Sugar-Sweetened Beverages and Metabolic Risk in Children and Adolescents with Obesity: A Narrative Review

Calcaterra, Valeria; Cena, Hellas; Magenes, Vittoria Carlotta; Vincenti, Alessandra; Comola, Giulia; Beretta, Alice; Napoli, Ilaria Di; Zuccotti, Gian Vincenzo

doi:10.3390/nu15030702

Cited by 26 publications

(21 citation statements)

References 116 publications

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“…Furthermore, similar findings were obtained in a Greek study revealing that SSB consumption was related to visceral obesity in 2665 schoolchildren aged 9-13 years in 2007-2009 [38]. This association between SSB consumption and overweight/obesity was possibly due in part to the high sugar content in SSB, which is low in satiety and potentially incompletely compensates for total energy, contributing to greater energy consumption [39,40]. However, our findings were different from those of Valente et al, who did not observe an association between SSB consumption and an elevated risk of overweight among 1675 Portuguese schoolchildren aged 5-10 years in 2010 [41].…”

Section: Discussionsupporting

confidence: 80%

Association of Sugar-Sweetened Beverage Consumption and Moderate-to-Vigorous Physical Activity with Childhood and Adolescent Overweight/Obesity: Findings from a Surveillance Project in Jiangsu Province of China

Yu,

Huang,

Zhang

et al. 2023

Nutrients

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Sugar-sweetened beverage (SSB) consumption and inadequate moderate-to-vigorous physical activity (MVPA) have been suggested as potential contributors to overweight/obesity during childhood or adolescence; however, the results of previous studies are inconsistent. It was crucial to estimate the independent and joint association of SSB consumption and inadequate MVPA for childhood and adolescent overweight/obesity. The “Surveillance for Common Disease and Health Risk Factors Among Students in Jiangsu Province 2021–2022” initiative provided us with representative population-based data that we studied. SSB consumption and inadequate MVPA were determined by self-reported SSB habit and MVPA frequency (days/week). The body mass index for each gender and age subgroup was used to identify those who were overweight or obese. With stratified analyses to ascertain differences in age or gender, we employed the logistic regression model to assess the association of SSB and MVPA with overweight/obesity and applied the likelihood ratio test to explore the interactions. Approximately 38.2% of the study population (119,467 students aged 8–17) were overweight/obese. After adjusting covariates, SSB consumption or inadequate MVPA was associated with overweight/obesity (OR = 1.05, 95% CI = 1.02–1.07; and OR = 1.07, 95% CI = 1.03–1.10). In comparison to students with “no SSB consumption and adequate MVPA”, those with “SSB consumption and inadequate MVPA” had a higher risk of being overweight/obese (OR = 1.13, 95% CI = 1.08–1.18). Regardless of age and gender subgroups, the correlation of SSB and MVPA alone and together with being overweight/obese was generally similar, with the adolescent group aged 13–17 years (OR = 1.15, 95% CI = 1.09–1.22) and females (OR = 1.09, 95% CI = 1.02–1.17) being more susceptible. Moreover, there was a significant interaction between SSB consumption and gender (p < 0.001), as well as between SSB consumption and inadequate MVPA (p = 0.008). Hence, SSB consumption in students is significantly associated with overweight/obesity, especially when MVPA is inadequate. In light of the rapidly expanding childhood and adolescent obesity epidemic, proper attention should be given to these modifiable behaviors, particularly SSB and MVPA.

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Section: Discussionsupporting

confidence: 80%

Association of Sugar-Sweetened Beverage Consumption and Moderate-to-Vigorous Physical Activity with Childhood and Adolescent Overweight/Obesity: Findings from a Surveillance Project in Jiangsu Province of China

Yu,

Huang,

Zhang

et al. 2023

Nutrients

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“…Investigating SSB consumption among pregnant women in an LMIC country such as Nigeria fills an essential gap of public health significance because food and beverage consumption and maternal nutritional status have short- and long-term intergenerational consequences. Conversely, empirical evidence on SSB consumption, the factors associated and health outcomes have emanated mainly from Western countries, particularly among children, adolescents and adults [ 54 , 55 ]. Hence, the frequency and factors associated with SSB consumption among pregnant women in Ibadan, Nigeria, were examined.…”

Section: Discussionmentioning

confidence: 99%

Sugar-sweetened beverage consumption among pregnant women attending general and teaching hospitals in Ibadan, Nigeria

