Association between Sweetened Beverage Consumption and Body Mass Index, Proportion of Body Fat and Body Fat Distribution in Mexican Adolescents

Abstract

Background/Aims: It was the aim of this study to evaluate the relationships between sweetened beverage (SB) consumption and the following indicators of overweight/fatness among Mexican adolescents: body mass index, body composition and body fat distribution. Methods: We performed a cross-sectional analysis of data from adolescents participating in the baseline assessment of the Health Workers Cohort Study. Information on sociodemographic conditions, sexual maturation, dietary patterns and physical activity was collected via self-administered questionnaires. SB consumption was evaluated through a validated semiquantitative food frequency questionnaire. Anthropometric measures were assessed with standardized procedures. The associations of interest were evaluated by means of multivariate regression and logistic regression models. Results: A total of 1,055 adolescents, 10–19 years old (mean age 14.5 ± 2.5 years), were evaluated. The overweight/obesity prevalence was 31.6% among girls and 31.9% among boys. We found that for each additional SB serving consumed daily, the subject’s body mass index increased by on average 0.33 (p < 0.001). Subjects consuming 3 daily servings of SB face a 2.1 times greater risk of proportionally excess body fat than those who consume less than 1 SB a day. Conclusions: Our data support the hypothesis that the consumption of SB increases the risk of overweight and/or obesity and encourages excess body fat and central obesity in Mexican adolescents.

New Insights on the Risk for Cardiovascular Disease in African Americans

“…[132][133][134] One of the consequences of the studies on fructose metabolism is the recognition that it is not the caloric content that matters as much as whether ATP depletion occurs, the latter being primarily governed by the concentration of fructose that hits the liver. 108,118,135 This provides strong reasoning why soft drinks and sugary beverages may be so tightly associated with the development of obesity, metabolic syndrome, diabetes, and cardiovascular disease, 132,[136][137][138][139][140][141][142][143][144][145][146][147][148][149] as sugary beverages are often highly concentrated in fructose and are frequently ingested rapidly.…”

Ingesta de bebidas azucaradas analcohólicas e índice de masa corporal en escolares chilenos

“…Ya en 2002, este país reportaba una tendencia al aumento; 6 posteriormente, en la Encuesta Nacional de Salud y Nutrición 2006 (Ensanut 2006), informaba que 90% de los adolescentes consumía diariamente este producto, con cifras cercanas a 400 calorías diarias. [7][8][9][10] En Chile, la Encuesta de Presupuestos Familiares, basada en la compra de alimentos, reportó en 1998 altos consumos de bebidas azucaradas analcohólicas en niños; tiempo después se demostró que en la zona sur de Chile nueve de cada 10 escolares consumían bebidas azucaradas y que, de éstos, más de 60% lo hacía diariamente. 11 Más tarde, se indicó un aumento de la cantidad de consumo que alcanzaba cifras cercanas a 300 cc diarios.…”

Sweetened beverage consumption and increased risk of metabolic syndrome in Mexican adults

“…Mexico is also facing epidemic levels of CVD and type 2 diabetes mellitus (T2DM), illnesses associated with MS. Ford and colleagues have estimated that the population-attributable fraction associated with MS is ,6-7 % for all-cause mortality, 12-17 % for CVD and 30-52 % for T2DM (6) . Several public health studies have linked sweetened beverage intake and negative health outcomes (7) , including serious metabolic disorders such as obesity (8)(9)(10)(11) , T2DM (8,12) , CVD (12) and hypertension (13) . Since Mexico has the third highest rate of sweetened beverage consumption in the world, and 20 % of total energy intake comes from sweetened beverages (14) , this sweetened beverage consumption seems likely to be related to the elevated national prevalence of MS.…”

“…However, MS and its risk factors are understudied in Mexico. We thus used data from the Health Workers Cohort Study (11) to examine the relationship …”