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Cited by 48Diet, Metabolism, and DiseaseObesity, Physical Activity, DietNutritional Studies and Diet

Daily sugar-sweetened beverage consumption and insulin resistance in European adolescents: the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study

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Kondaki, Katerina, Grammatikaki, Evangelia, Jiménez-Pavón, David, De Henauw, Stefaan, González-Gross, Marcela, Sjöstrom, Michael, Gottrand, Frédéric, Molnar, Dénes +5 more·2013·Public Health Nutrition
DOI 10.1017/s1368980012002613PMC PMC10271790
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Abstract

Objective: The present study aimed to evaluate the relationship between the consumption of selected food groups and insulin resistance, with an emphasis on sugar-sweetened beverages (SSB). Design: The present research is a large multicentre European study in adolescents, the HELENA-CSS (Healthy Lifestyle in Europe by Nutrition in Adolescence Cross-Sectional Study). Setting: Homeostasis model assessment–insulin resistance index (HOMA-IR) was calculated. Several anthropometric and lifestyle characteristics were recorded. Dietary assessment was conducted by using a short FFQ. Subjects: The participants were a subset of the original sample (n 546) with complete data on glucose, insulin and FFQ. All participants were recruited at schools. Results: Median (25th, 75th percentile) HOMA-IR was 0·62 (0·44, 0·87). Mean HOMA-IR was significantly higher among adolescents consuming brown bread ≤1 time/week than among those consuming 2–6 times/week (P= 0·011). Mean values of HOMA-IR were also higher in adolescents consuming SSB >5 times/week compared with those consuming less frequently, although a statistically significant difference was detected between those consuming SSB 5–6 times/week and 2–4 times/week (P= 0·049). Multiple linear regression analysis showed that only the frequency of SSB consumption was significantly associated with HOMA-IR after controlling for potential confounders. In particular, it was found that HOMA-IR levels were higher among adolescents consuming SSB 5–6 times/week and ≥1 time/d compared with those consuming ≤1 time/week by 0·281 and 0·191 units, respectively (P= 0·009 and 0·046, respectively). Conclusions: The present study revealed that daily consumption of SSB was related with increased HOMA-IR in adolescents.

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  • 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).”

    From The negative impact of sugar-sweetened beverages on children’s health: an update of the literature (2018) · cites this paper as [62]

  • 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].”

    From The negative impact of sugar-sweetened beverages on children’s health: an update of the literature (2018) · cites this paper as [62]

  • 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).”

    From The negative impact of sugar-sweetened beverages on children’s health: an update of the literature (2018) · cites this paper as [62]

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Authors
Kondaki, K., Grammatikaki, E., Jiménez-Pavón, D., De Henauw, S., González-Gross, M., Sjöstrom, M., Gottrand, F., Molnar, D., Moreno, L. A., Kafatos, A., Gilbert, C., Kersting, M., & Manios, Y.
Affiliations
  • Harokopio University of Athens (GR)
  • Universidad de Zaragoza (ES)
  • University of Crete (GR)
  • Campden BRI (United Kingdom) (GB)
  • University of Bonn (DE)
Corresponding author
Kondaki, Katerina
ORCID
Venue
Public Health Nutrition
Publisher
Cambridge University Press (CUP)
Published
2012-09-25
Volume
16
Issue
3
Pages
479-486
ISSN
  • 1368-9800 (ISSN-L)
  • 1475-2727
DOI
10.1017/s1368980012002613
PMC
PMC10271790
OpenAlex
W2063989682
Cited by
48
References
45
Citations by year
2026: 1 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 6 · 2020: 5 · 2019: 3 · 2018: 2 · 2017: 3 · 2016: 7 · 2015: 5 · 2014: 6 · 2013: 4
FWCI
3.85
Type
journal article
Language
en
Open access
Licence
www.cambridge.org/core/terms (unspecified)
Locations
  • Public Health Nutrition (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
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 › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Keywords
sugar-sweetened beverages, insulin resistance, adolescents, HOMA-IR, dietary intake, food frequency questionnaire, HELENA study
MeSH terms
Adolescent, Adolescent Behavior, Beverages, Bread, Cross-Sectional Studies, Diet, Europe, Feeding Behavior, Female, Humans, Insulin Resistance, Life Style, Male, Metabolic Diseases, Nutritional Physiological Phenomena, Surveys and Questionnaires, Health Behavior, Nutrition Assessment, Linear Models, Dietary Sucrose

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