Prospective associations between sugar-sweetened beverage intakes and cardiometabolic risk factors in adolescents
Open accessAbstract
Background High sugar-sweetened beverage (SSB) consumption is associated with cardiometabolic disturbances in adults, but this relation is relatively unexplored in children and adolescents.Objective We tested the hypothesis that higher SSB intakes are associated with increases in cardiometabolic risk factors between 14 and 17 y of age.Design Data were provided by 1433 adolescent offspring from the Western Australian Pregnancy Cohort (Raine) Study. At 14 and 17 y of age, SSB intakes were estimated by using a food-frequency questionnaire; body mass index (BMI), waist circumference, blood pressure, fasting serum lipids, glucose, and insulin were measured, and overall cardiometabolic risk was estimated. Prospective associations between cardiovascular disease risk factors and SSB intake were examined with adjustment for age, pubertal stage, physical fitness, socioeconomic status, and major dietary patterns.Results The average SSB intake in consumers (89%) was 335 g/d or 1.3 servings/d. Girls who moved into the top tertile of SSB consumption (>1.3 servings/d) between 14 and 17 y of age had increases in BMI (3.8%; 95% CI: 1.8%, 5.7%), increased overweight and obesity risk (OR: 4.8, 95% CI: 2.1, 11.4), and greater overall cardiometabolic risk (OR: 3.2; 95% CI: 1.6, 6.2) (all P-trend ≤ 0.001). Girls and boys who moved into the top tertile of SSB intake showed increases in triglycerides (7.0-8.4%; P-trend ≤ 0.03), and boys showed reductions in HDL cholesterol (-3.1%; 95% CI: -6.2%, 0.1%; P-trend < 0.04) independent of BMI. Some associations were attenuated after adjustment for major dietary patterns.Conclusion Increased SSB intake may be an important predictor of cardiometabolic risk in young people, independent of weight status.
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Girls who moved to the top tertile of SSB consumption (>335 g/day) between 14 and 17 years of age had increased BMI and nearly a five-fold greater odds of overweight or obesity risk compared to girls who remained in the lowest tertile of SSB consumption.
“Another study found that girls who moved to the top tertile of SSB consumption (>335 g/day) between 14 and 17 years of age had increased BMI and nearly a five-fold greater odds of overweight or obesity risk compared to girls who remained in the lowest tertile of SSB consumption [36].”
From The negative impact of sugar-sweetened beverages on children’s health: an update of the literature (2018) · cites this paper as [36]
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- Authors
- Ambrosini, G. L., Oddy, W. H., Huang, R. C., Mori, T. A., Beilin, L. J., & Jebb, S. A.
- Affiliations
- MRC Elsie Widdowson Laboratory (GB)
- Corresponding author
- Ambrosini, Gina Leslie
- ORCID
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2013-08
- Volume
- 98
- Issue
- 2
- Pages
- 327-334
- ISSN
- 0002-9165 (ISSN-L)
- PMC
- PMC3712546
- OpenAlex
- W2163147259
- Cited by
- 184
- References
- 31
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 6 · 2023: 9 · 2022: 18 · 2021: 16 · 2020: 17 · 2019: 18 · 2018: 20 · 2017: 17 · 2016: 9 · 2015: 22 · 2014: 17 · 2013: 5
- FWCI
- 13.90
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed Central (publishedVersion)
- UWA Profiles and Research Repository (UWA) (publishedVersion, other-oa)
- PubMed (publishedVersion)
- eCite Digital Repository (University of Tasmania) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- 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, cardiometabolic risk, adolescents, body mass index, obesity, triglycerides, HDL cholesterol, blood pressure, insulin, dietary habits, sex differences
- MeSH terms
- Adolescent, Beverages, Blood Pressure, Body Weight, Cardiovascular Diseases, Fasting, Female, Humans, Insulin, Cholesterol, HDL, Male, Motor Activity, Obesity, Prospective Studies, Risk Factors, Socioeconomic Factors, Sweetening Agents, Triglycerides, Western Australia, Body Mass Index, Dietary Sucrose, Overweight, Waist Circumference
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