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Open Access Highly Accessed Research article

Sugar-added beverages consumption among kindergarten children of Crete: effects on nutritional status and risk of obesity

Manolis Linardakis, Katerina Sarri*, Maria-Styliani Pateraki, Manolis Sbokos and Anthony Kafatos

Author Affiliations

Preventive Medicine and Nutrition Clinic, Faculty of Medicine, University of Crete, Greece

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BMC Public Health 2008, 8:279  doi:10.1186/1471-2458-8-279

Published: 6 August 2008



To assess the intake of sugar-added beverages such as soft drinks and commercially available fruit juices in kindergarten children, and to examine its association with obesity indices, physical activity levels and dietary habits.


A total of 856 children aged 4–7 years living in Crete, Greece in 2004–5 were included in this cross-sectional study. Nutrient and food intake was assessed with the use of 3-day weighed food records. Body measurements were used in order to assess BMI and waist circumference, and moderate-to-vigorous physical activity was calculated with the use of a questionnaire.


Approximately 59.8% of all children consumed sugar-added beverages on a daily basis. High intake of sugar-added beverages (> 250 g/day) was associated with low intakes of calcium (p < 0.001), vitamin A and E (p < 0.010), fruits and vegetables (p = 0.007), and milk and yogurt (p = 0.048). Compared to non or low consumers, high consumers of sugar-added beverages (> 250 g/day) had higher BMI levels and two times greater risk of being overweight and/or obese (OR:2.35, p = 0.023).


High intake of sugar-added beverages in kindergarten children is associated with poor eating habits and inadequate nutrient intake, as well as increased risk for developing childhood obesity.