Reduced Availability of Sugar-sweetened Beverages and Diet Soda Has a Limited Impact on Beverage Consumption Patterns in Maine High School Youth

Blum, Janet Whatley; Davee, Anne‐Marie; Beaudoin, Christina; Jenkins, Paul; Kaley, Lori A.; Wigand, Debra

doi:10.1016/j.jneb.2007.12.004

Cited by 43 publications

(37 citation statements)

References 19 publications

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“…These policies ranged from removal of sugar-sweetened beverages (SSBs) and junk food [28–30]; change in canteen policies (increasing the availability of lower-fat foods in cafeteria’s à la carte areas and implementing school-wide, student-based promotions of these lower-fat foods) [31]; school self-assessment; nutrition education; nutrition policy (meet nutritional standards based on Dietary Guidelines for Americans); social marketing; and parent outreach [14]; fruit truck shops [32]; nutrition education and gardening program [33]; brisk walking lessons [22]; integration of health promotion in curriculum [27]; teacher trainings and development of activities related to food habits and/or physical activity [23]; fitness guidance, fitness and school nutrition, school-based nutrition, school and home nutrition and home-based nutrition [26]; modified school lunches, enhanced nutrition education and increased opportunities for physical activities [34]; comprehensive school health education, physical education and physical activity, school nutrition and food services, health promotion and wellness, school counselling, physical and behavioral health services, school climate, physical environment, youth, parent, family and community involvement [35]. Six out of seven studies assessing policy effectiveness in reduction of sugar intake reported desirable changes and reduction in sugar or SSBs consumption [21, 26, 28, 29, 35, 36]. These effective policies included elimination of SSB and other junk food in schools’ food policy, having a school food and nutrition policy in place, school district SSB policies, school nutrition and food services, nutrition-based standards and fitness guidance, fitness and school nutrition, school-based nutrition, school and home nutrition and home-based nutrition.…”

Section: Resultsmentioning

confidence: 99%

Impact of school policies on non-communicable disease risk factors – a systematic review

et al. 2017

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BackgroundGlobally, non-communicable diseases (NCDs) are identified as one of the leading causes of mortality. NCDs have several modifiable risk factors including unhealthy diet, physical inactivity, tobacco use and alcohol abuse. Schools provide ideal settings for health promotion, but the effectiveness of school policies in the reduction of risk factors for NCD is not clear. This study reviewed the literature on the impact of school policies on major NCD risk factors.MethodsA systematic review was conducted to identify, collate and synthesize evidence on the effectiveness of school policies on reduction of NCD risk factors. A search strategy was developed to identify the relevant studies on effectiveness of NCD policies in schools for children between the age of 6 to 18 years in Ovid Medline, EMBASE, and Web of Science. Data extraction was conducted using pre-piloted forms. Studies included in the review were assessed for methodological quality using the Effective Public Health Practice Project (EPHPP) quality assessment tool. A narrative synthesis according to the types of outcomes was conducted to present the evidence on the effectiveness of school policies.ResultsOverall, 27 out of 2633 identified studies were included in the review. School policies were comparatively more effective in reducing unhealthy diet, tobacco use, physical inactivity and inflammatory biomarkers as opposed to anthropometric measures, overweight/obesity, and alcohol use. In total, for 103 outcomes independently evaluated within these studies, 48 outcomes (46%) had significant desirable changes when exposed to the school policies. Based on the quality assessment, 18 studies were categorized as weak, six as moderate and three as having strong methodological quality.ConclusionMixed findings were observed concerning effectiveness of school policies in reducing NCD risk factors. The findings demonstrate that schools can be a good setting for initiating positive changes in reducing NCD risk factors, but more research is required with long-term follow up to study the sustainability of such changes.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4201-3) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Impact of school policies on non-communicable disease risk factors – a systematic review

et al. 2017

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“…Other studies similarly reported that schools were a relatively minor source of SSBs for adolescents 3 and that the association between in-school SSB availability and SSB consumption was modest. 38,50,51 In the contemporary “obesogenic” environment, youth have countless ways to obtain SSBs through convenience stores, fast-food restaurants, and other food outlets in their community.…”

Section: Commentmentioning

confidence: 99%

“…Nonetheless, our results based on a single cross section indicate that state policies produce positive changes in school food environments, but any effect on student dietary consumption may be modest without complementary changes in other sectors, including the food environment in the community, as well as at-home consumption. 3,50,51,54 Experts have recommended broader policies, such as SSB taxes 55 or regulations of food marketing aimed at children. 56 Future research should explore the effect that school-based policies have on youth diet and weight gain when implemented in conjunction with policies in other sectors.…”

Section: Commentmentioning

confidence: 99%

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Banning All Sugar-Sweetened Beverages in Middle Schools

Taber

Chriqui²,

Powell³

et al. 2012

Arch Pediatr Adolesc Med

138

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“…38 One tactic has been to educate children on the energy and sugar contents of all beverages, 39 in addition to the typical nutrition education. Additionally, the parental characteristics, environment, and dietary component influences on SSB consumption patterns noted by others 22 , 40 may be considered in future research, particularly when engaging in public health approaches.…”

Section: Methodsmentioning

confidence: 99%

Need for Specific Sugar-Sweetened Beverage Lessons for Fourth- and Fifth-Graders

Bea¹,

Jacobs²,

Waits³

et al. 2015

Journal of Nutrition Education and Behavior

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Objective Consumption of sugar-sweetened beverages (SSB) is linked to obesity. We hypothesized that school-based nutrition education would decrease SSB consumption. Design Self-selected interventional cohort with random selection for pre and post measurements Setting Arizona SNAP-Ed eligible schools Participants Randomly selected (9%) 4th and 5th grade classroom students Intervention The University of Arizona Nutrition Network (UANN) provided general nutrition education training and materials to teachers, to be delivered to their students. The UANN administered behavioral questionnaires to students in both Fall and Spring. Main Outcome Measure(s) Change in SSB consumption Analyses Descriptive statistics were computed for student demographics and beverage consumption on the day prior to testing. Paired t-tests evaluated change in classroom averages. Linear regression assessed potential correlates of SSB consumption. Results Fall mean SSB consumption was 1.1 (±0.2) times; mean milk and water intake were 1.6 (±0.2) and 5.2 (±0.7) times, respectively. Beverage consumption increased (3.2%) in springtime, with increased SSBs (14.4%) accounting for the majority (p=0.006). Change in SSB consumption was negatively associated with baseline SSB and water consumption, but positively associated with baseline milk fat (p≤0.05). Conclusions and Implications The results suggest the need for beverage specific education to encourage children to consume more healthful beverages in warmer weather.

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Reduced Availability of Sugar-sweetened Beverages and Diet Soda Has a Limited Impact on Beverage Consumption Patterns in Maine High School Youth

Cited by 43 publications

References 19 publications

Impact of school policies on non-communicable disease risk factors – a systematic review

Impact of school policies on non-communicable disease risk factors – a systematic review

Banning All Sugar-Sweetened Beverages in Middle Schools

Need for Specific Sugar-Sweetened Beverage Lessons for Fourth- and Fifth-Graders

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