ArticleThe American journal of clinical nutrition2021
Sugar-sweetened beverage (SSB) consumption is associated with lower quality of the non-SSB diet in US adolescents and young adults.
Article in The American journal of clinical nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 27 citations in OpenAlex.
- Policy Progress in Using Economic Policy Instruments to Improve Nutrition: Challenges and Opportunities.Health economics · 2026Review
- Sugar-Sweetened Beverage (SSB) Intake Is Associated with Non-SSB Diet Quality in Swiss Adults.Nutrients · 2026Article
- Free Sugars Consumption and Type 2 Diabetes: What Are the Concerns and How Strong is the Evidence?Current nutrition reports · 2026Review
- High consumption of fruit and vegetable juices and related beverages and high sugar intake among school-aged children: a study in Beijing, China.Frontiers in nutrition · 2026Article
- Associations of self-efficacy and perceived benefits and barriers with sugar-sweetened beverage consumption patterns: a secondary analysis of the 2017-2020 Nutrition and Health Survey in Taiwan (NAHSIT).Frontiers in nutrition · 2026Article
- Both absolute and relative sugar-sweetened beverage intake are associated with kidney stones in U.S. middle-aged and young adults.World journal of urology · 2025Article
- Sugar-sweetened beverages, relative grip strength, and psychological symptoms among rural adolescents in western China: a cross-sectional study.Frontiers in nutrition · 2025Article
- Associations Between Added Sugars Intake from Various Food and Beverage Sources and Diet Quality Among the U.S. Population.Nutrients · 2024Article
- An Evaluation of Healthy Hydration Recommendations for 93 Countries with Sugary Beverage Tax Legislation Globally, 2000-2023.Nutrients · 2024Article
- Sugar-sweetened or artificially-sweetened beverage consumption, physical activity, and risk of cardiovascular disease in adults: a prospective cohort study.The American journal of clinical nutrition · 2024Article
- Snack frequency, size, and energy density are associated with diet quality among US adolescents.Public health nutrition · 2023Article
- Intakes of Added Sugars, with a Focus on Beverages and the Associations with Nutrient Adequacy in US Adults (NHANES 2003-2018).Nutrients · 2023Article
- Article
- Association between diet quality and type of meal companion: the 2013-2015 Korea National Health and Nutrition Examination Survey (KNHANES).Nutrition research and practice · 2023Article
- Childhood beverage intake and risk of hypertension and hyperlipidaemia in young adults.International journal of food sciences and nutrition · 2022Article
- More-To-Less Home Healthful Foods Ratio is Associated With Diet Quality in Preadolescents With Elevated Body Mass Index.Journal of nutrition education and behavior · 2022Article
- Intake of Fruits, Vegetables, and Sugar-Sweetened Beverages among a Sample of Children in Rural Northern Ontario, Canada.Children (Basel, Switzerland) · 2022Article
- Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
backgroundSince 2003-4, the United States has seen large declines in sugar-sweetened beverage (SSB) intake overall, especially among non-Hispanic white (NHW) subpopulations. However, obesity prevalence has not shown comparable declines in the 2 highest SSB-consuming groups, adolescents and young adults. Little is understood about the quality of the diet excluding SSBs (non-SSB diet).
objectivesThe objective of this study was to evaluate differences in non-SSB diet quality in SSB consumers and nonconsumers in adolescents and young adults and in the 3 major race/ethnic subgroups.
methodsThis study utilized data from the NHANES, a cross-sectional, nationally representative survey of the US population. Data from 6426 participants aged 12-29 y from the NHANES (2009-2014) was included. Quality of the non-SSB diet was measured using the 2015 Healthy Eating Index (HEI). Multivariate linear regressions controlled for sociodemographic characteristics and included interactions by race/ethnicity [NHWs, non-Hispanic blacks (NHBs), Hispanics]. Individuals were classified as non-, low- (<10% of daily calories), or high-SSB consumers (≥10% of daily calories), according to the US Dietary Guidelines added sugar intake recommendation.
resultsNon-SSB HEI scores differed among SSB consumer groups (53 for adolescent nonconsumers compared with 46 for high consumers, P < 0.001; 57 for young adult nonconsumers compared with 45 for high consumers, P < 0.001), although all scores were low and require improvement. Among NHBs, significant differences in non-SSB HEI were found only between non- and low-SSB consumers. In Hispanics, associations varied by age group, with significant differences found for young adults but no association found for adolescents.
conclusionsLow non-SSB HEI scores in SSB consumers suggest that reducing SSB consumption alone will not be a sufficient strategy for improving dietary quality in adolescents and young adults. Future policies must also consider improving the non-SSB diet.
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