This article was published online on April 29, 2013. Errors were subsequently identified. This notice is included in the online and print versions to indicate that both have been corrected May 31, 2013.
Association between sweet drink intake and adiposity in Danish children participating in a long-term intervention study†
Article first published online: 29 APR 2013
© 2013 The Authors. Pediatric Obesity © 2013 International Association for the Study of Obesity
Special Issue: Dietary sugars and obesity in children
Volume 8, Issue 4, pages 259–270, August 2013
How to Cite
Jensen, B. W., Nielsen, B. M., Husby, I., Bugge, A., El-Naaman, B., Andersen, L. B., Trolle, E. and Heitmann, B. L. (2013), Association between sweet drink intake and adiposity in Danish children participating in a long-term intervention study. Pediatric Obesity, 8: 259–270. doi: 10.1111/j.2047-6310.2013.00170.x
- Issue published online: 15 JUL 2013
- Article first published online: 29 APR 2013
- Manuscript Accepted: 25 MAR 2013
- Manuscript Revised: 22 MAR 2013
- Manuscript Received: 25 JAN 2012
- Tryg Foundation
- Centre for Intervention Research in Health Promotion and Disease Prevention
- The Danish Heart Foundation. Grant Number: 10-04-R79-A2844-22578
- ‘Familien Hede Nielsen’ foundation
- University of Southern Denmark
- Carbonated beverages;
- longitudinal studies;
What is already known about this subject
- In several studies direct associations between intake of sugar-sweetened beverages and adiposity have been reported.
- However, most previous studies were conducted among Americans and assessed the intake in the sub-categories of soft drinks and sugar-sweetened beverages, only, rather than the total intake of sweet drinks.
What this study adds
- We examined associations between total intake of sweet drinks and body mass index (BMI) and body fat in a non-US population.
- Using a longitudinal design increased sweet drink consumption was generally unassociated with subsequent change in BMI or sum of four skin-folds.
In some previous studies direct associations between intake of soft drinks, sugar-sweetened beverages and adiposity have been reported. The majority of these studies were, however, conducted in the USA and it is uncertain if the results are applicable to non-US countries.
To assess the association between sweet drink intake at age 6 and 9 years and the subsequent 3- to 7-year changes in body mass index (BMI) and sum of four skin-folds (Σ4SF).
Information on sweet drink intake (7 days food record) and physical activity (accelerometer) was obtained at age 6 years (n = 366) [Correction made here after initial online publication.] and 9 years (n = 269). Weight, height and Σ4SF were measured at age 6, 9 and 13 years. Additional information on socio-economic status, maternal BMI and pubertal status was obtained.
No associations were observed between sweet drink intake at age 6 years and change in BMI or logΣ4SF from age 6 to 9 years or 6 to 13 years. Also, no associations were observed between change in sweet drink intake from age 6 to 9 years and subsequent change in BMI or logΣ4SF from age 9 to 13 years. A weak direct association was observed between sweet drink intake at age 9 years and change in logΣ4SF from age 9 to 13 years (per 100 g ∼ 3.38 fl oz) (β: 0.014, 95% confidence interval [CI]: −0.001 to 0.029, P = 0.06), while no association was seen for BMI. In supplementary analyses a similar association was observed for soft drinks (β: 0.087, 95% CI: 0.048 to 0.126, P = 0.001) but only in the intervention group.
We observed associations between intake of sweet drinks and soft drinks and change in skin-fold thickness in a group of Danish children. However, as the associations did not remain significant when multiple testing was considered or was only significant among children from the intervention group, the results do not confirm or refute the direct association reported in previous studies.