A cohort study on the association between sugar-sweetened beverage intake and childhood obesity using a group-based trajectory model

XU Yuxiang; JIANG Weikang; ZHAO Li; XIONG Jingyuan; SU Puyu; WAN Yuhui; FANG Jiao; CHENG Guo; SUN Ying

doi:10.16835/j.cnki.1000-9817.2021.04.007

Volume 42 Issue 4

Apr. 2021

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XU Yuxiang, JIANG Weikang, ZHAO Li, XIONG Jingyuan, SU Puyu, WAN Yuhui, FANG Jiao, CHENG Guo, SUN Ying. A cohort study on the association between sugar-sweetened beverage intake and childhood obesity using a group-based trajectory model[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(4): 506-509. doi: 10.16835/j.cnki.1000-9817.2021.04.007

Citation:

XU Yuxiang, JIANG Weikang, ZHAO Li, XIONG Jingyuan, SU Puyu, WAN Yuhui, FANG Jiao, CHENG Guo, SUN Ying. A cohort study on the association between sugar-sweetened beverage intake and childhood obesity using a group-based trajectory model[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(4): 506-509. doi: 10.16835/j.cnki.1000-9817.2021.04.007

Citation:

XU Yuxiang, JIANG Weikang, ZHAO Li, XIONG Jingyuan, SU Puyu, WAN Yuhui, FANG Jiao, CHENG Guo, SUN Ying. A cohort study on the association between sugar-sweetened beverage intake and childhood obesity using a group-based trajectory model[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(4): 506-509. doi: 10.16835/j.cnki.1000-9817.2021.04.007

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A cohort study on the association between sugar-sweetened beverage intake and childhood obesity using a group-based trajectory model

doi: 10.16835/j.cnki.1000-9817.2021.04.007

XU Yuxiang¹,
JIANG Weikang²,
ZHAO Li³,
XIONG Jingyuan³,
SU Puyu^{1, 4},
WAN Yuhui^{1, 4},
FANG Jiao¹,
CHENG Guo^{5
,
,},
SUN Ying^{1, 4
,
,}

1.
School of Public Health, Anhui Medical University, Hefei(230032), China

Received Date: 2021-01-22
Rev Recd Date: 2021-03-04

Available Online: 2021-04-16

Publish Date: 2021-04-25

Abstract

Abstract

Objective To evaluate the development trajectory of sugar-sweetened beverage (SSB) intake in childhood, and to explore the influence of different SSB intake patterns on childhood obesity. Methods In 2016, a follow-up cohort study was carried out in two primary schools in Bengbu, Anhui Province. Three annual follow-ups were conducted in 1 263 children at baseline, and 997 children were included in the final analysis. Parental and student questionnaires were used to obtain basic information related to the children's consumption of SSBs. A group-based trajectory model (GBTM) was applied to classify the development trajectory of SSB intake patterns in childhood. Multiple linear regression analyses were performed to assess the correlation between different SSB intake patterns and childhood obesity. Results GBTM identified four childhood SSB intake patterns, namely, the "persistently-low group (n=822), "decreasing-after-increasing" group (n=20), "gradually-decreasing" group (n=106), and "increasing" group (n=49). In the decreasing-after-increasing group and the gradually-decreasing group, baseline BMI levels and BMI levels obtained at the three follow-ups were significantly higher than those observed in the persistently-low group (F=6.26, 5.90, 5.99, 5.87, P < 0.01). There were sex differences in the association between SSB intake patterns and the children's BMI levels. Among girls, after adjusting for confounding factors, the gradually-decreasing group increased by 1.20 kg/m²(B=1.20, 95%CI=0.25-2.15, P=0.01) when compared with the persistently low group at the third follow-up. Among boys, no statistically significant association was found between SSB intake patterns and BMI levels (P>0.05). Conclusion Sex differences were observed with respect to the association between SSB intake patterns and obesity in children. Girls with a higher SSB intake had a significantly increased risk of obesity. Further studies are needed to explore the physiological mechanisms underlying sex differences, to provide the theoretical basis for developing intervention programs to prevent childhood obesity.
- Carbohydrates,
- Beverages,
- Feeding behavior,
- Obesity,
- Regression analysis,
- Child

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References(19)

References

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