Text Messages to Curb Sugar-Sweetened Beverage Consumption among Pregnant Women and Mothers: A Mobile Health Randomized Controlled Trial

Abstract

Racial, ethnic, and socioeconomic disparities in childhood obesity in the United States (U.S.) originate in early life. Maternal sugar-sweetened beverage (SSB) consumption is an early life risk factor for later offspring obesity. The goal of this study was to test the effects of policy-relevant messages delivered by text messages mobile devices (mHealth) on maternal SSB consumption. In this three-arm 1-month randomized controlled trial (RCT), pregnant women or mothers of infants in predominantly Hispanic/Latino New York City neighborhoods were randomized to receive one of three text message sets: graphic beverage health warning labels, beverage sugar content information, or attention control. The main outcome was change in maternal self-reporting of average daily SSB consumption from baseline to one month. Among 262 participants, maternal SSB consumption declined over the 1-month period in all three arms. No intervention effect was detected in primary analyses. In sensitivity analyses accounting for outliers, graphic health warning labels reduced maternal SSB consumption by 28 kcal daily (95% CI: −56, −1). In this mHealth RCT among pregnant women and mothers of infants, graphic health warning labels and beverage sugar content information did not reduce maternal SSB consumption.

Efetividade Das Estratégias De Educação Alimentar E Nutricional Em Adultos: Uma Revisão Integrativa

“…Todos foram publicados em periódicos estrangeiros, em língua inglesa, com tamanho das amostras (n) envolvidas nos estudos variando entre 11 ( Oliver et al, 2020) e 2.628 (Begley et al, 2019a), caracterizadas principalmente por serem participantes de baixa renda (n=11/61,1%) (Baidal et al, 2021;Metcalfe et al, 2021;Bessems et al, 2020;Cavallo et al, 2020;De Freitas et al, 2020;Eicher-Miller et al, 2020;Oliver et al, 2020;Begley et al, 2019a;Begley et al, Gans et al, 2018;Perkins et al, 2020), beneficiários de programas públicos de alimentação (n=4/22,2%) (De Freitas et al, 2020;Eicher-Miller et al, 2020;Oliver et al, 2020;Gans et al, 2018) e mulheres (n=11/61,1%), compondo as amostras em sua maioria (Vincha et al, 2020;Begley et al, 2019a;Begley et al, 2019b;Gans et al, 2018) ou exclusivamente (Modrzejewska et al, 2022;Reicks et al, 2022;Baidal et al, 2021;Cavallo et al, 2020;De Freitas et al, 2020;Oliver et al, 2020;Waring et al, 2018).…”

“…As intervenções foram conduzidas majoritariamente nos Estados Unidos (n=11/61,1%) (Reicks et al, 2022 ;Baidal et al, 2021;Metcalfe et al, 2021;Cavallo et al, 2020;Eicher-Miller et al, 2020;Oliver et al, 2020;Perkins et al, 2020;Zoellner et al, 2020;Nazmi et al, 2019;Gans et al, 2018;Waring et al, 2018), mas também na Austrália (n=3/16,7%) (Duncan et al, 2020;Begley et al, 2019a;Begley et al, 2019b), Brasil (n=2/18,2%) (De Freitas et al, 2020;Vincha et al, 2020), Holanda (n=1/5,6%) (Bessems et al, 2020) e Polônia (n=1/5,6%) (Modrzejewska et al, 2022).…”

“…Com relação ao delineamento do estudo, observou-se predomínio de ensaios clínicos randomizados (n= 8/44,4%) (Baidal et al, 2021;Metcalfe et al, 2021;De Freitas et al, 2020;Duncan et al, 2020;Eicher-Miller et al, 2020;Zoellner et al, 2020;Nazmi et al, 2019;Gans et al, 2018), mas também estudos de coorte (n=2/11,1%) (Reicks et al, 2022;Begley et al, 2019a), qualitativos (n=2/11,1%) (Oliver et al, 2020;Vincha et al, 2020), estudo de caso (n=2/11,1%) (Perkins et al, 2020;Waring et al, 2018), transversal (n=2/11,1%) (Modrzejewska et al, 2022;Begley et al, 2019b), e por fim, grupo controle (n=1/5,6%) (Bessems et al, 2020) e pré/pós-teste (n=1/5,6%) (Cavallo et al, 2020).…”

“…Quanto ao nível de evidência, os artigos foram classificados em nível 2 (n=8/50%) (Baidal et al, 2021;Metcalfe et al, 2021;De Freitas et al, 2020;Duncan et al, 2020;Eicher-Miller et al, 2020;Zoellner et al, 2020;Nazmi et al, 2019;Gans et al, 2018), nível 4 (n=6/33,3%) (Modrzejewska et al, 2022;OLIVER et al, 2020;Perkins et al, 2020;Vincha et al, 2020;Begley et al, 2019b;Waring et al, 2018) e nível 3 (n=4/22,2%) (Reicks et al, 2022;Bessems et al, 2020;Cavallo et al, 2020;Begley et al, 2019a).…”

“…Avaliação de consumo alimentar (Baidal et al, 2021;Perkins et al, 2020;Zoellner et al, 2020;Waring et al, 2018) 5 27,8…”