ArticleThe international journal of behavioral nutrition and physical activity2020
Soft drink intake is associated with weight gain, regardless of physical activity levels: the health workers cohort study.
Article in The international journal of behavioral nutrition and physical activity, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Comprehensive review of carbonated soft drink consumption rates and their public health importance.BMC public health · 2026Pooled it
- Digital Interventions on Healthy Lifestyle Management: Systematic Review.Journal of medical Internet research · 2021Pooled it
- National and subnational trends in obesity prevalence in Iran: a Spatiotemporal study with future predictions.Scientific reports · 2025Article
- Physical activity negatively associated with symptomatic dizziness: a cross-sectional study.BMC public health · 2025Article
- Dietary patterns and adiposity over time - analysis of the ELSA-Brasil.European journal of nutrition · 2024Article
- Consumption of Tap Water and Sociodemographic-Associated Characteristics: A Nationwide Cross-Sectional Study.Nutrients · 2024Article
- Change analysis for intermediate disease markers in nutritional epidemiology: a causal inference perspective.BMC medical research methodology · 2024Article
- The Perception of Overweight and Obesity among South African Adults: Implications for Intervention Strategies.International journal of environmental research and public health · 2022Article
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Authors and funding
12 authors.
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Abstract
backgroundWhile soft drink intake is positively associated with weight gain, no previous study has investigated whether leisure-time physical activity modifies this association. We estimated the association between soft drink intake and body weight, and explored if this association differed by levels of leisure-time physical activity.
methodsWe used data from the health workers cohort study, a prospective study of Mexican adults (20 to 85y old), including 1268 health workers and their families, who were assessed at baseline (2004-2006) and follow-up (2010-2012). We assessed soft drink intake (cola and flavored soda) using a validated food frequency questionnaire. We measured leisure-time physical activity using a self-report questionnaire, and categorized according to the 2010 World Health Organization (WHO) recommendations. Body weight was measured by trained personnel. The association between changes in soft drink intake and weight change, and if such association varied by levels of physical activity was estimated through fixed-effect models.
resultsAn increase in one serving per day of soft drink was associated with 0.10 kg (95% CI 0.00, 0.19) increase in weight per year. This association was not modified by leisure-time physical activity, as demonstrated by the magnitude of the coefficient of the interaction between soft drink, leisure-time physical activity, and time (- 0.03 kg, 95% CI - 0.27 to 0.21); people who complied with the WHO physical activity recommendations gained 0.36 kg/year per serving of soft drink, compared to 0.48 kg/year for people without sufficient physical activity.
conclusionsSoft drink intake was associated with weight gain. Leisure-time physical activity did not modify the association between soft drink intake and weight gain. This finding challenges the idea that leisure-time physical activity is sufficient to counterbalance weight gain associated to soft drink intake.
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