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<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
Résumé
Objectif
Le surpoids et l’obésité ont beaucoup augmenté au Canada au cours des 30 dernières années, parallèlement à la consommation accrue de gras et de sucre, en particulier les boissons sucrées. L’Enquête sur la santé dans les collectivités canadiennes, cycle 2.2, menée en 2004 (ESCC 2.2) permet d’évaluer la consommation de boissons par rapport au surpoids et à l’obésité à l’aide de l’indice de masse corporelle (IMC). Notre objectif était d’examiner l’association entre les boissons édulcorées au sucre et l’IMC chez les Canadiens et Canadiennes adultes.
Méthode
Nous avons utilisé les données de l’ESCC 2.2 (n=14 304, >18 ans à <65 ans); l’apport alimentaire a été évalué à l’aide d’une seule feuille de rappel des aliments ingérés pendant les 24 dernières heures. À l’aide d’une analyse en grappes (méthode à K moyennes), hommes et femmes ont été classés dans des grappes distinctes d’après leur profil dominant de consommation de boissons. En utilisant des modèles de régression logistique, nous avons calculé les associations entre les profils dominants de consommation de boissons et l’IMC, après avoir apporté des ajustements pour tenir compte des effets de l’âge et d’autres facteurs de confusion.
Résultats
L’IMC des femmes ayant un profil prédominant de consommation de «boissons aux fruits» (28,3 ± 1,0 kg/m2) était plus élevé que chez celles qui ne présentaient pas de profil dominant (26,8 ± 0,3 kg/m2), p<0,001. En tenant compte de l’apport énergétique et d’autres facteurs de confusion possibles, une consommation élevée de boissons aux fruits était un prédicteur significatif de surpoids (RC=1,84, IC de 95 %: 1,06-3,20), d’obésité (RC=2,55, IC de 95 %: 1,46-4,47) et de surpoids/obésité (RC=2,05, IC de 95 %: 1,29-3,25) chez les femmes. Chez les hommes, l’IMC moyen n’était pas différent d’une grappe de consommation de boissons à l’autre, et aucun profil de consommation de boissons n’était un prédicteur de surpoids et d’obésité.
Conclusion
En utilisant un fichier représentatif à l’échelle du pays, nous observons une association entre la consommation de boissons édulcorées au sucre et le surpoids et l’obésité chez les Canadiennes.
Mots clés: obésité, surpoids, boissons, femmes
Footnotes
Source of Support: Canadian Institutes of Health Research
Conflict of Interest: None to declare.
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