Skip to main content
Log in

Fruit Drink Consumption Is Associated With Overweight and Obesity in Canadian Women

  • Quantitative Research
  • Published:
Canadian Journal of Public Health Aims and scope Submit manuscript

Abstract

Objective

Overweight and obesity in Canada have significantly increased during the last three decades, paralleled by increased intake of fat and sugar, particularly sugary beverages. The Canadian Community Health Survey, Cycle 2.2, conducted in 2004 (CCHS 2.2), provides the opportunity to evaluate beverage intakes in relation to overweight and obesity using body mass index (BMI). Our objective was to examine the association between sugar-sweetened beverages and BMI in Canadian adults.

Methods

CCHS 2.2 data were used (n=14,304, aged >18 years and <-65 years) and dietary intake was assessed on the basis of single 24-hour recall. Using cluster analysis (K-means method), males and females were classified into distinct clusters based on the dominant pattern of beverage intakes. Logistic regression models were used to determine associations between dominant beverage consumption patterns and BMI, controlling for age and other confounding factors.

Results

BMI in women with predominant “fruit drink” pattern (28.3 ± 1.0 kg/m2) was higher than in those with no dominant pattern (26.8 ±0.3 kg/m2), p&lt;0.001. Adjusting for energy intake and other potential confounders, high intake of fruit drinks was a significant predictor of overweight (OR=1.84, 95% CI: 1.06-3.20), obesity (OR=2.55, 95% CI: 1.46-4.47) and overweight/obesity (OR=2.05, 95% CI: 1.29-3.25) in women. In men, mean BMI was not different among beverage consumption clusters and none of the beverage intake patterns was a predictor for overweight and obesity.

Conclusion

Using a nationally representative dataset, there was an association between sugar-sweetened beverages and overweight and obesity in Canadian women.

Résumé

Objectif

Le surpoids et l’obésité ont beaucoup augmenté au Canada au cours des 30 dernières années, parallèlement à la consommation accrue de gras et de sucre, en particulier les boissons sucrées. L’Enquête sur la santé dans les collectivités canadiennes, cycle 2.2, menée en 2004 (ESCC 2.2) permet d’évaluer la consommation de boissons par rapport au surpoids et à l’obésité à l’aide de l’indice de masse corporelle (IMC). Notre objectif était d’examiner l’association entre les boissons édulcorées au sucre et l’IMC chez les Canadiens et Canadiennes adultes.

Méthode

Nous avons utilisé les données de l’ESCC 2.2 (n=14 304, >18 ans à <65 ans); l’apport alimentaire a été évalué à l’aide d’une seule feuille de rappel des aliments ingérés pendant les 24 dernières heures. À l’aide d’une analyse en grappes (méthode à K moyennes), hommes et femmes ont été classés dans des grappes distinctes d’après leur profil dominant de consommation de boissons. En utilisant des modèles de régression logistique, nous avons calculé les associations entre les profils dominants de consommation de boissons et l’IMC, après avoir apporté des ajustements pour tenir compte des effets de l’âge et d’autres facteurs de confusion.

Résultats

L’IMC des femmes ayant un profil prédominant de consommation de «boissons aux fruits» (28,3 ± 1,0 kg/m2) était plus élevé que chez celles qui ne présentaient pas de profil dominant (26,8 ± 0,3 kg/m2), p<0,001. En tenant compte de l’apport énergétique et d’autres facteurs de confusion possibles, une consommation élevée de boissons aux fruits était un prédicteur significatif de surpoids (RC=1,84, IC de 95 %: 1,06-3,20), d’obésité (RC=2,55, IC de 95 %: 1,46-4,47) et de surpoids/obésité (RC=2,05, IC de 95 %: 1,29-3,25) chez les femmes. Chez les hommes, l’IMC moyen n’était pas différent d’une grappe de consommation de boissons à l’autre, et aucun profil de consommation de boissons n’était un prédicteur de surpoids et d’obésité.

Conclusion

En utilisant un fichier représentatif à l’échelle du pays, nous observons une association entre la consommation de boissons édulcorées au sucre et le surpoids et l’obésité chez les Canadiennes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Malik VS, Schulze MB, Hu FB. Intake of sugar-sweetened beverages and weight gain: A systematic review. Am J Clin Nutr 2006;84:274–88.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Shields M, Tjepkema M. Trends in adult obesity. Health Reports 2006; 17(3): 53–60.

    PubMed  Google Scholar 

  3. Garrow JS. Obesity and Related Disease. London, UK: Churchill Livingstone, 1998;1–16.

    Google Scholar 

  4. Gilmore J. Body mass index and health. Health Reports 1999;11(1): 31–34.

    CAS  PubMed  Google Scholar 

  5. World Health Organization. Obesity and overweight. Fact sheet No. 311. September 2006. Available at: https://doi.org/www.who.int/mediacentre/factsheets/fs311/en/ (Accessed March 10, 2011).

    Google Scholar 

  6. Duffey KJ, Popkin BM. Adults with healthier dietary patterns have healthier beverage patterns. J Nutr 2006;136:2901–7.

    Article  CAS  PubMed  Google Scholar 

  7. Bleich SN, Wang YC, Wang Y, Gortmaker SL. Increasing consumption of sugar-sweetened beverages among US adults: 1988–1994 to 1999–2004. Am J Clin Nutr 2009;89:372–81.

