Characterizing beverage patterns among Alaska Natives living in rural, remote communities: the CANHR study

Abstract

Caloric beverages, particularly sugar‐sweetened beverages (SSBs), have gained attention as a risk factor for obesity and its sequelae. The prevalence of obesity among AI/ANs exceeds the rates for all other ethnic groups, however little is known about beverage patterns in this group. Here, we characterize beverage intake among Yup'ik Eskimos and present public health and policy recommendations around beverage intake. Beverage and nutrient data, estimated with NDS‐R, are presented from 471 Yup'ik Eskimos (ages 14–92 years) who participated in the Center for Alaska Native Health Research (CANHR) Study. Beverages were classified as: Sugar sweetened soda and fruit drinks (SSBs), Artificially sweetened soda and fruit drinks (ASBs), Coffee, Tea, Milk, 100% juice, Other (beverages reported <10 times). Beverage patterns were strongly associated with age. Over 75% of beverages consumed by youth were SSBs, contributing on average 300kcals and 78g added sugar to daily intake. In contrast, SBBs represented less than 20% of beverage intake among older age groups. Intake of milk, 100% juice, and ASBs were low among all age groups. Reduction in SSB has the potential to reduce the burden of obesity in Yup'ik communities; a culturally and geographically relevant intervention, particularly one that takes a systems approach, should be pursued.Supported by NIH grant (P20‐RR16430)