Beverage Consumption of Filipino Children and Adolescents
(7th National Nutrition Survey): National Concerns
and Potential Policy Implications
Maria Julia Golloso-Gubat, RND, MSc, Edward Vincent J. Magtibay, RND,
BS, Glen Melvin P. Gironella, BS, Merlyn G. Tajan, BS, MPS-FNP, and Ma. Adrienne S. Constantino, RND, BS
Food and Nutrition Research Institute, Department of Science and Technology
DOST Complex, Bicutan, Taguig City
The extent of contribution of beverage intake to obesity in Filipino children and adolescents is unknown. The present study determined the amount of beverages consumed by Filipino children and adolescents and the association of energy intake from beverages with BMI. This is a cross-sectional study utilizing 24-hr food recall data from the 7th National Nutrition Survey (NNS). Mean amounts of beverages consumed and corresponding energy intake from beverages were calculated utilizing descriptive statistics; one-way ANOVA to determine and compare mean energy intake from beverages by BMI-for-age z-scores category. Pearson’s correlation analysis was utilized to test the association between the mean energy intake per day from beverages and BMI. Beverages contributed 17% and 3% to mean energy intake per day of pre-school children, and schoolchildren and adolescents, respectively. Association between energy intake from beverages and BMI was significant but weak. Results indicated that beverages contribute a small amount to mean energy intake of children and adolescents. Although consumption of sugar-sweetened beverages was noted, caloric intake from beverages was weakly associated with BMI. Nevertheless, beverage consumption pose potential nutritional consequences that can be translated into home and school guidelines/ recommendations and strengthen national policy options that would encourage healthy beverage choices.
Survey data from different countries indicated a growing epidemic of childhood obesity in developed and urbanized populations (Ebbeling et al. 2002; Lobstein et al. 2004; Wang and Lobstein 2006) and in developing countries (Wang and Lobstein 2006; Gupta et al. 2012). In the Philippines where undernutrition coexists, there is a continued increase in the prevalence rates of overweight and obesity in children and adolescents from 2003 to 2011. . . . . read more
ADAIR LS, POPKIN BM. 2005. Are child eating patterns being transformed globally? Obesity Research 13(7):1281-1299.
BALLEW C, KUESTER S, GILLESPIE C. 2000. Beverage choices affect adequacy of children’s nutrient intakes. Archives of Pediatrics and Adolescent Medicine 154(11): 1148-1152.
Berkey CS, Rockett HR, Field AE, Gillman MW, Colditz GA. 2004. Sugar-added beverages and adolescent weight change. Obesity Research 12(5):778-788.
BLACK RE, WILLIAMS SM, JONES IE, GOULDING A. 2002. Children who avoid drinking cow milk have low dietary calcium intakes and poor bone health. American Journal of Clinical Nutrition 76(3):675-680.
BLUM JW, Jacobsen DJ, Donnelly JE. 2005. Beverage consumption patterns in elementary school-aged children across a two-year period. Journal of the American College of Nutrition 24(2):93-98.
BOWMAN SA. 2002. Beverage choices of young females: changes and impact on nutrient intakes. Journal of the American Dietetic Association 102(9):1234–1239.
Briefel RR, Johnson CL. 2004. Secular trends in dietary intake in the United States. Annual Reviews in Nutrition 24:401– 431.
Collison KS, Zaidi MZ, Subhani SM, AL-Rubeaan K, Shoukri M, AL-Mohanna FA. 2010. Sugar-sweetened carbonated beverage consumption correlates with BMI, waist circumference and poor dietary choices in school children. BMC Public Health 10:234. doi:10.1186/1471-2458-10-234.
Ebbeling CB, Pawlak DB, Ludwig DS. 2002. Childhood obesity: Public-health crisis, common sense cure. Lancet 360(9331):473-482.
Fisher J, Mitchell D, Smiciklas-Wright H, Birch L. 2001. Maternal milk consumption predicts the tradeoff between milk and soft drinks in young girls’ diets. Journal of Nutrition 131(2):246–250.
FLETCHER JM, FRISVOLD D, TEFFT N. 2010. Taxing softdrinks and restricting access to vending machines to curb child obesity. Health Affairs (Millwood) 29(5):1059-1066. doi: 10.1377/hlthaff.2009.0725.
[FNRI-DOST] FOOD AND NUTRITION RESEARCH INSTITUTE-DEPARTMENT OF SCIENCE AND TECHNOLOGY. 2010. Philippine Nutrition Facts and Figures 2008. Bicutan, Taguig City, Metro Manila, Philippines: Food and Nutrition Research Institute-Department of Science and Technology. p 53-69.
