Sweetened Soft Drinks Consumption Is Associated with Metabolic Syndrome: Cross-sectional Analysis from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)

Velásquez-Meléndez, Gustavo; Molina, María del Carmen Bisi; Castro, Inês Rugani Ribeiro de; Fonseca, Maria de Jesus Mendes da; Moreira, Alexandra Dias; Pereira, Taísa Sabrina Silva; Barreto, Sandhi Maria

doi:10.1080/07315724.2016.1191975

Cited by 15 publications

(17 citation statements)

References 28 publications

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“…Sugary drinks have been perceived as the main contributor to the increase in total calorie consumption, with possible weight gain 18 and emergence of metabolic changes [19][20][21][22] . In this study, a relevant finding was the positive association between soft drink consumption and higher categories of zBMI among male adolescents with BMI in the range of values considered normal.…”

Section: Discussionmentioning

confidence: 99%

Consumo de refrigerantes e índice de massa corporal em adolescentes brasileiros: Pesquisa Nacional de Saúde do Escolar

Chaves

Velásquez-Meléndez

Costa

et al. 2018

Rev. bras. epidemiol.

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RESUMO: Objetivo: Estimar a associação entre consumo de refrigerantes e o índice de massa corporal (IMC) em adolescentes eutróficos e com excesso de peso. Métodos: Foram utilizados dados da Pesquisa Nacional de Saúde do Escolar (PeNSE) de 2009. Considerou-se como variável de desfecho os tercis do escore de IMC (zIMC) e como variável de exposição principal, o consumo de refrigerantes adoçados com açúcar. Idade, tipo de escola, escore de bens e serviços do domicílio e escolaridade materna foram incluídos nos modelos como variáveis de ajuste. Modelos de regressão multinomial, estratificados por sexo e pelos subgrupos de eutrofia e de excesso de peso foram utilizados para estimar a associação entre exposição e desfecho. Resultados: Dos adolescentes avaliados, 23,8% apresentaram excesso de peso e 21,7% relataram o consumo de refrigerantes diariamente. Nos meninos eutróficos, o consumo de refrigerantes esteve associado à maior chance de estar nos tercis mais altos de zIMC comparados aos não consumidores. Já nos adolescentes com excesso de peso, tanto do sexo masculino quanto feminino, o consumo de refrigerantes esteve associado à menor chance de estar no tercil mais alto de escore zIMC. Conclusão: Os resultados evidenciam a possibilidade de causalidade reversa entre o consumo de refrigerantes adoçados e zIMC no grupo de adolescentes com excesso de peso. Nos adolescentes eutróficos do sexo masculino, o consumo de refrigerantes pode, potencialmente, aumentar as chances de ter zIMC mais alto, o que reforça a necessidade de medidas visando à ampla redução do consumo dessa bebida.

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Section: Discussionmentioning

confidence: 99%

Consumo de refrigerantes e índice de massa corporal em adolescentes brasileiros: Pesquisa Nacional de Saúde do Escolar

Chaves

Velásquez-Meléndez

Costa

et al. 2018

Rev. bras. epidemiol.

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“…We identified seventeen articles (twenty-four studies, including twelve longitudinal studies (17)(18)(19)21,(35)(36)(37)(38)(39) , eleven cross-sectional studies (17,20,(40)(41)(42)(43)(44)(45) and one case-control study (46) ) yielding findings on the TSB-MetS and SSB-MetS associations and four articles (five studies) on the ASB-MetS association (18,19,37,44) (Fig. 1).…”

Section: Literature Search and Study Characteristicsmentioning

confidence: 99%

“…Overall, five studies were conducted in Asia (20,21,36,38,43) , seven studies were conducted in Europe (35,37,41,42) and twelve studies were conducted in America (17)(18)(19)39,40,(44)(45)(46) . Twenty studies were conducted in adult populations (17)(18)(19)21,35,37,(39)(40)(41)(42)(44)(45)(46) , and four studies were conducted in children and adolescents (20,36,38,43) . All the studies analysed both sexes, and three studies performed sex-specific analysis (20,21,43) .…”

