Sugar-sweetened beverage (SSB) consumption is associated with lower quality of the non-SSB diet in US adolescents and young adults.

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Abstrakt

Tytuł:: Sugar-sweetened beverage (SSB) consumption is associated with lower quality of the non-SSB diet in US adolescents and young adults.
Autorzy:: Doherty AM; Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Lacko AM; Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.; Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Popkin BM; Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.; Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Źródło:: The American journal of clinical nutrition [Am J Clin Nutr] 2021 Mar 11; Vol. 113 (3), pp. 657-664.
Typ publikacji:: Journal Article; Research Support, N.I.H., Extramural
Język:: English
Imprint Name(s):: Publication: 2023- : [New York, NY] : Elsevier
Original Publication: Bethesda, MD : American Society of Clinical Nutrition
MeSH Terms:: Sugar-Sweetened Beverages*
Diet/*standards
Adolescent ; Adult ; Child ; Cross-Sectional Studies ; Energy Intake ; Female ; Humans ; Male ; Nutrition Surveys ; Socioeconomic Factors ; United States ; Young Adult
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Grant Information:: P2C HD050924 United States HD NICHD NIH HHS; T32 HD007168 United States HD NICHD NIH HHS
Contributed Indexing:: Keywords: adolescents; diet quality; disparities; healthy eating index; sugar sweetened beverages; young adults
Entry Date(s):: Date Created: 20201231 Date Completed: 20210319 Latest Revision: 20230214
Update Code:: 20240105
PubMed Central ID:: PMC7948860
DOI:: 10.1093/ajcn/nqaa342
PMID:: 33381808
: Czasopismo naukowe

Background: Since 2003-4, the United States has seen large declines in sugar-sweetened beverage (SSB) intake overall, especially among non-Hispanic white (NHW) subpopulations. However, obesity prevalence has not shown comparable declines in the 2 highest SSB-consuming groups, adolescents and young adults. Little is understood about the quality of the diet excluding SSBs (non-SSB diet).
Objectives: The objective of this study was to evaluate differences in non-SSB diet quality in SSB consumers and nonconsumers in adolescents and young adults and in the 3 major race/ethnic subgroups.
Methods: This study utilized data from the NHANES, a cross-sectional, nationally representative survey of the US population. Data from 6426 participants aged 12-29 y from the NHANES (2009-2014) was included. Quality of the non-SSB diet was measured using the 2015 Healthy Eating Index (HEI). Multivariate linear regressions controlled for sociodemographic characteristics and included interactions by race/ethnicity [NHWs, non-Hispanic blacks (NHBs), Hispanics]. Individuals were classified as non-, low- (<10% of daily calories), or high-SSB consumers (≥10% of daily calories), according to the US Dietary Guidelines added sugar intake recommendation.
Results: Non-SSB HEI scores differed among SSB consumer groups (53 for adolescent nonconsumers compared with 46 for high consumers, P < 0.001; 57 for young adult nonconsumers compared with 45 for high consumers, P < 0.001), although all scores were low and require improvement. Among NHBs, significant differences in non-SSB HEI were found only between non- and low-SSB consumers. In Hispanics, associations varied by age group, with significant differences found for young adults but no association found for adolescents.
Conclusions: Low non-SSB HEI scores in SSB consumers suggest that reducing SSB consumption alone will not be a sufficient strategy for improving dietary quality in adolescents and young adults. Future policies must also consider improving the non-SSB diet.
(© The Author(s) 2020. Published by Oxford University Press on behalf of the American Society for Nutrition.)

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