Abstract
Purpose
Several studies evaluated the associations between specific beverages and cardio-metabolic risks among children. However, the evidence on the association between patterns of the beverage consumption and children’s anthropometric indices is rare. Therefore, this study was conducted to examine the association between Healthy Beverage Index (HBI) and anthropometric measures among 6-year-old girl children.
Methods
In this cross-sectional study, 788 children selected from health centers in Tehran, Iran. Data on beverage intake, socio-demographic, physical activity, and anthropometric characteristics were evaluated using reliable and validated standard protocols. The predefined HBI was calculated based on the previous research.
Results
After controlling for several confounders [mother age, mother body mass index, mother physical activity, socioeconomic status, children physical activity and energy intake, total oils (all kinds of oils like animal and plant oils), and total sweet foods (sweet foods except sweetened beverages)], being in the third compared to the first tertile of HBI among children was associated with increased odds of wasting (OR: 5.16; 95% CI 1.5–17.79) and underweight/wasting (OR: 1.81; 95% CI 1.07–3.07). Among the HBI components, just being in the third compared to the first tertile of high-fat milk was inversely associated with decreased odds of wasting (OR: 0.18; 95% CI 0.04–0.73).
Conclusions
The HBI among children was associated with higher odds of wasting and underweight/wasting. In addition, high-fat milk consumption decreased the odds of wasting among children. Further prospective studies need to confirm these results.
Level of evidence
Level V, descriptive cross-sectional study.
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References
Mazidi M et al (2018) Prevalence of childhood and adolescent overweight and obesity in Asian countries: a systematic review and meta-analysis. AMS 14(6):1185. https://doi.org/10.5114/aoms.2018.79001
Kelishadi R et al (2014) Trend in the prevalence of obesity and overweight among Iranian children and adolescents: a systematic review and meta-analysis. Nutrition 30(4):393–400. https://doi.org/10.1016/j.nut.2013.08.011
Biro FM, Wien M (2010) Childhood obesity and adult morbidities. Am J Clin Nutr 91(5):1499S–1505S. https://doi.org/10.3945/ajcn.2010.28701B
Ferraro AA, Fernandes MTB (2013) Relationship between childhood growth and later outcomes, in recent advances in growth research: nutritional, molecular and endocrine perspectives. Karger Publishers, Basel, pp 191–197. https://doi.org/10.1159/000342615
Lytle LA (2009) Examining the etiology of childhood obesity: the IDEA study. Am J Community Psychol 44(3–4):338–349. https://doi.org/10.1007/s10464-009-9269-1
Philippas NG, Lo CW (2005) Childhood obesity: etiology, prevention, and treatment. Nutr Clin Care 8(2):77–88
Al-Hazzaa HM et al (2014) Prevalence of overweight, obesity, and abdominal obesity among urban Saudi adolescents: gender and regional variations. J Health Popul Nutr 32(4):634
Gui Z-H et al (2017) Sugar-sweetened beverage consumption and risks of obesity and hypertension in chinese children and adolescents: a national cross-sectional analysis. Nutrients 9(12):1302. https://doi.org/10.3390/nu9121302
Auerbach BJ et al (2017) Fruit juice and change in BMI: a meta-analysis. Pediatrics 139(4):e20162454. https://doi.org/10.1542/peds.2016-2454
Mirmiran P et al (2015) Consumption of sugar sweetened beverage is associated with incidence of metabolic syndrome in Tehranian children and adolescents. Nutr Metabol 12(1):25. https://doi.org/10.1186/s12986-015-0021-6
Libuda L et al (2008) Pattern of beverage consumption and long-term association with body-weight status in German adolescents–results from the DONALD study. Br J Nutr 99(6):1370–1379. https://doi.org/10.1017/S0007114507862362
LaRowe TL, Moeller SM, Adams AK (2007) Beverage patterns, diet quality, and body mass index of US preschool and school-aged children. J Am Diet Assoc 107(7):1124–1133. https://doi.org/10.1016/j.jada.2007.04.013
Duffey KJ, Davy BM (2015) The healthy beverage index is associated with reduced cardiometabolic risk in US adults: a preliminary analysis. J Acad Nutr Diet 115(10):1682–1689. https://doi.org/10.1016/j.jand.2015.05.005
Hedrick V et al (2015) Changes in the healthy beverage index in response to an intervention targeting a reduction in sugar-sweetened beverage consumption as compared to an intervention targeting improvements in physical activity: results from the talking health trial. Nutrients 7(12):10168–10178. https://doi.org/10.3390/nu7125525
