Toronto Metropolitan University
nutrients-11-02338.pdf (1.21 MB)

The Association between Early Childhood and Later Childhood Sugar-Containing Beverage Intake: A Prospective Cohort Study

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journal contribution
posted on 2023-09-20, 17:07 authored by Andrea Ziesmann, Ruhi Kiflen, Vanessa De Rubeis, Brendan T. Smith, Jonathon L. Maguire, Catherine S. Birken, Laura N. Anderson, Ronald D. Cohn, Eddy Lau, Andreas Laupacis, Patricia C. Parkin, Michael Salter, Peter Szatmari, Shannon Weir, Cornelia M. Borkhoff, Charles D.G. Keown-Stoneman, Christine Kowal, Dalah Mason, Murtala Abdurrahman, Gordon Arbess, Tony Barozzino, Sylvie Bergeron, Gary Bloch, Ashna Bowry, Caroline Calpin, Sohaila Cheema, Brian Chisamore, Evelyn Constantin, Karoon Danayan, Paul Das, Mary Beth Derocher, Anne E. Egger, Holly Knowles, Bruce Kwok, Margarita Lam-Antoniades, Roy Male, Vashti Mascoll, Elise Mok, Rosemary Moodie, Sharon Naymark, James Owen, Vikky Qi, Nasreen Ramji, Noor Ramji, Danyaal Raza, Caroline Ruderman, Vanna Schiralli, Michael Sgro, Barbara Smiltnieks, Stephen Treherne, Fatima Uddin, Meta van den Heuvel, Joanne Vaughan, Thea Weisdorf, Sheila Wijayasinghe, Peter Wong, John Yaremko, Ethel Ying, Elizabeth Young, Michael Zajdman, Farnaz Bazeghi, Vincent Bouchard, Marivic Bustos, Charmaine Camacho, Dharma Dalwadi, Christine Koroshegyi, Tarandeep Malhi, Sharon Thadani, Julia Thompson, Laurie Thompson, Mary Aglipay, Imaan Bayoumi, Sarah Carsley, Katherine Cost, Karen Eny, Theresa Kim, Laura M. Kinlin, Jessica OmandJessica Omand, Shelley Vanderhout, Leigh Vanderloo, Christopher Allen, Bryan Boodhoo, Olivia Chan, David W. H. Dai, Judith Hall, Peter Jüni, Gerald Lebovic, Karen Pope, Kevin Thorpe, Rita Kandel, Michelle Rodrigues, Hilde Vandenberghe

Sugar-containing beverages (SCBs) are a major source of sugar intake in children. Early life intake of SCBs may be a strong predictor of SCB intake later in life. The primary objective of this study was to evaluate if SCB intake (defined as 100% fruit juice, soda, and sweetened drinks) in early childhood (≤2.5 years of age) was associated with SCB intake in later childhood (5-9 years of age). A prospective cohort study was conducted using data from the TARGet Kids! primary care practice network (n = 999). Typical daily SCB intake was measured by parent-completed questionnaires. Odds ratios (OR) and 95% confidence intervals (CI) were estimated using logistic regression. A total of 43% of children consumed ≥0.5 cups/day of SCBs at ≤2.5 years and this increased to 64% by 5-9 years. Daily SCB intake, compared to no daily intake, at ≤2.5 years was significantly associated with SCB intake at 5-9 years (adjusted OR: 4.03; 95% CI: 2.92-5.55) and this association was much stronger for soda/sweetened drinks (adjusted OR: 12.83; 95% CI: 4.98, 33.0) than 100% fruit juice (OR: 3.61; 95% CI: 2.63-4.95). Other early life risk factors for SCB intake at 5-9 years were presence of older siblings, low household income, and shorter breastfeeding duration. Daily intake of SCBs in early childhood was strongly associated with greater SCB intake in later childhood. Early life may be an important period to target for population prevention strategies. 




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