Food and Beverage Patterns that Predict Weight Gain Among Adolescents

预测青少年体重增加的饮食模式

• 批准号: 8272638
• 负责人: Alison E Field
• 金额: $ 45.12万
• 依托单位: BOSTON CHILDREN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-05-01 至 2014-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8272638
• 关键词: Adolescence; Adolescent; Adult; Age; Beverages; Boston; Bread; Calories; Carbonates; Chinese People; Coffee; Consumption; Cues; Data; Data Analyses; Development; Diet; Eating; Emotional; Energy Intake; Epidemic; Equation; Fiber; Food; Food Chain; Frequencies; Gender; Genus Cola; Home environment; Hyperphagia; Hypertension; Intake; Joints; Marketing; Modeling; Mothers; Obesity; Overweight; Participant; Pattern; Prospective Studies; Public Health; Questionnaires; Relative Risks; Reporting; Restaurants; Sales; Sodium; Sports; Time; Underweight; United States; Weight; Weight Gain; Weight maintenance regimen; age group; drinking; emotional eating; fast food; gatorade; novel; peer; prospective; public health relevance; response; sugar; sweetened beverage; trend; waist circumference; young adult

DESCRIPTION (provided by applicant): We propose to examine the prospective ssociation of consumption of sweetened beverages, fast food, and commercially prepared foods with weight gain, waist circumference, hypertension, and the development of obesity among 10,920 adolescents and young adults in the Growing Up Today Study II. Several studies have reported an association between consumption of both artificial and sugar-sweetened beverages and subsequent weight gain. Although much of the focus on the association between sugar-sweetened beverages and weight gain has been on sodas (e.g., carbonated colas), soda sales have been declining during the past several years. During that time there have been large increases in the consumption of sports drinks (e.g., Gatorade), energy drinks (e.g., Red Bull), and prepared sweetened coffee beverages (e.g., Dunkin Donuts Coffee Coolattas(R)) among adolescents and young adults. In addition, during the past several decades there has been an increase in the amount of prepared food that is consumed either at home or eaten in restaurants. Several studies have found fast food intake to predict weight gain, but data on the association with other types of prepared foods is lacking. Fast food and commercially prepared foods have been found to be inversely associated with fiber intake and positively associated with intake of sodium and sugar sweetened beverages, but the association between intake of these foods and hypertension has not been studied prospectively in adolescents and young adults. Moreover, although sugar-sweetened beverages are often consumed with fast food, we are not aware of any studies that have looked simultaneously at these two dietary predictors of weight gain. We will use linear mixed models and generalized estimating equations to analyze data from from questionnaires collected in 2004, 2006, 2008, and 2010 from 10,920 adolescents and young adults nationwide, to assess the independent association of sweetened soda, sports drinks, energy drinks, and coffee drinks with subsequent weight gain and the development of obesity. In addition, we will determine whether frequency of eating prepared foods (fast food and commercially prepared take out food) is independently predictive of weight gain, waist circumference, hypertension, and the development of obesity. This study will have > 85% power to detect moderate associations (e.g., relative risk e 1.4) with the development of overweight and obesity. The proposed study is novel in that it will study the associations of popular sweetened beverages that have not been studied in relationship to weight gain. Moreover, it will be the first large prospective study to investigate the associations of both sweetened beverages and fast food with subsequent weight gain simultaneously, as well as the first to study fast food and commercially prepared foods as predictors of waist circumference and hypertension among adolescents and young adults. Overweight, obesity, and hypertension are serious public health problems in the United States, thus understanding modifiable determinants of weight gain and high blood pressure is of extreme importance. PUBLIC HEALTH RELEVANCE: Obesity is a major public health problem in the United tates. Consumption of sports drinks, energy drinks, prepared coffee beverages, fast food, and take out food, all of which can contain a substantial number of calories, have been increasing among adolescents and young adults, but, with the exception of fast food, have never been studied in relation to weight gain. We propose to study how these beverage and food intake patterns are related to weight gain among adolescents and young adults.

描述（由申请人提供）：我们建议在成长中的 10,920 名青少年和年轻人中研究含糖饮料、快餐和商业预制食品的消费与体重增加、腰围、高血压和肥胖发展之间的前瞻性关联。今天学习二。几项研究报告称，饮用人造饮料和含糖饮料与随后的体重增加之间存在关联。尽管人们对含糖饮料与体重增加之间关系的关注主要集中在苏打水（例如碳酸可乐）上，但苏打水的销量在过去几年中一直在下降。在此期间，青少年和年轻人对运动饮料（例如佳得乐）、能量饮料（例如红牛）和预制甜咖啡饮料（例如 Dunkin Donuts Coffee Coolattas(R)）的消费量大幅增加。此外，在过去的几十年中，在家中或在餐馆中食用的预制食品的数量有所增加。几项研究发现快餐摄入量可以预测体重增加，但缺乏与其他类型预制食品关联的数据。研究发现，快餐和商业预制食品与纤维摄入量呈负相关，与钠和含糖饮料的摄入量呈正相关，但这些食物的摄入与高血压之间的关联尚未在青少年和年轻人中进行前瞻性研究。此外，尽管含糖饮料经常与快餐一起食用，但我们不知道有任何研究同时研究这两种体重增加的饮食预测因素。我们将使用线性混合模型和广义估计方程来分析 2004 年、2006 年、2008 年和 2010 年对全国 10,920 名青少年和年轻人收集的问卷数据，以评估含糖汽水、运动饮料、能量饮料和饮料之间的独立关联。咖啡饮料会导致体重增加和肥胖的发展。此外，我们将确定食用预制食品（快餐和商业预制外卖食品）的频率是否可以独立预测体重增加、腰围、高血压和肥胖的发展。这项研究将有 > 85% 的功效来检测与超重和肥胖发展的中度关联（例如相对风险 e 1.4）。这项研究的新颖之处在于，它将研究尚未研究过的流行甜味饮料与体重增加的关​​系。此外，这将是第一个同时调查含糖饮料和快餐与随后体重增加之间关系的大型前瞻性研究，也是第一个研究快餐和商业预制食品作为青少年和青少年腰围和高血压的预测因素的研究。年轻人。超重、肥胖和高血压是美国严重的公共卫生问题，因此了解体重增加和高血压的可改变决定因素极其重要。 公共卫生相关性：肥胖是美国的一个主要公共卫生问题。青少年和年轻人对运动饮料、能量饮料、预制咖啡饮料、快餐和外卖食品的消费量一直在增加，所有这些都含有大量卡路里，但除快餐外，从未研究过与体重增加的关​​系。我们建议研究这些饮料和食物摄入模式与青少年和年轻人体重增加的关​​系。