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Open AccessArticle

Modelling the Effects of Beverage Substitution during Adolescence on Later Obesity Outcomes in Early Adulthood: Results from the Raine Study

1
Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria 3125, Australia
2
School of Life and Environmental Sciences, The University of Sydney, Sydney 2006, New South Wales, Australia
3
Telethon Kids Institute, University of Western Australia, Perth 6009, Western Australia, Australia
4
Medical School, Royal Perth Hospital Unit, University of Western Australia, Perth 6009, Western Australia, Australia
5
Menzies Institute for Medical Research, University of Tasmania, Hobart 7005, Tasmania
6
School of Population and Global Health, University of Western Australia, Perth 6009, Western Australia, Australia
*
Author to whom correspondence should be addressed.
Nutrients 2019, 11(12), 2928; https://doi.org/10.3390/nu11122928
Received: 1 November 2019 / Revised: 21 November 2019 / Accepted: 26 November 2019 / Published: 3 December 2019
High sugar-sweetened beverage (SSB) consumption has been linked with obesity. The present study examined the associations between adolescent SSB intake and body mass index (BMI), waist circumference (WC), and overweight status in early adulthood, and modelled the association of alternative beverage substitution with BMI and WC. Data of offspring from the Western Australian Pregnancy Cohort (Raine) Study at ages 14 and 22 years were used (n = 667). SSB intake at 14 years (100 g/day) was associated with higher BMI (β = 0.19 kg/m2, 95% CI 0.04, 0.33), WC (β = 0.41cm, 95% CI 0.04, 0.78), and being overweight at 22 years (OR 1.10, 95% CI 1.02, 1.18). Every 100g modelled substitution of SSB with milk at age 14 years was associated with lower BMI (−0.19 kg/m2) and WC (−0.52 cm) at age 22 years. Replacement of SSB with diet drink was associated with higher BMI and WC. No association was found for substitutions of SSB with water, tea/coffee, or 100% fruit juice with BMI or WC. SSB intake during adolescence was associated with higher BMI, WC, and being overweight in early adulthood. Milk as an alternative to SSB was associated with less adiposity. Caution is necessary in recommending diet drinks as a SSB alternative. View Full-Text
Keywords: sugar-sweetened beverages; obesity; waist circumference; substitution modelling sugar-sweetened beverages; obesity; waist circumference; substitution modelling
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Zheng, M.; Rangan, A.; Huang, R.-C.; Beilin, L.J.; Mori, T.A.; Oddy, W.H.; Ambrosini, G.L. Modelling the Effects of Beverage Substitution during Adolescence on Later Obesity Outcomes in Early Adulthood: Results from the Raine Study. Nutrients 2019, 11, 2928.

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