title: Early sugar-sweetened beverage consumption frequency is associated with poor quality of later food and nutrient intake patterns among Japanese young children: the Osaka Maternal and Child Health Study.
abstract: Evidence from Western countries shows that higher consumption of sugar-sweetened beverages (SSBs) is associated with lower quality of young children's diets, but little is known about these relations in non-Western countries with relatively low consumption levels of SSBs. We hypothesized that SSB consumption in infancy would be associated with poor quality of later food and nutrient intake patterns among Japanese young children. The study subjects were 493 Japanese mother-child pairs from a prospective birth cohort study. Dietary data on children were collected from the mothers using self-administered questionnaires when the children were aged 16-24 months and 41-49 months. Multiple linear regression analyses were used to examine the relationships between SSB consumption frequency in infancy and later intake of foods and nutrients. At 16-24 months of age, more than half of the children (56.4%) consumed SSBs less than once a week, whereas 11.6% consumed SSBs at least once daily. More frequent consumption of SSBs in infancy was associated with higher intake of confectionaries and SSBs and lower intake of fruits and vegetables at 41-49 months of age. These associations were still evident after adjustment for maternal SSB consumption and socioeconomic status. At the nutrient level, SSB consumption frequency was positively associated with energy intake and inversely associated with intake of many nutrients, such as protein, dietary fiber, and most of the micronutrients examined. In conclusion, higher consumption frequency of SSBs at an early age is associated with poor quality of overall dietary intake among young Japanese children 1.5-2.5 years later.
authors.affiliation: Department of Health Promotion, National Institute of Public Health, Saitama, Japan. Electronic address: okubo@niph.go.jp.
authors.forename: Hitomi
authors.initials: H
authors.lastname: Okubo
authors.affiliation: Department of Epidemiology and Preventive Medicine, Ehime University Graduate School of Medicine, Ehime, Japan.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Miyake
authors.affiliation: Department of Social and Preventive Epidemiology, School of Public Health, The University of Tokyo, Tokyo, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Sasaki
authors.affiliation: Department of Epidemiology and Preventive Medicine, Ehime University Graduate School of Medicine, Ehime, Japan.
authors.forename: Keiko
authors.initials: K
authors.lastname: Tanaka
authors.affiliation: College of Healthcare Management, Fukuoka, Japan.
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Hirota
mesh_terms: D000328:Adult; D044466:Asian People; D001628:Beverages / Q000032:analysis*; D002652:Child Behavior; D000067576:Child Health; D002675:Child, Preschool; D004032:Diet; D000073417:Dietary Sugars / Q000008:administration & dosage*; D005260:Female; D063427:Food Quality; D005638:Fruit; D015438:Health Behavior; D006801:Humans; D007223:Infant; D007564:Japan; D008019:Life Style; D008297:Male; D009034:Mother-Child Relations; D015596:Nutrition Assessment; D064427:Nutritive Sweeteners / Q000008:administration & dosage*; D011446:Prospective Studies; D012307:Risk Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014675:Vegetables
chemical_list: D000073417:Dietary Sugars; D064427:Nutritive Sweeteners
keywords: Diet quality; Nutrient intake; Prospective birth cohort; Sugar-sweetened beverages; Young Japanese children