Water Drinking and its Correlation with Beverage Consumption in Korean Adolescents

Objectives: Water intake has been recognized as a critical factor for important health outcomes. This study was an investigation of the status of water drinking and its correlation with beverage consumption among Korean adolescents. Methods: The population of this cross-sectional study included Korean adolescents (N = 57,302) from the 15th Korea Youth Risk Behavior Survey (2019). Descriptive statistical and multiple logistic regression analyses were conducted to assess the water-drinking behavior during a previous 7-day period according to the general characteristics of the adolescents. Associations were tested between water drinking and beverage consumption (carbonated beverages, sugar-sweetened beverages, energy/high-caffeine drinks, and milk). Results: Overall, 4.1% of adolescents drank less than one glass, 19.6% drank one to 2 glasses, 23.1% drank 3 glasses, 17.8% drank 4 glasses, and 35.4% drank ≥ 5 glasses of water per day during the last 7 days. The distribution of water drinking differed according to the characteristics of adolescents and was associated with the frequencies of consumption of carbonated drinks, and sugar-sweetened drinks. More than 3 times the carbonated drink (aOR = 1.28, 95% CI = 1.19-1.38) and sugar-sweetened drink consumption (aOR = 1.25, 95% CI = 1.16-1.34) were associated with lower water drinking. Conclusions: Higher consumption of carbonated and sugar-sweetened beverages was associated with less water drinking.