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Erschienen in: Current Obesity Reports 1/2021

07.01.2021 | Etiology of Obesity (M. Rosenbaum, Section Editor)

An Exploration of the Role of Sugar-Sweetened Beverage in Promoting Obesity and Health Disparities

verfasst von: Desiree M. Sigala, Kimber L. Stanhope

Erschienen in: Current Obesity Reports | Ausgabe 1/2021

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Abstract

Purpose of Review

The mechanistic role of sugar-sweetened beverage (SSB) in the etiology of obesity is undetermined. We address whether, compared to other foods, does consumption of SSB (1) automatically lead to failure to compensate for the energy it contains? (2) fail to elicit homeostatic hormone responses? (3) promote hedonic eating through activation of the brain’s reward pathways? We followed the evidence to address: (4) Would restriction of targeted marketing of SSB and other unhealthy foods to vulnerable populations decrease their prevalence of obesity?

Recent Findings

The data are lacking to demonstrate that SSB consumption promotes body weight gain compared with isocaloric consumption of other beverages or foods and that this is linked to its failure to elicit adequate homeostatic hormone responses. However, more recent data have linked body weight gain to reward activation in the brain to palatable food cues and suggest that sweet tastes and SSB consumption heightens the reward response to food cues. Studies investigating the specificity of these responses have not been conducted. Nevertheless, the current data provide a biological basis to the body of evidence demonstrating that the targeted marketing (real life palatable food cues) of SSB and other unhealthy foods to vulnerable populations, including children and people of color and low socioeconomic status, is increasing their risk for obesity.

