Sugar-sweetened Beverage Consumption Research Articles

Associations between sweetened beverage consumption, degenerative valvular heart disease, and related events: a prospective study from UK Biobank.

There are no effective medications to prevent the onset of degenerative valvular heart disease (VHD). Sweetened beverage consumption may contribute to the development of VHD by affecting metabolic disorders, systemic inflammation, and calcification processes. This study aimed to prospectively assess the association between sweetened beverage consumption and the risk of degenerative VHD. This prospective study included 167,801 participants from the UK Biobank who completed at least one dietary questionnaire. During a median follow-up of 14.53 years, 1,464 cases of aortic valve stenosis (AS) events, 584 cases of aortic valve regurgitation (AR) events, and 1,744 cases of mitral valve regurgitation (MR) events were recorded. Compared with non-consumers, participants consuming more than one drink per day of artificially sweetened beverages (ASBs) had a higher risk of AS (HR: 1.36, 95% CI: 1.10-1.68), AR (HR: 1.42, 95% CI: 1.02-2.00), MR (HR: 1.35, 95% CI: 1.10-1.64). Similarly, the consumption of more than one drink of sugar-sweetened beverages (SSBs) was associated with an increased incidence of MR (HR: 1.47, 95% CI: 1.22-1.77). In contrast, no significant association was observed between the consumption of natural juices (NJs) and VHD risk. Results for VHD-related interventions, deaths, or cardiovascular events were largely consistent. Substituting SSBs or ASBs per day with NJs was associated with a reduced risk of MR (HR: 0.83, 95% CI: 0.72-0.94) events or AS (HR: 0.81, 95% CI: 0.69-0.94) events, respectively. Lower consumption of SSBs or ASBs may reduce the risk of degenerative VHD and VHD-related events.

Sugar-Sweetened Beverage Consumption and Associated Health Risks Awareness Among University Students in Kuwait: A Cross-Sectional Study

Background: Excessive consumption of sugar-sweetened beverages (SSBs) is linked to various health risks, including obesity, type 2 diabetes, and cardiovascular diseases. University students are particularly vulnerable due to lifestyle factors and high consumption patterns. Objective: This cross-sectional survey examined SSB consumption patterns, sugar intake, and awareness of health risks among Kuwait University students. Methods: Statistical analyses, including chi-square tests and logistic regression models, were conducted using SPSS. Results: Findings revealed a high prevalence of SSB consumption, with significant associations between intake levels and demographic characteristics. Regular soda was the most consumed SSB, with 42% of students drinking it 5–6 times per week and 32% consuming it daily. The median daily sugar intake from soda alone was 38 g, approaching or exceeding recommended limits. Overall, 34% of students were classified as high-sugar consumers. Males had a higher total sugar intake, while females consumed SSBs more frequently. Greater health awareness was associated with lower sugar consumption, such as obesity (OR = 0.142, 95% CI = 0.046–0.435, p < 0.001), whereas students who were aware of the sugar content in SSBs and who preferred unsweetened fruit juices had significantly lower sugar intake from SSBs (OR = 0.653, 95% CI = 0.435–0.980, p = 0.040; OR = 0.447, 95% CI = 0.295, 0.675; p < 0.001, respectively). Conclusions: The findings underscore the urgent need for targeted interventions—such as educational campaigns and policy measures—to reduce SSB consumption and promote healthier dietary habits among young adults in Kuwait.

Associations of Academic Study- and Non-Study-Related Sedentary Behaviors with Incident Obesity in Children and Adolescents

