Korean J Community Nutr.  2018 Jun;23(3):193-201. 10.5720/kjcn.2018.23.3.193.

Health Behavior Factors Associated with Sugar-sweetened Beverage Intake among Adolescents

• Gu HM
• Park J
• Ryu SY

• KMID: 2415907
• DOI: http://doi.org/10.5720/kjcn.2018.23.3.193

Abstract

OBJECTIVES
This study was conducted to measure the intake rate of SSBs (sugar sweetened beverages) and examine the relationship between health behavior factors and SSBs intake by adolescents.
METHODS
This study used data from the 2016 Korea Youth Risk Behavior Web-based Survey, which included 65,528 study participants. SSBs intake frequency was measured by asking respondents if they consumed soda, high-caffeinated beverages, and sugary drinks during the previous week. Type of intake was categorized into three groups according to the number of consumed drinks [SSBs (0): None; SSBs (1-2): 1 or 2 consumed; SSBs (3): 3 consumed]. Multinomial logistic regression analysis was used to examine health behaviors that affected SSBs consumption.
RESULTS
Increased SSBs intake was significantly correlated with current smoking (OR=2.4, 95% CI=1.82-3.17), current drinking (OR=2.13, 95% CI=1.82-2.51), sedentary time increase (OR=1.31, 95% CI=1.15-1.49), three days or more physical activity per week (OR=1.12, 95% CI=1.02-1.24), < 8 hours sleep (OR=1.6, 95% CI=1.43-1.78), increased internet usage time (OR=1.44, 95% CI=1.25-1.65).
CONCLUSIONS
Sugar-sweetened beverages intake by Korean adolescents was associated with health behaviors such as smoking, drinking, sedentary time increase, more physical activity, poor sleeping time, and increased internet use time. Based on these results, it is necessary to recognize the influence of SSBs intake and to intervene to reduce consumption of SSBs.

Keyword

sugar-sweetened beverages; adolescents; health behaviors

MeSH Terms

Adolescent*
Beverages*
Drinking
Health Behavior*
Humans
Internet
Korea
Logistic Models
Motor Activity
Risk-Taking
Smoke
Smoking
Surveys and Questionnaires
Smoke

Reference

1. Centers for Disease Control and Prevention. The CDC guide to strategies for reducing the consumption of sugar-sweetened beverages. Atlanta: CDC;2010.

2. Ha KH, Joung HJ, Song YJ. Intake of dietary sugar and its influence on chronic disease in the Korean population. Food Sci Ind. 2016; 49(3):2–11.

3. Lee HS. Sugar database compilation for commonly consumed foods. Chungbuk: Korea Health Industry Development Institute;2015.

4. World Health Organization. Guideline: sugars intake for adults and children. Geneba: World Health Organization;2015.

5. Moynihan P, Petersen PE. Diet, nutrition and the prevention of dental diseases. Public Health Nutr. 2004; 7(1a):201–226.

6. Meyer BD, Lee JY. The confluence of sugar, dental caries, and health policy. J Dent Res. 2015; 94(10):1338–1340.

7. Malik VS, Popkin BM, Bray GA, Després JP, Hu FB. Sugar-sweetened beverages, obesity, type 2 diabetes mellitus, and cardiovascular disease risk. Circulation. 2010; 121(11):1356–1364.

8. Funtikova AN, Subirana I, Gomez SF, Fitó M, Elosua R, Benítez-Arciniega AA. Soft drink consumption is positively associated with increased waist circumference and 10-year incidence of abdominal obesity in Spanish adults. J Nutr. 2015; 145(2):328–334.

9. Shearrer GE, Daniels MJ, Toledo-Corral CM, Weigensberg MJ, Spruijt-Metz D, Davis JN. Associations among sugar sweetened beverage intake, visceral fat, and cortisol awakening response in minority youth. Physiol Behav. 2016; 167:188–193.

10. Bucher Della Torre S, Keller A, Depeyre JL, Kruseman M. Sugar-sweetened beverages and obesity risk in children and adolescents: a systematic analysis on how methodological quality may influence conclusions. J Acad Nutr Diet. 2016; 116(4):638–659.

11. Van Rompay MI, McKeown NM, Goodman E, Eliasziw M, Chomitz VR, Gordon CM. Sugar-sweetened beverage intake is positively associated with baseline triglyceride concentrations, and changes in intake are inversely associated with changes in HDL cholesterol over 12 months in a multi-ethnic sample of children. J Nutr. 2015; 145(10):2389–2395.

12. Zhang Z, Gillespie C, Welsh JA, Hu FB, Yang Q. Usual intake of added sugars and lipid profiles among the US adolescents: National Health and Nutrition Examination Survey, 2005–2010. J Adolesc Health. 2015; 56(3):352–359.

13. Welsh JA, Sharma A, Cunningham SA, Vos MB. Consumption of added sugars and indicators of cardiovascular disease risk among US adolescents. Circulation. 2011; 123(3):249–257.

14. Rodríguez LA, Madsen KA, Cotterman C, Lustig RH. Added sugar intake and metabolic syndrome in US adolescents: cross-sectional analysis of the National Health and Nutrition Examination Survey 2005–2012. Public Health Nutr. 2016; 19(13):2424–2434.

15. Kenney EL, Gortmaker SL. United States adolescents' television, computer, videogame, smartphone, and tablet use: associations with sugary drinks, sleep, physical activity, and obesity. J Pediatr. 2017; 182:144–149.

