Studies on sugar-sweetened beverage consumption patterns can help in the individual and population level management of chronic non-communicable diseases and other conditions. This study aimed to identify the association between health behavior patterns and the consumption of sugar-sweetened beverages among Brazilian adolescents from a nationally representative school-based study. A cross-sectional study analyzed data from 71,553 adolescents aged 12–17 years who attended public and private schools in Brazilian cities, from the Study of Cardiovascular Risk in Adolescents. Principal component analysis was performed to identify health behavior patterns, and ordered logistic regression was performed to identify the association between health behavior patterns and sugar-sweetened beverage consumption. Sugar-sweetened beverage consumption (mL/day) was used as the dependent variable. The analyses were performed using Stata software version 14.0 with a significance level of 0.05. Patterns 2 (alcoholic beverage and smoking habit) and 3 (ultra-processed food and screen time) of health behaviors and regularly purchasing snacks in the school cafeteria increased the odds of sugar-sweetened beverage consumption, while pattern 1 (water, unprocessed and minimally processed food and physical activity) decreased these odds. The adoption of healthy habits can indirectly stimulate the adoption of other habits beneficial to health. These results indicate the importance of adopting a set of regulatory measures to reduce sugar-sweetened beverage consumption.

对含糖饮料消费模式的研究有助于在个人和人群层面管理慢性非传染性疾病和其他疾病。本研究旨在通过一项具有全国代表性的学校研究来确定巴西青少年健康行为模式与含糖饮料消费之间的关联。一项横断面研究分析了来自巴西城市公立和私立学校的 71,553 名 12-17 岁青少年的数据，这些数据来自青少年心血管风险研究。进行主成分分析以确定健康行为模式，并进行有序逻辑回归以确定健康行为模式与含糖饮料消费之间的关联。含糖饮料消耗量（毫升/天）用作因变量。使用 Stata 软件 14.0 版进行分析，显着性水平为 0.05。模式 2（酒精饮料和吸烟习惯）和模式 3（超加工食品和屏幕时间）健康行为以及定期在学校食堂购买零食增加了饮用含糖饮料的几率，而模式 1（水、未加工的和最低限度的）加工食品和体力活动）降低了这些几率。健康习惯的养成可以间接刺激其他有益于健康的习惯的养成。这些结果表明采取一系列监管措施来减少含糖饮料消费的重要性。