Determinants of sugar‐sweetened beverage consumption in young children: a systematic review
Open Access
- 7 August 2015
- journal article
- review article
- Published by Wiley in Obesity Reviews
- Vol. 16 (11), 903-913
- https://doi.org/10.1111/obr.12310
Abstract
Sugar‐sweetened beverage (SSB) consumption is associated with adverse health outcomes. Improved understanding of the determinants will inform effective interventions to reduce SSB consumption. A total of 46,876 papers were identified through searching eight electronic databases. Evidence from intervention (n = 13), prospective (n = 6) and cross‐sectional (n = 25) studies on correlates/determinants of SSB consumption was quality assessed and synthesized. Twelve correlates/determinants were associated with higher SSB consumption (child's preference for SSBs, TV viewing/screen time and snack consumption; parents' lower socioeconomic status, lower age, SSB consumption, formula milk feeding, early introduction of solids, using food as rewards, parental‐perceived barriers, attending out‐of‐home care and living near a fast food/convenience store). Five correlates/determinants were associated with lower SSB consumption (parental positive modelling, parents' married/co‐habiting, school nutrition policy, staff skills and supermarket nearby). There was equivocal evidence for child's age and knowledge, parental knowledge, skills, rules/restrictions and home SSB availability. Eight intervention studies targeted multi‐level (child, parents, childcare/preschool setting) determinants; four were effective. Four intervention studies targeted parental determinants; two were effective. One (effective) intervention targeted the preschool environment. There is consistent evidence to support potentially modifiable correlates/determinants of SSB consumption in young children acting at parental (modelling), child (TV viewing) and environmental (school policy) levels.Keywords
Funding Information
- National Institute of Health Research, School for Public Health Research (NIHR SPHR)
- British Heart Foundation
- Cancer Research UK
- Economic and Social Research Council
- Medical Research Council (MC_UU_12015/7)
- National Institute for Health Research
- Wellcome Trust (RES-590-28-0002)
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