Can the updated nutrition facts label decrease sugar-sweetened beverage consumption?

Neuhofer, Zachary T.; McFadden, Brandon R.; Rihn, Alicia; Wei, Xuan; Khachatryan, Hayk; House, Lisa

doi:10.1016/j.ehb.2020.100867

Cited by 20 publications

(15 citation statements)

References 27 publications

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“…In addition, to increase the sales of SSB, some restaurants employ strategies that may increase consumption, such as offering free refills ( 49 ). Second, updating the Nutrition Facts Label to communicate the amount of added sugars included in SSB ( 50 ) and introducing warning labels for SSB ( 51 ) could effectively dissuade consumers. Meanwhile, the updated or warning label may alter consumers' perceptions about the healthfulness of selected products ( 52 ).…”

Section: Discussionmentioning

confidence: 99%

Sugar-Sweetened Beverages and Depressive and Social Anxiety Symptoms Among Children and Adolescents Aged 7–17 Years, Stratified by Body Composition

Liu

Chen

et al. 2022

Front. Nutr.

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BackgroundRare studies investigated the associations between sugar-sweetened beverage (SSB) consumption with depressive and social anxiety symptoms among children and adolescents, particularly in different stratification of body composition, which was our purpose.MethodsA cross-sectional survey of children and adolescents aged 7–17 years was conducted in Beijing, China, in 2020, with an average age of 12.07 (SD: 3.09) years. Children's Depression Inventory (CDI) questionnaires and social anxiety scale for children (SASC) were completed in the baseline questionnaires. SSB consumption and body composition were assessed using child-reported questionnaires and a GE Healthcare Lunar iDXA dual-energy X-ray bone densitometer. Multivariate logistic regression was used to assess the associations between SSB consumption with depressive and social anxiety symptoms. Confounders were evaluated by child-reported and parental questionnaires, including age, sex, parental educational attainment, maternal smoking status, single-child status, BMI, incomes, fruit consumption, physical activity, screen time, and the frequency of fried food consumption. Stratified analyses were performed to explore whether the associations were influenced by body composition.ResultsA total of 1,311 children and adolescents, including 658 boys and 653 girls, were included in the final analysis. There were 13.96 and 29.75% of the study population with depressive and social anxiety symptoms, respectively. Overall, about 63.77% of the children and adolescents consumed SSB, and the average SSB intake was 0.35 servings per day. In the fully adjusted model, compared to participants who did not consume SSB each day, SSB consumption of ≥1 servings/day was positively associated with depressive symptoms [odds ratio (OR) = 2.28, 95% CI = 1.30–4.01] and social anxiety (OR = 1.10, 95% CI = 0.69–1.77), though the latter did not reach statistical significance. When individuals had higher body fat or lower fat-free mass (FFM) or muscle, the ORs of depressive symptoms were more evident among children and adolescents who drank SSB for ≥1 servings/day (P < 0.05).ConclusionHigher consumption of SSB could be associated with increased OR of depressive symptoms in children and adolescents. The association remained robust, especially in groups with higher body fat or lower fat-free mass or muscle.

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Section: Discussionmentioning

confidence: 99%

Sugar-Sweetened Beverages and Depressive and Social Anxiety Symptoms Among Children and Adolescents Aged 7–17 Years, Stratified by Body Composition

Liu

Chen

et al. 2022

Front. Nutr.

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“…The primary goal of this study was to investigate whether consumers wanted to access the newly included added sugars information in the updated NF label when purchasing food products. While recent research indicates that including added sugars information does not affect food choice [19], choosing to acquire that information is a necessary condition for changing behavior. In this study, we explored two factors that may influence information acquisition.…”

Section: Introductionmentioning

confidence: 99%

Consumers’ decisions to access or avoid added sugars information on the updated Nutrition Facts label

et al. 2021

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The Nutrition Facts (NF) label was recently updated and now includes the added sugars content in an effort to reduce added sugars consumption. This study investigated whether consumers wanted to access or avoid the added sugars content using an online experiment and five product categories (yogurt, cereal, fruit juice, snack bar, ice cream). We recruited a sample of 490 U.S. adults (49% female; 73% White/Caucasian). Respondents were randomly assigned to an information treatment (simple or full) before making decisions on whether to access or avoid the added sugars content. The simple information treatment explained that added sugars information was now available on the NF label, while the full information treatment included additional details (e.g., how to interpret the added sugars content and associated diseases). After making the access or avoid decisions for each product category, respondents rated their likelihood of purchase for ten products (two per category). Rates of information avoidance were much lower than what has been observed in previous studies, and rates of avoidance did not vary by information treatment. The majority of respondents (75–87% across the five product categories) preferred to access the added sugars content. Still, we found some consumers preferred to avoid this information, with higher rates of avoidance for the ice cream product category. Additionally, we found significant differences in likelihood of purchase ratings between information accessors and avoiders. Respondents who chose to access the added sugars information exhibited healthier purchasing behaviors for all product categories; they were more likely to purchase low added sugars products and less likely to purchase high added sugars products relative to information avoiders. Given consumers’ demonstrated interest in accessing the added sugars content, it is important that the new changes to the NF label be broadly communicated to promote healthy eating behaviors.

