Use of Electronic Health Record Data to Study the Association of Sugary Drink Consumption With Child Weight Status

Lewis, Kristina H.; Skelton, Joseph A.; Hsu, Fang‐Chi; Ezouah, Pascaline; Taveras, Elsie M.; Block, Jason P.

doi:10.1016/j.acap.2019.11.002

Cited by 8 publications

(7 citation statements)

References 38 publications

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“…33 The excessive consumption of juice and SSBs leads to childhood overweight and obesity. [4][5][6] Therefore, a focused intervention targeting the caregivers of infants prior to the introduction of juice and SSBs offers the opportunity to proactively prevent the development of obesogenic habits. These data could guide the development of intervention strategies in order to delay, reduce, or eliminate the introduction of juice and SSBs in children's diets.…”

Section: Resultsmentioning

confidence: 99%

“…2,3 The early introduction of juice and sugar-sweetened beverages (SSBs) in children’s diets plays an important role. 4-7…”

Section: Introductionmentioning

confidence: 99%

“…2,3 The early introduction of juice and sugar-sweetened beverages (SSBs) in children's diets plays an important role. [4][5][6][7] SSBs are defined as drinks with added sugar, such as soda, iced tea, juice drinks (containing <100% juice), lemonade, and sports drinks. 8 SSB consumption in childhood is linked to unhealthy weight gain and excess adiposity.…”

Section: Introductionmentioning

confidence: 99%

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Introducing Juice and Sugar-Sweetened Beverages in Early Infancy: Parental Knowledge and Intended Behaviors

Musial

Abioye

Murillo

et al. 2020

Clin Pediatr (Phila)

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Objective Assess caregivers’ knowledge about juice and sugar-sweetened beverages (SSBs) and identify factors that contribute to their early introduction. Methods One hundred forty-four parents of young infants completed a 45-item questionnaire focused on infant nutrition. Results Seventy-two percent of parents plan to give juice to their babies starting in the first year of life; only 16% plan to introduce SSBs. Parents with some college education or more were significantly less likely to report an intention to introduce juice ( P < .0001) and SSBs ( P < .001) in their children’s diets. Education level was significantly associated with knowledge about juice and SSBs ( P < .001). Parents with higher knowledge were significantly less likely to plan on introducing juice ( P < .001) and SSBs ( P < .001). Conclusion Parents of young infants lack enough knowledge about the detrimental effects of juice and sugary drinks. These knowledge gaps give pediatric providers a unique opportunity to provide anticipatory guidance starting in early infancy on the adverse health effects of juice and SSBs.

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Section: Resultsmentioning

confidence: 99%

“…2,3 The early introduction of juice and sugar-sweetened beverages (SSBs) in children’s diets plays an important role. 4-7…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Introducing Juice and Sugar-Sweetened Beverages in Early Infancy: Parental Knowledge and Intended Behaviors

Musial

Abioye

Murillo

et al. 2020

Clin Pediatr (Phila)

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“…The screener was piloted in eight clinics from 2017 to 2019, with high rates of uptake: 92% of eligible children were screened in the first year of the pilot. 12 The EHR-based SSB screening process was then expanded throughout our health system in 2020. Staff acceptability of the screener expansion was dependent not only on a sound process, but also on understanding and measuring the impact of staff knowledge and attitudes around SSB consumption.…”

Section: Specific Aimsmentioning

confidence: 99%

Staff Knowledge, Attitudes, and Beliefs About Child Sugar-Sweetened Beverage Intake and Acceptability of a Pediatric Clinic-Based Beverage Screener

Howell

Skelton

Jayaprakash

et al. 2022

CIN: Computers, Informatics, Nursing

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Beverages are the leading source of sugar in children's diets and a modifiable risk factor for adverse health conditions. Electronic health record–based screeners could facilitate health systems' efforts to reduce child consumption of sugary beverages. Before implementing a sugar-sweetened beverage screener in the electronic health record within academic healthcare system, 228 pediatric and family medicine clinic staff completed an online educational training to familiarize them with the screener and its rationale. Pretraining and posttraining surveys were used to examine the association between staff knowledge of sugar-sweetened beverages and the acceptability of the screening workflow. Respondents displayed high levels of pretraining knowledge about health consequences of added sugar intake, but lower levels of pediatric beverage guideline knowledge. Knowledge improved from pretraining to posttraining surveys, with high acceptability of the screening process. Staff compliance with sugar-sweetened beverage screening was examined using electronic health record data. During the 6 months after screener implementation, 47% of eligible pediatric patients were screened, with some variation in compliance by age group and practice type. This study demonstrated that engaging nursing and frontline staff to screen pediatric patients for behavioral determinants of health is feasible. Ongoing outreach and refreshers may improve sustainability.

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“…2,3 This rise in pediatric obesity rates has been largely attributed to dietary factors. 4,5 Given that the introduction of healthy foods and drinks by parents during the first few years of life is crucial to the development of healthy nutrition and dietary behaviors, [6][7][8][9][10][11] one point of potential intervention is child beverage consumption. 1,9,12,13 Several studies have documented the positive correlation between the early introduction and excess consumption of juice and sugar-sweetened beverages (SSBs), and both overweight and obesity during mid-to late childhood.…”

Section: Introductionmentioning

confidence: 99%

Preventing the Early Introduction of Juice and Sugar-Sweetened Beverages in Infants’ Diets: A Randomized Controlled Trial

Golova

Eskander

Pho

et al. 2022

Clin Pediatr (Phila)

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A randomized controlled trial was conducted to determine whether a simple educational intervention targeting parents of young infants could have an impact on the consumption of juice and sugar-sweetened beverages (SSBs) in early childhood and decrease overweight and obesity rates. Parents of 2- to 4-month-old infants were randomized into intervention (n = 67) and control (n = 77) groups. Parents completed questionnaires about juice and SSB consumption and knowledge at baseline and 1-year follow-up. Intervention parents received informational handouts and watched videos about the health effects of juice and SSBs. Knowledge about juice increased significantly in the intervention group compared with control ( P < .01) and was significantly higher in black/African American parents ( P < .05) and those with some college education ( P < .05). The intervention had a significant impact on the knowledge gained by parents about the health effects of juice and SSBs but did not decrease the consumption of sugary drinks or change children’s weight status.

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Use of Electronic Health Record Data to Study the Association of Sugary Drink Consumption With Child Weight Status

Cited by 8 publications

References 38 publications

Introducing Juice and Sugar-Sweetened Beverages in Early Infancy: Parental Knowledge and Intended Behaviors

Introducing Juice and Sugar-Sweetened Beverages in Early Infancy: Parental Knowledge and Intended Behaviors

Staff Knowledge, Attitudes, and Beliefs About Child Sugar-Sweetened Beverage Intake and Acceptability of a Pediatric Clinic-Based Beverage Screener

Preventing the Early Introduction of Juice and Sugar-Sweetened Beverages in Infants’ Diets: A Randomized Controlled Trial

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