Dietary Sugar Intake and Its Association with Obesity in Children and Adolescents

Children

Renata Micha¹  Emmanuella Magriplis²  Antonis Zampelas²  George Michas²  Vassiliki Benetou³  Evgenia Petridi⁴  Nikos Cholopoulos⁵  Demosthenes Panagiotakos⁶  Eleftheria Roma⁷  George P. Chrousos⁷ 

[1] Department of Food Science & Human Nutrition, University of Thessaly, 382 21 Volos, Greece;Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55 Athens, Greece;Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, 115-27 Athens, Greece;Department of Life and Health Sciences, University of Nicosia, Makedonitisas Avenue, Nicosia CY1700, Cyprus;Department of Medicine, School of Health Sciences, Aristotle University of Thessaloniki, University Campus, 54 124 Thessaloniki, Greece;Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Eleftheriou Venizelou 70, 176 76 Athens, Greece;First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, Mikras Asias 75, 115 27 Athens, Greece;

关键词: total sugars;    added sugars;    children;    adolescents;    overweight and obesity;    dietary intake;   

DOI  :  10.3390/children8080676

来源: DOAJ

【 摘 要 】

Sugar intake has been associated with increased prevalence of childhood overweight/obesity; however, results remain controversial. The aim of this study was to examine the probability of overweight/obesity with higher sugar intakes, accounting for other dietary intakes. Data from 1165 children and adolescents aged ≥2–18 years (66.8% males) enrolled in the Hellenic National Nutrition and Health Survey (HNNHS) were used; specifically, 781 children aged 2–11 years and 384 adolescents 12–18 years. Total and added sugar intake were assessed using two 24 h recalls (24 hR). Foods were categorized into specific food groups to evaluate the main foods contributing to intakes. A significant proportion of children (18.7%) and adolescents (24.5%) exceeded the recommended cut-off of 10% of total energy intake from added sugars. Sweets (29.8%) and processed/refined grains and cereals (19.1%) were the main sources of added sugars in both age groups, while in adolescents, the third main contributor was sugar-sweetened beverages (20.6%). Being overweight or obese was 2.57 (p = 0.002) and 1.77 (p = 0.047) times more likely for intakes ≥10% of total energy from added sugars compared to less <10%, when accounting for food groups and macronutrient intakes, respectively. The predicted probability of becoming obese was also significant with higher total and added-sugar consumption. We conclude that high consumption of added sugars increased the probability for overweight/obesity among youth, irrespectively of other dietary or macronutrient intakes.

【 授权许可】

Unknown