title: Sugar-sweetened beverage intake and its associations with cardiometabolic risks among adolescents.
abstract: Investigations on sugar-sweetened beverage (SSB) intake and cardiometabolic risks among Asians are scant.
  
  
  
  This study aimed to examine associations between SSB intake and cardiometabolic risks among Malaysian adolescents.
  
  
  
  Anthropometric data, blood pressure (BP), fasting blood glucose (FBG), lipid profiles and insulin levels measured involved 873 adolescents (aged 13 years). SSB intake, dietary patterns and physical activity level (PAL) were self-reported.
  
  
  
  Mean SSB consumption was 177.5 mL day-1with significant differences among ethnicities (Malay, Chinese, Indians and Others) (p < 0.05). SSB intake was deleteriously associated with increased waist circumference, elevated triglycerides, FBG, insulin, insulin resistance and low HDL-cholesterol, independent of PAL, body mass index and dietary patterns. Significant U-shaped and inverse trends were noted between SSB intake and LDL-cholesterol and BP, respectively.
  
  
  
  Sugar-sweetened beverage intake was unfavourably associated with cardiometabolic health outcomes among young adolescents. Concerted efforts towards healthy hydration are imperative to mitigate risk of cardiometabolic events.
authors: Julius Centre University of Malaya, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
authors: D A
authors: DA
authors: Loh
authors: Julius Centre University of Malaya, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
authors: F M
authors: FM
authors: Moy
authors: Department of Pharmacology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
authors: N L
authors: NL
authors: Zaharan
authors: Department of Paediatrics, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
authors: M Y
authors: MY
authors: Jalaludin
authors: Department of Pharmacology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
authors: Z
authors: Z
authors: Mohamed
mesh_terms: D000293:Adolescent; D000886:Anthropometry; D001628:Beverages / Q000009:adverse effects*; D001786:Blood Glucose / Q000032:analysis; D001794:Blood Pressure; D003430:Cross-Sectional Studies; D019422:Dietary Sucrose / Q000009:adverse effects*; D015444:Exercise; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D007328:Insulin / Q000097:blood; D008055:Lipids / Q000097:blood; D008296:Malaysia; D008297:Male; D024821:Metabolic Syndrome / Q000453:epidemiology / Q000209:etiology*; D012307:Risk Factors
chemical_list: D001786:Blood Glucose; D019422:Dietary Sucrose; D007328:Insulin; D008055:Lipids
keywords: Adolescents; metabolic syndrome; obesity; sugar-sweetened beverages