Section: Literature Search and Study Characteristicsmentioning

confidence: 99%

“…All the studies analysed both sexes, and three studies performed sex-specific analysis (20,21,43) . In all, thirteen studies defined MetS based on National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) guidelines (17,19,21,39,40,(44)(45)(46) . Analysis of study quality yielded an average NOS score of eight for longitudinal study and seven for case-control study and an average AHRQ score of seven for cross-sectional study.…”

Section: Literature Search and Study Characteristicsmentioning

confidence: 99%

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Dose–response association between sugar- and artificially sweetened beverage consumption and the risk of metabolic syndrome: a meta-analysis of population-based epidemiological studies

Zhang

Liu

et al. 2020

Public Health Nutr.

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Objective: The associations between sugar-sweetened beverage (SSB) and artificially sweetened beverage (ASB) consumption and the risk of metabolic syndrome (MetS) remain controversial. A quantitative assessment of dose–response associations has not been reported. This study aims to assess the associations between the risk of MetS and SSB, ASB, and total sweetened beverage (TSB, the combination of SSB and ASB) consumption by reviewing population-based epidemiological studies. Design: Meta-analysis. Setting: We searched PubMed, Embase and Web of Science databases prior to 4 November 2019, for relevant studies investigating the SSB–MetS and ASB–MetS associations. A random effects model was used to estimate pooled relative risks (RR) and 95 % CI. Dose–response association was assessed using a restricted cubic splines model. Participants: We identified seventeen articles (twenty-four studies, including 93 095 participants and 20 749 MetS patients). Results: The pooled RR for the risk of MetS were 1·51 (95 % CI 1·34, 1·69), 1·56 (1·32, 1·83) and 1·44 (1·19, 1·75) in high consumption group of TSB, SSB and ASB, respectively; and 1·20 (1·13, 1·28), 1·19 (1·11, 1·28) and 1·31 (1·05, 1·65) per 250 ml/d increase in TSB, SSB and ASB consumption, respectively. Additionally, we found evidence of non-linear, TSB–MetS and SSB–MetS dose–response associations and a linear ASB–MetS dose–response association. Conclusions: TSB, SSB and ASB consumption was associated with the risk of MetS. The present findings provide evidence that supports reducing intake of these beverages to lower the TSB-, SSB- and ASB-related risk of MetS.

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“…Parallel to this development, a globally increasing consumption of soft drinks has been observed [7]. While high soft drink consumption is associated with overweight, obesity and diabetes [8][9][10], it is also affecting dental health due to an increased risk for dental caries [11] and dental erosion [8,12,13]. Furthermore, erosion that is caused by beverages has not only been linked to the consumption of acidic carbonated drinks, but also to the intake of fruit juices, acidic sports drinks, wines, cider and acidic herbal teas [14].…”

Section: Introductionmentioning

confidence: 99%

Temperature-dependent erosivity of drinks in a model simulating oral fluid dynamics

Steiger-Ronay

Steingruber

Becker

et al. 2018

Journal of Dentistry

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Sweetened Soft Drinks Consumption Is Associated with Metabolic Syndrome: Cross-sectional Analysis from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)

Abstract: Our results add evidence to potential negative effects of sweetened soft drinks on cluster metabolic abnormalities in middle-income countries.

Cited by 15 publications

References 28 publications

Consumo de refrigerantes e índice de massa corporal em adolescentes brasileiros: Pesquisa Nacional de Saúde do Escolar

Consumo de refrigerantes e índice de massa corporal em adolescentes brasileiros: Pesquisa Nacional de Saúde do Escolar

Dose–response association between sugar- and artificially sweetened beverage consumption and the risk of metabolic syndrome: a meta-analysis of population-based epidemiological studies

Temperature-dependent erosivity of drinks in a model simulating oral fluid dynamics

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