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Beverage Intake During Pregnancy and Childhood Adiposity
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OBJECTIVES: To examine associations of sugar sweetened beverages
(SSBs) and other beverage intake during pregnancy with adiposity
in midchildhood (median age of 7.7 years). METHODS: We studied
1078 mother-child pairs in Project Viva, a prospective prebirth
cohort study. Exposures were sugary and nonsugary beverage
intake assessed in the first and second trimesters of pregnancy
by using a food frequency questionnaire. Main outcome measures
were offspring overall adiposity (BMI z score, fat mass index
[FMI, kg/m2] from dual-energy radiograph absorptiometry, and sum
of subscapular [SS] and triceps [TR] skinfold thicknesses) and
central adiposity (SS:TR ratio and waist circumference).
RESULTS: In the second trimester, mean (SD) SSB intake was 0.6
(0.9) servings per day. Thirty-two percent of mothers were
multiracial or people of color, 68% were college graduates, and
10% smoked during pregnancy. In midchildhood, mean (SD) BMI z
score was 0.38 (1.00), and the FMI was 4.4 (1.9) kg/m2. In
multivariable models adjusted for multiple maternal and child
covariates, each additional serving per day of SSB was
associated with higher BMI z scores (0.07 U; 95% confidence
interval [CI]: -0.01 to 0.15), FMI (0.15 kg/m2; 95% CI: -0.01 to
0.30), SS + TR (0.85 mm; 95% CI: 0.06 to 1.64), and waist
circumference (0.65 cm; 95% CI: 0.01 to 1.28). Stratified models
suggested that the associations were due primarily to maternal,
not child, SSB intake and to sugary soda rather than fruit
drinks or juice. We did not find differences between boys and
girls, nor did we observe the effects of sugar-free soda or of
first-trimester beverage intake. CONCLUSIONS: Higher SSB intake
during the second trimester of pregnancy was associated with
greater adiposity in midchildhood.
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GILLMAN, Matthew w., RIFAS-SHIMAN, Sheryl l., FERNÁNDEZ BARRÉS, Silvia, KLEINMAN, Ken, TAVERAS, Elsie m., OKEN, Emily. Beverage Intake During Pregnancy and Childhood Adiposity. _Pediatrics_. 2017. Vol. 140, núm. 2. [consulta: 21 de gener de 2026]. ISSN: 0031-4005. [Disponible a: https://hdl.handle.net/2445/114462]