Determinants of sugar-sweetened beverage consumption in young children: a systematic review

Obes Rev. 2015 Nov;16(11):903-13. doi: 10.1111/obr.12310. Epub 2015 Aug 7.

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: Correlates; determinants; sugar-sweetened beverage; systematic review; young children.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Australia / epidemiology
  • Beverages / adverse effects*
  • Child
  • Child Nutritional Physiological Phenomena
  • Child, Preschool
  • Cross-Sectional Studies
  • Dietary Sucrose / adverse effects*
  • Europe / epidemiology
  • Humans
  • Nutrition Policy
  • Nutritive Value
  • Parents
  • Pediatric Obesity / epidemiology
  • Pediatric Obesity / etiology
  • Pediatric Obesity / prevention & control*
  • Prospective Studies
  • Schools
  • Sweetening Agents / adverse effects*
  • United States / epidemiology

Substances

  • Dietary Sucrose
  • Sweetening Agents