ASSOCIATION BETWEEN SUGAR-SWEETENED BEVERAGE CONSUMPTION AND BODY MASS INDEX AMONG UNIVERSITY STUDENTS IN KUALA NERUS, TERENGGANU, MALAYSIA
DOI:
https://doi.org/10.37268/mjphm/vol.20/no.2/art.323Keywords:
Sugar-sweetened beverages, Consumption, Body weight, BMI, SugarAbstract
Overweight and obesity are major health concerns in Malaysia, which are linked to other health consequences such as type 2 diabetes mellitus, cardiovascular diseases and several others. Among dietary factors, sugar-sweetened beverages (SSBs) are reported to be one of the leading factors of weight gain and a higher body mass index (BMI). Sugar-sweetened beverages are beverages with added sugar that only add calories to an individual’s normal diet and they represent the largest contributor to the added sugars intake. This study was aimed to determine the prevalence of SSB consumption among university students in Kuala Nerus, Terengganu, as well as to investigate the association between the students’ SSB consumption and their BMI. A cross-sectional study was conducted among 350 Universiti Sultan Zainal Abidin (UniSZA) Gong Badak Campus and Universiti Malaysia Terengganu (UMT) students by using the convenience sampling. Each participant was given a questionnaire consisting of socio-demographic details, anthropometric assessment and beverage intake. The results revealed that half of the students consumed 2 cups (500 mL) of SSBs on average days (49.4%), whereas 21.7% of them consumed at least 3 cups daily. It was found that sweetened tea was the students’ most preferred SSB and there was also an association between the SSB consumption and the BMI. In conclusion, university students in Kuala Nerus drink 2 cups of SSBs daily and sweetened tea is their preferred SSB. Since the students’ SSB consumption influences their BMI, these students must be aware on the contents of SSB and the related health consequences in order to reduce the consumption of these beverages and hence, reduce their BMI to a healthy level.
References
Lim KG. A review of adult obesity research in Malaysia. Med J Malaysia 2016; 71(1):1-19.
WHO:Obesity and Overweight. Fact Sheet. http://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight. National Health and Morbidity Survey 2015:Malaysian Adult Nutrition Survey (accessed 4 May 2019).
Gan WY, Mohamed SF, Law LS. Unhealthy lifestyle associated with higher intake of sugar-sweetened beverages among Malaysian school-aged adolescents. International Journal of environmental research and public health 2019; 16(15):2785.
Bundrick SC, Thearle MS, Venti CA, et al. Soda consumption during ad libitum food intake predicts weight change. J Acad Nutr Diet. 2014; 114(3):444-449.
Martin-Calvo N, Martinez-Gonzalez MA, Bes-Rastrollo M, et al. Sugar-sweetened carbonated beverage consumption and childhood/adolescent obesity: A case-control study. Public Health Nutr 2014; 17(10):2185-2193.
Nanney MS, Lytle LA, Farbakhsh K et al. Weight and weight-related behaviours among 2-year college students. J Am Coll Health 2015; 63:221-229.
Dehdari T, Mergen T. A survey of factors associated with soft drink consumption among secondary school students in Farooj city. 2010. Journal of Jahrom University of Medical Sciences 2012; 9(4):33-39.
Deliens T, Clarys P, De Bourdeaudhuij I, et al. Correlates of university students’ soft and energy drink consumption according to gender and residency. Nutrients 2015; 7:6550-6566.
Lua PL, Wan Putri Elena WD, Mohd Razif S. Nutrition quality of life among female-majority malay undergraduate students of health sciences. Malays J Med Sci 2012; 19(4):37-49.
Mona M, Abeer S, Fatema AA, Fatema A. Health effects of soda drinking in adolescent girls in the United Arab Emirates. Journal of critical care 2008; 23(3):434-440.
Mahmood M, Saleh A, Al Alawi F et al. Health effects of soda drinking in adolescent girls in the United Arab Emirates. Journal of Critical Care 2008; 23(3):434-440.
Munt AE, Partridge R, Allman-Farinelli M. The barriers and enablers of healthy eating among young adults: a missing piece of the obesity puzzle: A scoping review. Obesity Reviews 2017; 18(1):1-17.
Hedrick VE, Jyoti Savla, Dana LC, et al. Development of a brief questionnaire to assess habitual beverage intake (BEVQ-15): sugar-sweetened beverages and total beverage energy intake. J Acad Nutr Diet. 2012; 112(6):840–849.
WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 2004; 363:157–163.
Gillen MM, Lefkowitz ES. Gender and racial/ethnic differences in body image development among college students. Body Image 2012; 9(1):126-130.
Norliza A, Muhammad Afiq MZ, Nur Azilah A, et al. Prevalence and factors associated with sugar-sweetened beverage intake among undergraduate students in a public university in Malaysia. Pakistan Journal of Nutrition 2019; 18:354-363.
Regular Beverage Consumption in Malaysia Statistics. Statista Research Department. https://www.statista.com/statistics/561175/malaysia-regular-beverage-consumption 2016. (accessed 19 May 2019).
Hamirudin AH, Zahari NA, Badarudin NE. (2018). Consumption of sugar-sweetened beverages among International Islamic University Malaysia (IIUM), Kuantan students. International Journal of Allied Health Sciences 2018; 2(3):499-506.
Prateek S, Patel H, Patel A Ashok. In: Chandan, Ramesh C, Kilara A, Shah NP, eds. Dairy Processing and Quality Assurance. John Wiley & Sons, Ltd. 2015:310–332.
Nik Shanita S , Norimah AK, Abu Hanifah S. Development and validation of a Food Frequency Questionnaire (FFQ) for assessing sugar consumption among adults in Klang Valley, Malaysia. Malaysian journal of nutrition 2012; 18(3):283-293.
Malik VS, Popkin BM, Bray GA, et al. Sugar-sweetened beverages, obesity, type 2 diabetes mellitus, and cardiovascular disease risk. Circulation 2010; 121:1356-1364.
Utiger RD. Insulin. Encyclopaedia Britannica 2019. https://www.britannica.com/science/insulin-like-growth-factor (accessed 23 Sept 2019).
Yusoff NAM, Ganeson S, Ismail KF, et al. Physical activity level among undergraduate students in Terengganu, Malaysia using pedometer. J Fundam Appl Sci 2018; 10(1s):512-522.
Hadizaabdullahi AB, Mohd Razif S, Sharifah Wajihah Wafa SSTW. Weight Status, dietary intake and eating behaviour of Nigerian postgraduate students in UniSZA, Malaysia. Malaysian Journal of Public Health Medicine 2016; 16(3):45-51.
Mozaffarian D, Hao T, Rimm EB, et al. Changes in diet and lifestyle and long-term weight gain in women and men. N Engl J Med 2011; 364(25):2392-2404.
Basu S, Yoffe P, Hills N, et al. The relationship of sugar to population-level diabetes revalence: an economic analysis of repeated cross-sectional data. PLoS ONE 2013; 8(2):e57873.