Summary

While the mechanisms for the association between SSB consumption and body weight gain cannot be identified, current scientific evidence strongly suggests that proactive environmental measures to reduce exposure to palatable food cues in the form of targeting marketing will decrease the risk of obesity in vulnerable populations.
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Zurück zum Zitat •• Burger KS. Frontostriatal and behavioral adaptations to daily sugar-sweetened beverage intake: a randomized controlled trial. Am. J. Clin. Nutr. 2017;105:555–63 This is the first and, currently, only dietary intervention study to show that sustained SSB consumption increased brain reward activation to the logo of the SSB consumed. Participants also exhibited increased brain reward activation to the logo of the SSB that they did not consume during the intervention.PubMedPubMedCentralCrossRef •• Burger KS. Frontostriatal and behavioral adaptations to daily sugar-sweetened beverage intake: a randomized controlled trial. Am. J. Clin. Nutr. 2017;105:555–63 This is the first and, currently, only dietary intervention study to show that sustained SSB consumption increased brain reward activation to the logo of the SSB consumed. Participants also exhibited increased brain reward activation to the logo of the SSB that they did not consume during the intervention.PubMedPubMedCentralCrossRef
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Zurück zum Zitat Stice E, Yokum S. Effects of gymnemic acids lozenge on reward region response to receipt and anticipated receipt of high-sugar food. Physiol Behav. 2018;194:568–76.PubMedCrossRef Stice E, Yokum S. Effects of gymnemic acids lozenge on reward region response to receipt and anticipated receipt of high-sugar food. Physiol Behav. 2018;194:568–76.PubMedCrossRef
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Zurück zum Zitat •• Stice E, Yokum S, Gau MJ. Gymnemic acids lozenge reduces short-term consumption of high-sugar food: a placebo controlled experiment. J Psychopharmacol. 2017;31:1496–502 The investigation showed for the first time that a gymnemic acid lozenge that blocks sweet taste receptors significantly reduced brain reward activation in response to a chocolate milkshake food cue compared with a placebo lozenge. The investigation also confirmed prior evidence that blockage of sweet taste receptors reduced ad libitum candy consumption.PubMedCrossRef •• Stice E, Yokum S, Gau MJ. Gymnemic acids lozenge reduces short-term consumption of high-sugar food: a placebo controlled experiment. J Psychopharmacol. 2017;31:1496–502 The investigation showed for the first time that a gymnemic acid lozenge that blocks sweet taste receptors significantly reduced brain reward activation in response to a chocolate milkshake food cue compared with a placebo lozenge. The investigation also confirmed prior evidence that blockage of sweet taste receptors reduced ad libitum candy consumption.PubMedCrossRef
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Zurück zum Zitat Haase L, Cerf-Ducastel B, Murphy C. Cortical activation in response to pure taste stimuli during the physiological states of hunger and satiety. Neuroimage. 2009;44:1008–21.PubMedCrossRef Haase L, Cerf-Ducastel B, Murphy C. Cortical activation in response to pure taste stimuli during the physiological states of hunger and satiety. Neuroimage. 2009;44:1008–21.PubMedCrossRef
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Zurück zum Zitat •• Dorton HM, Luo S, Monterosso JR, Page KA. Influences of dietary added sugar consumption on striatal food-cue reactivity and postprandial GLP-1 response. Front. Psychiatry. 2018;8:1–9 This clinical trial demonstrated that habitual added sugar intake was positively associated with brain reward activation to palatable food cues. It also showed that GLP-1 responses during an oral glucose tolerance test was negatively associated with habitual added sugar intake.CrossRef •• Dorton HM, Luo S, Monterosso JR, Page KA. Influences of dietary added sugar consumption on striatal food-cue reactivity and postprandial GLP-1 response. Front. Psychiatry. 2018;8:1–9 This clinical trial demonstrated that habitual added sugar intake was positively associated with brain reward activation to palatable food cues. It also showed that GLP-1 responses during an oral glucose tolerance test was negatively associated with habitual added sugar intake.CrossRef
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Zurück zum Zitat Lobstein T, Dibb S. Evidence of a possible link between obesogenic food advertising and child overweight. Obes Rev. 2005;6:203–8.PubMedCrossRef Lobstein T, Dibb S. Evidence of a possible link between obesogenic food advertising and child overweight. Obes Rev. 2005;6:203–8.PubMedCrossRef
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Zurück zum Zitat Boyland EJ, Nolan S, Kelly B, Tudur-Smith C, Jones A, Halford JCG, et al. Advertising as a cue to consume: a systematic review and meta-analysis of the effects of acute exposure to unhealthy food and nonalcoholic beverage advertising on intake in children and adults. Am J Clin Nutr. 2016;103:519–33.PubMedCrossRef Boyland EJ, Nolan S, Kelly B, Tudur-Smith C, Jones A, Halford JCG, et al. Advertising as a cue to consume: a systematic review and meta-analysis of the effects of acute exposure to unhealthy food and nonalcoholic beverage advertising on intake in children and adults. Am J Clin Nutr. 2016;103:519–33.PubMedCrossRef
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Zurück zum Zitat •• Russell SJ, Croker H, Viner RM. The effect of screen advertising on children’s dietary intake: a systematic review and meta-analysis. Obes. Rev. 2019;20:554–68 This meta-analysis revealed that children exposed to food advertising on TV (11 studies) and advergames (5 studies) consumed an average 60.0 kcal (95% confidence interval [CI], 3.1–116.9) and 53.2 kcal (95% CI, 31.5–74.9) more, respectively, during follow-up ad libitum consumption trials than children exposed to nonfood advertising.PubMedCrossRef •• Russell SJ, Croker H, Viner RM. The effect of screen advertising on children’s dietary intake: a systematic review and meta-analysis. Obes. Rev. 2019;20:554–68 This meta-analysis revealed that children exposed to food advertising on TV (11 studies) and advergames (5 studies) consumed an average 60.0 kcal (95% confidence interval [CI], 3.1–116.9) and 53.2 kcal (95% CI, 31.5–74.9) more, respectively, during follow-up ad libitum consumption trials than children exposed to nonfood advertising.PubMedCrossRef
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Zurück zum Zitat • Gesualdo N. Yanovitzky, I. Advertising susceptibility and youth preference for and consumption of sugar-sweetened beverages: findings from a national survey. J. Nutr. Educ. Behav. 2019;51:16–22 This observational study found that advertising susceptibility was a strong predictor of SSB preference and consumption.PubMedCrossRef • Gesualdo N. Yanovitzky, I. Advertising susceptibility and youth preference for and consumption of sugar-sweetened beverages: findings from a national survey. J. Nutr. Educ. Behav. 2019;51:16–22 This observational study found that advertising susceptibility was a strong predictor of SSB preference and consumption.PubMedCrossRef
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Zurück zum Zitat •• Alruwaily A, Mangold C, Greene T, Arshonsky J, Cassidy O. Child social media influencers and unhealthy food product placement. Pediatrics. 2020;146:1–10 This the first study to investigate the indirect advertising of unhealthy food and beverage by YouTube kid influencers. 179, or 42%, of the videos from the top 5 kid influencers (as of July 2019) contained views or interactions with food and beverage. 90% of this food and beverage was classified as unhealthy branded (e.g., McDonald’s, Hershey’s, Coca-Cola). The 179 videos have been viewed 1.06 billion times. The authors conclude The FTC should enact regulations that more adequately address unhealthy food and beverage brands promoted by kid influencers.CrossRef •• Alruwaily A, Mangold C, Greene T, Arshonsky J, Cassidy O. Child social media influencers and unhealthy food product placement. Pediatrics. 2020;146:1–10 This the first study to investigate the indirect advertising of unhealthy food and beverage by YouTube kid influencers. 179, or 42%, of the videos from the top 5 kid influencers (as of July 2019) contained views or interactions with food and beverage. 90% of this food and beverage was classified as unhealthy branded (e.g., McDonald’s, Hershey’s, Coca-Cola). The 179 videos have been viewed 1.06 billion times. The authors conclude The FTC should enact regulations that more adequately address unhealthy food and beverage brands promoted by kid influencers.CrossRef
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Metadaten
Titel
An Exploration of the Role of Sugar-Sweetened Beverage in Promoting Obesity and Health Disparities
verfasst von
Desiree M. Sigala
Kimber L. Stanhope
Publikationsdatum
07.01.2021
Verlag
Springer US
Erschienen in
Current Obesity Reports / Ausgabe 1/2021
Elektronische ISSN: 2162-4968
DOI
https://doi.org/10.1007/s13679-020-00421-x

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