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Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 2012 May 1;103(3):178–182. doi: 10.1007/BF03403809

Fruit Drink Consumption Is Associated With Overweight and Obesity in Canadian Women

Nooshin Nikpartow 15, Adrienne D Danyliw 25, Susan J Whiting 25, Hyun Lim 15, Hassanali Vatanparast 25,✉
PMCID: PMC6973898  PMID: 22905635

Abstract

Objective

Overweight and obesity in Canada have significantly increased during the last three decades, paralleled by increased intake of fat and sugar, particularly sugary beverages. The Canadian Community Health Survey, Cycle 2.2, conducted in 2004 (CCHS 2.2), provides the opportunity to evaluate beverage intakes in relation to overweight and obesity using body mass index (BMI). Our objective was to examine the association between sugar-sweetened beverages and BMI in Canadian adults.

Methods

CCHS 2.2 data were used (n=14,304, aged >18 years and <-65 years) and dietary intake was assessed on the basis of single 24-hour recall. Using cluster analysis (K-means method), males and females were classified into distinct clusters based on the dominant pattern of beverage intakes. Logistic regression models were used to determine associations between dominant beverage consumption patterns and BMI, controlling for age and other confounding factors.

Results

BMI in women with predominant “fruit drink” pattern (28.3 ± 1.0 kg/m2) was higher than in those with no dominant pattern (26.8 ±0.3 kg/m2), p&lt;0.001. Adjusting for energy intake and other potential confounders, high intake of fruit drinks was a significant predictor of overweight (OR=1.84, 95% CI: 1.06-3.20), obesity (OR=2.55, 95% CI: 1.46-4.47) and overweight/obesity (OR=2.05, 95% CI: 1.29-3.25) in women. In men, mean BMI was not different among beverage consumption clusters and none of the beverage intake patterns was a predictor for overweight and obesity.

Conclusion

Using a nationally representative dataset, there was an association between sugar-sweetened beverages and overweight and obesity in Canadian women.

Key words: Obesity, overweight, beverages, women

Footnotes

Source of Support: Canadian Institutes of Health Research

Conflict of Interest: None to declare.