Objective: To assess the associations between academic study- and non-study-related sedentary behaviors and the risk of overweight/obesity in children and adolescents, as well as their joint association with sugar-sweetened beverage (SSB) consumption. Methods: Sedentary behaviors and SSB consumption were assessed using self-reported questionnaires. Overweight/obesity were defined by age- and sex-specific body mass index cut-off values according to the criteria of “Screening for overweight and obesity among school-age children and adolescents” in China. Poisson regression with robust error variance was used to assess the associations of sedentary behaviors and/or SSB consumption with the risk of overweight/obesity, yielding relative risks (RRs) and 95% confidence intervals (CIs). The Shapley additive explanations (SHAP) method was used to rank the contribution of five specific sedentary behaviors to obesity risk. Results: Among 47,148 participants with a 3-year follow-up, longer durations of screen-related, academic study-related, and total sedentary time were each associated with a higher risk of overweight/obesity (adjusted RR (95% CI) per hour increment: 1.01 (1.00–1.02), 1.03 (1.01–1.06), and 1.02 (1.01–1.03)). After mutual adjustment, the associations of engaging in homework, attending tutorial classes, and using mobile electronic devices remained significantly associated with higher overweight/obesity risk. The SHAP summary plot shows that using mobile electronic devices, attending tutorial classes, and doing homework were the three most important sedentary obesogenic contributors. A significant interaction of age with sedentary time was found (p for interaction < 0.05). No significant interaction was found between SSB consumption and sedentary time. Conclusions: Excessive sedentary behaviors were associated with a higher risk of overweight/obesity, particularly due to mobile electronic device use, attending tutorial classes, and doing homework.

Impact of sugar-sweetened beverages on salivary parameters: A systematic review & meta-analysis.

Sugar Sweetened Beverages (SSB) can significantly influence saliva leading to a more acidic environment which makes our oral cavity prone to various oral diseases. This study investigates the influence of SSBs on salivary parameters by analyzing the existing plethora of research. To systematically review and analyze the impact of SSBs on changes in salivary pH, flow rate and bacterial proliferation. Pubmed, Embase, EBSCO, Web of Science, and Cochrane databases were searched using the PECO strategy. Risk of Bias was assessed using Newcastle Ottawa Scale and Cochrane Risk of Bias assessment tools. Meta-analysis was conducted among the eligible studies using a random effects model. A total of twenty eight studies were found eligible after a thorough PRISMA search in the databases. Many studies consistently demonstrated a rapid decline in salivary pH post-SSB consumption, creating an acidic environment conducive to enamel demineralization. Few studies also reported reduced salivary flow rate and prolonged oral clearance times. Increased proliferation of acidogenic bacteria and fungi was noted. Risk of bias was low overall, but a few studies reported limitations such as randomization bias and missing data. Consumption of sugar sweetened beverages significantly impact salivary parameters, fostering an oral environment prone to diseases such as dental caries and periodontal infections. Public health interventions and policies are essential to reduce SSB consumption and promote oral health.

Optimizing energy balance in youth: reducing sugar-sweetened beverages and screen time

Abstract The high prevalence of children and adolescents living with obesity, as well as the multitude of associated risks, stress the need for refined weight management strategies for this population. While an overarching lifestyle intervention may be an ideal way to improve energy balance, more practical recommendations would likely improve adherence rates. This review set out to investigate sugar-sweetened beverage consumption and screen time as potential lifestyle targets to reduce paediatric obesity. We report strong evidence that both sugar-sweetened beverage consumption and screen time influence childhood obesity directly, as well as through interactions with sleep patterns. Potential mechanisms are discussed with focus on the energy balance framework of obesity. We also present methodological considerations to improve applicability and consistency of future studies.

Joint association of physical activity and sugar-sweetened beverages with obesity in young U.S. adults: A cross-sectional analysis of NHANES 2007-2020.

Joint association of physical activity and sugar-sweetened beverages with obesity in young U.S. adults: A cross-sectional analysis of NHANES 2007-2020.

Comprehensive systematic review and meta-analysis of risk factors for childhood obesity in China and future intervention strategies.

Comprehensive systematic review and meta-analysis of risk factors for childhood obesity in China and future intervention strategies.

Consumption of sucrose-water rewires macronutrient uptake and utilization mechanisms in a tissue specific manner.

Consumption of sucrose-water rewires macronutrient uptake and utilization mechanisms in a tissue specific manner.

