title: Association of Dietary Sugars and Sugar-Sweetened Beverage Intake with Obesity in Korean Children and Adolescents.
abstract: Few studies have examined the association between dietary sugar intake and obesity in Asian children and adolescents. We evaluated the association of dietary sugar intake and its food source with obesity in Korean children and adolescents. In this cross-sectional analysis, data were obtained from five studies conducted between 2002 and 2011. The study included 2599 children and adolescents who had completed more than three days of dietary records and had anthropometric data. Total sugar intake was higher in girls than in boys (54.3 g for girls and 46.6 g for boys, p < 0.0001). Sugar intake from milk and fruits was inversely associated with overweight or obesity in girls only (OR for overweight, 0.52; 95% CI, 0.32-0.84; p for trend = 0.0246 and OR for obesity, 0.42; 95% CI, 0.23-0.79; p for trend = 0.0113). Sugar-sweetened beverage (SSB) consumption was not associated with obesity in girls, while boys had lower odds ratios for obesity (OR for obesity, 0.52; 95% CI, 0.26-1.05; p for trend = 0.0310). These results suggest that total sugars and SSB intake in Asian children and adolescents remains relatively low and sugar intake from milk and fruits is associated with a decreased risk of overweight or obesity, especially in girls.
authors.affiliation: Department of Public Health Nutrition, Graduate School of Public Health, Seoul National University, Seoul 08826, Korea. j015kh@snu.ac.kr.
authors.forename: Kyungho
authors.initials: K
authors.lastname: Ha
authors.affiliation: Department of Public Health Nutrition, Graduate School of Public Health, Seoul National University, Seoul 08826, Korea. sangwon.chung12@gmail.com.
authors.forename: Sangwon
authors.initials: S
authors.lastname: Chung
authors.affiliation: Nutrition Policy and Promotion Team, Korea Health Industry Development Institute, Cheongju 28159, Korea. leehs@khidi.or.kr.
authors.forename: Haeng-Shin
authors.initials: HS
authors.lastname: Lee
authors.affiliation: Bureau of Health Industry Promotion, Korea Health Industry Development Institute, Cheongju 28159, Korea. kimci@khidi.or.kr.
authors.forename: Cho-il
authors.initials: CI
authors.lastname: Kim
authors.affiliation: Department of Public Health Nutrition, Graduate School of Public Health, Seoul National University, Seoul 08826, Korea. hjjoung@snu.ac.kr.
authors.forename: Hyojee
authors.initials: H
authors.lastname: Joung
authors.affiliation: Department of Food and Nutrition, Seoul National University, Seoul, 08826, Korea. hypaik@snu.ac.kr.
authors.forename: Hee-Young
authors.initials: HY
authors.lastname: Paik
authors.affiliation: Major of Food and Nutrition, School of Human Ecology, The Catholic University of Korea, Bucheon 14662, Korea. yjsong@catholic.ac.kr.
authors.forename: YoonJu
authors.initials: Y
authors.lastname: Song
mesh_terms: D000293:Adolescent; D000818:Animals; D044466:Asian People; D001628:Beverages / Q000009:adverse effects* / Q000032:analysis; D002648:Child; D003430:Cross-Sectional Studies; D015930:Diet Records; D019422:Dietary Sucrose / Q000009:adverse effects*; D004435:Eating; D005260:Female; D005638:Fruit / Q000009:adverse effects; D006801:Humans; D008297:Male; D008892:Milk / Q000009:adverse effects; D016017:Odds Ratio; D050177:Overweight / Q000209:etiology; D063766:Pediatric Obesity / Q000209:etiology*; D056910:Republic of Korea; D012737:Sex Factors; D013549:Sweetening Agents / Q000009:adverse effects*
chemical_list: D019422:Dietary Sucrose; D013549:Sweetening Agents
keywords: Korean; adolescents; children; dietary sugars; obesity; sugar-sweetened beverage; sugars from milk and fruits