Sugar-sweetened beverage consumption and obesity in children's meta-analyses: reaching wrong answers for right questions.

Autor: Nissensohn M; Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria.marienis67@hotmail.com., Fuentes Lugo D, Serra-Majem L
Jazyk: angličtina
Zdroj: Nutricion hospitalaria [Nutr Hosp] 2018 Apr 04; Vol. 35 (2), pp. 474-488. Date of Electronic Publication: 2018 Apr 04.
DOI: 10.20960/nh.1492
Abstrakt: Background: Recent studies assert that sugar-containing drinks may play a key role in the etiology of obesity. However, scientific reviews show contradictory results. Whether there is just association or clear causation still is a matter of debate. It is also subject to discussion whether the quality/adequacy of the different studies may influence their outcome.
Objective: The aim of this study is to explore the most recent scientific evidence focused on sugar-sweetened beverages (SSB) and child obesity and to further analyze the adequacy of the meta-analyses in terms of their results, with special emphasis in the methodology, clarity and transparence of their procedures.
Methods: Only meta-analyses of randomized control trial studies were selected. The search was performed on PubMed and Cochrane Website until January, 2016. Adherence to PRISMA was assessed.
Results: Six meta-analyses were included. All of them showed some degree of evidence of heterogeneity in theirs pool estimates. Two of them showed a positive association between SSB and obesity but the other four found no association. The adherence to the PRISMA criteria was higher in two of the meta-analyses that showed opposite conclusions regarding the association or non-association of SSB and obesity in children. Thus, there is no relation between the adequacy of the meta-analyses to the PRISMA criteria and the results obtained.
Conclusion: The use of meta-analysis as a scientific tool still demand more polishing, agreement and spread out use by researchers. SSB are being accused of being a main cause of the existing obesity, but this subject requires a broader approach that includes a thorough analysis of diet and lifestyle and a stronger body of scientific evidence based on data from epidemiological studies conducted in different populations.
Databáze: MEDLINE