Sugar‐sweetened beverages intake and the risk of obesity in children: An updated systematic review and dose–response meta‐analysis

Farhangi, Mahdieh Abbasalizad; Tofigh, Arash Mohammadi; Jahangiri, Leila; Nikniaz, Zeinab; Nikniaz, Leila

doi:10.1111/ijpo.12914

Cited by 28 publications

(24 citation statements)

References 86 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Obesity is a major health problem among children and adolescents; overweight and obesity in children and adolescents increases the odds of adulthood obesity [1,2]. Numerous factors are associated with childhood obesity including increased dietary intake of high-fat snacks and fast foods, large portion sizes, increased consumption of sugar sweetened beverages and other environmental and genetic factors [3][4][5]; however, lack of regular physical activity and sedentary lifestyle is one of the most important determinant of childhood obesity [6,7]. Physical inactivity is prevalent among children; on average, children spent 41% and 51% of the after-school period in sedentary time when at after-school care and other locations (e.g.…”

Section: Introductionmentioning

confidence: 99%

RETRACTED ARTICLE: Childhood obesity risk increases with increased screen time: a systematic review and dose–response meta-analysis

Ramírez‐Coronel

Abdu²,

Alshahrani

et al. 2023

J Health Popul Nutr

View full text Add to dashboard Cite

Background The role of screen time in promoting obesity among children has been reported in previous studies. However, the effects of different screen types and the dose–response association between screen time and obesity among children is not summarized yet. In the current meta-analysis we systematically summarized the association between obesity and screen time of different screen types in a dose–response analysis. Methods A systematic search from Scopus, PubMed and Embase electronic databases was performed. Studies that evaluated the association between screen time and obesity up to September 2021 were retrieved. We included 45 individual studies that were drawn from nine qualified studies into meta-analysis. Results The results of the two-class meta-analysis showed that those at the highest category of screen time were 1.2 times more likely to develop obesity [odds ratio (OR) = 1.21; confidence interval (CI) = 1.113, 1.317; I2 = 60.4%; P < 0.001). The results of subgrouping identified that setting, obesity status and age group were possible heterogeneity sources. No evidence of non-linear association between increased screen time and obesity risk among children was observed (P-nonlinearity = 0.310). Conclusion In the current systematic review and meta-analysis we revealed a positive association between screen time and obesity among children without any evidence of non-linear association. Due to the cross-sectional design of included studies, we suggest further studies with longitudinal or interventional design to better elucidate the observed associations.

show abstract

Section: Introductionmentioning

confidence: 99%

RETRACTED ARTICLE: Childhood obesity risk increases with increased screen time: a systematic review and dose–response meta-analysis

Ramírez‐Coronel

Abdu²,

Alshahrani

et al. 2023

J Health Popul Nutr

View full text Add to dashboard Cite

show abstract

“…On one hand, both childhood obesity and dental caries are more frequent among poorer families [ 2 , 10 ]. On the other hand, sugar intake is an established behavioural determinant of both obesity and caries in childhood and adulthood [ 11 , 12 ]. The reviews also identified large heterogeneity between the primary studies.…”

Section: Introductionmentioning

confidence: 99%

The Relationship between Obesity and Childhood Dental Caries in the United States

Piovesan

Leal

Bernabé

2022

IJERPH

View full text Add to dashboard Cite

Background: Childhood obesity and dental caries are prevalent chronic, multifactorial conditions with adverse health consequences and considerable healthcare costs. The aims of this study were: (1) to evaluate the relationship between obesity and dental caries among young children using multiple definitions for both conditions, and (2) to evaluate the role of family socioeconomic status (SES) and the child’s intake of added sugars in explaining this association. Methods: Data from 2775 2–5-year-olds children from the National Health and Nutrition Examination Survey (NHANES) 2011–2018 were analysed. Three different international standards were used to define obesity, namely the World Health Organization (WHO), Centers for Disease Control and Prevention (CDC), and the International Obesity Task Force (IOTF). Dental caries was measured during clinical examinations and summarised as counts (dt and dft scores) and prevalence (untreated caries [dt > 0] and caries experience [dft > 0]). The association of obesity with dental caries was assessed in regression models controlling for demographic factors, family SES and child’s intake of added sugars. Results: In crude models, obesity was associated with greater dt scores when using the IOTF standards (RR: 2.43, 95% CI: 1.11, 5.29) but not when using the WHO and CDC standards; obesity was associated with greater dft scores when using the WHO (1.57, 95%CI: 1.11–2.22), CDC (1.70, 95%CI: 1.17–2.46) and IOTF standards (2.43, 95%CI: 1.73–3.42); obesity was associated with lifetime caries prevalence when using the WHO (1.55, 95%CI: 1.05–2.29), CDC (1.73, 95%CI: 1.14–2.62) and IOTF standards (2.45, 95%CI: 1.61–3.71), but not with untreated caries prevalence. These associations were fully attenuated after controlling for demographic factors, family SES and child’s intake of added sugars. Conclusions: The relationship between obesity and dental caries in primary teeth varied based on the definition of obesity and dental caries used. Associations were observed when obesity was defined using the IOTF standards and dental caries was defined using lifetime indicators. Associations were fully attenuated after adjusting for well-known determinants of both conditions.

