Efficacy of school-based interventions aimed at decreasing sugar-sweetened beverage consumption among adolescents: a systematic review

Vézina‐Im, Lydi‐Anne; Beaulieu, Denis; Bélanger-Gravel, Ariane; Boucher, Dominique; Sirois, Caroline; Dugas, Marylène; Provencher, Véronique

doi:10.1017/s1368980017000076

Cited by 73 publications

(111 citation statements)

References 119 publications

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“…In this regard, a study reported that adolescents were less likely to consume soft drinks (e.g., soda or pop) on a regular basis if they attended school in a district where policies had been adopted to limit the sale of and access to SSB (Miller et al, 2016). In addition, a recent systematic review of school-based interventions aimed at decreasing SSB consumption among adolescents reported that 90% of legislative and environmental interventions to restrict access to SSB at school were effective in reducing SSB consumption among adolescents (Vezina--Im et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…Our results indicated that providing easy access to alternatives to SSB, such as water, and giving adolescents information about the negative effects of SSB on health could help them abstain from consuming SSB. In fact, the results of a recent systematic review indicated that providing information about the health consequences of adopting the behavior was the behavior change technique most frequently used in school--based interventions aimed at decreasing SSB consumption among adolescents (Vezina--Im et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

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Beliefs of Adolescents on Sugar-Sweetened Beverages Abstinence: A Reasoned Action Approach Elicitation Study

Beaulieu

Vézina‐Im

Simard

et al. 2018

Science of Nursing and Health Practices - Science infirmière et

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Introduction: Sugar-sweetened beverage (SSB) consumption is associated with many health problems, such as obesity and cardiovascular diseases. Objectives: To identify adolescents' beliefs concerning SSB abstinence. Methods: Based on the Reasoned Action Approach, thirty semi-structured interviews were conducted with adolescents (12-17 years). They were selected based on age, sex and setting in order to ensure a broad representation of adolescents from two French-speaking regions of the province of Quebec in Canada (Eastern Canada). Adolescents were invited to answer eight open-ended questions regarding SSB abstinence in the next month. A qualitative content analysis was performed independently by two experts to identify the most important beliefs. Result: According to adolescents, the main advantage of abstaining from SSB was that it would be good for their health and the main disadvantage was that they would have to give up products they liked drinking for the taste. Parents and friends seemed to be the most important social influences regarding abstaining from SSB. Adolescents mentioned many barriers to SSB abstinence, such as contextual barriers (e.g., special occasions, eating out, following sports activities), the presence of SSB drinkers, advertisements promoting SSB, and the urge to drink SSB. Facilitating factors included absence of SSB at home/school, having easy access to water and pure fruit juices, and receiving information about the negative health effects of SSB. Discussion and conclusions: The results of this preliminary study can be used to guide the development of interventions to promote SSB abstinence among adolescents. Mots-clés adolescents; boissons sucrées; croyances; Approche de l'action raisonnée; abstinence Résumé Introduction : La consommation de boissons sucrées (BS) est associée à de nombreux problèmes de santé tels que l'obésité et les maladies cardiovasculaires. Objectif : Identifier les croyances des adolescents concernant l'abstinence de consommer des boissons sucrées (ACBS). Méthodes : Fondées sur l'Approche de l'action raisonnée, trente entrevues semi-structurées ont été réalisées avec des adolescents (12-17 ans). La sélection selon l'âge, le sexe et le milieu a permis d'assurer une large représentation d'adolescents de deux régions francophones du Québec (Est du Canada). Suivant la définition des BS, les adolescents ont répondu à huit questions ouvertes au sujet de l'ACBS au cours du mois à venir. Une analyse qualitative de contenu réalisée indépendamment par deux experts a permis d'identifier les croyances les plus importantes. Résultats : Le principal avantage de l'ACBS est le bénéfice pour la santé et le principal désavantage est de ne pas pouvoir boire des produits dont ils aiment le goût. Les parents et les amis semblent les personnes les plus influentes concernant l'ACBS. De nombreux obstacles à l'ACBS ont été identifiés, tels que le contexte (occasions spéciales, au restaurant, après les activités sportives), la présence de personnes qui boivent des BS, les publicités sur ...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Beliefs of Adolescents on Sugar-Sweetened Beverages Abstinence: A Reasoned Action Approach Elicitation Study

Beaulieu

Vézina‐Im

Simard

et al. 2018

Science of Nursing and Health Practices - Science infirmière et

Self Cite

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“…In a targeted search for existing systematic reviews on SSB interventions conducted on May 25, 2018, we identified 5 systematic reviews that included environmental interventions to reduce the consumption of SSB other than taxation, including 4 that are focused on children and adolescents [14,[89][90][91], and one which includes interventions targeting all age groups [13]. There is substantial variation in the focus, the search strategies, the eligibility criteria and various other methodological aspects used by the 5 existing systematic reviews and our review.…”

