Article

Dietary and Activity Correlates of Sugar-Sweetened Beverage Consumption Among Adolescents

Michael & Susan Dell Center for Health Living, University of Texas School of Public Health, 1616 Guadalupe St, Suite 6.300, Austin, TX 78701, USA.
PEDIATRICS (Impact Factor: 5.3). 09/2010; 126(4):e754-61. DOI: 10.1542/peds.2010-1229
Source: PubMed

ABSTRACT To examine the dietary and activity correlates of sugar-sweetened beverage consumption by children in middle and high school.
Data were obtained from a cross-sectional survey of 15,283 children in middle and high schools in Texas. Consumption of sodas and noncarbonated flavored and sports beverages (FSBs) were examined separately for their associations with the level of (1) unhealthy food (fried meats, French fries, desserts) consumption, (2) healthy food (vegetables, fruit, and milk) consumption, (3) physical activity including usual vigorous physical activity and participation in organized physical activity, and (4) sedentary activity, including hours spent watching television, using the computer, and playing video games.
For both genders, consumption of soda and FSBs was systematically associated with a number of unhealthy dietary practices and with sedentary behaviors. However, consumption of FSBs showed significant positive graded associations with several healthy dietary practices and level of physical activity, whereas soda consumption showed no such associations with healthy behaviors.
Consumption of FSBs coexists with healthy dietary and physical activity behaviors, which suggests popular misperception of these beverages as being consistent with a healthy lifestyle. Assessment and obesity-prevention efforts that target sugar-sweetened beverages need to distinguish between FSBs and sodas.

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    • "This notion is supported by findings showing that elevated body fatness was associated with sedentary behaviours (television viewing) but not with lower total energy expenditure (Jackson et al., 2009). Our findings showing that physical activity did not correlate with the consumption of sugar-sweetened drinks but did associate significantly with the intake of energy drinks are in agreement with the findings of a recent study performed on a large sample of American adolescents (Ranjit et al., 2010). The likely reason for these findings is that energy drinks have largely been marketed as being consistent with an active lifestyle, and they are often found in vending machines in sports and fitness clubs, as well as having a notable presence at the majority of sports events. "
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    ABSTRACT: Understanding the inter-relationships between lifestyle factors in youth is important with respect to the development of effective promotional programmes for healthy eating and active living. The present study aimed to explore the associations of dietary habits (DH) with physical activity (PA) and screen time (ST) among Saudi adolescents aged between 15 and 19 years of age relative to gender. Data were obtained from the Arab Teens Lifestyle Study, a school-based multicentre lifestyle study conducted in 2009/2010 in three major cities in Saudi Arabia. A multistage stratified cluster random sampling technique was used. The number of participants with complete data for DH and PA was 2886 and the respective number for DH and ST was 2822. Assessment included weight, height, body mass index, total daily ST (television viewing, video/computer games and Internet use), PA and DH using self-reported questionnaires. Females were significantly more sedentary and less active than males (P < 0.001). Two-way analysis of covariance, controlling for age, showed significant (P < 0.05) gender by PA and gender by ST interactions for several DH. Logistic regression analyses revealed significant associations of higher PA with a higher consumption of fruit, vegetables, milk, French fries/potato chips and energy drinks, whereas higher ST was significantly associated with a higher consumption of sugar-sweetened drinks, fast foods, cake/doughnuts and energy drinks. Healthful dietary habits were associated mostly with PA, whereas sedentary behaviours, independent of PA, negatively impacted upon eating behaviours. The low PA levels and high sedentary levels of Saudi females represent a great concern. The results reported in the present study have important implications for both youth public health policies and intervention programmes.
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    • "Factors associated with SSB consumption among children and adolescents include less participation in vigorous or organised physical activity, longer duration of screen time (e.g. watching television or playing video games), snacking while watching television, taste preferences , family and friend consumption, and availability at school or in the home (Bere et al., 2008; Lipsky and Iannotti, 2012; Ranjit et al., 2010; Verloigne et al., 2012). This study aimed to examine associations between the availability of SSBs at school and in the home, and consumption among a large, representative sample of Australian school students. "
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    ABSTRACT: OBJECTIVE: Reducing sugar-sweetened beverage (SSB) consumption has been targeted in obesity prevention strategies internationally. This study examined associations between SSB availability at school and in the home, and consumption among Australian school students. METHOD: Secondary analysis of the 2010 New South Wales Schools Physical Activity and Nutrition Survey (n=8058) was used. Logistic regression analyses tested the impact of SSB availability at school and in the home on consumption category (low, ≤1 cup/week; moderate, 2-4 cups/week; high, ≥5 cups/week). RESULTS: Students in years K-10 (ages 4-16years) who usually purchased sugar-sweetened soft drinks or sports drinks from their school canteen were almost three times as likely to be high consumers (AOR 2.90; 95%CI 2.26, 3.73). Students in years 6-10 (ages 9-16years) were almost five times as likely to be high consumers if soft drinks were usually available in their home (AOR 4.63; 95%CI 3.48, 6.17), and almost ten times as likely to be high consumers if soft drinks were usually consumed with meals at home (AOR 9.83; 95%CI 6.06, 15.96). CONCLUSION: Limiting the availability of SSBs in the home and school environments is a prudent response to address high SSB consumption among school students, albeit only part of the solution for obesity prevention.
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    • "This is in accordance with Bere et al. (2008), who found that the strongest mediator of the differences in fruit and vegetable intake among adolescents of parents with high versus low educational level was the perceived accessibility of this kind of food at home. The tendency of socioeconomic position being associated with dietary habits is shown to be stronger among girls than boys (Ranjit et al. 2010, Nilsen et al. 2009, Giskes et al. 2002, French et al. 2001a). The authors of these studies do not suggest any explanations of this. "
    08/2011, Degree: Master, Supervisor: Geir Arild Espnes
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