Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Feb;113(2):219-27.
doi: 10.1016/j.jand.2012.10.020.

The relationships between sugar-sweetened beverage intake and cardiometabolic markers in young children

Ethan C Kosova  1 , Peggy Auinger, Andrew A Bremer
Affiliations

The relationships between sugar-sweetened beverage intake and cardiometabolic markers in young children

Ethan C Kosova et al. J Acad Nutr Diet. 2013 Feb.

Abstract

Background: The consumption of sugar-sweetened beverages has been implicated as a major contributor to the development of obesity and cardiometabolic disease.

Objective: To evaluate the relationships between sugar-sweetened beverage intake and cardiometabolic markers in young children.

Design: A cross-sectional analysis of the National Health and Nutrition Examination Survey data collected by the National Center for Health Statistics.

Participants: A total of 4,880 individuals aged 3 to 11 years from nationally representative samples of US children participating in the National Health and Nutrition Examination Survey during 1999-2004 were studied.

Main outcome measures: Concentrations of total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglyceride, and C-reactive protein as well as waist circumference and body mass index percentile for age-sex.

Statistical analyses performed: Multivariate linear regression analyses were performed to determine independent associations between each outcome variable and the number of serving equivalents of sugar-sweetened beverages consumed after adjusting for age, sex, race, poverty status, physical activity, and energy intake.

Results: Increased sugar-sweetened beverage intake was independently associated with increased C-reactive protein concentrations (P=0.003), increased waist circumference (P=0.04), and decreased high-density lipoprotein cholesterol concentrations (P<0.001). Subgroup analyses demonstrated differences in the association of sugar-sweetened beverage intake with metabolic markers and anthropometric measurements among age ranges, sex, and racial/ethnic groups.

Conclusions: In this cross-sectional analysis of children's dietary data, sugar-sweetened beverage intake was independently associated with alterations in lipid profiles, increased markers of inflammation, and increased waist circumference in children. Prospective studies are needed, but awareness of these trends is essential in combating the growing metabolic and cardiovascular disease burden in the pediatric population.

PubMed Disclaimer

References

    1. Ogden CL, Carroll MD, Curtin LR, Lamb MM, Flegal KM. Prevalence of high body mass index in US children and adolescents, 2007-2008. JAMA. 2010;303(3):242–249. - PubMed
    1. Sun SS, Liang R, Huang TT, et al. Childhood obesity predicts adult metabolic syndrome: The Fels Longitudinal Study. J Pediatr. 2008;152(2):191–200. - PMC - PubMed
    1. Nielsen SJ, Popkin BM. Changes in beverage intake between 1977 and 2001. Am J Prev Med. 2004;27(3):205–210. - PubMed
    1. Lasater G, Piernas C, Popkin BM. Beverage patterns and trends among school-aged children in the US, 1989-2008. Nutr J. 2011;10:103. - PMC - PubMed
    1. Reedy J, Krebs-Smith SM. Dietary sources of energy, solid fats, and added sugars among children and adolescents in the United States. J Am Diet Assoc. 2010;110(10):1477–1484. - PMC - PubMed

Publication types

MeSH terms