Affiliation:
1. Huazhong University of Science and Technology Tongji Medical College Wuhan China
2. Shenzhen Center for Chronic Disease Control Shenzhen China
3. Shihezi University School of Medicine Shihezi China
Abstract
SummaryBackgroundThe relationship between sugar‐free beverage (SFB) intake and childhood obesity among Chinese children is unknown.ObjectivesTo describe the status of SFB consumption among children and adolescents in China and assess the association between SFB intake and different types of obesity.MethodsThe study was based on the baseline data of an ongoing cohort project named Evaluation and Monitoring on School‐based Nutrition and Growth in Shenzhen (EMSNGS). Food frequency questionnaires were used to collect information on SFB consumption in 3227 students aged 9–17. Physical and clinical examinations were conducted by trained investigators and clinicians. Multivariable binary logistic regression models were performed to assess the association between SFB intake and general obesity, overweight/obesity, abdominal obesity, metabolically unhealthy overweight (MUOW)/metabolically unhealthy obesity (MUO).ResultsThe median age of the participants was 13.28 years. Among the participants, 55.2% were boys, and 66.1% were adolescents. The median SFB consumption was 16.67 mL/d. After adjusting for potential confounding factors, each 100 mL increase in daily SFB intake was associated with an increased risk of overweight/obesity (OR = 1.14; 95%CI: 1.06–1.23), abdominal obesity (OR = 1.12; 95%CI: 1.03–1.23), and MUOW/MUO (OR = 1.12; 95%CI: 1.02–1.21), respectively. Stratified analyses showed that family income may have an impact on the association between SFB intake and overweight/obesity (P for interaction = 0.021) and abdominal obesity (P for interaction = 0.031).ConclusionSFB intake was positively associated with childhood obesity in Chinese children, particularly among individuals with high‐income families.
Funder
Sanming Project of Medicine in Shenzen Municipality
Subject
Public Health, Environmental and Occupational Health,Nutrition and Dietetics,Health Policy,Pediatrics, Perinatology and Child Health