Tackling the Consumption of High Sugar Products among Children and Adolescents in the Pacific Islands: Implications for Future Research

Aldwell, Katharine; Caillaud, Corinne; Galy, Olivier; Frayon, Stéphane; Allman‐Farinelli, Margaret

doi:10.3390/healthcare6030081

Cited by 15 publications

(16 citation statements)

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“…For example, most of the people living in rural environments have tribal lifestyles and are Melanesian, and most of the people from other ethnic communities (such as Caucasians) live in the urban environments of Noumea and its suburbs. Moreover, rural inhabitants are usually classified as low SES since they generally live of food crops [ 4 ]. Therefore, it is unsurprising that the quantity of consumed SSBs presented in Table 2 was significantly higher in rural environments, Melanesian adolescents, and low-SES adolescents as these factors are very much intertwined.…”

Section: Discussionmentioning

confidence: 99%

“…Second, New Caledonian adolescents seem to have an inadequate understanding of the associations between PA, food consumption and health, which raises questions about health communication campaigns from an educational point of view [ 4 , 6 ]. Notably, knowing how much physical effort is needed to negate an SSB seems to have more influence than knowing the sugar quantity in an SSB can.…”

Section: Discussionmentioning

confidence: 99%

“…Adolescent overweight and obesity are associated with lifestyle factors like low physical activity (PA) and frequent consumption of energy-dense foods high in saturated fats and refined carbohydrates [ 1 ]. Sugar-sweetened beverages (SSBs), in particular, are a frequent source of refined carbohydrates in adolescent nutrition [ 2 , 3 , 4 ]. According to the 2010 Dietary Guidelines for Americans, SSBs are “liquids that are sweetened with various forms of sugars that add calories.…”

Section: Introductionmentioning

confidence: 99%

“…The Pacific Island Countries and Territories (PICTs) are also facing problems of obesity, overweight and changing nutrition patterns [ 4 ]. Kessaram et al [ 10 ] reported the high prevalence of overweight and obesity in adolescents, likely explained by environmental mutations and shifts in nutrition and PA [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Sugar-Sweetened Beverage Consumption and Associated Factors in School-Going Adolescents of New Caledonia

et al. 2019

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This cross-sectional study assessed sugar-sweetened beverage (SSB) consumption and its associations with the sociodemographic and physical characteristics, behavior and knowledge of New Caledonian adolescents. The survey data of 447 adolescents from ages 11 to 16 years were collected in five secondary public schools of New Caledonia between July 2015 and April 2016. These data included measured height and weight, SSB consumption, sociodemographic characteristics, body weight perception, physical activity, and knowledge (sugar quantity/SSB unit; energy expenditure required to eliminate a unit) and opinions about the SSB‒weight gain relationship. Ninety percent of these adolescents declared regularly drinking SSBs. Quantities were associated with living environment (1.94 L·week−1 in urban environment vs. 4.49 L·week−1 in rural environment, p = 0.001), ethnic community (4.77 L·week−1 in Melanesians vs. 2.46 L·week−1 in Caucasians, p < 0.001) and knowledge about energy expenditure (6.22 L·week−1 in unknowledgeable adolescents vs. 4.26 L·week−1 in adolescents who underestimated, 3.73 L·week−1 in adolescents who overestimated, and 3.64 L·week−1 in adolescents who correctly responded on the energy expenditure required to eliminate an SSB unit, p = 0.033). To conclude, community-based health promotion strategies should (1) focus on the physical effort needed to negate SSB consumption rather than the nutritional energy from SSB units and (2) highlight how to achieve sustainable lifestyles and provide tools for greater understanding and positive action.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sugar-Sweetened Beverage Consumption and Associated Factors in School-Going Adolescents of New Caledonia

et al. 2019

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“…Recommendations for the future include greater and continued support for community-led initiatives, especially taking advantage of diaspora communities in the Pacific, such as seasonal workers, who move back and forth between their overseas work location and home on a regular basis, and therefore are valuable conduits for knowledge and ideas (Watt et al, 2006;Aldwell et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

Perceptions of Vanuatu seasonal workers on conducting oral health promotion in their community