Section: Comparison With Other Studiesmentioning

confidence: 99%

Environmental Interventions to Reduce the Consumption of Sugar-Sweetened Beverages: Abridged Cochrane Systematic Review

Philipsborn¹,

Stratil

Burns

et al. 2020

Obes Facts

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Background: Regular consumption of sugar-sweetened beverages (SSB) can increase the risk for obesity, type 2 diabetes, cardiovascular disease, and dental caries. Interventions that alter the physical or social environment in which individuals make beverage choices have been proposed to reduce the consumption of SSB. Methods: We included randomised controlled, non-randomised controlled, and interrupted time series studies on environmental interventions, with or without behavioural co-interventions, implemented in real-world settings, lasting at least 12 weeks, and including at least 40 individuals. Studies on the taxation of SSB were not included, as these are subject of a separate Cochrane review. We used standard Cochrane methods for data extraction, risk of bias assessment, and evidence grading and synthesis. Searches were updated to January 24, 2018. Results: We identified 14,488 unique records and assessed 1,030 full texts for eligibility. We included 58 studies comprising a total of 1,180,096 participants and a median length of follow-up of 10 months. We found moderate-certainty evidence for consistent associations with decreases in SSB consumption or sales for the following interventions: traffic light labelling, price increases on SSB, in-store promotion of healthier beverages in supermarkets, government food benefit programs with incentives for purchasing fruits and vegetables and restrictions on SSB purchases, multi-component community campaigns focused on SSB, and interventions improving the availability of low-calorie beverages in the home environment. For the remaining interventions we found low- to very-low-certainty evidence for associations showing varying degrees of consistency. Conclusions: With observed benefits outweighing observed harms, we suggest that environmental interventions to reduce the consumption of SSB be considered as part of a wider set of measures to improve population-level nutrition. Implementation should be accompanied by evaluations using appropriate methods. Future studies should examine population-level effects of interventions suitable for large-scale implementation, and interventions and settings not yet studied thoroughly.

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“…Eine systematische Übersichtsarbeit zeigte, dass verhaltens-und verhältnispräventive Ansätze in Schulen zur Reduktion des Süßgetränkekonsums beitragen können, wobei die Wirkungen der verhältnispräventiven bzw. legislativen Ansätze am größten war (47). Erfahrungen aus den USA zeigen, dass Einschränkungen des Verkaufs von Süßgetränken an Schulen deren Konsum signifikant senken können (48).…”

Section: Schulbasierte Interventionenunclassified

Süßgetränke und Körpergewicht: Zusammenhänge und Interventionsmöglichkeiten

Philipsborn¹,

Hauck²,

Gatzemeier³

et al. 2017

Adipositas - Ursachen, Folgeerkrankungen, Therapie

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ZusammenfassungSüßgetränke erfahren eine große wissenschaftliche und politische Aufmerksamkeit. Ihr Konsum ist in vielen Ländern in den letzten Jahrzehnten stark angestiegen. In Deutschland hat sich der Absatz zwischen 1970 und 2010 mehr als verdoppelt. Es gibt gute Evidenz dafür, dass ein regelmäßiger Konsum von Süßgetränken eine Gewichtszunahme fördert, wofür physiologische und psychologische Faktoren verantwortlich gemacht werden. In Beobachtungsstudien wurde zudem eine Assoziation zwischen regelmäßigem Süßgetränkekonsum und dem Risiko für Diabetes mellitus Typ 2, kardiovaskuläre Erkrankungen und Karies festgestellt. Angesichts der nachweislich negativen gesundheitlichen Auswirkungen werden diverse Interventionsmöglichkeiten diskutiert. Hier sind insbesondere Steuern, Werbebeschränkungen und Veränderungen des Getränkeangebots in Schulen und Kindergärten zu nennen, welche in vielen Ländern bereits umgesetzt oder beschlossen wurden. In Deutschland konnten entsprechende Maßnahmen trotz des im internationalen Vergleich hohen Süßgetränkekonsums bislang noch nicht verwirklicht werden.

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Efficacy of school-based interventions aimed at decreasing sugar-sweetened beverage consumption among adolescents: a systematic review

Abstract: School-based interventions show promising results to reduce SSB consumption among adolescents. A number of recommendations are made to improve future studies.

Cited by 73 publications

References 119 publications

Beliefs of Adolescents on Sugar-Sweetened Beverages Abstinence: A Reasoned Action Approach Elicitation Study

Beliefs of Adolescents on Sugar-Sweetened Beverages Abstinence: A Reasoned Action Approach Elicitation Study

Environmental Interventions to Reduce the Consumption of Sugar-Sweetened Beverages: Abridged Cochrane Systematic Review

Süßgetränke und Körpergewicht: Zusammenhänge und Interventionsmöglichkeiten

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