What influences Indian primary school children’s food behaviors? - Perceptions of children, mothers and teachers

BackgroundDevelopment of healthy food behaviors in childhood is significant for optimum growth and development of children as well as future health. However, many Indian children display unhealthy dietary habits including poor intakes of fruits and vegetables and excessive consumption of calorie-dense, nutrient-poor foods and sugar-sweetened beverages. Therefore, the factors that influence their daily diet need to be explored for developing future interventions and policies. In this light, the present inquiry was designed to examine the various influences on the food behaviors of Indian primary school children.MethodsInformed by the socio-ecological framework, this study used an exploratory qualitative research approach to conduct semi-structured interviews with 22 primary school children, 19 mothers, and 18 teachers residing in Varanasi, India. For children, the interviews were preceded by a drawing session where the interviewees were asked to draw their preferred and non-preferred food and beverage items. Interviews were carried out in English or Hindi and digitally recorded. Interviews were conducted until data saturation was achieved. Digital recordings were transcribed verbatim and translated to English (where necessary) for the purpose of thematic analysis. The transcripts were coded both deductively and inductively using the NVivo software program.ResultsIndividual level influences included taste and nutritional knowledge. At the interpersonal level, the family food environment and peers emerged as key determinants. The physical environment also played a pivotal role in determining food behaviors, with the school food environment and food availability in the marketplace being significant. Lastly, at the societal level, television and internet advertisements were frequently cited as important determinants of children’s food behavior.ConclusionsThe collective insights from the three stakeholder groups have the potential to inform public health nutrition policies and interventions targeting the different socio-ecological factors to encourage healthy eating in Indian primary school children.

Unhealthy Dietary Habits and Sedentary Behaviours Among Adolescents and Young Adults in Rome (Italy) Participating in the ALIMA Study: Growing Risks for Health.

Background/Objectives: This paper aims to assess the unhealthy dietary habits and sedentary behaviours among adolescents and young adults simultaneously. Methods: The sample consists of 682 participants aged 10-24 years old (58.9% males and 68.2% aged 15-19 years old), recruited for the ALIMA (ALImentazione Multiculturale negli Adolescenti) study in both secondary schools and youth aggregation centres, located in Rome. The study utilizes structured questionnaires to gather data on anthropometric measurements, eating habits, alcohol consumption, physical activity, and sedentary behaviours. Data are analyzed by using the Pearson chi-squared test. Results: Excessive screen time (>3 h/day) and inadequate dietary habits (insufficient consumption of fruit, vegetables, and legumes, skipping breakfast, and a high consumption of sugar-sweetened beverages and alcohol) are observed in the total sample, but mainly in older adolescents aged 15-19 years old. The adherence to the MD, measured via the KIDMED index, is significantly different among the three age groups (p = 0.001); 47.8% of the sample has a medium adherence, while among those with a low adherence, the highest percentage is represented by older adolescents (39.8%); those with foreign-born parents have healthier diets, whereas lower parental education correlates with unhealthy behaviours. Conclusions: These results highlight the need for targeted interventions tailored to adolescents and young adults to encourage healthier lifestyle choices.

Preconception Oral Health Is Associated with Modifiable Health Behaviors.

The health of prospective parents before conception (i.e., preconception health) has important intergenerational consequences. Although oral health is associated with several reproductive outcomes, it is often absent from preconception health promotion. To generate insights that may inform preconception oral health interventions, we used cross-sectional data from 6,159 US-based participants enrolled in the Pregnancy Study Online, a prospective cohort study of pregnancy planners, to characterize preconception oral health care engagement and self-rated oral health. We used latent class analysis to identify homogenous subgroups (i.e., latent classes) of participants with respect to modifiable risk behaviors and quantified associations between class membership and 3 outcomes-reporting no dental visit within the past year, reporting no dental cleaning within the past year, and self-rated oral health-using log binomial regression models. We identified 3 distinct groups of participants: healthy behavior, high prevalence of healthy behaviors; some risk behavior, higher sugar-sweetened beverage consumption and lower vaccine uptake and multivitamin use; and most risk behavior, high probability of most risk behaviors, including current or former cigarette smoking. The some risk behavior class was more likely to report no dental visit within the past year as compared with the healthy behavior class (prevalence difference [PD] 0.17; 95% confidence interval [95% CI], 0.14 to 0.19). This association strengthened when most risk behavior was compared with healthy behavior (PD, 0.32; 95% CI, 0.28 to 0.36). Similarly, reporting no dental cleaning within the past year was more prevalent among some risk behavior (PD, 0.19; 95% CI, 0.16 to 0.21) and most risk behavior (PD, 0.38; 95% CI, 0.34 to 0.42) as compared with healthy behavior. The pattern was similar for self-rated oral health. Our findings suggest that oral health care engagement and self-rated oral health are associated with other modifiable behaviors in the preconception period. Health promotion efforts in the preconception period must consider oral health care engagement alongside other modifiable health behaviors.