[FNRI-DOST] FOOD AND NUTRITION RESEARCH INSTITUTE-DEPARTMENT OF SCIENCE AND TECHNOLOGY. 2012. Philippine Nutrition Facts and Figures 2011. Bicutan, Taguig City, Metro Manila, Philippines: Food and Nutrition Research Institute-Department of Science and Technology. p 40-62.
Garriguet D. 2008. Beverage consumption of children and teens. Health Reports 19(4):17-22.
Gonzales-Suarez C, GRIMMER-SOMERS K, WORLEY A. 2009. Is food intake associated with pre-adolescent obesity? An observational sudy in Metro Manila, Philippines. Asian Journal of Clinical Nutrition 1(3):107-119.
GUPTA N, GOEL K, SHAH P, MISRA A. 2012. Childhood obesity in developing countries: epidemiology, determinants, and prevention. Endocrine Reviews 33(1):48-70. doi:10.1210/er.2010-0028.
KALKWARF HJ, KHOURY JC, LANPHEAR BP. 2003. Milk intake during childhood and adolescence, adult bone density, and osteoporotic fractures in US women. American Journal of Clinical Nutrition 77(1):257-265.
KELLER KL, KIRZNER J, PIETROBELLI A, ST-ONGE MP, FAITH MS. 2009. Increased sweetened beverage intake is associated with reduced milk and calcium intake in 3- to 7-year-old children at multi-item laboratory lunches. Journal of the American Dietetic Association 109(3):497-501. doi:10.1016/j.jada.2008.11.030.
LACHENMEIER DW, WEGERT K, KUBALLA T, SCHNEIDER R, RUGE W, REUSCH H, ALEXY U, KERSTING M, WINKLER G. 2013. Caffeine intake from beverages in German children, adolescents and adults. Journal of Caffeine Research 3(1): 47-53.
Lobstein T, Baur L, Uauy R. 2004. IASO International Obesity Taskforce. Obesity in children and young people: A crisis in public health. Obesity Reviews 5(Suppl 1):4-104.
Ludwig DS, Peterson KE, Gortmaker SL. 2001. Relation between consumption of sugar-sweetened drinks and childhood obesity: A prospective, observational analysis. Lancet 357(9255): 505-508.
MIGUEL-BAQUILOD M. 2004. Global School-Based Student Health Survey (GSHS) in the Philippines 2003-2004 country report. Retrieved from: http://www.who.int/chp/gshs/2004_GSHS_PHL_Final_Report.pdf?ua=1 on 01 September 2015.
Mrdjenovic G, Levitsky DA. 2003. Nutritional and energetic consequences of sweetened drink consumption in 6- to 13 year-old children. Journal of Pediatrics 142(6):604-610.
Striegel-Moore RH, Thompson D, Affenito SG, Franko DL, Obarzanek E, Barton BA, Schreiber GB, Daniels SR, Schmidt M, Crawford PB. 2006. Correlates of beverage intake in adolescent girls: The National Heart, Lung and Blood Institute Growth and Health Study. Journal of Pediatrics 148(2):183-187.
TAHMASSEBI JF, DUGGAL MS, MALIK-KOTRU G, CURZON ME. 2006. Soft drinks and dental health: A review of the current literature. Journal of Dentistry 34(1):2-11.
VON POST-SKAGEGARD M, SAMUELSON G, KARLSTROM B, MOHSEN R, BERGLUND L, BRATTEBY LE. 2002. Changes in food habits in healthy Swedish adolescents during the transition from adolescence to adulthood. European Journal of Clinical Nutrition 56(6):532-538.
WAIZENEGGER J, CASTRIGLIA S, WINKLER G, SCHNEIDER R, RUGE W, KERSTING M, ALEXY U, LACHENMEIER DW. 2011. Caffeine exposure in children and adolescents consuming ready-to-drink coffee products. Journal of Caffeine Research 1(4):200-205.
Wang Y, Lobstein T. 2006. Worldwide trends in childhood overweight and obesity. International Journal of Pediatric Obesity 1(1):11-25.
YABAO RN, DUANTE CA, VELANDRIA FV, LUCAS M, KASSU A, NAKAMORI M, YAMAMOTO S. 2005. Prevalence of dental caries and sugar consumption among 6-12 year old schoolchildren in La Trinidad, Benguet, Philippines. European Journal of Clinical Nutrition 59(12):1429-1438.