Beverage Consumption and Growth, Size, Body Composition, and Risk of Overweight and Obesity: A Systematic Review

Mayer‐Davis, Elizabeth J.; Leidy, Heather J; Mattes, Richard D.; Naimi, Timothy S.; Novotny, Rachel; Schneeman, Barbara O.; Kingshipp, Brittany; Spill, Maureen; Cole, Natasha; Bahnfleth, Charlotte; Butera, Gisela; Terry, Nancy; Obbagy, Julie

doi:10.52570/nesr.dgac2020.sr0401

Cited by 8 publications

(7 citation statements)

References 137 publications

(583 reference statements)

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“…Kids SIPsmartER was effective at reducing SSB among students and their caregivers in the rural, medically underserved Appalachian region. Our trial addresses notable gaps in the SSB intervention literature [40][41][42] and our findings are largely consistent with a recent systematic review of school-based trials that found promising results in reducing SSB among adolescents using educational/behavior interventions [40] [18][19][20][21][22][23][24][25][26][27][28]96]. These findings highlight the promise of Kids SIPsmartER as a primary prevention intervention to reduce SSB consumption.…”

Section: Discussionsupporting

confidence: 87%

“…Yet, among students consuming > 24 ounces/day there was an interesting trend whereby Kids SIPsmartER students BMI z-score appear to stabilize, on average, over the 7-month period, while the control students BMI z-scores trend upward. Exploring heterogeneity of treatment effects by baseline SSB consumption in a primary prevention intervention study is an important contribution of our study [28]; however, future fully powered studies are needed to further investigate this trend. Also, a significant treatment effect on caregivers' weight was detected, in favor of Kids SIPsmartER.…”

Section: Discussionmentioning

confidence: 99%

“…These disparities in SSB consumption patterns are concerning given the strong and consistent evidence, in both youth and adults, linking SSB to chronic health conditions like obesity, dental erosion and decay, diabetes, cardiovascular disease, and hypertension [18][19][20][21][22][23][24][25][26][27][28]. Given these negative health consequences, it is important to intervene on SSB behaviors from both a primary and secondary prevention perspective [29].…”

Section: Introductionmentioning

confidence: 99%

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Kids SIPsmartER reduces sugar-sweetened beverages among Appalachian middle-school students and their caregivers: a cluster randomized controlled trial

Zoellner,

You,

Porter

et al. 2024

Int J Behav Nutr Phys Act

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Background High consumption of sugar-sweetened beverages (SSB) is a global health concern. Additionally, sugar-sweetened beverage (SSB) consumption is disproportionately high among adolescents and adults in rural Appalachia. The primary study objective is to determine the intervention effects of Kids SIPsmartER on students’ SSB consumption. Secondary objectives focus on caregivers’ SSB consumption and secondary student and caregiver outcomes [e.g, body mass index (BMI), quality of life (QOL)]. Methods This Type 1 hybrid, cluster randomized controlled trial includes 12 Appalachian middle schools (6 randomized to Kids SIPsmartER and 6 to control). Kids SIPsmartER is a 6-month, 12 lesson, multi-level, school-based, behavior and health literacy program aimed at reducing SSB among 7th grade middle school students. The program also incorporates a two-way text message strategy for caregivers. In this primary prevention intervention, all 7th grade students and their caregivers from participating schools were eligible to participate, regardless of baseline SSB consumption. Validated instruments were used to assess SSB behaviors and QOL. Height and weight were objectively measured in students and self-reported by caregivers. Analyses included modified two-part models with time fixed effects that controlled for relevant demographics and included school cluster robust standard errors. Results Of the 526 students and 220 caregivers, mean (SD) ages were 12.7 (0.5) and 40.6 (6.7) years, respectively. Students were 55% female. Caregivers were mostly female (95%) and White (93%); 25% had a high school education or less and 33% had an annual household income less than $50,000. Regardless of SSB intake at baseline and relative to control participants, SSB significantly decreased among students [-7.2 ounces/day (95% CI = -10.7, -3.7); p < 0.001, effect size (ES) = 0.35] and caregivers [-6.3 ounces/day (95% CI = -11.3, -1.3); p = 0.014, ES = 0.33]. Among students (42%) and caregivers (28%) who consumed > 24 SSB ounces/day at baseline (i.e., high consumers), the ES increased to 0.45 and 0.95, respectively. There were no significant effects for student or caregiver QOL indicators or objectively measured student BMI; however, caregiver self-reported BMI significantly decreased in the intervention versus control schools (p = 0.001). Conclusions Kids SIPsmartER was effective at reducing SSB consumption among students and their caregivers in the rural, medically underserved Appalachian region. Importantly, SSB effects were even stronger among students and caregivers who were high consumers at baseline. Trial registration Clincialtrials.gov: NCT03740113. Registered 14 November 2018– Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT03740113.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Kids SIPsmartER reduces sugar-sweetened beverages among Appalachian middle-school students and their caregivers: a cluster randomized controlled trial

Zoellner,

You,

Porter

et al. 2024

Int J Behav Nutr Phys Act

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“…First, SSB consumption was found to be associated with improved cognitive function in the low and moderate intake groups but was negatively associated with higher intake levels. The Dietary Guidelines Advisory Committee in the United States have published a review in 2020 highlighting the harmful effects of high-level SSBs, by 2020, but the effect of low or moderate levels of SSB intake on health is yet to be determined ( 40 ). It has also been reported numerous times that there was no association between SSB consumption and cognitive function in children and adolescents ( 23 , 24 , 41 , 42 ).…”

Section: Discussionmentioning

confidence: 99%

Association of consumption of sugar-sweetened beverages with cognitive function among the adolescents aged 12–16 years in US, NHANES III, 1988–1994

Yan

Huang

et al. 2022

Front. Nutr.

