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）：我们建议研究以体重增加，腰围，高血压和10,920名青少年和年轻人在成长中的研究中，以体重增加，腰围，高血压以及肥胖的发展，对甜味饮料，快餐和商业准备的食物的前瞻性分配。几项研究报道了人工和糖味饮料的消费与随后的体重增加之间的关联。尽管大部分关注糖味饮料与体重增加之间的关联一直是在苏打水上（例如碳酸盐的可乐），但在过去的几年中，苏打销售一直在下降。在此期间，体育饮料（例如佳得乐），能量饮料（例如，红牛）的消费量大大增加，并且在青少年和年轻人中准备好了甜味的咖啡饮料（例如，Dunkin Donkin Donuts Coffee Coolattas（R））。此外，在过去的几十年中，在家中食用或在餐馆食用的准备食物数量增加了。几项研究发现快餐摄入以预测体重增加，但是缺乏与其他类型的准备食物相关的数据。已发现快餐和商业准备的食物与纤维摄入量成反比，并与钠和糖甜饮料的摄入呈正相关，但是在青少年和年轻人中尚未对这些食物的摄入量与高血压之间的关联进行前瞻性研究。此外，尽管糖粉饮料通常被快餐食用，但我们不知道有任何研究同时考虑了这两个体重增加的饮食预测指标。我们将使用线性混合模型和广义估算方程式来分析来自2004年，2006年，2008年和2010年从全国10,920名青少年和年轻人收集的问卷的数据，以评估甜苏，体育饮料，能量饮料和咖啡饮料的独立关联，并随后的体重增加，并获得obesity的发展。此外，我们将确定食用准备食物的频率（快餐和商业准备的食物）是否独立预测体重增加，腰围，高血压和肥胖的发展。这项研究将具有> 85％的能力来检测与超重和肥胖的发展中等关联（例如，相对风险E 1.4）。拟议的研究是新颖的，因为它将研究尚未与体重增加有关的流行甜味饮料的关联。此外，这将是首次研究甜味饮料和快餐与随后的体重的关联的第一项大型前瞻性研究，也是第一个研究快餐和商业准备食物的一项，作为青少年和年轻人的腰围和高血压的预测因子。在美国，超重，肥胖和高血压是严重的公共卫生问题，因此了解体重增加和高血压的可修改决定因素至关重要。 公共卫生相关性：肥胖是联合国局部的主要公共卫生问题。体育饮料，能量饮料，准备好的咖啡饮料，快餐食品和取出食物的消费，所有这些都可能含有大量卡路里的卡路里，但青少年和年轻人在增加，但是除了快餐外，从未研究过与体重增加有关的研究。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的体重增加有关。