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Article

Sugar-Containing Beverages Consumption and Obesity in Children Aged 4–5 Years in Spain: the INMA Study

1
Department of Public Health, History of Medicine and Gynecology, Miguel Hernández University and Institute for Health and Biomedical Research (ISABIAL—FISABIO Foundation), 03010 Alicante, Spain
2
Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
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Subdirección de Salud Pública y Adicciones de Gipuzkoa, 20013 San Sebastian, Spain
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Biodonostia Health Research Institute, Basque Government, 20014 San Sebastián, Spain
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Foundation for the Promotion of Health and Biomedical Research in the Valencian Region, FISABIO-Public Health, 46020 Valencia, Spain
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University of Oviedo, 33003 Asturias, Spain
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Servicio de Pediatria. Hospital Universitario Central de Asturias-Oviedo, 33011 Asturias, Spain
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ISGlobal, Institute for Global Health, 08036 Barcelona, Spain
9
University Pompeu Fabra, 08036 Barcelona, Spain
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Nutrients 2019, 11(8), 1772; https://doi.org/10.3390/nu11081772
Received: 24 June 2019 / Revised: 28 July 2019 / Accepted: 30 July 2019 / Published: 1 August 2019
(This article belongs to the Special Issue Nutrients 2009–2019: The Present and the Future of Nutrition)
The consumption of sugar-containing beverages (SCB) has been associated with obesity although the evidence in preschool children is scarce. Cross-sectional analyses were performed to assess the association between obesity and SCB consumption (packaged juices and sugar-sweetened soft drinks) in 1823 children at the age of 4–5 years from the INfancia y Medio Ambiente (INMA) Project. One drink was defined as a glass of 175 mL, and the consumption of SCB was categorized in <1, 1–7 drinks/week and > 1 drink/day. We used multiple logistic regression to estimate odds ratios (OR). The average SCB consumption was 79.1 mL/day, mainly from packaged juices (80.9%). The SCB consumption was lower in non-obese children than in children with obesity, 76.6 vs 118.4 mL/day (p = 0.02). After adjusting for covariates, children who consumed >1 drink/day showed elevated odds of obesity, OR = 3.23 (95% confidence interval (CI): 1.48–6.98) compared to children who consumed <1 SCB drink a week. Each additional SCB drink per day was associated with higher odds of obesity, OR = 1.55 (1.14–2.09). Higher consumption of packaged juices, but not sugar-sweetened soft drinks, was significantly associated with higher odds of obesity, OR = 1.55 (1.09–2.15) and OR = 1.59 (0.76–3.39), respectively. A higher SCB consumption is associated with obesity in preschool children, mainly due to the consumption of packaged juices. View Full-Text
Keywords: sugar-containing beverages; obesity; packaged juices; soft drinks; preschool child sugar-containing beverages; obesity; packaged juices; soft drinks; preschool child
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MDPI and ACS Style

Gonzalez-Palacios, S.; Navarrete-Muñoz, E.-M.; García-de-la-Hera, M.; Torres-Collado, L.; Santa-Marina, L.; Amiano, P.; Lopez-Espinosa, M.-J.; Tardon, A.; Riano-Galan, I.; Vrijheid, M.; Sunyer, J.; Vioque, J. Sugar-Containing Beverages Consumption and Obesity in Children Aged 4–5 Years in Spain: the INMA Study. Nutrients 2019, 11, 1772. https://doi.org/10.3390/nu11081772

AMA Style

Gonzalez-Palacios S, Navarrete-Muñoz E-M, García-de-la-Hera M, Torres-Collado L, Santa-Marina L, Amiano P, Lopez-Espinosa M-J, Tardon A, Riano-Galan I, Vrijheid M, Sunyer J, Vioque J. Sugar-Containing Beverages Consumption and Obesity in Children Aged 4–5 Years in Spain: the INMA Study. Nutrients. 2019; 11(8):1772. https://doi.org/10.3390/nu11081772

Chicago/Turabian Style

Gonzalez-Palacios, Sandra, Eva-María Navarrete-Muñoz, Manoli García-de-la-Hera, Laura Torres-Collado, Loreto Santa-Marina, Pilar Amiano, Maria-Jose Lopez-Espinosa, Adonina Tardon, Isolina Riano-Galan, Martine Vrijheid, Jordi Sunyer, and Jesus Vioque. 2019. "Sugar-Containing Beverages Consumption and Obesity in Children Aged 4–5 Years in Spain: the INMA Study" Nutrients 11, no. 8: 1772. https://doi.org/10.3390/nu11081772

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