References

  • 1.Malik VS, Schulze MB, Hu FB. Intake of sugar-sweetened beverages and weight gain: A systematic review. Am J Clin Nutr. 2006;84:274–88. doi: 10.1093/ajcn/84.2.274. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Shields M, Tjepkema M. Trends in adult obesity. Health Reports. 2006;17(3):53–60. [PubMed] [Google Scholar]
  • 3.Garrow JS. Obesity and Related Disease. London, UK: Churchill Livingstone; 1998. pp. 1–16. [Google Scholar]
  • 4.Gilmore J. Body mass index and health. Health Reports. 1999;11(1):31–34. [PubMed] [Google Scholar]
  • 5.World Health Organization. Obesity and overweight. 2006. [Google Scholar]
  • 6.Duffey KJ, Popkin BM. Adults with healthier dietary patterns have healthier beverage patterns. J Nutr. 2006;136:2901–7. doi: 10.1093/jn/136.11.2901. [DOI] [PubMed] [Google Scholar]
  • 7.Bleich SN, Wang YC, Wang Y, Gortmaker SL. Increasing consumption of sugar-sweetened beverages among US adults: 1988–1994 to 1999–2004. Am J Clin Nutr. 2009;89:372–81. doi: 10.3945/ajcn.2008.26883. [DOI] [PubMed] [Google Scholar]
  • 8.Storey ML, Forshee RA, Anderson PA. Beverage consumption in the US population. J Am Diet Assoc. 2006;106:1992–2000. doi: 10.1016/j.jada.2006.09.009. [DOI] [PubMed] [Google Scholar]
  • 9.Balcells E, Delgado-Noguera M, Pardo-Lozano R, Roig-González T, Renom A, González-Zobl G, et al. Soft drinks consumption, diet quality and BMI in a Mediterranean population. Public Health Nutr. 2011;14:778–84. doi: 10.1017/S1368980010002788. [DOI] [PubMed] [Google Scholar]
  • 10.Garriguet D. Beverage consumption of Canadian adults. Health Rep. 2008;19(4):22–29. [PubMed] [Google Scholar]
  • 11.Canadian Community Health Survey - Nutrition CCHS 2.2, 2004. A Guide to Accessing and Interpreting the Data. 2004;10:32–33. [Google Scholar]
  • 12.Canadian Community Health Survey CCHS 2.2, 2004. Nutrition-General health (including vitamins & mineral supplements) & 24-hour dietary recall components, user guide. 2008. [Google Scholar]
  • 13.Canadian Community Health Survey - Nutrition CCHS 2.2. Detailed information for 2004, definitions, data sources, and methods. 2011. [Google Scholar]
  • 14.Institute of Medicine. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein and Amino Acids. Washington, DC: National Academy Press; 2005. [DOI] [PubMed] [Google Scholar]
  • 15.Health Canada. Canadian Guidelines for Body Weight Classification in Adults. 2003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16.Danyliw AD, Vatanparast H, Nikpartow N, Whiting SJ. Beverage intake patterns of Canadian children and adolescents. Public Health Nutr. 2011;23:1–9. doi: 10.1017/S1368980011001091. [DOI] [PubMed] [Google Scholar]
  • 17.SAS User Guide. The FASTCLUS Procedure. 2011. [Google Scholar]
  • 18.LaRowe TL, Moeller SM, Adams AK. Beverage patterns, diet quality, and body mass index of US preschool and school-aged children. J Am Diet Assoc. 2007;107:1124–33. doi: 10.1016/j.jada.2007.04.013. [DOI] [PubMed] [Google Scholar]
  • 19.DiMeglio DP, Mattes RD. Liquid versus solid carbohydrate: Effects on food intake and body weight. Int J Obes RelatMetab Disord. 2000;24:794–800. doi: 10.1038/sj.ijo.0801229. [DOI] [PubMed] [Google Scholar]
  • 20.Bachman CM, Baranowski T, Nicklas TA. Is There an Association Between Sweetened Beverages and Adiposity? Nutr Rev. 2006;64:153–74. doi: 10.1111/j.1753-4887.2006.tb00199.x. [DOI] [PubMed] [Google Scholar]
  • 21.Beridot-Therond ME, Arts I, Fantino M d l, Gueronniere V. Short-term effects of the flavour of drinks on ingestive behaviours in man. Appetite. 1998;31:67–81. doi: 10.1006/appe.1997.0153. [DOI] [PubMed] [Google Scholar]
  • 22.De Castro JM. The effects of the spontaneous ingestion of particular foods or beverages on the meal pattern and overall nutrient intake of humans. Physiol Behav. 1993;53:1133–44. doi: 10.1016/0031-9384(93)90370-U. [DOI] [PubMed] [Google Scholar]
  • 23.Sclafani A. Starch and sugar tastes in rodents: An update. Brain Res Bull. 1991;27:383–86. doi: 10.1016/0361-9230(91)90129-8. [DOI] [PubMed] [Google Scholar]
  • 24.Schulze MB, Manson JE, Ludwig DS, Stampfer MJ, Willett WC, Hu FB. Sugarsweetened beverages, weight gain, and incidence of type 2 diabetes in young and middle-aged women. JAMA. 2004;292:927–34. doi: 10.1001/jama.292.8.927. [DOI] [PubMed] [Google Scholar]
  • 25.Liebman M, Pelican S, Moore SA, Holmes B, Wardlaw MK, Melcher LM, et al. Dietary intake, eating behavior, and physical activity-related determinants of high body mass index in rural communities in Wyoming, Montana, and Idaho. Int J Obes RelatMetab Disord. 2003;27:684–92. doi: 10.1038/sj.ijo.0802277. [DOI] [PubMed] [Google Scholar]
  • 26.French SA, Jeffery RW, Forster JL, McGovern PG, Kelder SH, Baxter JE. Predictors of weight change over two years among a population of working adults: The Healthy Worker Project. Int J Obes RelatMetab Disord. 1994;18:145–54. [PubMed] [Google Scholar]

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