    Article  CAS  PubMed  Google Scholar 

  8. Storey ML, Forshee RA, Anderson PA. Beverage consumption in the US population. J Am Diet Assoc 2006;106:1992–2000.

    Article  PubMed  Google Scholar 

  9. Balcells E, Delgado-Noguera M, Pardo-Lozano R, Roig-González T, Renom A, González-Zobl G, et al. Soft drinks consumption, diet quality and BMI in a Mediterranean population. Public Health Nutr 2011;14:778–84.

    Article  PubMed  Google Scholar 

  10. Garriguet D. Beverage consumption of Canadian adults. Health Rep 2008;19(4):22–29.

    Google Scholar 

  11. Canadian Community Health Survey - Nutrition (CCHS 2.2), 2004. A Guide to Accessing and Interpreting the Data. Cat.: H164-20/2006E-PDF. 2004;10, 32–33. Available at: https://doi.org/www.hc-sc.gc.ca/fn-an/surveill/nutrition/commun/cchs_guide_escc-eng.php (Accessed March 10, 2011).

    Google Scholar 

  12. Canadian Community Health Survey (CCHS 2.2), 2004. Nutrition-General health (including vitamins & mineral supplements) & 24-hour dietary recall components, user guide. 2008. Available at: https://doi.org/www.statcan.gc.ca/imdbbmdi/document/5049_D24_T9_V1-eng.pdf (Accessed March 10, 2011).

    Google Scholar 

  13. Canadian Community Health Survey - Nutrition (CCHS 2.2). Detailed information for 2004, definitions, data sources, and methods. Statistics Canada. Available at URL: https://doi.org/www.statcan.gc.ca/cgi-bin/imdb/p2SV.pl?Func-tion=getSurvey&SDDS=50498dang=en&db=imdb&adm=88tdis=2 (Accessed March 10, 2011).

    Google Scholar 

  14. Institute of Medicine. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein and Amino Acids. Washington, DC: National Academy Press, 2005.

    Google Scholar 

  15. Health Canada. Canadian Guidelines for Body Weight Classification in Adults. Health Canada, Ottawa. 2003. Available at: https://doi.org/www.hc-sc.gc.ca/fnan/nutrition/weights-poids/guide-ld-adult/cg_quick_ref-ldc_rapide_ref_e.html (Accessed March 10, 2011).

    Google Scholar 

  16. Danyliw AD, Vatanparast H, Nikpartow N, Whiting SJ. Beverage intake patterns of Canadian children and adolescents. Public Health Nutr 2011:23:1–9.

    Google Scholar 

  17. SAS User Guide. The FASTCLUS Procedure. Available at: https://doi.org/support.sas.com/documentation/cdl/en/statug/63033/HTML/default/viewer.htm#/documentation/cdl/en/statug/63033/HTML/default/fastclus_toc.htm and https://doi.org/support.sas.com/documentation/cdl/en/statug/63033/HTML/default/viewer.htm#/documentation/cdl/en/statug/63033/HTML/default/statug_cluster_sect002.htm (Accessed March 10, 2011).

    Google Scholar 

  18. LaRowe TL, Moeller SM, Adams AK. Beverage patterns, diet quality, and body mass index of US preschool and school-aged children. J Am Diet Assoc 2007;107:1124–33.

    Article  CAS  PubMed  Google Scholar 

  19. DiMeglio DP, Mattes RD. Liquid versus solid carbohydrate: Effects on food intake and body weight. Int J Obes RelatMetab Disord 2000;24:794–800.

    Article  CAS  Google Scholar 

  20. Bachman CM, Baranowski T, Nicklas TA. Is There an Association Between Sweetened Beverages and Adiposity? Nutr Rev 2006;64:153–74.

    Article  PubMed  Google Scholar 

  21. Beridot-Therond ME, Arts I, Fantino M, de la Gueronniere V. Short-term effects of the flavour of drinks on ingestive behaviours in man. Appetite 1998;31:67–81.

    Article  CAS  PubMed  Google Scholar 

  22. De Castro JM. The effects of the spontaneous ingestion of particular foods or beverages on the meal pattern and overall nutrient intake of humans. Physiol Behav 1993;53:1133–44.

    Article  PubMed  Google Scholar 

  23. Sclafani A. Starch and sugar tastes in rodents: An update. Brain Res Bull 1991;27:383–86.

    Article  CAS  PubMed  Google Scholar 

  24. Schulze MB, Manson JE, Ludwig DS, Stampfer MJ, Willett WC, Hu FB. Sugarsweetened beverages, weight gain, and incidence of type 2 diabetes in young and middle-aged women. JAMA 2004;292:927–34.

    Article  CAS  PubMed  Google Scholar 

  25. Liebman M, Pelican S, Moore SA, Holmes B, Wardlaw MK, Melcher LM, et al. Dietary intake, eating behavior, and physical activity-related determinants of high body mass index in rural communities in Wyoming, Montana, and Idaho. Int J Obes RelatMetab Disord 2003;27:684–92.

    Article  CAS  Google Scholar 

  26. French SA, Jeffery RW, Forster JL, McGovern PG, Kelder SH, Baxter JE. Predictors of weight change over two years among a population of working adults: The Healthy Worker Project. Int J Obes RelatMetab Disord 1994;18:145–54.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hassanali Vatanparast PhD.

Additional information

Source of Support: Canadian Institutes of Health Research

Conflict of Interest: None to declare.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nikpartow, N., Danyliw, A.D., Whiting, S.J. et al. Fruit Drink Consumption Is Associated With Overweight and Obesity in Canadian Women. Can J Public Health 103, 178–182 (2012). https://doi.org/10.1007/BF03403809

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03403809

Key words

Mots clés

Navigation