A study of the relationship between sugar-sweetened beverage (SSB) consumption and nutrient intake and diet quality in German children and adolescents. Dietary data were from 7145 3-day weighed food records, from 1069 subjects aged 2-19 years. Mean intakes of most micronutrients met or exceeded the reference values in boys and girls. Intakes of folate and iron were inadequate (intake quality score [IQS – intake of micronutrients as a % of German reference values] < two thirds) in girls in several age groups and intake of calcium was borderline in older girls. In boys, folate was mostly deficient in younger ages. SSB consumption was positively associated with energy from carbohydrates in boys and girls. The increase in energy from added sugars was higher than for total carbohydrates: energy from non-sugar carbohydrates decreased with increasing SSB consumption. Intakes of protein and fat also decreased as SSB consumption increased. After adjusting for time, age and total energy intake, SSB consumption was significantly negatively associated with nutrient density for most vitamins and minerals in boys and girls. In boys, vitamin E nutrient density was significantly positively associated with SSB consumption (P=0.009). Vitamin C nutrient density was not significantly associated with SSB consumption. In girls, vitamin E and B12 nutrient densities were not significantly associated with SSBs. Energy-adjusted NQI (nutritional quality index) decreased in boys and girls with increasing SSB consumption, but the decrease was larger in girls.
June 2009