence [adjusted odds ratio （95% CI）] of abdominal obesity among children who regularly drank sweet tea, fruit/vegetable juices, and carbonated beverages was 17.7% [1.55（1.26, 1.90）], 16.2% [1.36（1.09, 1.70）], and 15.3% [1.24（1.03, 1.50）], respectively, which was much higher than that of regular milk drinkers [12.8% （ref.）]. Conclusions Regular SSB consumption was positively related to obesity and abdominal obesity. This relationship should be investigated further using a longitudinal study design.

关键词： sugar-sweetened beverages Obesity Children

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sugar intake from sweetened beverages and diabetes:A narrative review

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World Journal of Diabetes 2021年第9期12卷 1530-1538页

作者： Tung-Sung Tseng Wei-Ting Lin Gabrielle V Gonzalez Yu-Hsiang Kao Lei-Shih Chen Hui-Yi Lin Behavioral and Community Health Sciences School of Public HealthLouisiana State University Health Sciences CenterNew OrleansLA 70112United States Department of Global Community Health and Behavioral Sciences School of Public Health&Tropical MedicineTulane UniversityNew OrleansLA 70112United States Department of Health and Kinesiology Texas A&M UniversityCollege StationTX 77843United States Biostatistics Program School of Public HealthLouisiana State University Health Sciences CenterNew OrleansLA 70112United States

Type 2 diabetes mellitus(T2DM)is one of the fastest growing public health concerns around the ***-sweetened beverage(SSB)consumption has been proven to be associated with adverse health consequences in the diabetic *** SSB consumption,body weight control,healthy diets,and increased physical activity have been suggested as strategies to improve diabetes prevention and *** literature review provides an overview of:(1)The association between SSB consumption and the risk of T2DM;(2)Types of SSB consumption and T2DM;(3)The effect of obesity and inflammation on the association between SSB consum-ption and risk of T2DM;and(4)SSB consumption in T2DM *** is still work to be done to determine how SSB consumption is related to T2DM,but the current research on identifying the association between SSB consumption and T2DM is promising,with the most promising studies confirming the connection between SSBs,T2DM risk,and diabetes *** studies should explore more effective SSB related diabetes prevention and management interventions.

关键词： sugar-sweetened beverages Type 2 diabetes mellitus Inflammation Obesity Diabetes management

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Improved Interpretive Accuracy of sugar Content on Beverage Labels Following an Educational Intervention for Children

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Journal of Health Science 2017年第4期5卷 198-205页

作者： Myrtle McCulloch Priscilla (Ofori) Hammond Jill Chanley School of Nursing and Health Studies Georgetown University Washington DC 20057 USA Better Living for Texans Texas A &M AgriLife Extension Service Bryan 77803 USA The Campaign for Tobacco-Free Kids Washington DC 20005 USA

To address childhood obesity, it is important to help children make better choices with regards to intake of sugary drinks and snacks. The purpose of this study was to evaluate the validity of a novel educational intervention designed to convert grams of sugar into teaspoons on labeled beverages. A convenience sample of children （n = 21） at a charter elementary school in Washington, D. C was studied. A pre-test required an estimation of teaspoons of sugar on labels, followed by a practice demonstration and song. A post-test was given requiring estimation of teaspoons of sugar in on the same labels. Two weeks later, a retention test as well as qualitative questions assessed participant learning and information usage. Test scores revealed increased accuracy from pre-test （26.2%） to post-test （79.8%）. Estimations were more accurate after the demonstration, as evidenced by the decreased range in average variation of responses （＋25.6 tsp to ＋1.8 tsp）. Two-week recall maintained accuracy （66.7%）, with an average variance of ＋3.8 teaspoons. Qualitative responses revealed participants had learned and used the conversion concepts. These results suggest that the educational intervention was effective. Qualitative data suggest behavior change, increased awareness, and the potential for change extending to caregivers.

关键词： children obesity sugar-sweetened beverages education

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sugar, energy content and added sugar labelling of beverages in Beijing, China: a cross-sectional study

Sugar, energy content and added sugar labelling of beverages...

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中国营养学会第十五届全国营养科学大会

作者： Jing Wen Huijuan Ma Xiaoxuan Zhang Xueqian Yin Ruoyu Zhou Junbo Wang Department of Nutrition and Food Hygiene School of Public Health Peking University

This study aimed to investigate the sugar, energy content of beverages and how added sugar was labelled in main supermarkets in Beijing, China. Methods A cross-sectional study was conducted in 26 supermarkets from October to December in 2019 in Beijing, China. Type(imported/domestic), serving size, carbohydrate, added sugar and energy content of the beverages were extracted from product package and nutrition label by snapshotting all the beverages with nutrition label for sale. beverages without added sugar content on the package, we used carbohydrate content as a replacement and for those beverages with same formulation but different in size, we only recorded once. The guideline on front-of-pack colorcoded labelling for drinks released by the Food Standards Agency in the UK(sugars—red/high>13.5 g/portion or >11.25 g/100 mL) and the recommendation for daily free sugar intake from the World Health Organization(WHO, 25 g) were used to determine the success rate of sugar content. The non-parametric test was used to investigate the differences of sugar and energy content among different kinds of beverages. Chisquare test was performed to analyze the rate of added sugar labelling and overstandard sugar content between 2 types of beverages. Results A total of 1587 beverages were included in our study, which were divided into 2 types with 612 imported beverages and 975 domestic beverages. According to the Chinese General Standard for Beverage(GB/T 10789-2015), beverages were divided into 8 categories including 631 fruit/vegetable juices and beverages, 264 protein beverages, 205 carbonated beverages, 165 tea beverages, 121 flavored beverages, 110 coffee beverages, 50 beverages for special uses and 41 botanical beverages. The median of sugar content and energy content of all included beverages was 9.0 g/100 mL and 42.1 kcal/100 mL. For the imported and domestic beverages, the median of sugar contents were 10.0 g/100 mL, 8.0 g/100 mL respectively, and the median of energy con

关键词： Energy Added sugar sugar-sweetened beverages Nutrition label

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