Association between Sweetened Beverage Consumption and Body Mass Index, Proportion of Body Fat and Body Fat Distribution in Mexican AdolescentsDenova-Gutiérrez E.a · Jiménez-Aguilar A.c · Halley-Castillo E.b · Huitrón-Bravo G.a · Talavera J.O.a · Pineda-Pérez D.d, e · Díaz-Montiel J.C.d · Salmerón J.d
aCentro de Investigación en Ciencias Médicas, Universidad Autónoma del Estado de México, and bCentro Médico Adolfo López Mateos, Toluca, cCentro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública, and dUnidad de Salud e Investigación Epidemiológica, Instituto Mexicano del Seguro Social, Cuernavaca, and eSecretaria de Salud, México, México
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Article / Publication Details
Background/Aims: It was the aim of this study to evaluate the relationships between sweetened beverage (SB) consumption and the following indicators of overweight/fatness among Mexican adolescents: body mass index, body composition and body fat distribution. Methods: We performed a cross-sectional analysis of data from adolescents participating in the baseline assessment of the Health Workers Cohort Study. Information on sociodemographic conditions, sexual maturation, dietary patterns and physical activity was collected via self-administered questionnaires. SB consumption was evaluated through a validated semiquantitative food frequency questionnaire. Anthropometric measures were assessed with standardized procedures. The associations of interest were evaluated by means of multivariate regression and logistic regression models. Results: A total of 1,055 adolescents, 10–19 years old (mean age 14.5 ± 2.5 years), were evaluated. The overweight/obesity prevalence was 31.6% among girls and 31.9% among boys. We found that for each additional SB serving consumed daily, the subject’s body mass index increased by on average 0.33 (p < 0.001). Subjects consuming 3 daily servings of SB face a 2.1 times greater risk of proportionally excess body fat than those who consume less than 1 SB a day. Conclusions: Our data support the hypothesis that the consumption of SB increases the risk of overweight and/or obesity and encourages excess body fat and central obesity in Mexican adolescents.
© 2009 S. Karger AG, Basel
OMS: Global strategy on diet, physical activity and health. http://www.who.int/dietphysicalactivity/media/en/gsfs_obesity.pdf. http://www.who.int/gb/ebwha/pdf_files/WHA57/A57_R17-en.pdf.
- De Vito E, La Torre G, Langiano E, et al: Overweight and obesity among secondary school children in central Italy. Eur J Epidemiol 1999;15:649–654.
- Wang Z, Patterson CM, Hills AP: Association between overweight or obesity and household income and parental body mass index in Australian youth: analysis of the Australian National Nutrition Survey, 1995. Asia Pac J Clin Nutr 2002;11:200–205.
Fernández O, Rivera J, Shamah T, et al: Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca, Instituto Nacional de Salud Pública, 2006.
DGIED/SSA; Celis-de la Rosa A: La salud de adolescentes en cifras. Salud Publica Mex 2003;45(suppl 1):S153–S164.
- Freedman DS, Dietz WH, Srinivasan SR, et al: The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study. Pediatrics 1999;103:1175–1182.
- Bray GA: Etiology and pathogenesis of obesity. Clin Cornerstone 1999;2:1–15.
- St-Onge MP, Keller KL, Heymsfield SB: Changes in childhood food consumption patterns: a cause for concern in light of increasing body weights. Am J Clin Nutr 2003;78:1068–1073.
- French SA, Lin BH, Guthrie JF: National trends in soft drink consumption among children and adolescents aged 6 to 17 years: prevalence, amounts, and sources, 1977/1978 to 1994/1998. J Am Diet Assoc 2003;103:1326–1331.
- Wiehe S, Lynch H, Park K: Sugar high. The marketing of soft drinks to America’s schoolchildren. Arch Pediatr Adolesc Med 2004;158:209–211.
- Johnson RK, Frary C: Choose beverages and foods to moderate your intake of sugars: the 2000 dietary guidelines for Americans – what’s the fuss about? J Nutr 2001;131:2766s–2771s.
- Guenther PM: Beverages in the diets of American teenagers. J Am Diet Assoc 1986;86:493–499.
- Harnack L, Stang J, Story M: Soft drink consumption among US children and adolescents: nutritional consequences. J Am Diet Assoc 1999;99:436–441.
