Skip to main content Skip to main navigation menu Skip to site footer
International Journal of Nutrology
Articles
DOI: 10.1055/s-0040-1705628
Submitted: 02-07-2022
Published: 02-07-2022

Consumo de bebidas por crianças brasileiras com idades entre 4 e 11 anos de idade e seu impacto na ingestão de açúcar de adição: Estudo de amostragem nacional

Associate Professor Pediatrics, Paulista School of Medicine (Escola Paulista de Medicina-UNIFESP) and Feeding Difficulties Center, Pensi Institute, Sabara Children’s Hospital
PhD Student, Federal University of São Paulo-UNIFESP, Pediatrics Department
Post-Doctoral Student and Professor, São Judas Tadeu University, Program of Sciences of Aging
Full Professor, University of Ribeirão Preto
sugar sweetened beverages obesity liquids

Abstract

Objective: to evaluate the average consumption of beverages among preschool and school Brazilian children (aged 4 to 11 years), as well as the times and the characteristics of consumption, considering the contribution of each drink intake on added sugar. Methodology: nationally representative sample using a structured questionnaire (secondary analysis) accounted for three days, answered for the mothers of children aged 4-6 years (n = 1,391 children) and 7 to 11 years (n = 2,365 children) of all regions of the country on the liquid consumed with a focus on added sugar intake, as well as the places and people who followed this consumption. Results: At breakfast, the purchased fruit juice and homemade chocolate were the biggest contributors to the consumption of added sugar. In the morning snack, the two drinks with higher contribution were soft drinks and acquired fruit juice. During lunch, always appears the acquired fruit juice, however, differences were observed between age groups, and for children between 4 and 6 years old, together with the purchased fruit juice, appears soft drink, but between 7 and 11 years, also appears milk chocolate. In the afternoon snack, although the fruit acquired juice is present throughout the group studied, among older children soft drinks are more consumed than milk chocolate, which is more common among younger children. Regarding the dinner, acquired fruit juice was always present in the whole study group, but the soft drinks appeared with relevance in older children (7-11 years). Conclusions: sugar sweetened drinks, especially consumed at home and in the presence of caregivers, contribute significantly to the addition of sugar intake in the diet of children, especially the acquired fruit juices, soft drinks and chocolaty drinks.

Metrics

Metrics Loading ...