Perceptions of dietary sugar consumption among public housing residents using a modified qualitative photovoice methodology

BackgroundConsumption of dietary sugar (e.g. sugar-sweetened beverages and high sugar foods) is a predominant contributor to chronic health conditions, particularly in communities of low socio-economic position. Our objective was to explore social contextual influences on dietary sugar consumption among public housing residents in Boston, MA.MethodsThis study employed the use of photovoice, a qualitative technique involving participant photography and narratives. Due to the COVID-19 pandemic, we conducted photovoice methods using Zoom. Adult residents of two public housing developments were invited to participate in pairs of online group sessions. The first session provided training on photovoice methodology and a discussion of example photographs and written narratives. Over the ensuing two weeks, participants took or identified stock photos as visual examples of personally-experienced barriers and facilitators of avoiding sugary foods and beverages. During the second session, study staff facilitated development of verbal narratives via group discussion. A total of 18 sessions were audio recorded, transcribed, and double-coded for themes.ResultsParticipants (n = 49) were predominantly women and identified as either Hispanic (61.2%) or non-Hispanic Black (30.6%). Approximately half of participants (51.1%) reported consuming sugar-sweetened beverages at least once per day. Qualitative analysis revealed participant-identified influences on dietary sugar consumption across multiple domains of influence, including individual preferences, beliefs, or circumstance, the social environment, the physical environment, and the macro environment.ConclusionsThe multiple social contextual influences on dietary sugar consumption identified in this study, particularly centrality of the home, cultural influences, individual-level sabotaging factors, may be useful for development of culturally tailored health promotion messaging and intervention through multiple channels.

Identification of Microplastic Polymers in Packaged Sugar-Sweetened Beverages and Associations with Children’s Diabetes Mellitus Risk

Microplastics are known to be composed of many chemical compounds, and there are compounds that act as hormone disruptors that can trigger insulin resistance. Children are the highest consumers of sugar-sweetened beverages in packaging (SSBs), which generally have plastic packaging. The study aimed to identify the presence of microplastics and polymer types of SSBs that are widely consumed in Indonesia, and evaluate their potential impact on health, especially the risk of diabetes mellitus in children. SSBs samples were taken from several brands in traditional and modern stores in Gresik Regency. The analysis was conducted by FT-IR test with the control variable being the water source from Beji Spring, Wonosalam. Furthermore, a literature review was conducted on the relationship between microplastics and diabetes mellitus in children. The results showed that the microplastics detected were filaments and fibers with polymers PET, PP, POM, EVOH and others. Microplastics are known to affect the performance of the pancreas so that it will cause diabetes mellitus in children. Reflecting on this condition, the government is expected to make quality standards for microplastics because of their harmful impact on the human body, especially children.

Changes in chain restaurant kids' meal beverage offerings on online ordering platforms after a healthy beverage default policy in New Orleans, Louisiana.

Changes in chain restaurant kids' meal beverage offerings on online ordering platforms after a healthy beverage default policy in New Orleans, Louisiana.

What about 100% juice and non-sugar sweeteners? A national study of support for taxes, labellingand marketing bans applied to sugary drinks, non-sugar sweetened beveragesand 100% juice in Australia.

What about 100% juice and non-sugar sweeteners? A national study of support for taxes, labellingand marketing bans applied to sugary drinks, non-sugar sweetened beveragesand 100% juice in Australia.

Beverage consumption among adults in Newfoundland and Labrador, Canada prior to the implementation of a sugar-sweetened beverage tax

