High-sugar Drink Consumption: An Associate of Obesity and Impaired Fasting Glucose in Canadian Indigenous (Cree) Communities

School of Dietetics & Human Nutrition, McGill University, Macdonald Campus, 21111 Lakeshore Rd., Ste.Anne-de-Bellevue, PQ H9X 3V9, Canada
Nutrition, metabolism, and cardiovascular diseases: NMCD (Impact Factor: 3.32). 06/2012; 22(8):e17-9. DOI: 10.1016/j.numecd.2012.04.007
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Available from: Louise Johnson-Down, Sep 03, 2014
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    • "Our study found that high-sugar drink consumption was positively associated with an at-risk BMI while total carbohydrate intake, adjusting for sugar-drink consumption, was inversely related to an at-risk BMI. Our findings are similar to that observed among Cree of Northern Québec, where high-sugar drink consumption was positively associated and total carbohydrate intake was inversely associated with BMI [21]. "
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    ABSTRACT: Background The study’s objective was to investigate the dietary correlates of an at-risk body mass index (BMI) among Inuit adults from thirty-six communities across the Canadian Arctic using data from the cross-sectional International Polar Year Inuit Health Survey, conducted in 2007–2008. Methods The survey included assessments of 24-hr dietary recall, sociodemographics, physical activity, and anthropometry. Dietary characteristics of overweight and obesity were similar and therefore combined into one at- risk BMI category (≥25 kg/m2) for analyses. The relationship between an at-risk BMI and energy intake from macronutrients, high sugar drinks, high-fat foods, saturated fatty acids, and traditional foods were examined entering each dietary variable separately into a logistic regression model as an independent variable. Analyses were adjusted for age, sex, region, kcalories, walking, smoking and alcohol consumption. Further multivariable models considered selected dietary variables together in one model. Results An at-risk BMI was present for 64% with a prevalence of overweight and obesity of 28% and 36%, respectively. Consumption of high-sugar drinks (>15.5% E) was significantly related with having an at-risk BMI (OR = 1.6; 95% CI 1.2; 2.2), whereas the % E from total carbohydrate evaluated as a continuous variable and as quartiles was inversely related to an at-risk BMI (P -trend < 0.05) in multivariable analyses. While % E from high-fat foods was positively related to an at-risk BMI, the findings were not significant in a model controlling for high-sugar drinks and % E from carbohydrates. Conclusions The prevalence of overweight and obesity is of public health concern among Inuit. The current findings highlight the obesogenic potential of high-sugar drink consumption in an ethnically distinct population undergoing rapid cultural changes and raises concerns regarding carbohydrate restricted diets. Health promotion programs aimed at preventing the development of an unhealthy body weight should focus on physical activity and the promotion of healthy diets with reduced intake of sugar drinks.
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    Nutrition, metabolism, and cardiovascular diseases: NMCD 11/2012; 23(1). DOI:10.1016/j.numecd.2012.08.007 · 3.32 Impact Factor
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