Journal of affective disorders · 2025
Sugar-sweetened beverages consumption trajectories and emotional and behavioral problems among children: A large retrospective cohort study in China.
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Ge Wen-Xin, Jin Zheng-Ge, Gui Zhao-Huan, Yao Li-Qing, Liang Jing-Hong, Bao Wen-Wen, Hu Li-Xin, Zhang Yu-Shan, Pu Ying-Qi, Wu Zhuo-Wen, Lin Si-Chun, Lai Qi-Qi, Chen Ya-Jun
Аннотация
BACKGROUND: The early associations of changes in sugar-sweetened beverages (SSBs) consumption trajectories on emotional and behavioral problems (EBPs) and their subdimensions among Chinese children remain poorly understood.
METHODS: A large retrospective cohort study was conducted on 37,986 children aged 10-12 years in Guangzhou, China. SSBs consumption was assessed using parent-reported questionnaires, while EBPs were measured with the Strengths and Difficulties Questionnaire. Group-based trajectory modeling identified distinct SSBs consumption trajectories across three consecutive years (2018-2020). Multiple linear regression models were applied to examine the associations between these trajectories and EBPs, adjusting for sociodemographic and lifestyle factors.
RESULTS: Three distinct SSBs consumption trajectories were identified: low-stable increase (85.13 %), high-rapid decrease (6.50 %), and low-rapid increase (8.37 %). Compared with the low-stable increase group, the high-rapid decrease and low-rapid increase groups presented higher total difficulty scores, with coefficients (β) [95 % confidence intervals (CIs)] of 0.412 (0.269 to 0.555) and 0.509 (0.381 to 0.636), respectively. Similar associations were observed for internalizing problems, externalizing problems, emotional symptoms, conduct problems, and hyperactivity/inattention problems, all of which exhibited significant dose-response relationships (P-values for trend <0.05). However, no significant difference in peer relationship problems was observed for children in the low-rapid increase group (β = -0.026, 95 % CI: -0.075 to 0.023) compared with the low-stable increase group.
CONCLUSIONS: This study reveals a significant association between children's SSBs consumption patterns and EBPs. Rapid reductions in SSBs intake showed a potential trend toward psychological improvement, suggesting that limiting SSBs consumption may benefit children's EBPs.
METHODS: A large retrospective cohort study was conducted on 37,986 children aged 10-12 years in Guangzhou, China. SSBs consumption was assessed using parent-reported questionnaires, while EBPs were measured with the Strengths and Difficulties Questionnaire. Group-based trajectory modeling identified distinct SSBs consumption trajectories across three consecutive years (2018-2020). Multiple linear regression models were applied to examine the associations between these trajectories and EBPs, adjusting for sociodemographic and lifestyle factors.
RESULTS: Three distinct SSBs consumption trajectories were identified: low-stable increase (85.13 %), high-rapid decrease (6.50 %), and low-rapid increase (8.37 %). Compared with the low-stable increase group, the high-rapid decrease and low-rapid increase groups presented higher total difficulty scores, with coefficients (β) [95 % confidence intervals (CIs)] of 0.412 (0.269 to 0.555) and 0.509 (0.381 to 0.636), respectively. Similar associations were observed for internalizing problems, externalizing problems, emotional symptoms, conduct problems, and hyperactivity/inattention problems, all of which exhibited significant dose-response relationships (P-values for trend <0.05). However, no significant difference in peer relationship problems was observed for children in the low-rapid increase group (β = -0.026, 95 % CI: -0.075 to 0.023) compared with the low-stable increase group.
CONCLUSIONS: This study reveals a significant association between children's SSBs consumption patterns and EBPs. Rapid reductions in SSBs intake showed a potential trend toward psychological improvement, suggesting that limiting SSBs consumption may benefit children's EBPs.