Sugar-sweetened beverage consumption frequency in Korean adolescents: based on the 2015 Youth Risk Behavior Web-Based Survey

Sim, Eun-Bi; Sohn, Woosung; Choi, Eunsil; Noh, HieJin

doi:10.1111/idj.12485

Cited by 14 publications

(14 citation statements)

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“…Soft drinks contain excess levels of sugars, caffeine and chemicals such as phosphorus, which interfere with calcium absorption and low mouth pH, leading to tooth decay among children and adolescents [20,21]. The World Health Organization recommends that to prevent chronic diseases, free sugar content should be < 10% of the total caloric intake of a food [22]; the consumption of one or two servings of commercially available beverages already exceeds the recommended daily sugar intake (sugar content/a single serving; carbonated beverage (19.9 g/200 mL); candy (7.1 g/10 g); snack (3.5 g/30 g) [5,23]. In fact, according to the MFDS [24], the consumption of sugar from processed foods among the Korean population aged 3-29 years greatly exceeds the recommended sugar intake by > 10%, this excess consumption is driven by beverages (13.9 g, 31.1%), specifically soft drinks.…”

Section: Discussionmentioning

confidence: 99%

“…Consumption of sugar-sweetened beverages (SSBs) increases total caloric intake and is linked to chronic disease risk, including adverse cardiometabolic outcomes [3]. As SSB consumption is prevalent worldwide, in particular, among young adults and men [4,5], population weight gain is likely to continue, driving the global burden of chronic disease [6].…”

Section: Introductionmentioning

confidence: 99%

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Trends in Beverage Consumption and Related Demographic Factors and Obesity among Korean Children and Adolescents

et al. 2020

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It is well known that reducing consumption of sugar is a global public health priority. Beverages were the primary source of total sugar intake from processed foods. However, there are few studies investigating the trend of beverage consumption among children and adolescents in Korea. We examined the overall trend in beverage consumption among 11,996 participants aged 10–18 years who were enrolled in the Korea National Health and Nutrition Examination Survey (KNHANES) (1998–2018). Further, we examined the effect of beverage types on beverage consumption-related demographic factors and obesity among 6121 participants using the recent 24 h dietary recall data (2010–2018) that captured the consumption of fruit and vegetable juices, soft drinks, milk and milk-based products and alcoholic beverages. Demographic characteristics, including sex, age, body mass index, household income level and residential area, were considered. Consumers’ overall beverage intake and the percentage of energy derived from fruit and vegetable juices and soft drinks steadily increased from 1998 to 2016–2018 (p-trend < 0.0001); in contrast, dairy product consumption declined since 2010–2012. The main sources of beverage-based calories were fruit and vegetable juices (107.5 kcal/day), soft drinks (145.2 kcal/day), dairy products (181.8 kcal/day) and alcoholic beverages (103.5 kcal/day). Also, Korean adolescents aged 16–18 years consumed more soft drinks, fewer dairy products and higher alcoholic drinks than other age groups; particularly, boys consumed more energy from beverages (p < 0.0001). The odds ratios of obesity prevalence tended to be higher for soft drink consumption than for other beverages but this was not significant. The consumption of fruit and vegetable juices and milk and milk products showed a marginal association with a reduced risk of obesity prevalence. Since beverage consumption has increased steadily among Korean children and adolescents, appropriate interventions are needed. In the future, data from a larger sample of Korean children and adolescents are necessary to identify significant differences and longitudinal studies are necessary to examine the causalities.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Trends in Beverage Consumption and Related Demographic Factors and Obesity among Korean Children and Adolescents

et al. 2020

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“…Researchers have claimed that social and environmental factors affect SSB consumption, such as economic status, water fountains in the community, advertising, marketing, in addition to the dietary behaviors and physical activities, and parental influence has been found to be highly associated with SSB consumption in children [15][16][17][18][19]. These findings are mainly drawn from cross-sectional studies [20], and the historical influence of these previously examined factors remains unclear, especially in countries such as China that are undergoing rapid socio-economic change.…”

Section: Introductionmentioning

confidence: 99%

Sociodemographic, lifestyle, behavioral, and parental factors associated with sugar-sweetened beverage consumption in children in China

