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Drinking water in combination with less sugary drinks – and calories – in children



The researchers analyzed data from 8,400 children and adolescents aged 2 to 19 years, who were surveyed between 2011 and 2016 as part of the National Health and Nutrition Examination Survey, which is conducted annually by the US Centers for Disease Control and Prevention becomes. Parents and children were asked to remember what the kids had used in the last 24 hours, and the calories were added.
One in five children and young adults reported that they did not drink water the day before the survey. No drinking water was associated with an average intake of 93 additional calories per day and 4.5% more calories from sweetened drinks such as sodas, sports drinks, and juice, according to the study published in JAMA Pediatrics on Monday.

The number of extra calories varied according to age and race and ethnicity. Caucasian children who drank no water received an additional 1

22 calories of sugary drinks, while Hispanic children consumed an additional 61 calories from these and African American children an additional 93 calories.

The research did not seek to determine the amount of water that would prevent children from drinking sugary drinks, but whether drinking water had any effect, said Asher Rosinger, assistant professor at Pennsylvania State University and lead author of the new study.

Due to the design of the study, research has not identified a clear cause and effect between drinking water and the consumption of less calories, just one association, Dr. Natalie Muth, a practicing pediatrician and registered nutritionist in Carlsbad, California, did not do this research.

"Children who drink water may have parents who restrict sugary drinks and promote healthy eating, or children who do not drink water may not have access to clean water," she added.

Against the background of limitations Rosinger and his team emphasize that sugar-sweetened beverages can add empty calorie to children's diets and increase the risk of weight gain, obesity and diabetes.

"I talk to my patients and their families all the time about the health effects of sugary drinks and the advantage of drinking mostly water and milk," said Muth.

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The American Heart Association recommends that the diet of children over the age of 2 be limited to 25 g of sugar per day. Children should not drink more than one 8 ounce sugar drink per week.
Despite the guidelines, a 2017 study found that nearly two thirds of children in the United States consumed at least one sugary drink each day and around 30% consumed two or more a day.

"Sugary drinks are a staple of many childrens diets, they are cheap, easy to find, highly marketed and taste sweet, so children like them," said Muth.

The American Heart Association recently joined the American Academy of Pediatrics, proposing policy changes aimed at federal, state, and local legislatures, and urging them to implement guidelines that would prohibit the intake of sugary drinks by children Habits recommend being able to offer water as the first and preferred beverage offer from 6 months, restrict access to sugary drinks, model drinking water and make drinking more fun by infusing it with fruit, mint or a splash of lime or lemon ,

"Children who do not drink water get their fluids elsewhere," Muth said. "All it takes is more than 70 extra calories a day for a child to become overweight and at risk for overweight or obesity."

Jacqueline Howard of CNN contributed to this report.


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