Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2001 Feb 17;357(9255):505-8.
doi: 10.1016/S0140-6736(00)04041-1.

Relation Between Consumption of Sugar-Sweetened Drinks and Childhood Obesity: A Prospective, Observational Analysis


Relation Between Consumption of Sugar-Sweetened Drinks and Childhood Obesity: A Prospective, Observational Analysis

D S Ludwig et al. Lancet. .


Background: The rising prevalence of obesity in children has been linked in part to the consumption of sugar-sweetened drinks. Our aim was to examine this relation.

Methods: We enrolled 548 ethnically diverse schoolchildren (age 11.7 years, SD 0.8) from public schools in four Massachusetts communities, and studied them prospectively for 19 months from October, 1995, to May, 1997. We examined the association between baseline and change in consumption of sugar-sweetened drinks (the independent variables), and difference in measures of obesity, with linear and logistic regression analyses adjusted for potentially confounding variables and clustering of results within schools.

Findings: For each additional serving of sugar-sweetened drink consumed, both body mass index (BMI) (mean 0.24 kg/m2; 95% CI 0.10-0.39; p=0.03) and frequency of obesity (odds ratio 1.60; 95% CI 1.14-2.24; p=0.02) increased after adjustment for anthropometric, demographic, dietary, and lifestyle variables. Baseline consumption of sugar-sweetened drinks was also independently associated with change in BMI (mean 0.18 kg/m2 for each daily serving; 95% CI 0.09-0.27; p=0.02).

Interpretation: Consumption of sugar-sweetened drinks is associated with obesity in children.

Comment in

  • How sugar-containing drinks might increase adiposity in children.
    Bellisle F, Rolland-Cachera MF. Bellisle F, et al. Lancet. 2001 Feb 17;357(9255):490-1. doi: 10.1016/S0140-6736(00)04034-4. Lancet. 2001. PMID: 11229661 No abstract available.
  • Causes of obesity.
    Fishbein L. Fishbein L. Lancet. 2001 Jun 16;357(9272):1977; author reply 1978-9. doi: 10.1016/S0140-6736(00)05045-5. Lancet. 2001. PMID: 11430390 No abstract available.
  • Causes of obesity.
    Henry J, Warren J. Henry J, et al. Lancet. 2001 Jun 16;357(9272):1978-9. doi: 10.1016/S0140-6736(00)05046-7. Lancet. 2001. PMID: 11729841 No abstract available.

Similar articles

See all similar articles

Cited by 432 articles

See all "Cited by" articles

Publication types

LinkOut - more resources