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ObjectiveAs a major source of added sugar, the consumption of sugar-sweetened beverages (SSBs) continues to increase worldwide. The adverse health effects associated with SSBs are also risk factors for cognitive development, but studies on the relationship between SSBs and adolescents' cognitive function are limited. We used data released by the National Health and Nutrition Examination Survey (NHANES) III (1988–1994) to explore the association between the consumption of SSBs and cognitive function among children and adolescents aged 12–16 years in the United States.Methods and proceduresA nationally representative population sample included 1,809 adolescents aged 12–16 years who participated in the United States NHANES from 1988 to 1994 and provided samples for the dietary intake frequency questionnaire and measures of cognitive function. Binary logistic regression was used to estimate the association between the frequency of SSB consumption and scores on cognitive function tests.ResultsThis study of 1,809 adolescents aged 12–16 years comprised 963 girls (weighted proportion, 48.17%) and 846 boys (weighted, 51.83%), with a weighted mean (SE) age of 13.99 (0.05) years. Compared with adolescents who intake SSBs 0–1 times per week, those who drank 4–7 times per week had better scores in arithmetic, reading, and digit span tests, with odds ratios (ORs) of 0.36 (95% CI = 0.16–0.82), 0.35 (95% CI = 0.18–0.70), and 0.19 (95% CI = 0.08–0.44), respectively. The ORs for abnormal block design scores increase with the frequency of SSB intake after being adjusted for potential confounders (P for trend 0.02). Stratified analyses showed that compared with normal or below BMI, among overweight or obese individuals, the frequency of SSB intake had significant ORs for abnormal digit span scores (OR = 4.76, 95% CI = 1.19–18.96 vs. 0.35, 95% CI = 0.10–1.25; P for interaction = 0.01).ConclusionThe positive associations of SSBs at moderate level intake with better scores in arithmetic, reading, and digit span were observed, but no dose-response relationship was identified at the overall level. Additionally, with the increasing frequency of SSB consumption, the risk of anomalous block design scores increased among US adolescents. Further investigation is warranted to confirm the association and mechanism between SSBs and cognitive function among adolescents.

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“…In Querschnittsstudien sind hierbei für Adipositas, [4] Typ-2-Diabetes (T2D), [5] Fettleber, [6] kardiovaskuläre Ereignisse [7] und Krebs [8] klar signifikante Risikoerhöhungen mit höherem Süßstoffgebrauch beschrieben. Auch in vielen prospektiven Studien finden sich deutliche Risikoassoziationen zu diesen Erkrankungen [9][10][11][12], während einige andere Beobachtungsstudien keine oder sogar protektive Assoziationen beschreiben [13,14]. Allerdings räumen alle Publikationen die methodischen Schwächen ihrer Arbeiten hierzu ein.…”

Section: Süßstoffe In Der Epidemiologieunclassified

Süßstoffe und ihre Wirkung auf das Körpergewicht

Kabisch

2024

Adipositas - Ursachen, Folgeerkrankungen, Therapie

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ZusammenfassungSüßstoffe sind chemisch, geschmacklich und biologisch heterogene, hochpotente Süßungsmittel, die in kalorienreduzierten Getränken, hochprozessierten Speisen und diätetischen Ersatzmahlzeiten verwendet werden. Maximal empfohlene Verzehrsmengen (“acceptable daily intake”, ADI) werden bei ausgewogener Ernährung und bei ausgeprägter Nutzung trotz konservativer Auslegung meist nicht erreicht. Süßstoffmischungen begünstigen die Unterschreitung der ADIs und die Geschmacksoptimierung.Epidemiologisch ist Süßstoffverzehr mit Adipositas, Typ-2- Diabetes, kardiovaskuläre Erkrankungen und Krebs assoziiert. Starke Confounder (andere Lebensstilfaktoren) und „reverse causality“ schwächen aber die Aussagekraft.In verblindeten randomisiert-kontrollierten Studien (RCTs) bewirken Süßstoffe gegenüber Zucker eine signifikante Reduktion von Körpergewicht und Leberfett, während glykämische Parameter zum Nachteil trenden. Der Gewichtsverlust liegt unter der Erwartung gemäß der theoretisch eingesparten Kalorien. Psychologische oder metabolische Störeffekte der Süßstoffe sind daher aktuell Gegenstand intensiver Forschung, bei der das Inkretinsystem, die Konditionierung auf Süßreize und das Darmmikrobiom Ansatzpunkte darstellen.

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Beverage Consumption and Growth, Size, Body Composition, and Risk of Overweight and Obesity: A Systematic Review

Cited by 8 publications

References 137 publications

Kids SIPsmartER reduces sugar-sweetened beverages among Appalachian middle-school students and their caregivers: a cluster randomized controlled trial

Kids SIPsmartER reduces sugar-sweetened beverages among Appalachian middle-school students and their caregivers: a cluster randomized controlled trial

Association of consumption of sugar-sweetened beverages with cognitive function among the adolescents aged 12–16 years in US, NHANES III, 1988–1994

Süßstoffe und ihre Wirkung auf das Körpergewicht

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