References

  1. Campbell SM. Hydration needs throughout the lifespan. Journal of the American College of Nutrition. 2007;26(5 Suppl):585s-7s.
  2. Medicine Io. Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate. Washington: IOM, 2005.
  3. Drewnowski A. Energy density, palatability, and satiety: implications for weight control. Nutrition reviews. 1998;56(12):347-53.
  4. Perez-Escamilla R, Obbagy JE, Altman JM, Essery EV, McGrane MM, Wong YP, et al. Dietary energy density and body weight in adults and children: a systematic review. Journal of the Academy of Nutrition and Dietetics. 2012;112(5):671-84.
  5. WHO. Report of the commission on ending childhood obesity Geneva: WHO; 2016 [Available from: http://apps.who.int/iris/bitstream/10665/204176/1/9789241510066_eng.pdf?ua=1.
  6. Fisberg M, Del’Arco APWT, Previdelli A, Tosatti AM, Nogueira-de-Almeida CA. Hábito alimentar nos lanches intermediários de crianças escolares brasileiras de 7 a 11 anos: estudo em amostra nacional representativa. International Jounal of Nutrology. 2015;In Press.
  7. Fisberg M, Del’ Arco APWT, Previdelli ÁN, Tosatti AM, Nogueira-de-Almeida CA. Between meal snacks and food habits in preschool brazilian children: national representative sample survey. International Journal of Nutrology. 2015;8(4):14.
  8. American Academy of Pediatrics: The use and misuse of fruit juice in pediatrics. Pediatrics. 2001;107(5):1210-3.
  9. Alexy U, Sichert-Hellert W, Kersting M, Manz F, Schoch G. Fruit juice consumption and the prevalence of obesity and short stature in german preschool children: results of the DONALD Study. Dortmund Nutritional and Anthropometrical Longitudinally Designed. Journal of pediatric gastroenterology and nutrition. 1999;29(3):343-9.
  10. Dennison BA, Rockwell HL, Baker SL. Excess fruit juice consumption by preschool-aged children is associated with short stature and obesity. Pediatrics. 1997;99(1):15-22.
  11. Wojcicki JM, Heyman MB. Reducing childhood obesity by eliminating 100% fruit juice. American journal of public health. 2012;102(9):1630-3.
  12. Imamura F, O’Connor L, Ye Z, Mursu J, Hayashino Y, Bhupathiraju SN, et al. Consumption of sugar sweetened beverages, artificially sweetened beverages, and fruit juice and incidence of type 2 diabetes: systematic review, meta-analysis, and estimation of population attributable fraction. BMJ (Clinical research ed). 2015;351:h3576.
  13. Xi B, Li S, Liu Z, Tian H, Yin X, Huai P, et al. Intake of fruit juice and incidence of type 2 diabetes: a systematic review and meta-analysis. PloS one. 2014;9(3):e93471.
  14. Chan TF, Lin WT, Huang HL, Lee CY, Wu PW, Chiu YW, et al. Consumption of sugar-sweetened beverages is associated with components of the metabolic syndrome in adolescents. Nutrients. 2014;6(5):2088-103.
  15. Colchero MA, Popkin BM, Rivera JA, Ng SW. Beverage purchases from stores in Mexico under the excise tax on sugar sweetened beverages: observational study. BMJ (Clinical research ed). 2016;352:h6704.
  16. Contreras M, Blandon EZ, Persson LA, Hjern A, Ekstrom EC. Socio-economic resources, young child feeding practices, consumption of highly processed snacks and sugar-sweetened beverages: a population-based survey in rural northwestern Nicaragua. BMC public health. 2015;15:25.
  17. Kalimbira A, Gondwe E. Consumption of sweetened beverages among school-going children in a densely populated township in Lilongwe, Malawi. Malawi medical journal : the journal of Medical Association of Malawi. 2015;27(2):55-9.
  18. Zheng M, Rangan A, Olsen NJ, Bo Andersen L, Wedderkopp N, Kristensen P, et al. Sugar-sweetened beverages consumption in relation to changes in body fatness over 6 and 12 years among 9-year-old children: the European Youth Heart Study. European journal of clinical nutrition. 2014;68(1):77-83.
  19. Hernandez-Cordero S, Barquera S, Rodriguez-Ramirez S, Villanueva-Borbolla MA, Gonzalez de Cossio T, Dommarco JR, et al. Substituting water for sugar-sweetened beverages reduces circulating triglycerides and the prevalence of metabolic syndrome in obese but not in overweight Mexican women in a randomized controlled trial. The Journal of nutrition. 2014;144(11):1742-52.
  20. Onufrak SJ, Park S, Sharkey JR, Merlo C, Dean WR, Sherry B. Perceptions of tap water and school water fountains and association with intake of plain water and sugar-sweetened beverages. The Journal of school health. 2014;84(3):195-204.
  21. DeBoer MD, Scharf RJ, Demmer RT. Sugar-sweetened beverages and weight gain in 2- to 5-year-old children. Pediatrics. 2013;132(3):413-20.
  22. Farris AR, Misyak S, Duffey KJ, Mann GR, Davis GC, Hosig K, et al. A comparison of fruits, vegetables, sugar-sweetened beverages, and desserts in the packed lunches of elementary school children. Childhood obesity (Print). 2015;11(3):275-80.
  23. Gomez-Miranda LM, Jimenez-Cruz A, Bacardi-Gascon M. [Randomized clinical trials on the sugar sweetened beverages on adiposity in olders than 13 y; systematic review]. Nutricion hospitalaria. 2013;28(6):1792-6.
  24. Nickelson J, Lawrence JC, Parton JM, Knowlden AP, McDermott RJ. What proportion of preschool-aged children consume sweetened beverages? The Journal of school health. 2014;84(3):185-94.
  25. Bray GA, Popkin BM. Calorie-sweetened beverages and fructose: what have we learned 10 years later. Pediatric obesity. 2013;8(4):242-8.
  26. Wilson JF. Preschool children maintain intake of other foods at a meal including sugared chocolate milk. Appetite. 1991;16(1):61-7.
  27. Golden NH. Optimizing bone health in Brazilian teens: using a population-based survey to guide targeted interventions to increase dietary calcium intake. Jornal de Pediatria.
  28. SBP. Manual de orientação do departamento de nutrologia: alimentação do lactente ao adolescente, alimentação na escola, alimentação saudável e vínculo mãe-filho, alimentação saudável e prevenção de doenças, segurança alimentar. Rio de Janeiro: Sociedade Brasileira de Pediatria, 2012.
  29. Hanks AS, Just DR, Wansink B. Chocolate milk consequences: a pilot study evaluating the consequences of banning chocolate milk in school cafeterias. PloS one. 2014;9(4):e91022.
  30. Kalkwarf HJ, Khoury JC, Lanphear BP. Milk intake during childhood and adolescence, adult bone density, and osteoporotic fractures in US women. The American journal of clinical nutrition. 2003;77(1):257-65.
  31. Nicklas TA, Baranowski T, Baranowski JC, Cullen K, Rittenberry L, Olvera N. Family and child-care provider influences on preschool children’s fruit, juice, and vegetable consumption. Nutrition reviews. 2001;59(7):224-35.
  32. Pettigrew S, Jongenelis M, Chapman K, Miller C. Factors influencing the frequency of children’s consumption of soft drinks. Appetite. 2015;91:393-8.
  33. Emond JA, Smith ME, Mathur SJ, Sargent JD, Gilbert-Diamond D. Children’s Food and Beverage Promotion on Television to Parents. Pediatrics. 2015;136(6):1095-102.
  34. Park S, Li R, Birch L. Mothers’ child-feeding practices are associated with children’s sugar-sweetened beverage intake. The Journal of nutrition. 2015;145(4):806-12.

How to Cite

Fisberg, M., Del’Arco, A. P. W. T., Previdelli, A. N., & Nogueira-de-Almeida, C. A. (2022). Consumo de bebidas por crianças brasileiras com idades entre 4 e 11 anos de idade e seu impacto na ingestão de açúcar de adição: Estudo de amostragem nacional. International Journal of Nutrology, 9(2), 169–181. https://doi.org/10.1055/s-0040-1705628