Cited by 132Diet, Metabolism, and DiseaseObesity, Physical Activity, DietDiabetes, Cardiovascular Risks, and Lipoproteins

Relationship Between Insulin Resistance–Associated Metabolic Parameters and Anthropometric Measurements With Sugar-Sweetened Beverage Intake and Physical Activity Levels in US Adolescents: Findings From the 1999-2004 National Health and Nutrition Examination Survey

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Bremer, Andrew A., Auinger, Peggy, Byrd, Robert S.·2009·Archives of Pediatrics & Adolescent Medicine

Abstract

OBJECTIVE: To evaluate the relationship between insulin resistance-associated metabolic parameters and anthropometric measurements with sugar-sweetened beverage intake and physical activity levels. DESIGN: A cross-sectional analysis of the National Health and Nutrition Examination Survey data collected by the National Center for Health Statistics. SETTING: Nationally representative samples of US adolescents participating in the National Health and Nutrition Examination Survey during the years 1999-2004. PARTICIPANTS: A total of 6967 adolescents aged 12 to 19 years. MAIN EXPOSURE: Sugar-sweetened beverage consumption and physical activity levels. OUTCOME MEASURES: Glucose and insulin concentrations, a homeostasis model assessment of insulin resistance (HOMA-IR), total, high-density lipoprotein, and low-density lipoprotein cholesterol concentrations, triglyceride concentrations, systolic and diastolic blood pressure, waist circumference, and body mass index (calculated as weight in kilograms divided by height in meters squared) percentile for age and sex. RESULTS: Multivariate linear regression analyses showed that increased sugar-sweetened beverage intake was independently associated with increased HOMA-IR, systolic blood pressure, waist circumference, and body mass index percentile for age and sex and decreased HDL cholesterol concentrations; alternatively, increased physical activity levels were independently associated with decreased HOMA-IR, low-density lipoprotein cholesterol concentrations, and triglyceride concentrations and increased high-density lipoprotein cholesterol concentrations. Furthermore, low sugar-sweetened beverage intake and high physical activity levels appear to modify each others' effects of decreasing HOMA-IR and triglyceride concentrations and increasing high-density lipoprotein cholesterol concentrations. CONCLUSIONS: Sugar-sweetened beverage intake and physical activity levels are each independently associated with insulin resistance-associated metabolic parameters and anthropometric measurements in adolescents. Moreover, low sugar-sweetened beverage intake and high physical activity levels appear to modify each others' effects on several health-related outcome variables.

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Crossref · 10.1001/archpediatrics.2009.21

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  • Cross-sectional studies found a positive association between SSB consumption and insulin resistance in the whole or a subset of their study population.

    “A number of cross-sectional studies found a positive association in the whole or a subset of their study population [62–65].”
  • A modest number of studies reported a positive association between SSB consumption and insulin resistance risk among children and adolescents.

    “A modest number of studies reported a positive association between SSB consumption and insulin resistance risk among children and adolescents, with the majority conducted cross-sectionally [62–65], one conducted longitudinally [66] and no intervention studies conducted (Table 2).”
  • The majority of studies on SSB consumption and insulin resistance risk among children and adolescents were cross-sectional, one was longitudinal, and no intervention studies were conducted.

    “A modest number of studies reported a positive association between SSB consumption and insulin resistance risk among children and adolescents, with the majority conducted cross-sectionally [62–65], one conducted longitudinally [66] and no intervention studies conducted (Table 2).”

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Authors
Bremer, A. A., Auinger, P., & Byrd, R. S.
Affiliations
  • University of California Davis Medical Center (US)
  • University of Rochester (US)
Venue
Archives of Pediatrics & Adolescent Medicine
Published
2009-04-06
Volume
163
Issue
4
Pages
328
ISSN
1072-4710 (ISSN-L)
OpenAlex
W2133450325
Cited by
132
References
58
Citations by year
2025: 5 · 2024: 2 · 2023: 4 · 2022: 7 · 2021: 8 · 2020: 6 · 2019: 3 · 2018: 7 · 2017: 5 · 2016: 12 · 2015: 9 · 2014: 17 · 2013: 11 · 2012: 15
FWCI
8.71
Type
journal article
Language
en
Open access
Locations
  • Archives of Pediatrics and Adolescent Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Center for Research Resources (UL1RR024146, KL2RR024144)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
sugar-sweetened beverages, physical activity, insulin resistance, adolescents, HOMA-IR, anthropometry, body mass index, waist circumference, blood pressure, HDL cholesterol, LDL cholesterol, triglycerides, glucose and insulin, dietary change
MeSH terms
Adolescent, Age Factors, Anthropometry, Beverages, Blood Glucose, Child, Cross-Sectional Studies, Energy Metabolism, Female, Health Promotion, Humans, Insulin Resistance, Male, Motor Activity, Nutrition Surveys, Probability, Sex Factors, Sweetening Agents, United States, Body Mass Index, Multivariate Analysis, Linear Models, Young Adult

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