Hu FB (2002) Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 13(1):3–9. https://doi.org/10.1097/00041433-200202000-00002
Lim S et al (2009) Obesity and sugar-sweetened beverages in African–American preschool children: a longitudinal study. Obesity 17(6):1262–1268. https://doi.org/10.1038/oby.2008.656
Ludwig DS, Peterson KE, Gortmaker SL (2001) Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet 357(9255):505–508. https://doi.org/10.1016/S0140-6736(00)04041-1
Forshee RA, Anderson PA, Storey ML (2008) Sugar-sweetened beverages and body mass index in children and adolescents: a meta-analysis. Am J Clin Nutr 87(6):1662–1671. https://doi.org/10.1093/ajcn/87.6.1662
Malik VS et al (2013) Sugar-sweetened beverages and weight gain in children and adults: a systematic review and meta-analysis. Am J Clin Nutr 98(4):1084–1102. https://doi.org/10.3945/ajcn.113.058362
Keller A, Bucher Della Torre S (2015) Sugar-sweetened beverages and obesity among children and adolescents: a review of systematic literature reviews. Childhood Obes 11(4):338–346. https://doi.org/10.1089/chi.2014.0117
Venti CA, Tataranni PA, Salbe AD (2005) Lack of relationship between calcium intake and body size in an obesity-prone population. J Am Diet Assoc 105(9):1401–1407. https://doi.org/10.1016/j.jada.2005.06.004
Barba G et al (2005) Inverse association between body mass and frequency of milk consumption in children. Br J Nutr 93(1):15–19. https://doi.org/10.1079/BJN20041300
Skinner JD et al (2003) Longitudinal calcium intake is negatively related to children’s body fat indexes. J Am Diet Assoc 103(12):1626–1631. https://doi.org/10.1016/j.jada.2003.09.018
Berkey CS et al (2005) Milk, dairy fat, dietary calcium, and weight gain: a longitudinal study of adolescents. Arch Pediatr Adolesc Med 159(6):543–550. https://doi.org/10.1001/archpedi.159.6.543
Faith MS et al (2006) Fruit juice intake predicts increased adiposity gain in children from low-income families: weight status-by-environment interaction. Pediatrics 118(5):2066–2075. https://doi.org/10.1542/peds.2006-1117
Alexy U et al (1999) Fruit juice consumption and the prevalence of obesity and short stature in German preschool children: results of the DONALD study. J Pediatr Gastroenterol Nutr 29(3):343–349. https://doi.org/10.1097/00005176-199909000-00019
Skinner D, Carruth BR (2001) A longitudinal study of children’s juice intake and growth: the juice controversy revisited. J Am Diet Assoc 101(4):432–437. https://doi.org/10.1016/S0002-8223(01)00111-0
Newby P et al (2004) Beverage consumption is not associated with changes in weight and body mass index among low-income preschool children in North Dakota. J Am Diet Assoc 104(7):1086–1094. https://doi.org/10.1016/j.jada.2004.04.020
Skinner JD et al (1999) Fruit juice intake is not related to children’s growth. Pediatrics 103(1):58–64. https://doi.org/10.1542/peds.103.1.58
de Castro JM (1993) A twin study of genetic and environmental influences on the intake of fluids and beverages. Physiol Behav 54(4):677–687. https://doi.org/10.1016/0031-9384(93)90076-R
Kmietowicz Z (2012) Countries that use large amounts of high fructose corn syrup have higher rates of type 2 diabetes. BMJ 345:1. https://doi.org/10.1136/bmj.e7994
Jürgens H et al (2005) Consuming fructose-sweetened beverages increases body adiposity in mice. Obes Res 13(7):1146–1156. https://doi.org/10.1038/oby.2005.136
WHO (2006) WHO child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. WHO, Geneva
Saraf-Bank S et al (2017) Adherence to Healthy Eating Index-2010 is inversely associated with metabolic syndrome and its features among Iranian adult women. Eur J Clin Nutr 71(3):425–430. https://doi.org/10.1038/ejcn.2016.173
Ainsworth BE et al (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 32(9):S498–S504. https://doi.org/10.1097/00005768-200009001-00009
Braun KV et al (2016) Dietary intake of protein in early childhood is associated with growth trajectories between 1 and 9 years of age. J Nutr 146(11):2361–2367. https://doi.org/10.3945/jn.116.237164
Dubois L et al (2016) Dietary intake at 9 years and subsequent body mass index in adolescent boys and girls: a study of monozygotic twin pairs. Twin Res Hum Genet 19(1):47–59. https://doi.org/10.1017/thg.2015.97
DeBoer MD, Agard HE, Scharf RJ (2015) Milk intake, height and body mass index in preschool children. Arch Dis Child 100(5):460–465. https://doi.org/10.1136/archdischild-2014-306958
