Soft Drink Consumption Is Positively Associated with Increased Waist Circumference and 10-Year Incidence of Abdominal Obesity in Spanish Adults1–3

Funtikova, Anna N.; Subirana, Isaac; Gómez, Santiago F.; Fitó, Montserrat; Elosúa, Roberto; Benítez-Arciniega, Alejandra A.; Schröder, Helmut

doi:10.3945/jn.114.205229

Cited by 42 publications

(41 citation statements)

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“…Previous research has implicated SSB consumption, independent of energy intake, in promoting VAT accumulation or increased waist circumference [9, 10, 53–57], although, a majority of this research has taken place in adults [9, 10, 53, 55, 57]. However, adolescence in particular appears to be a critical period in VAT accumulation associated with SSB intake[54], with VAT accrual peaking in young adulthood in minority populations[11].…”

Section: Discussionmentioning

confidence: 99%

Associations among sugar sweetened beverage intake, visceral fat, and cortisol awakening response in minority youth

Shearrer

Daniels

Toledo-Corral

et al. 2016

Physiology & Behavior

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Context Abdominal adiposity has long been associated with excess caloric intake possibly resulting from increased psychosocial stress and associated cortisol dysfunction. However, the relationship of sugar-sweetened beverage (SSB) intake specifically with cortisol variability and visceral adipose tissue (VAT) is unknown. Objective To examine the relationships between SSB intake, VAT, and cortisol response in minority youth. Design A cross-sectional analysis. Setting The University of Southern California. Participants 60 overweight/obese Non-Hispanic Black and Hispanic adolescents ages 14–18 years. Main Outcome Measures VAT via Magnet Resonance Imaging (MRI), cortisol awakening response (CAR) via multiple salivary samples, and SSB intake via multiple 24-hour diet recalls. SSB intake was divided into the following: low SSB consumers (< 1 servings per day), medium SSB consumers (≥1 - <2 servings per day), high SSB consumers (≥2 servings per day). Analysis of covariance were run with VAT and CAR as dependent variables and SSB intake categories (independent variable) with the following a priori covariates: sex, Tanner stage, ethnicity, caloric intake, and body mass index. Results The high SSB intake group exhibited a 7% higher VAT compared to the low SSB intake group (β=0.25, CI:(0.03, 0.33), p=0.02). CAR was associated with VAT (β=0.31, CI:(0.01,0.23), p=0.02). The high SSB intake group exhibited 22% higher CAR compared to the low SSB intake group (β=0.30, CI:(0.02,0.48), p=0.04). Conclusion This is the first study exploring the relationship between SSB, VAT, and CAR. SSB consumption appears to be independently associated greater abdominal adiposity and higher morning cortisol variability in overweight and obese minority youth. This study highlights potential targets for interventions specifically to reduce SSB intake in a minority youth population.

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Section: Discussionmentioning

confidence: 99%

Associations among sugar sweetened beverage intake, visceral fat, and cortisol awakening response in minority youth

Shearrer

Daniels

Toledo-Corral

et al. 2016

Physiology & Behavior

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“…Regarding adjustment for covariates, 33% of these prospective cohort studies adjusted results for physical activity, and 56% also adjusted for dietary energy intake. Three studies used BMI as a body weight outcome [37,38,39], three weight [40,41,42], and three waist circumference [43,44,45] (table 2). All articles showed a positive association between SSB intake and body weight measures, meaning that a higher SSB consumption lead to a higher body weight in adults.…”

Section: Resultsmentioning

confidence: 99%

Sugar-Sweetened Beverages and Weight Gain in Children and Adults: A Systematic Review from 2013 to 2015 and a Comparison with Previous Studies

Luger¹,

et al. 2017

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Objective: Partly inconsistent findings from previous reviews have fueled discussions on the impact of sugar-sweetened beverages (SSBs) on obesity development. The aim was to systematically review the recent evidence in children and adults. Methods: Data were retrieved from the databases MEDLINE, EMBASE, and Cochrane library for the period January 2013 to October 2015. A systematic review of prospective cohort studies and randomized controlled trials (RCTs) relating SSBs to weight measures was conducted. Results: 30 publications met the inclusion criteria. Prospective cohort studies (96%; n = 26) showed a positive association between consumption of SSBs and weight/BMI in adults and children (n = 242,352), and only one cohort study in children showed no association. Findings from three RCTs in children demonstrated that SSB consumption had an effect on BMI/BMI z-score. The one RCT in adults showed no significant effect of the intervention. 63% of the studies were of good, 30% of medium quality, and none was funded by industry. Conclusion: Recent evidence suggests that SSB consumption is positively associated with or has an effect on obesity indices in children and adults. By combining the already published evidence with the new one, we conclude that public health policies should aim to reduce the consumption of SSBs and encourage healthy alternatives such as water.

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“…We thank Traissac et al for their interest in our recent report on the association between caloric beverage consumption, waist circumference (WC), and incidence of abdominal obesity (1) and appreciate the opportunity to respond to their comments.…”

Soft Drink Consumption Is Positively Associated with Increased Waist Circumference and 10-Year Incidence of Abdominal Obesity in Spanish Adults1–3

Abstract: Adults' consumption of soft drinks was associated with increased WC and odds of 10-y incidence of abdominal obesity. This association was moderate but consistent in all statistical models.

Cited by 42 publications

References 42 publications

Associations among sugar sweetened beverage intake, visceral fat, and cortisol awakening response in minority youth

Associations among sugar sweetened beverage intake, visceral fat, and cortisol awakening response in minority youth

Sugar-Sweetened Beverages and Weight Gain in Children and Adults: A Systematic Review from 2013 to 2015 and a Comparison with Previous Studies

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