Nutrición Hospitalaria 03442 / http://dx.doi.org/10.20960/nh.03442

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Trabajo Original

Are Spanish children drinking enough and healthily? An update of the Liq.in7 cross-sectional survey in children and adolescents

Iris Iglesia-Altaba, María L Miguel-Berges, Clementine Morin, Luis A. Moreno-Aznar

Prepublicado: 2021-04-07

Publicado: 2021-06-02

VOLUMEN 38, NÚM. 3, mayo-junio (2021), PAG. 446-457

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Introduction: insufficient and/or unhealthy total fluid intake (TFI), especially in the early stages of life, may have a negative impact on health. Objective: to assess the current patterns of fluid consumption in children and adolescents in Spain, including drinking occasions and locations (e.g., at home or at school), and to compare TFI with adequate intake (AI) of water from fluids as recommended by the European Food Safety Agency (EFSA). Methodology: a Spanish cross-sectional study was performed assessing TFI from all sources of fluid consumption according to drinking occasions during the day and location, using a validated liquid intake 7-day record (Liq.in7). Data collection occurred between April and May, 2018. A sample of 146 (63 % boys) children (4-9 years old) and adolescents (10-17 years old) was included. Parents reported such information when children were under 16 years. Results: a high proportion of children and adolescents did not meet EFSA-derived reference values for fluid intake (73 % and 72 %, respectively). Forty percent of children and about 50 % of adolescents consumed at least one serving of sugar-sweetened beverage (SSB) per day, while about 20 % consumed only one or less servings of water per day. Consumption during the main meals was most important for both children and adolescents (representing 50 % and 54 % of TFI, respectively), and was mainly driven by water (62 %). Consumption at home in children (70 % of TFI) was made of water (47 %). In the same way, at school, water contributed to half intake. However, adolescent girls at school drink more SSBs (41 %) than water (34 %), the former being the most consumed fluid. At other locations, adolescent boys also drink more SSBs (51 %) than either water (29 %) or milk and derivatives (10 %). Conclusion: the drinking habits of Spanish young populations are far removed from current recommendations because of a low fluid intake, specifically water, and a high proportion of SSB consumption in children and adolescents. Interventions to ensure that EFSA TFI recommendations are met are of special importance for children and adolescents, with — according to our results — a special focus on male adolescents.

Palabras Clave: Total fluid intake. Children and adolescents. European Food Safety Authority.

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Bibliografía
Artículos Relacionados

EFSA Panel on Dietetic Products N, and Allergies (NDA). Scientific Opinion on the substantiation of health claims related to water and maintenance of normal physical and cognitive functions, maintenance of normal thermoregulation and “basic requirement of all living things”. EFSA Journal 2011;9(4):2075.

Perrier ET, Armstrong LE, Bottin JH, Clark WF, Dolci A, Guelinckx I, et al. Hydration for health hypothesis: a narrative review of supporting evidence. European journal of nutrition 2021;60(3):1167-80.
DOI: 10.1007/s00394-020-02296-z

Khan NA, Raine LB, Drollette ES, Scudder MR, Cohen NJ, Kramer AF, et al. The Relationship between Total Water Intake and Cognitive Control among Prepubertal Children. Ann Nutr Metab 2015;66(Suppl 3):38-41.
DOI: 10.1159/000381245

Westenhoefer J. Establishing dietary habits during childhood for long-term weight control. Ann Nutr Metab 2002;46(Suppl 1):18-23.
DOI: 10.1159/000066396

Keller A, Bucher Della Torre S. Sugar-Sweetened Beverages and Obesity among Children and Adolescents: A Review of Systematic Literature Reviews. Childhood obesity 2015;11(4):338-46.
DOI: 10.1089/chi.2014.0117

Malik VS, Pan A, Willett WC, Hu FB. Sugar-sweetened beverages and weight gain in children and adults: a systematic review and meta-analysis. The American journal of clinical nutrition 2013;98(4):1084-102.
DOI: 10.3945/ajcn.113.058362

Luger M, Lafontan M, Bes-Rastrollo M, Winzer E, Yumuk V, Farpour-Lambert N. Sugar-Sweetened Beverages and Weight Gain in Children and Adults: A Systematic Review from 2013 to 2015 and a Comparison with Previous Studies. Obesity facts 2017;10(6):674-93.
DOI: 10.1159/000484566

