Beverage consumption patterns of children born at different risk of obesity

Obesity (Silver Spring). 2008 Aug;16(8):1802-8. doi: 10.1038/oby.2008.287. Epub 2008 May 29.


Background: Increased intake of sugar-sweetened beverages and fruit juice has been associated with overweight in children.

Objective: This study prospectively assessed beverage consumption patterns and their relationship with weight status in a cohort of children born at different risk for obesity.

Methods and procedures: Participants were children born at low risk (n = 27) or high risk (n = 22) for obesity based on maternal prepregnancy BMI (kg/m(2)). Daily beverage consumption was generated from 3-day food records from children aged 3-6 years and coded into seven beverage categories (milk, fruit juice, fruit drinks, caloric and non-caloric soda, soft drinks including and excluding fruit juice). Child anthropometric measures were assessed yearly.

Results: High-risk children consumed a greater percentage of daily calories from beverages at age 3, more fruit juice at ages 3 and 4, more soft drinks (including fruit juice) at ages 3-5, and more soda at age 6 compared to low-risk children. Longitudinal analyses showed that a greater 3-year increase in soda intake was associated with an increased change in waist circumference, whereas a greater increase in milk intake was associated with a reduced change in waist circumference. There was no significant association between change in intake from any of the beverage categories and change in BMI z-score across analyses.

Discussion: Children's familial predisposition to obesity may differentially affect their beverage consumption patterns. Future research should examine the extent to which dietary factors may play a role in pediatric body fat deposition over time.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Beverages*
  • Body Mass Index
  • Carbonated Beverages
  • Child
  • Child Nutritional Physiological Phenomena
  • Child, Preschool
  • Diet Records
  • Drinking Behavior*
  • Female
  • Fruit
  • Humans
  • Longitudinal Studies
  • Male
  • Milk
  • Obesity / epidemiology*
  • Obesity / physiopathology*
  • Prospective Studies
  • Risk Factors