Conn¹,

Sa'uLilo²,

Fernández³

et al. 2019

pacifichealth

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Video link: https://www.youtube.com/watch?v=FlJd_Mv2ApU Introduction: Poor oral health is a significant public health problem in Vanuatu, and in Melanesia more generally. It has a negative impact on overall health and well-being and is linked to heart disease and diabetes. Determinants of health such as poverty, poor diet, geographical remoteness, and limited oral health care are some of the contributing factors of poor oral health in Vanuatu. Vanuatu seasonal workers visit Aotearoa New Zealand annually under the Recognised Seasonal Employer (RSE) Scheme, for the purposes of fruit processing. Fruit of the Pacific (FOP), a charitable trust, has collaborated with Oral Health at Auckland University of Technology (AUT) to provide oral health care to seasonal workers since 2010. Emerging from these relationships, a community-led initiative was undertaken by returning workers to Vanuatu in collaboration with FOP involving good oral health, especially tooth-brushing. Method: In 2016, a small-scale study was undertaken of the perceptions of Vanuatu seasonal workers’ of oral health promotion in their community. An exploratory focus group discussion with seasonal workers and a contextual review of sources was undertaken. This paper discusses oral health in Vanuatu and presents the findings of the study. Results/Discussion: The seasonal workers are well aware of the poor oral health of their communities, describing important gains from community-led sharing of oral health messages, including cultural knowledge, empathy, and appropriate forms of communication. They noted that stakeholders and funders are needed on an ongoing basis to support such mechanisms. Conclusion: The study presents and discusses a positive case of Pacific community leaders from migrant diaspora taking action on oral health. This can inform similar actions in Vanuatu, Melanesia, and other Pacific island communities. Further research would be valuable to explore community oral health messaging in Vanuatu and in other settings. Given the potential of the ‘digital dividend’ for greater access to the internet in future, ehealth promotion tools alongside appropriate community programming, might provide a low cost and sustainable model of Pacific oral health promotion.

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The effectiveness of food system policies to improve nutrition, nutrition-related inequalities and environmental sustainability: a scoping review

et al. 2023

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A global transformation of food systems is needed, given their impact on the three interconnected pandemics of undernutrition, obesity and climate change. A scoping review was conducted to synthesise the effectiveness of food system policies/interventions to improve nutrition, nutrition inequalities and environmental sustainability, and to identify double- or triple-duty potentials (their effectiveness tackling simultaneously two or all of these outcomes). When available, their effects on nutritional vulnerabilities and women’s empowerment were described. The policies/interventions studied were derived from a compilation of international recommendations. The literature search was conducted according to the PRISMA extension for scoping reviews. A total of 196 reviews were included in the analysis. The triple-duty interventions identified were sustainable agriculture practices and school food programmes. Labelling, reformulation, in-store nudging interventions and fiscal measures showed double-duty potential across outcomes. Labelling also incentivises food reformulation by the industry. Some interventions (i.e., school food programmes, reformulation, fiscal measures) reduce socio-economic differences in diets, whereas labelling may be more effective among women and higher socio-economic groups. A trade-off identified was that healthy food provision interventions may increase food waste. Overall, multi-component interventions were found to be the most effective to improve nutrition and inequalities. Policies combining nutrition and environmental sustainability objectives are few and mainly of the information type (i.e., labelling). Little evidence is available on the policies/interventions’ effect on environmental sustainability and women’s empowerment. Current research fails to provide good-quality evidence on food systems policies/interventions, in particular in the food supply chains domain. Research to fill this knowledge gap is needed.

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Tackling the Consumption of High Sugar Products among Children and Adolescents in the Pacific Islands: Implications for Future Research

Cited by 15 publications

References 50 publications

Sugar-Sweetened Beverage Consumption and Associated Factors in School-Going Adolescents of New Caledonia

Sugar-Sweetened Beverage Consumption and Associated Factors in School-Going Adolescents of New Caledonia

Perceptions of Vanuatu seasonal workers on conducting oral health promotion in their community

The effectiveness of food system policies to improve nutrition, nutrition-related inequalities and environmental sustainability: a scoping review

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