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

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
  • Received Date: 2021-01-22
  • Rev Recd Date: 2021-03-04
  • Available Online: 2021-04-16
  • Publish Date: 2021-04-25
  •   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.
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  • [1]
    NCD Risk Factor Collaboration (NCD-RISC). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults[J]. Lancet, 2017, 390(10113): 2627-2642. doi: 10.1016/S0140-6736(17)32129-3
    [2]
    CHUNG S T, ONUZURUIKE A U, MAGGE S N. Cardiometabolic risk in obese children[J]. Ann N Y Acad Sci, 2018, 1411(1): 166-183. doi: 10.1111/nyas.13602
    [3]
    IRVINE V, JOHN J R, SCOTT J A, et al. Factors influencing the early introduction of sugar sweetened beverages among infants: findings from the HSHK birth cohort study[J]. Nutrients, 2020, 12(11): 3343. doi: 10.3390/nu12113343
    [4]
    HU F B. Resolved: there is sufficient scientific evidence that decreasing sugar-sweetened beverage consumption will reduce the prevalence of obesity and obesity-related diseases[J]. Obes Rev, 2013, 14(8): 606-619. doi: 10.1111/obr.12040
    [5]
    赵莉, 黎隐豪, 肖成汉, 等. 含糖饮料与儿童肥胖的关系及其防控政策研究进展[J]. 中国学校卫生, 2020, 41(3): 468-470. doi: 10.16835/j.cnki.1000-9817.2020.03.043

    ZHAO L, LI Y H, XIAO C H, et al. Research on the relationship between sugar-sweetened beverages and childhood obesity and its prevention and control policies[J]. Chin J Sch Health, 2020, 41(3): 468-470. doi: 10.16835/j.cnki.1000-9817.2020.03.043
    [6]
    KELLER A, BUCHER D T S. Sugar-sweetened beverages and obesity among children and adolescents: a review of systematic literature reviews[J]. Child Obes, 2015, 11(4): 338-346. doi: 10.1089/chi.2014.0117
    [7]
    ZHANG T, AU Y S, KWOK M K, et al. Association of sugar-sweetened beverage frequency with adiposity: evidence from the "children of 1997" birth cohort[J]. Nutrients, 2020, 12(4): 1015. doi: 10.3390/nu12041015
    [8]
    陈新, 王元银, 孙晓瑜, 等. 基于群组轨迹模型的含糖饮料摄入模式与儿童牙周健康关联的队列研究[J]. 中华流行病学杂志, 2020, 41(8): 1308-1312. doi: 10.3760/cma.j.cn112338-20190826-00627

    CHEN X, WANG Y Y, SUN X Y, et al. Pattern of sugar-sweetened beverages consumption-based on group-based trajectory modeling and its association with childhood periodontal health[J]. Chin J Epidemiol, 2020, 41(8): 1308-1312. doi: 10.3760/cma.j.cn112338-20190826-00627
    [9]
    FANG J, GONG C, WAN Y, et al. Polygenic risk, adherence to a healthy lifestyle, and childhood obesity[J]. Pediatr Obes, 2019, 14(4): e12489. doi: 10.1111/ijpo.12489
    [10]
    BERNSTEIN D P, STEIN J A, NEWCOMB M D, et al. Development and validation of a brief screening version of the Childhood Trauma Questionnaire[J]. Child Abuse Negl, 2003, 27(2): 169-190. doi: 10.1016/S0145-2134(02)00541-0
    [11]
    NGUENA N H, PAGE M G, KATZ J, et al. Trajectory modelling techniques useful to epidemiological research: a comparative narrative review of approaches[J]. Clin Epidemiol, 2020, 12: 1205-1222. DOI:2147/clep.s265287.
    [12]
    PAN F, TIAN J, AITKEN D, et al. Predictors of pain severity trajectory in older adults: a 10.7-year follow-up study[J]. Osteoarthrit Cartil, 2018, 26(12): 1619-1626. doi: 10.1016/j.joca.2018.08.002
    [13]
    ROSINGER A, HERRICK K, GAHCHE J, et al. Sugar-sweetened beverage consumption among U.S. youth, 2011-2014[J]. NCHS Data Brief, 2017(271): 1-8.
    [14]
    GUI Z H, ZHU Y N, CAI L, et al. Sugar-sweetened beverage consumption and risks of obesity and hypertension in Chinese children and adolescents: a national cross-sectional analysis[J]. Nutrients, 2017, 9(12): 1302. doi: 10.3390/nu9121302
    [15]
    FIORITO L M, MITCHELL D C, SMICIKLAS-Wright H, et al. Dairy and dairy-related nutrient intake during middle childhood[J]. J Am Diet Assoc, 2006, 106(4): 534-542. doi: 10.1016/j.jada.2006.01.005
    [16]
    贾梦, 王超, 张玉梅, 等. 北京市部分中学生含糖软饮料消费与肥胖的调查[J]. 卫生研究, 2012, 41(2): 310-312. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201202036.htm

    JAI M, WANG C, ZHANG Y M, et al. Investigation on consumption of sugary soft drinks and obesity among middle school students in Beijing[J]. J Hyg Res, 2012, 41(2): 310-312. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201202036.htm
    [17]
    张曌华, 张柳, 李红娟. 中国儿童青少年体力活动现状的Meta分析[J]. 中国学校卫生, 2020, 41(2): 173-178. doi: 10.16835/j.cnki.1000-9817.2020.02.004

    ZHANG Z H, ZHANG L, LI H J. A Meta-analysis of physical activity among Chinese children and adolescents with accelerometer data[J]. Chin J Sch Health, 2020, 41(2): 173-178. doi: 10.16835/j.cnki.1000-9817.2020.02.004
    [18]
    CHAPUT J P, WILLUMSEN J, BULL F, et al. 2020 WHO guidelines on physical activity and sedentary behaviour for children and adolescents aged 5-17 years: summary of the evidence[J]. Int J Behav Nutr Phys Act, 2020, 17(1): 141. doi: 10.1186/s12966-020-01037-z
    [19]
    孙莹, 刘阳, 苏普玉, 等. 小学生童年期不良经历与超重肥胖的关联[J]. 中国学校卫生, 2015, 36(2): 255-258. http://www.cjsh.org.cn/article/id/zgxxws201502027

    SUN Y, LIU Y, SU P Y, et al. Associations between adverse childhood experiences with overweight/obesity and possible gender difference[J]. Chin J Sch Health, 2015, 36(2): 255-258. http://www.cjsh.org.cn/article/id/zgxxws201502027
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