BackgroundLawmakers in Newfoundland and Labrador (NL) recently passed Canada’s first sugar-sweetened beverage (SSB) tax. SSB tax evaluations rely on detailed understandings of beverage consumption patterns prior to policy implementation, but there is no recent literature about such patterns among NL residents during the pre-tax period.MethodsWe recruited a convenience sample of NL adults ages 19 and older and measured participant characteristics via online surveys and beverage intake via previously-validated, semi-quantitative beverage frequency questionnaires. We generated inverse probability weights of sample selection using the Canadian Census as a representative reference sample. We described the weighted prevalence and intake among consumers of taxable SSBs (e.g., regular pop), non-taxable SSBs (e.g., sweetened milk), diet (non-nutritive sweetened) beverages and unsweetened beverages (including 100% juice). We explored weighted bivariate associations between consumption of beverages and sociodemographic characteristics identified as potential correlates of SSB intake.ResultsThe sample (n = 1233) was 65% female, 57% between ages 30–59 years, and nearly all (94%) white. More than half (57.3%) consumed taxable SSBs weekly, and 23.2% consumed non-taxable SSBs weekly. The most-consumed (highest volume) taxable SSB was regular pop (weighted mean (SD) 2.3 (3.5) L/week); the most-consumed non-taxable SSB was sweetened, flavoured milk (mean (SD) 1.2 2.0) L/week). We found independent differences in consumption patterns (prevalence, mean intake among consumers) across each beverage category. People who were younger, had fewer years of education, reported income below the poverty threshold, or reported experiencing food insecurity had a higher prevalence and mean intake among consumers of taxable SSBs. People with fewer years of education or those who reported experiencing food insecurity had a lower prevalence and mean intake among consumers of unsweetened beverages.ConclusionsOur findings align with prior studies of socioeconomic position and SSB consumption in Canada, which collectively demonstrate that, on average, those with less education and income consume more SSBs and fewer unsweetened beverages. This research provides necessary understanding of social patterning of beverage consumption in NL prior to tax implementation. Post-tax evaluations of this policy should investigate potential impacts of the tax on diet and health equity, as well as potential beverage substitutions towards other beverage categories.

Sugar-sweetened beverage intake and anthropometric profile of grade 6 learners in the Nelson Mandela Bay area, South Africa: a mixed-methods study

Background: A paucity of data exists regarding the intake of sugar-sweetened beverages (SSBs) among children and the prevalence of childhood overweight and obesity in the Nelson Mandela Bay area in South Africa (SA). Objective: To obtain anthropometric data (weight and height), describe the SSB intake, and explore perceptions regarding SSBs of Grade 6 learners attending quintile four and five public schools in the Nelson Mandela Bay (NMB) area. Design: A mixed-method study with a convergent design was employed. The quantitative phase was a cross-sectional descriptive study with an analytical component. The qualitative phase followed a phenomenological approach. Setting: Quintile 4 and 5 public schools in the NMB area. Subjects: Grade 6 learners. Outcomes measured: A self-administered questionnaire and focus-group discussions (FGDs) provided information on SSB intake and perceptions regarding SSBs. The anthropometric profile of learners was described. Results: A total of 183 learners completed the questionnaire, of which 24.6% and 16.4% were classified as overweight and obese respectively. Soft drinks were the most consumed SSB, with 77.6% of learners reporting a frequency of one to four times per week. There was no statically significant relationship between BMI and SSB intake. There was a statistically significant positive relationship between sugar-free drinks (p = 0.019) and BMI. Learners had a high awareness of the negative health effects of SSBs, but this did not deter them from consuming SSBs. Conclusion: A multi-sectoral approach including advocating for policy reform and the Health Promotion Levy, coupled with parent education, is recommended to reduce SSB consumption in children to curb childhood overweight and obesity in SA.

The impact of sugar-sweetened beverages consumption on constipation: evidence from NHANES

BackgroundThe consumption of sugar-sweetened beverages (SSBs) has increased substantially over recent decades, raising concerns about its various physiological effects on bodily function. However, the relationship between SSBs intake and constipation remains insufficiently understood.MethodsData from 7,979 participants sourced from the National Health and Nutrition Examination Survey (NHANES) were analyzed in this study. Dietary intake of SSBs was assessed using two 24-hour dietary recall interviews, and constipation was defined according to the Bristol Stool Form Scale (BSFS) Cards. We employed weighted logistic regression analysis to examine the relationship between SSBs consumption (quantified in grams and kilocalories) and the risk of constipation, while stratified and restricted cubic spline (RCS) analyses explored population variability.ResultsAfter adjusting for all relevant variables, SSBs quantified in grams (SSBs-grams) (ORQ3 vs. Q1 = 1.419, 95% CI: 1.064–1.893, p = 0.019; p for trend = 0.02) and SSBs quantified in kilocalories (SSBs-kcal) (ORQ4 vs. Q1 = 1.567, 95% CI: 1.100-2.234, p = 0.015; p for trend = 0.016) showed a significant positive association with constipation. Furthermore, the weighted RCS and stratified analyses indicated that the association varied among subgroups, with a non-linear relationship between SSBs-kcal and constipation (SSBs-grams: p non-linear = 0.100, SSBs-kcal: p non-linear = 0.026).ConclusionsOur findings indicated that increased SSBs consumption is associated with a higher risk of constipation. The results underscore the need for public health interventions aimed at reducing the intake of SSBs and promoting healthier alternatives.

