Association between asthma and sugar-sweetened beverage consumption in the United States pediatric population

Xie, Luyu; Atem, Folefac; Gelfand, Andrew; Delclos, George L.; Messiah, Sarah

doi:10.1080/02770903.2021.1895210

Cited by 18 publications

(13 citation statements)

References 21 publications

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“…Our findings are consistent with previous studies that suggest an association between SSB consumption and asthma outcomes 7,9–11 , but arguably the quasi-experimental design of our study provides stronger evidence for a causal relationship. Sugar intake has been linked to the development of asthma, with maternal intake of free sugar found to be a risk factor for asthma and atopy in offspring 19 .…”

Section: Discussionsupporting

confidence: 92%

“…A recent meta-analysis based on one cohort study and 11 cross-sectional studies found an increased odds of asthma prevalence when comparing the highest versus lowest consumers of SSBs 6 . Cross-sectional studies have reported associations 7 8 , including dose-response relationships 9 , between consumption of SSBs and prevalence of asthma in children. Furthermore, a high percentage of energy from sugars in SSBs was associated with asthma traits in children in the second year of life 10 .…”

Section: Introductionmentioning

confidence: 99%

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The UK Soft Drinks Industry Levy and childhood hospital admissions for asthma in England

Rogers,

Cummins,

Jones

et al. 2023

Preprint

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Sugar sweetened beverage consumption has been suggested as a risk factor for asthma symptoms in children. We examined whether the UK Soft Drinks Industry Levy (SDIL), announced in March 2016 and implemented in April 2018, was associated with changes in National Health Service hospital admission rates for asthma in children.We conducted interrupted time series analyses (2012 - 2020) to measure changes in monthly incidence rates of hospital admissions for asthma. Sub-analysis was by age-group (5-9, 10-14, 15-18 years) and neighbourhood deprivation quintiles. Estimated changes were relative to counterfactual scenarios where SDIL was neither announced, nor implemented. Compared to the counterfactual scenario there was an overall relative reduction in incidence rates of hospital admissions of 20.9% (95%CI: 29.6-12.2), 22 months post-SDIL. Reductions were similar across age-groups and deprivation quintiles with relative reductions of 24.3% (95%CI: 29.6-12.2) in children aged 10-14 years, and reductions of 23.2% (95%CI 33.4-13.1) in children living in the middle deprivation quintile. These findings provide evidence that the implementation of a tax intended to reduce childhood obesity in the UK preceded a potentially significant collateral public health benefit in the form of reduced hospital admissions for childhood asthma.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

The UK Soft Drinks Industry Levy and childhood hospital admissions for asthma in England

Rogers,

Cummins,

Jones

et al. 2023

Preprint

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“…Third, we did not consider sugar intake in the analysis. Sugar consumption is not only a main factor for dental caries but also indicates an increased risk of asthma [46][47][48]. Nevertheless, it is not a possible pathway of asthma and caries relation since the evidence indicates that sugar intake is before asthma occurrence.…”

Section: Discussionmentioning

confidence: 99%

Structural Relationships between Asthma and Dental Caries in Children: A Birth Cohort Study in Southern Brazil

Agostini,

Sarkis-Onofre,

Ortiz

et al. 2024

Caries Res

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Introduction: There is an inconclusive causal association between asthma symptoms and dental caries in the primary dentition. This study aimed to investigate, using SEM (structural equation modeling), a possible causal relation between asthma and dental caries in the primary dentition. Methods: Using data from the 2004 Pelotas Birth Cohort Study, a sub-sample of 1,303 individuals was selected. Dental caries was clinically evaluated at 5 years old based on decayed, missing, and filled tooth (dmft) index criteria. Asthma-related symptoms (wheezing and shortness of breath) at 1- and 4-year-olds composed a latent variable and were the main exposures to caries occurrence. SEM was used to identify possible direct, indirect, and mediated effects of asthma in primary dentition dental caries. Results: The general prevalence of caries at age 5 was 1.95 (SD: 3.56). When comparing the dmft values for children with asthma symptoms and those without, they presented similar values in both periods where asthma symptoms were evaluated (1- and 4-year-old). SEM analysis showed that asthma was neither directly nor indirectly related to dental caries. Conclusion: Asthma, using a latent variable constructed based on asthma symptoms, showed no causal effect on dental caries occurrence in the primary dentition.

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“…Overall, the prevalence and DALYs of childhood asthma in the USA showed an increasing trend from 1990 to 2019. Part of the reason for this is related to the significant increase in the consumption of sugary drinks such as nutritional/energy drinks, juice drinks, and sweet tea among American children, and sugary drinks are thought to be associated with childhood asthma [25]. However, the upward trend of both indicators from around 2010 to 2019 was significantly reduced compared to that in the period from 2005 to 2009.…”

Section: Discussionmentioning

confidence: 99%

Analysis of disease burden due to high body mass index in childhood asthma in China and the USA based on the Global Burden of Disease Study 2019

Zhang

Qu²,

Pan³

2023

PLoS ONE

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Background Currently, there is a growing concern about the disease burden of child asthma particularly due to high body mass index (BMI). The prevalence and disease burden of asthma differ between developing and developed countries, with implications on disease intervention. Therefore, we provide a comparative analysis of childhood asthma between China and the United States of America (USA). Methods Using the Global Burden of Disease (GBD) 2019 data, we estimated and compared the age-standardized prevalence, disability-adjusted life years (DALYs), years of life lost (YLLs), years of lost due to disability (YLDs), DALYs due to high BMI of asthma in children aged 1–14 years in China and the USA. Joinpoint regression analysis was applied to assess changes in temporal trends. Results DALYs due to high BMI and the ratio of DALYs to DALYs due to high BMI in children with asthma showed a significant upward trend in both countries and were higher in males than in females. Almost all epidemiological indicators of asthma showed a hump of curve from 2014 to 2019, and peaked in 2017. There was a decreasing trend of YLLs for asthma in children both countries, while China has a saliently greater decreasing trend. Conclusion The disease burden caused by high BMI of childhood asthma was on the rise in children with asthma in both China and the USA. High BMI needs to be taken more into account in the development of future policies for the prevention, control, and treatment of childhood asthma. However, the increasing trend of this disease burden in American children was significantly lower than that in Chinese children. We recommend learning from the American government to impose a high-calorie tax, increase physical exercise facilities, and provide better health care policies.

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Association between asthma and sugar-sweetened beverage consumption in the United States pediatric population

Cited by 18 publications

References 21 publications

The UK Soft Drinks Industry Levy and childhood hospital admissions for asthma in England

The UK Soft Drinks Industry Levy and childhood hospital admissions for asthma in England

Structural Relationships between Asthma and Dental Caries in Children: A Birth Cohort Study in Southern Brazil

Analysis of disease burden due to high body mass index in childhood asthma in China and the USA based on the Global Burden of Disease Study 2019

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