2021

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Objective Evidence shows sugar-sweetened beverage (SSB) consumption is a risk factor for obesity and non-communicable diseases (NCDs) in children. Investigating the influential profiles, which have been examined insufficiently, will help to inform the reduction of SSB consumption. The present research examines the current trend in SSB consumption and associated factors among children in China, in order to inform policy development. Methods Secondary data was extracted from China’s Health and Nutrition Survey (CHNS; 2004, 2006, 2009, and 2011), a repeated cross-sectional research, and a Chi-squared test was applied to compare SSB consumption in the last year, queried by social demographical, `environmental, behavioral, and parental factors. Multilevel mixed-effects logistic regression was employed to examine the trend and effects of the multiple factors. Results A total of 6015 Chinese children aged 6–17 years were investigated. From 2004 to 2011, the percentage of SSB consumption in children increased from 72.6% to 90.3%. The prevalence in urban areas was higher than the prevalence in rural areas, higher in high schools than primary and middle schools, higher in east coast affluent provinces than other provinces, and higher in high-income households than low-income households. Other associated factors include children’s fast food and salty snacks preference, level of physical activity, sedentariness, and parental education. The strongest association with SSB consumption in children was the mother’s SSB consumption (adjusted odds ratio: 5.54, 95% CI: 3.17–9.67). Conclusion Children’s SSB consumption has increased significantly in China, and is associated with socio-economic, demographic, level of physical activity, food preference, and parental factors. Future strategies aimed at reducing SSB consumption among children need to consider these factors.

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“…Han E reported that children having parents with low education level were more likely to consume sugary drinks than children having parents with high education level in the U.S. [40]. Studies from Norway and Korea had demonstrated that more pocket money for adolescents was strongly related to their high sugary drink consumption [43,44]. While students' pocket money is often positively correlated with family income.…”

Section: Discussionmentioning

confidence: 99%

Unhealthy Attitude or Behavior Factors and Habitual Sugar Sweetened Beverages Consumption in Junior School Students: a Cross-Sectional Study in 2020 and Long Term Trend From 2012 to 2020

Peng¹,

Wang²,

Zhang³

et al. 2020

Preprint

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BackgroundSugar-sweetened beverages (SSBs) consumption is the major source of added sugar intake and a common unhealthy eating behavior among youth in China and around the world. Excessive intake of SSBs has a negative impact on both short- and long-term health of adolescent. The targeting nutritional education and behavioral guidance, single use or as a supplement to the policy intervention like sales ban, is a low cost and effective intervening approach. The purpose of this study was to identify unhealthy attitudes and behaviors that affect youth's consumption of sugary drinks to provide evidence for subsequent targeted interventions.MethodsUsing the stratified cluster sampling method, a questionnaire survey was conducted among 1560 junior school students in Jinzhong City, Shanxi Province, in northern China and Suzhou City, Jiangsu Province, in southern China. The content of the questionnaire included sociodemographic characteristics, self-reported consumption frequency of SSBs, attitude, behaviors and habits related to SSBs consumption. The Cronbach coefficient of questions was 0.855. Data from the series surveys of 2012 and 2018 were also used in the long-term trend analysis.ResultsIn 1466 Chinese junior school students, 5.1 % consumed SSBs every day and 13.6 % consumed it 3-6 times/week. The binary logistic regression was significant (R2=31.1%, P=0.001), and the attitude and behavior factors contributed to 22.1% of the 31.1% variation that could be explained. Among all factors, four unhealthy attitudes or behaviors with the highest OR were "Drink SSBs as water" (OR=10.288, 95%CI: 6.392~16.558), "Deem SSBs not affect health” (OR=2.735, 95%CI: 2.032~3.681), "Just want to drink SSBs” (OR=2.302, 95%CI: 1.524~3.478) and “Purchase SSBs in advance” (OR=2.245, 95%CI: 1.454~3.465). The SSBs consumption frequency increased with the increase of risk score of unhealthy attitudes and behaviors. (χ²-trend=127.470, P<0.001). Both frequency of drinking SSBs and holding rates of unhealthy attitudes or behaviors decreased with the passage of time (P trend<0.005). The drinking times per month was significantly positively correlated with the risk scores from 2012 to 2020 (r=0.314, P<0.001).ConclusionThe consumption of sugary drinks was largely influenced by unhealthy attitudes and behaviors. Adolescents are in the critical period of cognitive and habit formation, thus targeted intervention should be taken to promote their SSBs related healthy attitude and behavior to reduce the intake of added sugar and benefit them for life.

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Sugar-sweetened beverage consumption frequency in Korean adolescents: based on the 2015 Youth Risk Behavior Web-Based Survey

Cited by 14 publications

References 15 publications

Trends in Beverage Consumption and Related Demographic Factors and Obesity among Korean Children and Adolescents

Trends in Beverage Consumption and Related Demographic Factors and Obesity among Korean Children and Adolescents

Sociodemographic, lifestyle, behavioral, and parental factors associated with sugar-sweetened beverage consumption in children in China

Unhealthy Attitude or Behavior Factors and Habitual Sugar Sweetened Beverages Consumption in Junior School Students: a Cross-Sectional Study in 2020 and Long Term Trend From 2012 to 2020

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