Background: Taiwan has the highest density of convenient stores beverage shops in the world. That makes the accessibility of sugar-sweetened beverage (SSB) very easy for teenagers. Excessive consumption of SSB may be associated with imbalance intakes of nutrients and health problems. Objective: We examined the 14 years change of SSB intakes in teenagers of Taiwan, the possible reason for their amount of SSB intakes, and the association of SSB and biomarkers and nutrient intakes. Methods: Data from the Nutrition and Health Survey in Taiwan (NAHSIT) was used. Teens aged between 13 and 19 years old in 1993-1996 and 2010-2011 surveys were compared. SSB was taken from the 24-hr recall. SAS (version 9.4) callable SUDAAN (version 11.0) was used for the statistical analysis to adjust for sampling scheme. Log transformation was used to the non-normal variables before linear models were used. SSB were grouped into non-drinkers, low (1-358 g), moderated (359-667 g), and high (≥667 g) based on the intakes in 1993-1996. Results: The total intakes of SSB did not change much between surveys. However, the intakes of soda decreased significantly, and the intakes of coffee or tea increased significantly over time. Those in senior high school or ever smoked drank more than others. Alcohol drinking or with single parent was associated with higher amount intakes in 2010-2011. Low density lipoprotein (LDL-C), serum uric acid, intakes of carbohydrates and vitamin C increased as intakes of SSB increased (P-trend < 0.05), whereas protein, fat, cholesterol, calcium, phosphorus, vitamin B1, and vitamin E decreased as intakes of SSB increased (P-trend < 0.05). Conclusions: Coffee and tea (most sweetened) has become the most common SSB in Taiwan in recent years. The association between high intakes of SSB and LDL-C and serum uric acid as well as imbalance intakes of nutrients were observed in adolescents.
Date:
2017-11
Relation:
European Journal of Public Health. 2017 Nov;27(Suppl. 3):511.
