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Association of sugar sweetened beverage intake at ages 18 months and 5 years with adiposity outcomes at age 6 years: The Singapore GUSTO mother-offspring cohort

Association of sugar sweetened beverage intake at ages 18 months and 5 years with adiposity outcomes at age 6 years: The Singapore GUSTO mother-offspring cohort
Association of sugar sweetened beverage intake at ages 18 months and 5 years with adiposity outcomes at age 6 years: The Singapore GUSTO mother-offspring cohort
Consumption of sugar-sweetened beverages (SSB) by infants and young children are less explored in Asian populations. The Growing Up in Singapore Towards healthy Outcomes cohort study examined associations between SSB intake at 18 months and 5 years of age, with adiposity measures at 6 years of age. We studied Singaporean infants/children with SSB intake assessed by FFQ at 18 months of age (n 555) and 5 years of age (n 767). The median for SSB intakes is 28 (interquartile range 5·5-98) ml at 18 months of age and 111 (interquartile range 57-198) ml at 5 years of age. Association between SSB intake (100 ml/d increments and tertile categories) and adiposity measures (BMI standard deviation scores (sd units), sum of skinfolds (SSF)) and overweight/obesity status were examined using multivariable linear and Poisson regression models, respectively. After adjusting for confounders and additionally for energy intake, SSB intake at age 18 months were not significantly associated with later adiposity measures and overweight/obesity outcomes. In contrast, at age 5 years, SSB intake when modelled as 100 ml/d increments were associated with higher BMI by 0·09 (95 % CI 0·02, 0·16) sd units, higher SSF thickness by 0·68 (95 % CI 0·06, 1·44) mm and increased risk of overweight/obesity by 1·2 (95 % CI 1·07, 1·23) times at age 6 years. Trends were consistent with SSB intake modelled as categorical tertiles. In summary, SSB intake in young childhood is associated with higher risks of adiposity and overweight/obesity. Public health policies working to reduce SSB consumption need to focus on prevention programmes targeted at young children.
0007-1145
1303-1312
Quah, Phaik Ling
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Kleijweg, Josefien
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Chang, Ya Ying
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Toh, Jia Ying
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Lim, Hui Xian
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Sugianto, Ray
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Aris, Izzuddin M.
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Yuan, Wen Lun
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Mya, Tint
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Bernard, Jonathan Y.
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Natarajan, Padmapriya
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Müller-Riemenschneider, Falk
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Godfrey, Keith
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Chong, Yap Seng
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Tan, Kok Hian
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Eriksson, Johan G.
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Lee, Yung Seng
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Chong, Mary Foong-Fong
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Quah, Phaik Ling
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Kleijweg, Josefien
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Chang, Ya Ying
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Toh, Jia Ying
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Lim, Hui Xian
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Sugianto, Ray
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Aris, Izzuddin M.
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Yuan, Wen Lun
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Mya, Tint
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Bernard, Jonathan Y.
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Godfrey, Keith
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Gluckman, Peter D.
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Chong, Yap Seng
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Shek, Lynette P.
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Tan, Kok Hian
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Eriksson, Johan G.
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Yap, Fabian
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Lee, Yung Seng
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Chong, Mary Foong-Fong
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Quah, Phaik Ling, Kleijweg, Josefien, Chang, Ya Ying, Toh, Jia Ying, Lim, Hui Xian, Sugianto, Ray, Aris, Izzuddin M., Yuan, Wen Lun, Mya, Tint, Bernard, Jonathan Y., Natarajan, Padmapriya, Müller-Riemenschneider, Falk, Godfrey, Keith, Gluckman, Peter D., Chong, Yap Seng, Shek, Lynette P., Tan, Kok Hian, Eriksson, Johan G., Yap, Fabian, Lee, Yung Seng and Chong, Mary Foong-Fong (2019) Association of sugar sweetened beverage intake at ages 18 months and 5 years with adiposity outcomes at age 6 years: The Singapore GUSTO mother-offspring cohort. British Journal of Nutrition, 122 (11), 1303-1312. (doi:10.1017/S0007114519002253).

Record type: Article

Abstract

Consumption of sugar-sweetened beverages (SSB) by infants and young children are less explored in Asian populations. The Growing Up in Singapore Towards healthy Outcomes cohort study examined associations between SSB intake at 18 months and 5 years of age, with adiposity measures at 6 years of age. We studied Singaporean infants/children with SSB intake assessed by FFQ at 18 months of age (n 555) and 5 years of age (n 767). The median for SSB intakes is 28 (interquartile range 5·5-98) ml at 18 months of age and 111 (interquartile range 57-198) ml at 5 years of age. Association between SSB intake (100 ml/d increments and tertile categories) and adiposity measures (BMI standard deviation scores (sd units), sum of skinfolds (SSF)) and overweight/obesity status were examined using multivariable linear and Poisson regression models, respectively. After adjusting for confounders and additionally for energy intake, SSB intake at age 18 months were not significantly associated with later adiposity measures and overweight/obesity outcomes. In contrast, at age 5 years, SSB intake when modelled as 100 ml/d increments were associated with higher BMI by 0·09 (95 % CI 0·02, 0·16) sd units, higher SSF thickness by 0·68 (95 % CI 0·06, 1·44) mm and increased risk of overweight/obesity by 1·2 (95 % CI 1·07, 1·23) times at age 6 years. Trends were consistent with SSB intake modelled as categorical tertiles. In summary, SSB intake in young childhood is associated with higher risks of adiposity and overweight/obesity. Public health policies working to reduce SSB consumption need to focus on prevention programmes targeted at young children.

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SSB and adiposity_Final draft_REVISED BJN_June 2019 - Accepted Manuscript
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More information

Accepted/In Press date: 20 August 2019
e-pub ahead of print date: 14 December 2019

Identifiers

Local EPrints ID: 433618
URI: http://eprints.soton.ac.uk/id/eprint/433618
ISSN: 0007-1145
PURE UUID: d3ccb1e9-d3eb-4264-a36a-31e0fd85574a
ORCID for Keith Godfrey: ORCID iD orcid.org/0000-0002-4643-0618

Catalogue record

Date deposited: 28 Aug 2019 16:30
Last modified: 26 Nov 2021 02:35

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Contributors

Author: Phaik Ling Quah
Author: Josefien Kleijweg
Author: Ya Ying Chang
Author: Jia Ying Toh
Author: Hui Xian Lim
Author: Ray Sugianto
Author: Izzuddin M. Aris
Author: Wen Lun Yuan
Author: Tint Mya
Author: Jonathan Y. Bernard
Author: Padmapriya Natarajan
Author: Falk Müller-Riemenschneider
Author: Keith Godfrey ORCID iD
Author: Peter D. Gluckman
Author: Yap Seng Chong
Author: Lynette P. Shek
Author: Kok Hian Tan
Author: Johan G. Eriksson
Author: Fabian Yap
Author: Yung Seng Lee
Author: Mary Foong-Fong Chong

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