Adeoye

2023

BMC Public Health

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Background Sugar-sweetened beverages (SSBs) have become a global health concern because of their adverse health effects and their association with the obesity pandemic. It has not received much attention in sub-Saharan Africa, including Nigeria, especially among pregnant women. The pattern, frequency and factors associated with SSBs among pregnant women in Ibadan, Nigeria, were investigated. Design Data were from the Ibadan Pregnancy Cohort Study - a prospective cohort study investigating 1745 pregnant women from four comprehensive obstetric facilities in Ibadan. A qualitative food frequency questionnaire (FFQ) was used to assess the pregnant women’s intake of food and drinks over the previous months. Sugar-sweetened beverage variable and scores were also generated using the principal component analysis with varimax rotation. Factors associated with high SSB scores were examined using multivariate logistics regression analyses at a 5% significance level. Results The most commonly consumed SSBs were cocoa-sweetened beverages, soft drinks, malt drinks, and fruit juice. A quarter of the women (75th percentile) consumed SSB more than once weekly. The factors associated with high SSB on multivariate analysis were; being employed (AOR: 1.52, 95% CI 1.02–2.26), maternal obesity (AOR: 0.065, 95% CI 0.47–0.89), high fruit intake (AOR:3.62, 95% CI 2.62–4.99), high green vegetable consumption (AOR:1.99, 95% CI 1.06–3.74), high milk intake (AOR: 2.13, 95% CI 1.65– 2.74), frequent fast food outlet visit (AOR: 2.19, 95% CI 1.53–1.70), all of these remained significant after adjusting for confounding variables. Conclusion SSBs were common among our study population. Factors associated with high SSBs intake are crucial for implementing locally relevant public health interventions.

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“…Consumption of high-sugar content beverages is a common habit in developed countries, despite being related to public health issues, such as overweight, obesity, diabetes mellitus II, and cardiovascular diseases [ 1 , 2 ]. However, a new trend has emerged in the designing of plant-based healthy drinks including so-called “superfoods”, such as kale [ 3 ], goji berry [ 4 ], and maqui berry [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Differences Due to Sex and Sweetener on the Bioavailability of (Poly)phenols in Urine Samples: A Machine Learning Approach

et al. 2023

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Metabolic diseases have been related to the overdrinking of high-sugar content beverages. As a result, the demand for alternative formulations based on plant-based ingredients with health-promoting properties has increased during the last few years. Nonetheless, the design and production of effective formulations requires understanding the bioavailability of these compounds. For this purpose, a two-month longitudinal trial with 140 volunteers was conducted to measure the beneficial effects of a maqui–citrus beverage, rich in (poly)phenols. From data obtained by quantifying metabolites present in urine samples, biostatistical and machine learning (data imputation, feature selection, and clustering) methods were applied to assess whether a volunteer’s sex and the sweetener added to the beverage (sucrose, sucralose, or stevia) affected the bioavailability of (poly)phenol metabolites. Several metabolites have been described as being differentially influenced: 3,4-dihydroxyphenylacetic acid and naringenin with its derivatives were positively influenced by stevia and men, while eriodictyol sulfate and homoeridictyol glucunoride concentrations were enhanced with stevia and women. By examining groups of volunteers created by clustering analysis, patterns in metabolites’ bioavailability distribution as a function of sex and/or sweeteners (or even due to an uncontrolled factor) were also discovered. These results underline the potential of stevia as a (poly)phenol bioavailability enhancer. Furthermore, they also evidence sex affects the bioavailability of (poly)phenols, pointing at a sex-dependent metabolic pathway regulation.

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Sugar-Sweetened Beverages and Metabolic Risk in Children and Adolescents with Obesity: A Narrative Review

Cited by 26 publications

References 116 publications

Association of Sugar-Sweetened Beverage Consumption and Moderate-to-Vigorous Physical Activity with Childhood and Adolescent Overweight/Obesity: Findings from a Surveillance Project in Jiangsu Province of China

Association of Sugar-Sweetened Beverage Consumption and Moderate-to-Vigorous Physical Activity with Childhood and Adolescent Overweight/Obesity: Findings from a Surveillance Project in Jiangsu Province of China

Sugar-sweetened beverage consumption among pregnant women attending general and teaching hospitals in Ibadan, Nigeria

Differences Due to Sex and Sweetener on the Bioavailability of (Poly)phenols in Urine Samples: A Machine Learning Approach

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