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“…Childhood and adolescence is a critical period to develop good habits, and correct cognitive contributes to the formation of healthy eating behavior, and their lifelong maintenance. Therefore, education aimed to change students' cognition targeted above risk factors, not general education or knowledge, would more contribute to the reduction of SSBs consumption [20,21].…”

Section: Discussionmentioning

confidence: 99%

“…In the intervention of SSBs consumption, nutrition education and behavior guidance are common and the most cost-effective methods, and policy interventions such as sales ban would also have better and more lasting effect if supplemented by targeted health education. However, researches had shown that not all knowledge was signi cantly associated with consumption of SSBs [20], and the change of nutrition information in label did not in uence the choice of SSBs [21]. Only high behavioral relevant education or guidance may bene t to transfer into corresponding attitude and improve people's behavior [22,23].…”

Section: Introductionmentioning

confidence: 99%

Unhealthy Attitude or Behavior Factors and Habitual Sugar Sweetened Beverages Consumption in Junior School Students: a Cross-Sectional Study in 2020 and Long Term Trend From 2012 to 2020

Peng¹,

Wang²,

Zhang³

et al. 2020

Preprint

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BackgroundSugar-sweetened beverages (SSBs) consumption is the major source of added sugar intake and a common unhealthy eating behavior among youth in China and around the world. Excessive intake of SSBs has a negative impact on both short- and long-term health of adolescent. The targeting nutritional education and behavioral guidance, single use or as a supplement to the policy intervention like sales ban, is a low cost and effective intervening approach. The purpose of this study was to identify unhealthy attitudes and behaviors that affect youth's consumption of sugary drinks to provide evidence for subsequent targeted interventions.MethodsUsing the stratified cluster sampling method, a questionnaire survey was conducted among 1560 junior school students in Jinzhong City, Shanxi Province, in northern China and Suzhou City, Jiangsu Province, in southern China. The content of the questionnaire included sociodemographic characteristics, self-reported consumption frequency of SSBs, attitude, behaviors and habits related to SSBs consumption. The Cronbach coefficient of questions was 0.855. Data from the series surveys of 2012 and 2018 were also used in the long-term trend analysis.ResultsIn 1466 Chinese junior school students, 5.1 % consumed SSBs every day and 13.6 % consumed it 3-6 times/week. The binary logistic regression was significant (R2=31.1%, P=0.001), and the attitude and behavior factors contributed to 22.1% of the 31.1% variation that could be explained. Among all factors, four unhealthy attitudes or behaviors with the highest OR were "Drink SSBs as water" (OR=10.288, 95%CI: 6.392~16.558), "Deem SSBs not affect health” (OR=2.735, 95%CI: 2.032~3.681), "Just want to drink SSBs” (OR=2.302, 95%CI: 1.524~3.478) and “Purchase SSBs in advance” (OR=2.245, 95%CI: 1.454~3.465). The SSBs consumption frequency increased with the increase of risk score of unhealthy attitudes and behaviors. (χ²-trend=127.470, P<0.001). Both frequency of drinking SSBs and holding rates of unhealthy attitudes or behaviors decreased with the passage of time (P trend<0.005). The drinking times per month was significantly positively correlated with the risk scores from 2012 to 2020 (r=0.314, P<0.001).ConclusionThe consumption of sugary drinks was largely influenced by unhealthy attitudes and behaviors. Adolescents are in the critical period of cognitive and habit formation, thus targeted intervention should be taken to promote their SSBs related healthy attitude and behavior to reduce the intake of added sugar and benefit them for life.

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Can the updated nutrition facts label decrease sugar-sweetened beverage consumption?

Cited by 20 publications

References 27 publications

Sugar-Sweetened Beverages and Depressive and Social Anxiety Symptoms Among Children and Adolescents Aged 7–17 Years, Stratified by Body Composition

Sugar-Sweetened Beverages and Depressive and Social Anxiety Symptoms Among Children and Adolescents Aged 7–17 Years, Stratified by Body Composition

Consumers’ decisions to access or avoid added sugars information on the updated Nutrition Facts label

Unhealthy Attitude or Behavior Factors and Habitual Sugar Sweetened Beverages Consumption in Junior School Students: a Cross-Sectional Study in 2020 and Long Term Trend From 2012 to 2020

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