Zemel MBJL (2003) Role of dietary calcium and dairy products in modulating adiposity. Lipids 38(2):139–146. https://doi.org/10.1007/s11745-003-1044-6
Voortman T et al (2016) Protein intake in early childhood and body composition at the age of 6 years: the Generation R Study. Int J Obes 40(6):1018–1025. https://doi.org/10.1038/ijo.2016.29
Danyliw AD et al (2012) Beverage patterns among Canadian children and relationship to overweight and obesity. Appl Physiol Nutr Metabol 37(5):900–906. https://doi.org/10.1139/h2012-074
Lee KW, Shin D (2017) A healthy beverage consumption pattern is inversely associated with the risk of obesity and metabolic abnormalities in Korean adults. J Med Food 31(1):797.22. https://doi.org/10.1089/jmf.2017.0119
Mathias KC, Slining MM, Popkin BM (2013) Foods and beverages associated with higher intake of sugar-sweetened beverages. Am J Prev Med 44(4):351–357. https://doi.org/10.1016/j.amepre.2012.11.036
Johnson L, Mander AP, Jones LR, Emmett PM, Jebb SA (2007) Is sugar-sweetened beverage consumption associated with increased fatness in children? Nutrition. 23(7–8):557–563. https://doi.org/10.1016/j.nut.2007.05.005
Andersen LF et al (2005) Overweight and obesity among Norwegian schoolchildren: changes from 1993 to 2000. Scand J Public Health 33(2):99–106. https://doi.org/10.1080/140349404100410019172
Grandjean AC et al (2000) The effect of caffeinated, non-caffeinated, caloric and non-caloric beverages on hydration. J Am Coll Nutr 19(5):591–600. https://doi.org/10.1080/07315724.2000.10718956
Van Wymelbeke V et al (2004) Influence of repeated consumption of beverages containing sucrose or intense sweeteners on food intake. Eur J Clin Nutr 58(1):154. https://doi.org/10.1038/sj.ejcn.1601762
Harrington S (2008) The role of sugar-sweetened beverage consumption in adolescent obesity: a review of the literature. J School Nurs 24(1):3–12. https://doi.org/10.1177/10598405080240010201
Trumbo PR, Rivers CR (2014) Systematic review of the evidence for an association between sugar-sweetened beverage consumption and risk of obesity. Nutr Rev 72(9):566–574. https://doi.org/10.1111/nure.12128
DeBoer MD, Scharf RJ, Demmer RT (2013) Sugar-sweetened beverages and weight gain in 2- to 5-year-old children. Pediatrics 132(3):413–420. https://doi.org/10.1542/peds.2013-0570
Field AE et al (2003) Association between fruit and vegetable intake and change in body mass index among a large sample of children and adolescents in the United States. Int J Obes 27(7):821. https://doi.org/10.1038/sj.ijo.0802297
Welsh JA et al (2005) Overweight among low-income preschool children associated with the consumption of sweet drinks: Missouri, 1999–2002. Pediatrics 115(2):e223–e229. https://doi.org/10.1542/peds.2004-1148
EFSA Panel on Dietetic Products, N. and A.J.E. Journal (2010) Scientific Opinion on Dietary Reference Values for fats, including saturated fatty acids, polyunsaturated fatty acids, monounsaturated fatty acids, trans fatty acids, and cholesterol. EFSA J 8(3):1461. https://doi.org/10.2903/j.efsa.2010.1461
Joint F (2010) Fats and fatty acids in human nutrition. Report of an expert consultation, 10–14 November 2008, Geneva
Bresson J-L et al (2008) Animal protein and bone growth-Scientific substantiation of a health claim related to animal protein and bone growth pursuant to Article 14 of Regulation (EC) No 1924/2006 [1]: scientific opinion of the panel on dietetic products. Nutr Allerg 6(11):858. https://doi.org/10.2903/j.efsa.2008.858
Stephen A et al (2012) The role and requirements of digestible dietary carbohydrates in infants and toddlers. Eur J Clin Nutr 66(7):765. https://doi.org/10.1038/ejcn.2012.27
Acknowledgements
The authors thank the subjects who participated in the study. This study was funded by the National Institute for Medical Research Development (Grant Number: 94-04-161-31112).
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This study ethically approved by National Institute for Medical Research Development of Tehran University of medical science, Tehran, Iran (IR. TUMS. VCR.REC.94-04-161-31 112).
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Jalilpiran, Y., Mozaffari, H., Askari, M. et al. The association between Healthy Beverage Index and anthropometric measures among children: a cross-sectional study. Eat Weight Disord 26, 1437–1445 (2021). https://doi.org/10.1007/s40519-020-00954-z
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DOI: https://doi.org/10.1007/s40519-020-00954-z