The consumption of energy-dense sugar-sweetened beverages (SSB) and its low satiating effects may influence the development of child eating behaviours. We aimed to investigate the association of SSB consumption at 4 years on appetitive behaviours at age 7 years. Children from the Generation XXI birth cohort were included (n 3880). SSB consumption was evaluated through a FFQ and appetitive behaviours were evaluated through the Children’s Eating Behaviour Questionnaire, which includes eight subscales. Two composite factors, derived by principal component analysis (Appetite Restraint – related to Food Fussiness, Enjoyment of Food, Slowness in Eating and Satiety Responsiveness – and Appetite Disinhibition – related to Food Responsiveness, Emotional Under- and Overeating and Desire to Drink), were also investigated. The dose–response relationship between SSB consumption and appetitive behaviours was examined using multivariable linear regression (continuous eating behaviour scores) and multinomial logistic regression (tertile categories of eating behaviour scores). Child SSB consumption at 4 years was associated with higher Appetite Disinhibition and Desire to Drink and lower Food Fussiness and Slowness in Eating at 7 years. Consuming SSB ≥1 times/d (compared with a lower intake) was associated with 29 % increase in the odds of Desire to Drink (3rd v. 1st tertile). Pre-schoolers’ SSB consumption was associated with higher food approach and less food avoidant behaviours later in childhood. Family characteristics, particularly maternal SSB consumption, explained part of these associations. It is essential to promote the intake of water, instead of sugary drinks, and make parents and caregivers aware of the importance of this exposure, since they have a pivotal role in shaping children’s eating behaviours.

中文翻译：

---

4 岁时含糖饮料对 XXI 一代出生队列中 7 岁儿童食欲行为的影响

高能量含糖饮料 (SSB) 的消费及其低饱腹感可能会影响儿童饮食行为的发展。我们旨在调查 4 岁时的 SSB 消费与 7 岁时的食欲行为之间的关系。包括来自 XXI 一代出生队列的儿童（n3880）。SSB 消费通过 FFQ 进行评估，食欲行为通过儿童饮食行为问卷进行评估，该问卷包括八个分量表。通过主成分分析得出的两个复合因素（食欲抑制 - 与食物挑剔、食物享受、进食缓慢和饱腹反应相关 - 和食欲去抑制 - 与食物反应、情绪性饮食不足和暴饮暴食以及饮酒欲望相关）是也进行了调查。使用多变量线性回归（连续饮食行为评分）和多项逻辑回归（饮食行为评分的三分位类别）检查 SSB 消费和食欲行为之间的剂量反应关系。4 岁时儿童食用 SSB 与 7 岁时更高的食欲抑制和饮酒欲望以及更低的食物烦躁和进食迟缓有关。摄入 SSB ≥1 次/天（与较低摄入量相比）与渴望饮酒的几率增加 29% 相关（第 3 位）五。第一个三分位数）。学龄前儿童的 SSB 消费与儿童后期较高的食物摄入量和较少的食物回避行为有关。家庭特征，特别是母亲的 SSB 消费，部分解释了这些关联。必须提倡喝水而不是含糖饮料，并让父母和看护人意识到这种接触的重要性，因为他们在塑造儿童的饮食行为方面起着关键作用。