Soft drink intake is associated with weight gain, regardless of physical activity levels: The health workers cohort study
Por:
Gonzalez-Morales, Romina, Canto-Osorio, Francisco, Stern, Dalia, Sanchez-Romero, Luz Maria, Torres-Ibarra, Leticia, Hernandez-Lopez, Rubi, Rivera-Paredez, Berenice, Vidana-Perez, Desiree, Ramirez-Palacios, Paula, Salmeron, Jorge, Popkin, Barry M., Barrientos-Gutierrez, Tonatiuh
Publicada:
1 ene 2020
Resumen:
Background: While soft drink intake is positively associated with weight gain, no previous study has investigated whether leisure-time physical activity modifies this association. We estimated the association between soft drink intake and body weight, and explored if this association differed by levels of leisure-time physical activity. Methods: We used data from the health workers cohort study, a prospective study of Mexican adults (20 to 85y old), including 1268 health workers and their families, who were assessed at baseline (2004-2006) and follow-up (2010-2012). We assessed soft drink intake (cola and flavored soda) using a validated food frequency questionnaire. We measured leisure-time physical activity using a self-report questionnaire, and categorized according to the 2010 World Health Organization (WHO) recommendations. Body weight was measured by trained personnel. The association between changes in soft drink intake and weight change, and if such association varied by levels of physical activity was estimated through fixed-effect models. Results: An increase in one serving per day of soft drink was associated with 0.10 kg (95% CI 0.00, 0.19) increase in weight per year. This association was not modified by leisure-time physical activity, as demonstrated by the magnitude of the coefficient of the interaction between soft drink, leisure-time physical activity, and time (-0.03 kg, 95% CI-0.27 to 0.21); people who complied with the WHO physical activity recommendations gained 0.36 kg/year per serving of soft drink, compared to 0.48 kg/year for people without sufficient physical activity. Conclusions: Soft drink intake was associated with weight gain. Leisure-time physical activity did not modify the association between soft drink intake and weight gain. This finding challenges the idea that leisure-time physical activity is sufficient to counterbalance weight gain associated to soft drink intake. © 2020 The Author(s).
Filiaciones:
Gonzalez-Morales, Romina:
Center for Population Health Research, National Institute of Public Health, Cuernavaca, 62100, Mexico
Natl Inst Publ Hlth, Ctr Populat Hlth Res, Cuernavaca 62100, Morelos, Mexico
Canto-Osorio, Francisco:
Center for Population Health Research, National Institute of Public Health, Cuernavaca, 62100, Mexico
Natl Inst Publ Hlth, Ctr Populat Hlth Res, Cuernavaca 62100, Morelos, Mexico
Stern, Dalia:
CONACyT-Center for Population Health Research, National Institute of Public Health, Cuernavaca, Mor., Mexico
CONACyT Ctr Populat Hlth Res, Natl Inst Publ Hlth, Cuernavaca, Morelos, Mexico
Sanchez-Romero, Luz Maria:
Center for Population Health Research, National Institute of Public Health, Cuernavaca, 62100, Mexico
Natl Inst Publ Hlth, Ctr Populat Hlth Res, Cuernavaca 62100, Morelos, Mexico
Torres-Ibarra, Leticia:
Center for Population Health Research, National Institute of Public Health, Cuernavaca, 62100, Mexico
Natl Inst Publ Hlth, Ctr Populat Hlth Res, Cuernavaca 62100, Morelos, Mexico
Hernandez-Lopez, Rubi:
Center for Research in Policies, Population and Health, Faculty of Medicine, National Autonomous University of Mexico, Mexico city, Mexico
Univ Nacl Autonoma Mexico, Ctr Res Policies Populat & Hlth, Fac Med, Mexico City, DF, Mexico
Rivera-Paredez, Berenice:
Center for Research in Policies, Population and Health, Faculty of Medicine, National Autonomous University of Mexico, Mexico city, Mexico
Univ Nacl Autonoma Mexico, Ctr Res Policies Populat & Hlth, Fac Med, Mexico City, DF, Mexico
Vidana-Perez, Desiree:
Center for Population Health Research, National Institute of Public Health, Cuernavaca, 62100, Mexico
Natl Inst Publ Hlth, Ctr Populat Hlth Res, Cuernavaca 62100, Morelos, Mexico
Ramirez-Palacios, Paula:
Epidemiological Research and Health Services Unit, Mexican Institute of Social Security, Cuernavaca, Mor., Mexico
Mexican Inst Social Secur, Epidemiol Res & Hlth Serv Unit, Cuernavaca, Morelos, Mexico
Salmeron, Jorge:
Center for Research in Policies, Population and Health, Faculty of Medicine, National Autonomous University of Mexico, Mexico city, Mexico
Univ Nacl Autonoma Mexico, Ctr Res Policies Populat & Hlth, Fac Med, Mexico City, DF, Mexico
Popkin, Barry M.:
Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Nutr, Chapel Hill, NC 27515 USA
Barrientos-Gutierrez, Tonatiuh:
Center for Population Health Research, National Institute of Public Health, Cuernavaca, 62100, Mexico
Natl Inst Publ Hlth, Ctr Populat Hlth Res, Cuernavaca 62100, Morelos, Mexico
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