- Schulze MB, Manson JE, Ludwig DS, et al: Sugar-sweetened beverages, weight gain, and incidence of type 2 diabetes in young and middle-aged women. JAMA 2004;292:927–934.
- Malik VS, Schulze MB, Hu FB: Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr 2006;84:274–288.
- Bachman CM, Baranowski T, Nicklas TA: Is there an association between sweetened beverages and adiposity? Nutr Rev 2006;64:153–174.
- Forshee RA, Storey ML, Allison DB, et al: A critical examination of the evidence relating high fructose corn syrup and weight gain. Crit Rev Food Sci Nutr 2007;47:561–582.
- Forshee RA, Anderson PA, Storey ML: Sugar-sweetened beverages and body mass index in children and adolescents: a meta-analysis. Am J Clin Nutr 2008;87:1662– 1671.
- Pereira MA: The possible role of sugar-sweetened beverages in obesity etiology: a review of the evidence. Int J Obes (London) 2006;30(suppl 3):S28–S36.
http://www.profeco.gob.mx/html/prensa/estenograficas/MB_ML_1006.pdf (accessed March 10, 2005).
Salmeron-Castro J, Arillo-Santillán E: Tabaquismo en profesionales de la salud del Instituto Mexicano del Seguro Social, Morelos. Salud Publica Mex 2002;44(suppl 1):S67–S75.
- López-Caudana AE, Téllez-Rojo Solís MM, Hernández-Ávila M, et al: Predictors of bone mineral density in female workers in Morelos State, Mexico. Arch Med Res 2005;35:172–180.
- Halley EC, Borges G, Talavera JO, et al: Body mass index and the prevalence of metabolic syndrome among children and adolescents in two Mexican populations. J Adolesc Health 2007;40:521–526.
Hernández-Avila M, Romieu I, Parra S, et al: Validity and reproducibility of a food frequency questionnaire to assess dietary intake of women living in Mexico City. Salud Publica Mex 1998;40:133–140.
Hernández-Avila M, Resoles M, Parra S, et al: Sistema de evaluación de hábitos nutricionales y consumo de nutrimentos (SNUT). Mexico, INSP, 2000.
- Rosner B: Percentage points for a generalized ESD many-outlier procedure. Technometrics 1983;25:165–172.
- Fernández J, Redden D, Pietrobelli A, et al: Waist circumference percentiles in nationally representative samples of African-American, European-American, and Mexican-American children and adolescents. J Pediatr 2004;145:439–444.
- Cole TJ, Bellizzi MC, Flegal KM, et al: Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000;320:1240–1243.
- Ellis KJ, Shypailo RJ, Prattet JA, et al: Accuracy of dual-energy X-ray absoptiometry for body composition methods in overweight and obese children. Am J Clin Nutr 1994;60:660–665.
- Taylor RW, Jones IE, Williams SM, et al: Body fat percentages measured by dual-energy X-ray absorptiometry corresponding to recently recommended body mass index cutoffs for overweight and obesity in children and adolescents aged 3–18 y. Am J Clin Nutr 2002;76:1416–1421.
Ainsworth BE, Haskell WL, Whitt MC, et al: Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 2000;32(suppl 9):S498–S516.
- Tanner JM: Normal growth and techniques of growth assessment. Clin Endocrinol Metab 1986;15:411.
StataCorp, Stata Stastical Software: release 9. College Station, StataCorp LP, 2005.
- Storey ML, Forshee RA, Anderson PA: Beverage consumption in the US population. J Am Diet Assoc 2006;106:1992–2000.
- Ludwig DS, Peterson KE, Gortmaker SL: Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet 2001;357:505–508.
- Gillis LJ, Bar-Or O: Food away from home, sugar-sweetened drink consumption and juvenile obesity. J Am Coll Nutr 2003;22:539–545.
- Almiron-Roing E, Flores SY, Drewnowski A: No difference in satiety or in subsequent energy intakes between a beverage and a solid food. Physiol Behav 2004;82:671–677.
- Ludwig DS, Majzoub JA, Al-Zahrani A, et al: High glycemic index foods, overeating, and obesity. Pediatrics 1999;103:e26.
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