16. Ranjit N, Evans MH, Byrd-Williams C, Evans AE, Hoelscher DM. Dietary and activity correlates of sugar-sweetened beverage consumption among adolescents. Pediatrics. 2010; 126(4):e754–e761.

17. Scully M, Morley B, Niven P, Crawford D, Pratt IS, Wakefield M. Factors associated with high consumption of soft drinks among Australian secondary-school students. Public Health Nutr. 2017; 20(13):2340–2348.

18. Brug J, van Stralen MM, te Velde SJ, Chinapaw MJ, De Bourdeaudhuij I, Lien N. Differences in weight status and energy-balance related behaviors among schoolchildren across Europe: the ENERGY-project. PLoS One. 2012; 7(4):e34742.

19. Vereecken CA, Inchley J, Subramanian S, Hublet A, Maes L. The relative influence of individual and contextual socio-economic status on consumption of fruit and soft drinks among adolescents in Europe. Eur J Public Health. 2005; 15(3):224–232.

20. Doo YT. Health behavior and status associated with junk food consumption in adolescents: Data from the Korea youth risk behavior web-based survey. Korean J Health Educ Promot. 2016; 33(2):15–25.

21. Shin EK, Doo YT. The sugars intake through processed foods and its related factors in college students. J Agric Med Community Health. 2016; 41(2):85–97.

22. Yun HS. Factors affecting energy drinks consumption among adolescents. J Korean Soc Sch Health. 2016; 29(3):218–225.

23. Ko I. Survey on energy drink intake of middle school students and recognition of the risk of high caffeine intake [master's thesis]. Kyung Hee University;2013.

24. Costa BM, Hayley A, Miller P. Adolescent energy drink consumption: an Australian perspective. Appetite. 2016; 105:638–642.

25. Park S, Blanck HM, Sherry B, Brener N, O'Toole T. Factors associated with sugar-sweetened beverage intake among United States high school students. J Nutr. 2012; 142(2):306–312.

26. Lee SJ, Kim HC, Kim MR. Analysis on intake of energy drinks of high school students in Gyeoungbuk region. J East Asian Soc Diet Life. 2014; 24(6):924–932.

27. Oh JW, Jang JS. Associating factors on energy drinks intake of some middle school students in Incheon area. Korean J Food Nutr. 2017; 30(3):618–626.

28. Terry-McElrath YM, O'Malley PM, Johnston LD. Energy drinks, soft drinks, and substance use among US secondary school students. J Addict Med. 2014; 8(1):6.

29. Oteri A, Salvo F, Caputi AP, Calapai G. Intake of energy drinks in association with alcoholic beverages in a cohort of students of the School of Medicine of the University of Messina. Alcohol Clin Exp Res. 2007; 31(10):1677–1680.

30. Attila S, Çakir B. Energy-drink consumption in college students and associated factors. Nutrition. 2011; 27(3):316–322.

31. Shin KO, An CH, Hwang HJ, Choi KS, Chung KH. Effect of smoking and drinking habits on the nutrient intakes and health of middle and high school boy students. J Korean Soc Food Sci Nutr. 2009; 38(6):694–708.

32. Kim YS. Validation of a Korean version of the POSIT PRS to measure peer relations of adolescents who drink alcohol or smoke cigarettes. Ment Health Soc Work. 2015; 43(1):198–224.

33. Ryu SH. Energy drink consumption status and associated factors among male and female high school students in Deajon area. J Korean Soc Food Nutr. 2016; 29(6):899–910.

34. Keast RS, Swinburn BA, Sayompark D, Whitelock S, Riddell LJ. Caffeine increases sugar-sweetened beverage consumption in a free-living population: a randomised controlled trial. Br J Nutr. 2015; 113(2):366–371.

35. Kim H, Pae MK. Lifestyle, dietary behavior and snack preference of upper-grade elementary school students in Cheongju according to the usage time of smartphones. Korean J Community Nutr. 2017; 22(1):40–52.

36. Gebremariam MK, Chinapaw MJ, Bringolf-Isler B, Bere E, Kovacs E, Verloigne M. Screen-based sedentary time: Association with soft drink consumption and the moderating effect of parental education in European children: the ENERGY study. PLoS One. 2017; 12(2):e0171537.

37. Jo AR, Khil JM. Relationship of TV watching, internet usage and dietary habits of elementary school children in Gwangju and Jeonnam area. J Korean Soc Food Cult. 2010; 25(2):160–169.

38. Ahn SH, Lee EJ, Jeong KH. An analysis relationship between computer using habit and sleeping and eating habits in case of children. J Korean Assoc Comput Educ. 2013; 16(6):103–109.

39. Larson N, DeWolfe J, Story M, Neumark-Sztainer D. Adolescent consumption of sports and energy drinks: linkages to higher physical activity, unhealthy beverage patterns, cigarette smoking, and screen media use. J Nutr Educ Behav. 2014; 46(3):181–187.

40. Kumar G, Park S, Onufrak S. Perceptions about energy drinks are associated with energy drink intake among US youth. Am J Health Promot. 2015; 29(4):238–244.

41. Ra JS, Yun HK, Kim HS, Ryu JL. Associated factors on energy drink consumption among Korean high school students. J Korean Soc Sch Health. 2017; 30(1):48–58.