show abstract

“…We further found a significant effect of BMI z-score on intake of SSB indicating that for each unit increase in children's baseline BMI z-score, SSB intake increased by approximately 2 fl oz/day over the course of the intervention. Several systematic reviews and meta-analyses point to a significant positive association between intake of SSB and BMI during childhood ( 17 , 79 – 81 ). Even though SSB intake was a dietary target in the current research, the mHealth intervention did not lead to a reduction in SSB.…”

Section: Discussionmentioning

confidence: 99%

Effects of a mobile health nutrition intervention on dietary intake in children who have autism spectrum disorder

et al. 2023

View full text Add to dashboard Cite

BackgroundChildren who have Autism Spectrum Disorder (ASD) show preferences for processed foods, such as salty and sugary snacks (SSS) and sugar-sweetened beverages (SSB), while healthier foods, such as fruits and vegetables (FV), are consumed less. Innovative tools are needed that can efficiently disseminate evidence-based interventions and engage autistic children to improve their diet.AimThe aim of this 3-month randomized trial was to test the initial efficacy of a mobile health (mHealth) nutrition intervention on changing consumption of targeted healthy (FV) and less healthy foods/beverages (SSS, SSB) in children who have ASD, ages 6–10, who were picky eaters.MethodsThirty-eight parent-child dyads were randomly assigned to either an intervention (technology) group or a wait list control (education) group. The intervention included behavioral skills training, a high level of personalization for dietary goals, and involved parents as “agents of change.” Parents in the education group received general nutrition education and the dietary goals but did not receive skills training. Children's intake was assessed at baseline and at 3 months using 24-hour dietary recalls.ResultsWhile there were no significant group-by-time interactions (P > 0.25) for any of the primary outcomes, we found a significant main effect of time for FV intake (P = 0.04) indicating that both groups consumed more FV at 3 months (2.58 ± 0.30 servings/day) than at baseline (2.17 ± 0.28 servings/day; P = 0.03). Children in the intervention group who consumed few FV at baseline and showed high engagement with the technology increased their FV intake by 1.5 servings/day (P < 0.01). Children's taste/smell sensitivity significantly predicted their FV intake (P = 0.0446); for each unit of lower taste/smell sensitivity (indicating greater sensory processing abnormalities), FV intake increased by 0.13 ± 0.1 servings/day.DiscussionThis mHealth intervention did not yield significant between-group differences for changing consumption of targeted foods/beverages. Only children who consumed few FV at baseline and highly engaged with the technology increased their FV intake at 3 months. Future research should test additional strategies to expand the intervention's impact on a wider range of foods while also reaching a broader group of children who have ASD. This trial was registered at clinicaltrials.gov as NCT03424811.Clinical Trial Registration: This study was registered at clinicaltrials.gov as NCT03424811.

show abstract

Sugar‐sweetened beverages intake and the risk of obesity in children: An updated systematic review and dose–response meta‐analysis

Cited by 28 publications

References 86 publications

RETRACTED ARTICLE: Childhood obesity risk increases with increased screen time: a systematic review and dose–response meta-analysis

RETRACTED ARTICLE: Childhood obesity risk increases with increased screen time: a systematic review and dose–response meta-analysis

The Relationship between Obesity and Childhood Dental Caries in the United States

Effects of a mobile health nutrition intervention on dietary intake in children who have autism spectrum disorder

Contact Info

Product

Resources

About