학술논문

Association of Sodium and Sugar-Sweetened Beverage Intake With Cardiovascular Disease Risk Factors in Adolescents and Young Adults With Obesity.
Document Type
Article
Source
Clinical Pediatrics. Jun2024, Vol. 63 Issue 5, p669-679. 11p.
Subject
*RISK assessment
*CARDIOVASCULAR diseases
*FOOD consumption
*SECONDARY analysis
*BODY mass index
*CARDIOVASCULAR diseases risk factors
*DESCRIPTIVE statistics
*DIETARY sodium
*LONGITUDINAL method
*PEDIATRICS
*TEENAGERS' conduct of life
*WAIST circumference
*ODDS ratio
*CHILDHOOD obesity
*BLOOD pressure
*BEVERAGES
*SWEETENERS
*SOCIAL classes
*ADOLESCENCE
Language
ISSN
0009-9228
Abstract
Cardiovascular disease (CVD) risk factors in children have increased in prevalence. Dietary intake may modify risk. Data collected during a randomized trial testing the effect of a behavioral intervention on adiposity, blood pressure (BP), and left ventricular mass index (LVMI) were analyzed using multivariable regression to determine independent associations of sodium, sugar-sweetened beverage (SSB), and artificially sweetened beverage (ASB) intake with outcomes. High sodium intake (≥3.5 g) was associated with hypertensive BP (odds ratio 12.8; P =.027) in minimally adjusted models. High SSB intake (≥4 oz) was independently associated with body mass index z -score (β =.34; P =.035) and waist circumference z -score (β =.49; P =.022) in fully adjusted models. Any ASB intake was associated with LVMI in fully adjusted model (% change 38.22; P =.004). There was no effect modification between sodium and SSB on outcomes. Dietary factors explored in this study independently impacted CVD risk. Further effect measure modification should be explored in larger cohorts. [ABSTRACT FROM AUTHOR]