The mediating roles of anthropo-metabolic biomarkers on the association between beverage consumption and breast cancer risk

BackgroundBreast cancer (BC) is the most common malignancy in women, yet the role of beverage consumption in BC risk remains unclear. Additionally, the contribution of anthropo-metabolic biomarkers as mediators is unknown, limiting the development of effective prevention strategies.MethodsThis study included 13,567 participants from the Guangzhou Biobank Cohort Study (GBCS), where beverage consumption was assessed at baseline using a food frequency questionnaire. BC cases were identified through cancer registry linkage over a mean follow-up of 14.8 years. Mendelian randomization (MR) analyses were performed to evaluate the causal effects of beverage consumption on BC risk, with a two-step MR approach used to estimate mediation effects.ResultsDuring follow-up, 243 BC cases were identified. Weekly consumption of ≥ 1 portion of sugar sweetened beverages (SSB), versus < 1 portion, was significantly associated with a higher risk of BC (hazard ratio [HR] 1.58, 95% confidence interval [CI] 1.12–2.23). This association was partly mediated by body mass index (proportion mediated [PM] 4.2%, 95% CI 0.9–17.1%) and uric acid (PM 18.8%, 95% CI 1.5–77.5%). Weekly consumption of > 6 portions of dairy-based milk was associated with a non-significantly higher BC risk (HR 1.41, 95% CI 0.99–2.03), while 3–6 portions of soy milk were associated with a lower BC risk (HR 0.31, 95% CI 0.10–0.98). No significant associations were found for pure fruit juice, coffee, tea, or alcoholic drinks. MR analyses supported the detrimental effect of SSB on BC risk, with high-density lipoprotein cholesterol, polyunsaturated fatty acids to total fatty acids (TFAs) ratio, and omega-6 fatty acids to TFAs ratio mediating 2.44%, 2.73%, and 3.53% of the association, respectively.ConclusionThis study suggested that SSB consumption was a risk factor for BC and identified key anthropo-metabolic biomarkers mediating this relationship. Reducing SSB consumption and addressing associated metabolic pathways may offer effective strategies for BC prevention.

A METODOLOGIA DE ENSINO OFERTADA AOS PCDs - TEA - NA ESCOLA FREI ARNALDO MOTTA E SÁ, NA REDE PÚBLICA MUNICIPAL DE IGREJA NOVA, ALAGOAS

O Transtorno do Espectro Autista TEA tem se tornado um tema cada vez mais presente nas pesquisas educacionais contemporâneas, especialmente no que se refere à inclusão de alunos com esse transtorno dentro da instituição escolar. Nesse sentido, a pesquisa visa analisar as práticas educativas, sua eficiência no desenvolvimento do aprendizado desse aluno e os obstáculos encontrados pelos docentes no ambiente escolar na sala de aula regular, inserido natemática Educação Especial dentro da abordagem da educação inclusiva. Dessa forma, foi destacada a aplicação das legislações mais significativas para o grupo da Educação Especial, com ênfase no aluno com TEA. Este artigo tem como objetivo estimular uma reflexão sobre a imprescindível transformação das instituições de ensino em ambientes genuinamente inclusivos, a partir da compreensão da relevância da inclusão do aluno com autismo na educação regular. Assim, procurou- se entender como o professor que atua na educação regular implementa estratégias de ensino no processo de inclusão do aluno com autismo. Sob essa perspectiva o tema enfatiza a importância de todos entenderem e acolherem a diversidadehumana, com o objetivo de contribuir para a construção de uma sociedade mais justa e igualitária. Portanto, ao professor, cabe observar as necessidade individual do aluno destacando suas habilidades, para que ele se sinta verdadeiramente incluído, viabilizando o processo de ensino- aprendizagem.