EFSA Panel on Dietetic Products N, and Allergies (NDA). Scientific opinion on dietary reference values for water. EFSA Journal 2010;8(3):1459.
DOI: 10.2903/j.efsa.2010.1459

Vieux F, Maillot M, Constant F, Drewnowski A. Water and beverage consumption among children aged 4-13 years in France: analyses of INCA 2 (Etude Individuelle Nationale des Consommations Alimentaires 2006-2007) data. Public Health Nutr 2016;19(13):2305-14.
DOI: 10.1017/S1368980015003614

Iglesia I, Guelinckx I, De Miguel-Etayo PM, Gonzalez-Gil EM, Salas-Salvado J, Kavouras SA, et al. Total fluid intake of children and adolescents: cross-sectional surveys in 13 countries worldwide. European journal of nutrition 2015;54(Suppl 2):57-67.
DOI: 10.1007/s00394-015-0946-6

Guelinckx I, Iglesia I, Bottin JH, De Miguel-Etayo P, Gonzalez-Gil EM, Salas-Salvado J, et al. Intake of water and beverages of children and adolescents in 13 countries. European journal of nutrition 2015;54(Suppl 2):69-79.
DOI: 10.1007/s00394-015-0955-5

CNS. Chinese dietary references. Beijing: Science Press; 2014.

Zhang N, Morin C, Guelinckx I, Moreno LA, Kavouras SA, Gandy J, et al. Fluid intake in urban China: results of the 2016 Liq.In7 national cross-sectional surveys. European journal of nutrition 2018;57(Suppl 3):77-88.
DOI: 10.1007/s00394-018-1755-5

Laksmi PW, Morin C, Gandy J, Moreno LA, Kavouras SA, Martinez H, et al. Fluid intake of children, adolescents and adults in Indonesia: results of the 2016 Liq.In(7) national cross-sectional survey. European journal of nutrition 2018;57(Suppl 3):89-100.
DOI: 10.1007/s00394-018-1740-z

Morin C, Gandy J, Brazeilles R, Moreno LA, Kavouras SA, Martinez H, et al. Fluid intake patterns of children and adolescents: results of six Liq.In(7) national cross-sectional surveys. European journal of nutrition 2018;57(Suppl 3):113-23.
DOI: 10.1007/s00394-018-1725-y

Suh H, Kavouras SA. Water intake and hydration state in children. European journal of nutrition 2019;58(2):475-96.
DOI: 10.1007/s00394-018-1869-9

Fernández-Alvira JM, Iglesia I, Ferreira-Pêgo C, Babio N, Salas-Salvadó J, Moreno LA. Fluid intake in Spanish children and adolescents; a cross-sectional study. Nutr Hosp 2014;29(5):1163-70.

Instituto Nacional de Estadistica; 2018. Available from: https://www.ine.es/dyngs/INEbase/en/operacion.htm?c=Estadistica_C&cid=1254736176951&menu=ultiDatos&idp=1254735572981

Johnson EC, Peronnet F, Jansen LT, Capitan-Jimenez C, Adams JD, Guelinckx I, et al. Validation Testing Demonstrates Efficacy of a 7-Day Fluid Record to Estimate Daily Water Intake in Adult Men and Women When Compared with Total Body Water Turnover Measurement. The Journal of nutrition 2017;147(10):2001-7.
DOI: 10.3945/jn.117.253377

Malik VS, Popkin BR, Bray GA, Després J-P, Willett WC, Hu FB. Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis. Diabetes Care 2020;33(11):2477-83.
DOI: 10.2337/dc10-1079

Storcksdieck genannt Bonsmann S, Mak TN, Louro-Caldeira S, Wollgast J. How to promote water intake in schools: a toolkit. Joint Research Center; 2016.

