Please use this identifier to cite or link to this item: https://doi.org/10.1017/S0007114519002253
Title: Associations 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
Authors: Quah PL 
Kleijweg J
Chang YY
Toh JY
Lim HX
Sugianto R
Aris IM 
Yuan WL 
Tint MT 
Bernard JY
Natarajan P 
Müller-Riemenschneider F 
Godfrey KM
Gluckman PD 
Chong YS 
Shek LP 
Tan KH 
Eriksson JG 
Yap F 
Lee YS 
Chong MFF 
Keywords: Asian
GUSTO
Sugar sweetened beverages
Adiposity
Cohort studies
Infants
Preschoolers
Issue Date: 3-Sep-2019
Publisher: Cambridge University Press
Citation: Quah PL, Kleijweg J, Chang YY, Toh JY, Lim HX, Sugianto R, Aris IM, Yuan WL, Tint MT, Bernard JY, Natarajan P, Müller-Riemenschneider F, Godfrey KM, Gluckman PD, Chong YS, Shek LP, Tan KH, Eriksson JG, Yap F, Lee YS, Chong MFF (2019-09-03). Associations 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 : 1-25. ScholarBank@NUS Repository. https://doi.org/10.1017/S0007114519002253
Abstract: Consumption of sugar sweetened beverages (SSBs) in infants and young children are less explored in Asian populations. The Growing in Singapore Towards healthy Outcomes (GUSTO) cohort study examined associations between SSB intakes at ages 18 months and 5 years with adiposity measures at age 6 years. We studied Singaporean infants/children with SSB intake assessed by food frequency questionnaires (FFQ) at ages 18 months (n=555) and 5 years (n=767). The median (interquartile range) for SSB intakes is 28(5.5-98) ml at age 18 months and 111 (57-198) ml at age 5 years. Associations between SSB intakes (100 ml/day increments and tertile categories) and adiposity measures (BMI standard deviation scores (s.d. unit), sum of skinfolds (SSFs)) and overweight/obesity status were examined using multivariable linear and Poisson regression models, respectively. After adjusting for confounders and additionally for energy intake, SSB intakes at age 18 months were not significantly associated with later adiposity measures and overweight/obesity outcomes. In contrast, at age 5 years, SSB intakes when modelled as 100ml/day increments were associated with higher BMI by 0.09 (95% CI: 0.02, 0.16) s.d. unit, higher SSF thickness by 0.68 (0.06, 1.44) mm, and increased risk for overweight/obesity by 1.2 times (1.07, 1.23) at age 6 years. Trends were consistent with SSB intakes modelled as categorical tertiles. In summary, SSB intake in young childhood is associated with higher risks of adiposity and risk for overweight/obesity. Public health policies working to reduce SSB consumption need to focus on prevention programs targeted at young children.
Source Title: British Journal of Nutrition
URI: https://scholarbank.nus.edu.sg/handle/10635/162310
ISSN: 00071145
DOI: 10.1017/S0007114519002253
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