Foods and Beverages Associated with Higher Intake of Sugar-Sweetened Beverages

[محمد بهبهانی]

Background: Although consumption of sugar-sweetened beverages (SSBs) is associated
with higher caloric intakes, the amount SSBs contribute to higher intakes has not been
addressed.
Purpose: To estimate the amount SSBs contribute to higher caloric intakes and determine how the
diets of SSB consumers and nonconsumers differ.
Methods: The What We Eat In America, NHANES 2003–2010 surveys were combined into a
sample of 13,421 children; analyses were conducted in December 2012. To determine the
contribution of SSBs to higher caloric intakes, total non-SSB intake (food
non-SSB beverages)
of SSB consumers and nonconsumers were compared using linear regression models controlling
for demographic and socioeconomic factors. Analyses also compared intakes between nonconsumers
and SSB consumers with different amounts of SSB consumption.
Results: For children aged 2–5 years and 6 –11 years, total non-SSB intakes did not differ
between nonconsumers and SSB consumers at any level of SSB consumption, indicating that
SSBs were primarily responsible for the higher caloric intakes among SSB consumers. A similar
fınding was observed among children aged 12–18 years; however, both food and SSB contributed
to higher caloric intakes of adolescents consuming
500 kcal of SSBs. Among those aged
12–18 years, higher intakes of foods (e.g., pizza, burgers, fried potatoes, and savory snacks) and
lower intakes of non-SSB beverages (e.g., fluid milk and fruit juice) were associated with
increased SSB intake.
Conclusions: Sugar-sweetened beverages are primarily responsible for the higher caloric intakes of
SSB consumers, and SSB consumption is associated with intake of a select number of food and
beverage groups, some of which are often unhealthy (e.g., pizza and grain-based desserts).
(Am J Prev Med 2013;44(4):351–357) © 2013 American Journal of Preventive Medicine