Nissensohn M, Sánchez-Villegas A, Ortega RM, Aranceta-Bartrina J, Gil Á, González-Gross M, et al. Beverage Consumption Habits and Association with Total Water and Energy Intakes in the Spanish Population: Findings of the ANIBES Study. Nutrients 2016;8(4):232.
DOI: 10.3390/nu8040232

Manz F. Hydration in children. Journal of the American College of Nutrition 2007;26(5 Suppl):562s-9s.
DOI: 10.1080/07315724.2007.10719659

Khan NA, Westfall DR, Jones AR, Sinn MA, Bottin JH, Perrier ET, et al. A 4-d Water Intake Intervention Increases Hydration and Cognitive Flexibility among Preadolescent Children. The Journal of nutrition 2019;149(12):2255-64.
DOI: 10.1093/jn/nxz206

Edmonds CJ. The effect of water consumption on cognitive performance. Appetite 2012;59(2):624.
DOI: 10.1016/j.appet.2012.05.056

Kavouras SA, Arnaoutis G, Makrillos M, Garagouni C, Nikolaou E, Chira O, et al. Educational intervention on water intake improves hydration status and enhances exercise performance in athletic youth. Scand J Med Sci Sports 2012;22(5):684-9.
DOI: 10.1111/j.1600-0838.2011.01296.x

Currie C, Roberts C, Settertobulte W, Morgan A, Smith R, Samdal O, et al. Young people's health in context: Health Behaviour in School-aged Children (HBSC) study: international report from the 2001/2002 survey: Copenhagen: WHO Regional Office for Europe; 2004.

Nowak M. The weight-conscious adolescent: body image, food intake, and weight-related behavior. J Adolesc Health 1998;23(6):389-98.
DOI: 10.1016/S1054-139X(97)00263-2

Vieux F, Maillot M, Constant F, Drewnowski A. Water and beverage consumption patterns among 4 to 13-year-old children in the United Kingdom. BMC Public Health 2017;17(1):479.
DOI: 10.1186/s12889-017-4400-y

Lioret S, Dubuisson C, Dufour A, Touvier M, Calamassi-Tran G, Maire B, et al. Trends in food intake in French children from 1999 to 2007: results from the INCA (étude Individuelle Nationale des Consommations Alimentaires) dietary surveys. British Journal of Nutrition 2010;103(4):585-601.
DOI: 10.1017/S0007114509992078

Alexy U, Kersting M. Time trends in the consumption of dairy foods in German children and adolescents. European journal of clinical nutrition 2003;57(10):1331-7.
DOI: 10.1038/sj.ejcn.1601696

Lasater G, Piernas C, Popkin BM. Beverage patterns and trends among school-aged children in the US, 1989-2008. Nutrition journal 2011;10:103.
DOI: 10.1186/1475-2891-10-103

Demory-Luce D, Morales M, Nicklas T, Baranowski T, Zakeri I, Berenson G. Changes in food group consumption patterns from childhood to young adulthood: the Bogalusa Heart Study. Journal of the American Dietetic Association 2004;104(11):1684-91.
DOI: 10.1016/j.jada.2004.07.026

Lytle LA, Seifert S, Greenstein J, McGovern P. How Do Children's Eating Patterns and Food Choices Change over Time? Results from a Cohort Study. American Journal of Health Promotion 2000;14(4):222-8.
DOI: 10.4278/0890-1171-14.4.222

European Commission. Fruit juices, sugar sweetened beverages and artificially sweetened beverages: consumption patterns and impact on overweight and obesity. Review of Scientific Evidence and Policies on Nutrition and Physical Activity-Objective B2: Consumption, energy intake and impact of fruit juices and of artificially and sugar sweetened beverages Summary Report. Luxembourg: Publications Office of the European Union; 2018.

Ochoa MC, Moreno-Aliaga MJ, Martínez-González MA, Martínez JA, Marti A. Predictor factors for childhood obesity in a Spanish case-control study. Nutrition (Burbank, Los Angeles County, Calif) 2007;23(5):379-84.
DOI: 10.1016/j.nut.2007.02.004

Balcells E, Delgado-Noguera M, Pardo-Lozano R, Roig-González T, Renom A, González-Zobl G, et al. Soft drinks consumption, diet quality and BMI in a Mediterranean population. Public Health Nutr 2011;14(5):778-84.
DOI: 10.1017/S1368980010002788

Europe W. Children Obesity Surveillance Initiative, Highlights 2015-2017, Preliminary data; 2018.

GlobalData Soft Market Insights - 2019 Cycle; 2019.

Han E, Powell LM. Consumption patterns of sugar-sweetened beverages in the United States. J Acad Nutr Diet 2013;113(1):43-53.
DOI: 10.1016/j.jand.2012.09.016

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