Abstract
OBJECTIVE: The aim of this study was to examine the association between different types of beverage intake and substitution of sugar-sweetened beverages (SSBs) by water, milk, or 100% fruit juice in relation to 6-y change in body fatness.
METHODS: A cohort of 9-y-old children (N = 358) who participated in the Danish part of the European Youth Heart Study was followed for development of body fatness over 6 y. Multivariate linear regression was used to examine the associations between beverage intake at baseline and change in body fatness (body mass index z score [BMIz]), waist circumference (WC), and sum of four skinfolds (Σ4SF) over 6 y with adjustment for potential confounders. Substitution models were used to evaluate various beverages as alternatives to SSBs.
RESULTS: SSB intake at age 9 y, but not intake of other beverages, was directly associated with subsequent 6-y changes in BMIz (β = 0.05; P = 0.02) and Σ4SF (β = 0.86; P = 0.02). Daily substitution of 100 g water for 100 g SSB was inversely associated with changes in BMIz (β = -0.04; P = 0.02), WC (β =-0.29; P = 0.04), and Σ4SF (β = -0.91; P = 0.02) over 6 y. Daily substitution of 100 g milk for 100 g SSB was also inversely associated with changes in BMIz (β = -0.05; P = 0.02), WC (β = -0.33; P = 0.046), and Σ4SF (β = -0.79; P = 0.06). No effect was observed for substitution of SSB by 100% fruit juice.
CONCLUSION: Our results suggest that SSB intake is associated with long-term changes in body fatness in children, and replacing SSBs with water or milk, but not 100% fruit juice, is inversely associated with body fatness development.
Original language | English |
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Journal | Nutrition |
Volume | 31 |
Issue number | 1 |
Pages (from-to) | 38-44 |
Number of pages | 7 |
ISSN | 0899-9007 |
DOIs | |
Publication status | Published - Jan 2015 |
Keywords
- Adiposity
- Adolescent
- Animals
- Beverages
- Body Mass Index
- Child
- Cohort Studies
- Dietary Fats
- Dietary Fiber
- Dietary Proteins
- Energy Intake
- Female
- Food Habits
- Humans
- Linear Models
- Male
- Milk
- Nutritive Sweeteners
- Prospective Studies
- Socioeconomic Factors
- Waist Circumference
- Water