Association of sugar-sweetened beverage intake at 18 months and 5 years of age with adiposity outcomes at 6 years of age: the Singapore GUSTO mother–offspring cohort

Autor: Yung Seng Lee, Josefien Kleijweg, Fabian Yap, Mya Thway Tint, Mary Foong-Fong Chong, Ray Sugianto, Peter D. Gluckman, Wen Lun Yuan, Lynette Pei-Chi Shek, Jonathan Y. Bernard, Kok Hian Tan, Yap Seng Chong, Jia Ying Toh, Phaik Ling Quah, Falk Müller-Riemenschneider, Johan G. Eriksson, Padmapriya Natarajan, Hui Xian Lim, Izzuddin M. Aris, Ya Yin Chang, Keith M. Godfrey
Rok vydání: 2019
Předmět:
Zdroj: British Journal of Nutrition. 122:1303-1312
ISSN: 1475-2662
0007-1145
Popis: Consumption of sugar-sweetened beverages (SSB) by infants and young children are less explored in Asian populations. The Growing Up in Singapore Towards healthy Outcomes cohort study examined associations between SSB intake at 18 months and 5 years of age, with adiposity measures at 6 years of age. We studied Singaporean infants/children with SSB intake assessed by FFQ at 18 months of age (n 555) and 5 years of age (n 767). The median for SSB intakes is 28 (interquartile range 5·5–98) ml at 18 months of age and 111 (interquartile range 57–198) ml at 5 years of age. Association between SSB intake (100 ml/d increments and tertile categories) and adiposity measures (BMI standard deviation scores (sd units), sum of skinfolds (SSF)) and overweight/obesity status were examined using multivariable linear and Poisson regression models, respectively. After adjusting for confounders and additionally for energy intake, SSB intake at age 18 months were not significantly associated with later adiposity measures and overweight/obesity outcomes. In contrast, at age 5 years, SSB intake when modelled as 100 ml/d increments were associated with higher BMI by 0·09 (95 % CI 0·02, 0·16) sd units, higher SSF thickness by 0·68 (95 % CI 0·06, 1·44) mm and increased risk of overweight/obesity by 1·2 (95 % CI 1·07, 1·23) times at age 6 years. Trends were consistent with SSB intake modelled as categorical tertiles. In summary, SSB intake in young childhood is associated with higher risks of adiposity and overweight/obesity. Public health policies working to reduce SSB consumption need to focus on prevention programmes targeted at young children.
Databáze: OpenAIRE