Association of Caloric Intake From Sugar-Sweetened Beverages With Water Intake Among US Children and Young Adults in the 2011-2016 National Health and Nutrition Examination Survey

Asher Y. Rosinger, PhD, MPH1,2Hilary Bethancourt, PhD, MPH1Lori A. Francis, PhD1

JAMA Pediatr. Published online April 22, 2019. doi:10.1001/jamapediatrics.2019.0693

Sugar-sweetened beverages (SSBs) add empty calories to children’s diets1 and may increase the risk of weight gain, obesity, and diabetes.2 Substituting water for SSBs may reduce total energy intake.3 Furthermore, school-based interventions to displace SSBs by increasing water access were associated with decreased body mass index.4 However, how water consumption in daily life is associated with children’s caloric intake from SSBs is unclear. We examined whether the number of calories and percentage of total energy intake from SSBs differs among US children by water intake status on a given day.

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