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https://www.arca.fiocruz.br/handle/icict/34605
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ArticleCopyright
Open access
Embargo date
2020-08-05
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- INI - Artigos de Periódicos [3397]
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DISCOURAGING SOFT DRINK CONSUMPTION REDUCES BLOOD GLUCOSE AND CHOLESTEROL OF BRAZILIAN ELEMENTARY STUDENTS: SECONDARY ANALYSIS OF A RANDOMIZED CONTROLLED TIAL
Carbonated beverage
Randomized controlled trials
Brazil
Children
Blood glucose
Serum cholesterol
Hypercholesterolemia
Author
Affilliation
Federal University of Rio de Janeiro. Institute of Nutrition. Department of Social and Applied Nutrition. Rio de Janeiro, RJ, Brazil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Federal University of Mato Grosso. Institute of Public Health. Department of Epidemiology. Cuiabá, MT, Brazil.
State University of Rio de Janeiro. Institute of Biology. Laboratory of Nutrition Physiology and Development. Department of Physiological Sciences. Rio de Janeiro, RJ, Brazil.
Federal University of Rio de Janeiro. Institute of Nutrition. Department of Social and Applied Nutrition. Rio de Janeiro, RJ, Brazil.
State University of Rio de Janeiro. Institute of Social Medicine. Department of Epidemiology. Rio de Janeiro, RJ, Brazil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Federal University of Mato Grosso. Institute of Public Health. Department of Epidemiology. Cuiabá, MT, Brazil.
State University of Rio de Janeiro. Institute of Biology. Laboratory of Nutrition Physiology and Development. Department of Physiological Sciences. Rio de Janeiro, RJ, Brazil.
Federal University of Rio de Janeiro. Institute of Nutrition. Department of Social and Applied Nutrition. Rio de Janeiro, RJ, Brazil.
State University of Rio de Janeiro. Institute of Social Medicine. Department of Epidemiology. Rio de Janeiro, RJ, Brazil.
Abstract
The objective of this study was to evaluate the effect of an educational program aimed at discouraging sugar-sweetened carbonated beverages intake on blood fasting glucose and total cholesterol. Forty-seven fourth grade classes in twenty-two schools have participated in a randomized controlled trial aimed at discouraging soft drink intake in order to prevent excessive weight gain during a school year, in the city of Niterói, Rio de Janeiro. Of 1140 randomized students, 478 (238 in intervention group and 240 in control group) aged 9–12 years old had at least one result on biochemical data and were analyzed to evaluate the effect of the intervention on changes in fasting glucose and total cholesterol at the end of follow-up. Intention-to-treat analysis was performed taking into account the cluster (classes) effect. Statistically significant decrease in fasting glucose (−9.12 mg/dLvs. +0.51 mg/dL,pb0.001) and total cholesterol (−10.34 mg/dLvs. +2.14 mg/dL,pb0.001) were observed among students in the intervention group in comparison with controls. In addition, the prevalence of impaired fasting glucose and hypercholesterolemia decreased in interventions and increased in controls(−2.4%vs. +8.8%,p=0.04and−10.0%vs.+2.7%,p= 0.03, respectively). Discouraging soft drink consumption among children has led to a reduction in fasting glucose and total cholesterol, suggesting that these beverages may play a role in the development of cardiometabolic risk in childhood.
Keywords
Soft drinksCarbonated beverage
Randomized controlled trials
Brazil
Children
Blood glucose
Serum cholesterol
Hypercholesterolemia
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