title: Soft drinks consumption is associated with behavior problems in 5-year-olds.
abstract: OBJECTIVE
  To examine soda consumption and aggressive behaviors, attention problems, and withdrawal behavior among 5-year-old children.
  
  
  METHODS
  The Fragile Families and Child Wellbeing Study is a prospective birth cohort study that follows a sample of mother-child pairs from 20 large US cities. Mothers reported children's behaviors using the Child Behavior Checklist at age 5 years and were asked to report how many servings of soda the child drinks on a typical day.
  
  
  RESULTS
  In the sample of 2929 children, 52% were boys, 51% were African-American, 43% consumed at least one serving of soda per day, and 4% consumed 4 or more servings per day. In analyses adjusted for sociodemographic factors, consuming one (beta, 0.7; 95% CI, 0.1-1.4), 2 (beta, 1.8; 95% CI, 0.8-2.7), 3 (beta, 2.0; 95% CI, 0.6-3.4), or 4 or more (beta, 4.7; 95% CI, 3.2-6.2) servings was associated with a higher aggressive behavior score compared with consuming no soda. Furthermore, those who consumed 4 or more (beta, 1.7; 95% CI, 1.0-2.4) soda servings had higher scores on the attention problems subscale. Higher withdrawn behavior scores were noted among those consuming 2 (beta, 1.0; 95% CI, 0.3-1.8) or 4 or more (beta, 2.0; 95% CI, 0.8-3.1) soda servings compared with those who consumed no soda.
  
  
  CONCLUSIONS
  We note an association between soda consumption and negative behavior among very young children; future studies should explore potential mechanisms that could explain this association.
authors: Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Electronic address: sfs2150@columbia.edu.
authors: Shakira F
authors: SF
authors: Suglia
authors: Sara
authors: S
authors: Solnick
authors: David
authors: D
authors: Hemenway
mesh_terms: D001741:Black or African American; D002253:Carbonated Beverages; D002652:Child Behavior; D002653:Child Behavior Disorders / Q000453:epidemiology / Q000209:etiology*; D002675:Child, Preschool; D003863:Depression; D005192:Family Health; D005260:Female; D006801:Humans; D008297:Male; D009035:Mothers; D011446:Prospective Studies; D012044:Regression Analysis; D012307:Risk Factors; D012923:Social Class; D013179:Spouse Abuse; D011795:Surveys and Questionnaires; D014481:United States
keywords: BMI; Body mass index; CBCL; Child Behavior Checklist; IPV; Intimate partner violence; TV; Television
references: Am J Public Health. 2007 Apr;97(4):667-75
references: 17329656
references: Int J Methods Psychiatr Res. 2004;13(2):93-121
references: 15297906
references: Neurosci Biobehav Rev. 2009 Jun;33(6):793-806
references: 19428492
references: Infant Behav Dev. 2006 Jul;29(3):445-55
references: 17138297
references: Acta Paediatr. 2011 Nov;100(11):e215-22
references: 21627691
references: Int J Inj Contr Saf Promot. 2014;21(3):266-73
references: 23829470
references: BMC Pediatr. 2011 Aug 25;11:73
references: 21867528
references: J Am Acad Child Adolesc Psychiatry. 1993 Mar;32(2):419-23
references: 8444773
references: Policy Brief UCLA Cent Health Policy Res. 2009 Sep;(PB2009-5):1-8
references: 19768858
references: Clin Pediatr (Phila). 2011 Apr;50(4):279-93
references: 21127082
references: J Pediatr. 2005 Jan;146(1):105-11
references: 15644832
references: Inj Prev. 2012 Aug;18(4):259-63
references: 22025524
references: Psychol Rev. 1999 Jul;106(3):458-90
references: 10467895
references: Neurosci Biobehav Rev. 2007;31(5):752-74
references: 17433442
references: Am J Public Health. 2006 Oct;96(10):1815-20
references: 17008578
references: J Am Acad Child Adolesc Psychiatry. 1999 Apr;38(4):359-67
references: 10199106
references: Pediatrics. 1996 Sep;98(3 Pt 1):396-402
references: 8784363