Sex differences in the association between sugar-sweetened beverages consumption and metabolic risks among the working-age population in Taiwan

Chun-Tung Kuo; Duan-Rung Chen; Chang-Chuan Chan; Yen-Po Yeh; Hsiu-Hsi Chen

doi:10.1017/S1368980022001549

Public Health Nutrition (Mar 2023)

Sex differences in the association between sugar-sweetened beverages consumption and metabolic risks among the working-age population in Taiwan

Chun-Tung Kuo,
Duan-Rung Chen,
Chang-Chuan Chan,
Yen-Po Yeh,
Hsiu-Hsi Chen

Affiliations

Chun-Tung Kuo: ORCiD; Innovation and Policy Center for Population Health and Sustainable Environment, College of Public Health, National Taiwan University, Taipei, Taiwan Institute of Health Behaviors and Community Sciences, College of Public Health, National Taiwan University, 17 Xuzhou Road, Room 636, Zhongzheng District, Taipei, Taiwan
Duan-Rung Chen: ORCiD; Innovation and Policy Center for Population Health and Sustainable Environment, College of Public Health, National Taiwan University, Taipei, Taiwan Institute of Health Behaviors and Community Sciences, College of Public Health, National Taiwan University, 17 Xuzhou Road, Room 636, Zhongzheng District, Taipei, Taiwan
Chang-Chuan Chan: Innovation and Policy Center for Population Health and Sustainable Environment, College of Public Health, National Taiwan University, Taipei, Taiwan Institute of Environmental and Occupational Health Science, College of Public Health, National Taiwan University, Taipei, Taiwan
Yen-Po Yeh: Innovation and Policy Center for Population Health and Sustainable Environment, College of Public Health, National Taiwan University, Taipei, Taiwan Changhua County Public Health Bureau, Changhua County, Taiwan Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan
Hsiu-Hsi Chen: Innovation and Policy Center for Population Health and Sustainable Environment, College of Public Health, National Taiwan University, Taipei, Taiwan Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan

DOI: https://doi.org/10.1017/S1368980022001549
Journal volume & issue: Vol. 26
pp. 653 – 660

Abstract

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Abstract Objective: Sugar-sweetened beverages (SSB) are linked to increased metabolic risk. However, the sex differences in the relationship between SSB intake and adverse health effects remain unclear. Therefore, the present study examined the association between SSB consumption and metabolic risks among working-age males and females from Taiwanese communities. Design: A community-based study utilised data from a comprehensive health screening project conducted by the Public Health Bureau in Changhua County, Taiwan. Metabolic risks included waist circumference, systolic blood pressure, diastolic blood pressure, total cholesterol, TAG, LDL cholesterol and fasting glucose level using serum tests. Setting: Participants were recruited in Changhua County, Taiwan. Participants: Between 2005 and 2014, 92 724 citizens participated in the health screening; our data analysis included 75 278 respondents between 30 and 64. Results: The results showed that the frequency of SSB consumption was associated with abnormal waist circumference and elevated total cholesterol, TAG, LDL and glucose in both men and women. Increased SSB consumption frequency was associated with elevated glucose and hypertension in women. Even a slight increase in SSB intake frequency was related to raising the metabolic risks. Similar patterns were evident when models included BMI; however, the associations were attenuated. In the BMI-stratified subgroup analysis, the relationship between SSB consumption and metabolic risks was more pronounced in participants without obesity. Conclusion: The present study suggests that SSB consumption carries metabolic risk among working-age Taiwanese, particularly women and those without obesity. Health promotion programmes should raise awareness of the health hazards associated with SSB.

Published in Public Health Nutrition

ISSN: 1368-9800 (Print); 1475-2727 (Online)
Publisher: Cambridge University Press
Country of publisher: United Kingdom
LCC subjects: Medicine: Public aspects of medicine; Medicine: Internal medicine: Specialties of internal medicine: Nutritional diseases. Deficiency diseases
Website: https://www.cambridge.org/core/journals/public-health-nutrition

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