Published date: Nov 12 2017

Journal Title: Arab Journal of Nutrition and Exercise

Issue title: AJNE: Vol 1, No 1 (2016)

Pages: 37-51

DOI: 10.18502/ajne.v1i1.1222

Sirine Maher Zahrans_mz9@hotmail.comDepartment of Natural Sciences and Public Health, Zayed University, Abu Dhabi, UAE

Background: The increased consumption of sugar-sweetened beverages (SSBs) has been found to be an important contributor of calories in the diet. Whether there is an association between the increased consumption of SSBs and the high rates of overweight and obesity is still questionable. The objective of this study was to examine the relationship of weight status and beverages consumed of adults in a residential compound in Abu Dhabi.

Methods: Forty nine out of 65 residents form Al Reef Villas in Abu Dhabi agreed to participate in the study. Initial assessments including beverages frequency questionnaire and anthropometry measurements were completed for all participants. Participants who were identified as high beverages consumers were invited to a one-month intervention aiming to limit their beverages consumption. A final assessment was completed for all high consumers of beverages at the end of the one-month intervention.

Results: 55% of the subjects were overweight or obese, and 51% had abdominal obesity. 73% consumed 100% fruit juices with no added sugar, 65% consumed soft drinks, and 60 % consumed plain milk and milk products. The majority (69%) consumed tea beverages rather than coffee beverages. There was no association between weight & beverages consumption. The mean energy percentage from beverages was 14.2 (± 11.1) among all participants. 53% were considered high consumers of beverages and 47% (n=23) were considered low consumers of beverages. The one-month intervention showed a significant decrease in % of calories from beverages and weight in the overweight & obese intervention group (p<0.001 and p<0.05) respectively.

Conclusion: This study highlighted major health problems in Abu Dhabi including high rates of overweight, obesity, and abdominal obesity. The one-month intervention was effective in reducing the energy percentage from beverages and weight of the overweight and obese participants, but no association was found in this sample between beverages consumption and overweight and obesity.

[1] S. Basu, M. McKee, G. Galea, and D. Stuckler, “Relationship of soft drink consumption to global overweight, obesity, and diabetes: A cross-national analysis of 75 countries,” American Journal of Public Health, vol. 103, no. 11, pp. 2071–2077, 2013.

[2] L. A. Bazzano, T. Y. Li, K. J. Joshipura, and F. B. Hu, “Intake of fruit, vegetables, and fruit juices and risk of diabetes in women,” Diabetes Care, vol. 31, no. 7, pp. 1311–1317, 2008.

[3] B. A. Burt, J. L. Kolker, A. M. Sandretto, Y. Yuan, W. Sohn, and A. I. Ismail, “Dietary patterns related to caries in a low-income adult population,” Caries Research, vol. 40, no. 6, pp. 473–480, 2006.

[4] T. Chan, “Sugar-Sweetened Beverage Consumption Frequency vs,” in BMI, National Health and Nutrition Examination Survey 2003-2004.Thesis, Georgia State University, 2011.

[5] L. Chen, L. J. Appel, C. Loria et al., “Reduction in consumption of sugar-sweetened beverages is associated with weight loss: The PREMIER trial,” American Journal of Clinical Nutrition, vol. 89, no. 5, pp. 1299–1306, 2009.

[6] A. Denmark, The Effect of SSB Intake on BMI of College Students at the University of Kentucky, University of Kentucky, 2012.

[7] P. Fellows and A. Hampton, Small-scale food processing - A guide for appropriate equipment. London: Intermediate Technology Publications 1992.

[8] L. Harnack, J. Stang, and M. Story, “Soft drink consumption among US children and adolescents: Nutritional consequences,” Journal of the Academy of Nutrition and Dietetics, vol. 99, no. 4, pp. 436–441, 1999.

[9] Health Authority Abu Dhabi, Health Statistics, 2012.

[10] M. Inoue-Choi, K. Robien, A. Mariani, J. R. Cerhan, and K. E. Anderson, “Sugarsweetened beverage intake and the risk of type I and type II endometrial cancer among postmenopausal women,” Cancer Epidemiology, Biomarkers & Prevention, vol. 22, no. 12, pp. 2384–2394, 2013.

[11] B. W. Jensen, M. Nichols, S. Allender et al., “Inconsistent associations between sweet drink intake and 2-year change in BMI among Victorian children and adolescents,” Pediatric Obesity, vol. 8, no. 4, pp. 271–283, 2013.

[12] B. K. Kit, T. H. I. Fakhouri, S. Park, S. J. Nielsen, and C. L. Ogden, “Trends in sugarsweetened beverage consumption among youth and adults in the United States: 1999-2010,” American Journal of Clinical Nutrition, vol. 98, no. 1, pp. 180–188, 2013.

[13] J. L. Kolker, Y. Yuan, B. A. Burt et al., “Dental caries and dietary patterns in lowincome African American children,” Journal of Pediatric Dentistry, vol. 29, no. 6, pp. 457–464, 2007.

[14] V. S. Malik, B. M. Popkin, G. A. Bray, J.-P. Després, W. C. Willett, and F. B. Hu, “Sugarsweetened beverages and risk of metabolic syndrome and type 2 diabetes: a metaanalysis,” Diabetes Care, vol. 33, no. 11, pp. 2477–2483, 2010.

[15] D. Mozaffarian, T. Hao, E. B. Rimm, W. C. Willett, and F. B. Hu, “Changes in diet and lifestyle and long-term weight gain in women and men,” The New England Journal of Medicine, vol. 364, no. 25, pp. 2392–2404, 2011.

[16] M. Ng, T. Fleming, M. Robinson et al., “Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013,” The Lancet, vol. 384, no. 9945, pp. 766–781, 2014.

[17] B. M. Popkin, L. E. Armstrong, G. M. Bray, B. Caballero, B. Frei, and W. C. Willett, “A new proposed guidance system for beverage consumption in the United States,” American Journal of Clinical Nutrition, vol. 83, no. 3, pp. 529–542, 2006.

[18] F. Rodríguez-Artalejo, E. López García, L. Gorgojo et al., “Consumption of bakery products, sweetened soft drinks and yogurt among children aged 6-7 years: Association with nutrient intake and overall diet quality,” British Journal of Nutrition, vol. 89, no. 3, pp. 419–428, 2003.

[19] Wood. Robert, Johnson Foundation. The Negative Impact of Sugar-Sweetened Beverages on Childrens Health, University of Minnesota, School of Public Health, 2009.

[20] The CDC Guide to Strategies for Reducing the Consumption of Sugar-Sweetened Beverages, 2010.

[21] The Department of Nutrition at Harvard School of Public Health, FACT SHEET: Sugary drink supersizing and the obesity epidemic. 2012.

[22] J. J. Warren, K. Weber-Gasparoni, T. A. Marshall et al., “A longitudinal study of dental caries risk among very young low SES children,” Community Dentistry and Oral Epidemiology, vol. 37, no. 2, pp. 116–122, 2009.

[23] S. W. Ng, C. Ni Mhurchu, S. A. Jebb, and B. M. Popkin, “Patterns and trends of beverage consumption among children and adults in Great Britain, 1986–2009,” British Journal of Nutrition, vol. 108, no. 3, pp. 536–551, 2012.

[24] S. W. Ng, S. Zaghloul, H. Ali et al., “Nutrition transition in the United Arab Emirates,” European Journal of Clinical Nutrition, vol. 65, no. 12, pp. 1328–1337, 2011.