Use of a Water Filter at Home Reduces Sugary Drink Consumption among Parents and Infants/Toddlers in a Predominantly Hispanic Community: Results from the Water Up!@ Home Intervention Trial

Reese, Amanda C.; Burgos-Gil, Rosalina; Cleary, Sean D.; Lora, Karina; Rivera, Ivonne; Gittelsohn, Joel; Seper, Sara; Monge‐Rojas, Rafael; Colón‐Ramos, Uriyoán

doi:10.1016/j.jand.2022.06.006

Cited by 9 publications

(9 citation statements)

References 38 publications

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“…At the societal level, taxation of SSB [ 36 ], warning labels included to the front of SSB [ 37 ], and school-based interventions [ 38 , 39 ] have been incorporated in many countries. At the individual level, interventions that provide or encourage water consumption, such as providing water filters to clean tap water [ 40 ], or education programs on SSBs and healthy lifestyle choices [ 41 , 42 ] have reduced SSB consumption. Other studies have used behavior change theories to decrease SSB consumption [ 43 , 44 , 45 , 46 ].…”

Section: Discussionmentioning

confidence: 99%

The Association between Maternal Sugar-Sweetened Beverage Consumption and Infant/Toddler Added Sugar Intakes

et al. 2022

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Intake of added sugars during early life is associated with poor health outcomes. Maternal dietary intake influences the intake of their children, but little research investigates the relationship between maternal sugar sweetened beverage (SSB) and infant/toddler added sugar intakes. Our objective was to explore the relationship between maternal total sugars and SSB intakes and infant/toddler added sugar intakes. This cross-sectional study (n = 101) of mother-infant dyads measured maternal dietary intake by food frequency questionnaire and infant intake by three 24-h dietary recalls. Pearson’s correlations explored the relations between maternal total sugars and SSB intakes and infant added sugar intakes. Hierarchical stepwise regressions determined if maternal total sugars and SSB intakes explained the variation in infant added sugar intakes after accounting for known risk factors for early introduction of added sugars. Maternal total sugars (r = 0.202, p = 0.043) and SSB (r = 0.352, p < 0.001) intakes were positively correlated with infant/toddler added sugar intakes. In the hierarchical models, maternal total sugar intakes did not account for more variance in infant added sugar intakes (β = 0.046, p = 0.060), but maternal SSB intake was a significant contributor of infant added sugar intakes (β = 0.010, p = 0.006) after accounting for confounders. Interventions to reduced maternal SSB consumption may help reduce infant/toddler added sugar intakes.

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Section: Discussionmentioning

confidence: 99%

The Association between Maternal Sugar-Sweetened Beverage Consumption and Infant/Toddler Added Sugar Intakes

et al. 2022

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“…As an intervention, our findings from the Water Up! @Home RCT ( 31 ) and from the explanatory qualitative interviews reported here suggest that the use of a water filter could help to alleviate water insecurity concerns in some of the participants, although we cannot obviate the possibility that participants accepted the water filter because it came from a trusted source with whom they already had a relationship (i.e. the home visitors from the EHS).…”

Section: Discussionmentioning

confidence: 81%

“…In our study, while intervention parents explained that they consciously tried to consume less SSB and more water via various strategies (taught in the intervention), comparison parents simply explained that they drank more water because of the filter. Since the latter also reported significantly lower SSB consumption after the provision of the water filter ( 31 ) , this seems to suggest that greater access to water that is perceived as ‘drinkable’ can increase water intake and displaced intake of other beverages, such as SSB, perhaps due to body water homoeostasis ( 39 ) .…”

Section: Discussionmentioning

confidence: 99%

“…The effects of the intervention were evaluated via a randomised controlled trial that provided families with the intervention (theory-based new curriculum about benefits of water v. SSB, plus provision of water filter pitcher) or a water filter pitcher only (without further instructions). Results from the trial suggested that the curriculum plus filter intervention was effective at reducing 100 % fruit juice consumption, while parents and children in both experimental groups significantly increased their overall water consumption and reduced their SSB consumption from baseline ( 31 ) . These findings raised many questions about the potential effects of the intervention in the context of this community and whether the provision of a water filter alone was enough to replace SSB intake with water consumption in this population.…”

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confidence: 99%

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How providing a low-cost water filter pitcher led Latino parents to reduce sugar-sweetened beverages and increase their water intake: explanatory qualitative results from the Water Up!@Home intervention trial

Vázquez

Hernández

Reese

et al. 2022

Public Health Nutr.

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Objective: This study sought to explain results of the Water Up!@Home randomized controlled trial where low-income parents were randomized to receive an educational intervention +a low-cost water filter pitcher or only the filter. Parents in both groups had reported statistically significant reductions in SSB and increases in water intake post-intervention. Design: Qualitative explanatory in-depth interviews analyzed thematically and deductively. Setting: Washington DC metropolitan area, US. Participants: Low-income Latino parents of infants/toddlers who had participated in the Water UP! @Home randomized controlled trial. Results: The filter stimulated water consumption in both groups by: 1) increasing parents’ perception of water safety, 2) acting as a cue to action to drink water, 3) improving the flavor of water (which was linked to perceptions of safety), and 4) increasing the perception that this option was more economical than purchasing bottled water. Safe and palatable drinking water was more accessible and freely available in their homes; participants felt they did not need to ration their water consumption as before. Only intervention participants were able to describe a reduction in SSB intake and described strategies, skills, and knowledge gained to reduce SSB intake. Among the comparison group, there was no thematic consensus about changes in SSB or any strategies or skills to reduce SSB intake. Conclusions: A low-cost water filter facilitated water consumption, which actively (or passively for comparison group) displaced SSB consumption. The findings have implications for understanding and addressing the role of water security on SSB consumption.

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“…and a list of beverages. The list came originally from the Beverage Intake Questionnaire (BEVQ-15) [ 24 ] on typically consumed beverages and was adapted by Colon-Ramos [ 25 ] to include examples from common Hispanic beverages. This list was reviewed by Costa Rican researchers (RM-R, RV-Q) to obtain the final list, which contained typically consumed beverages by adolescents in this country [ 7 ].…”

Section: Methodsmentioning

confidence: 99%

Exploratory Analysis of Social Networks Linked to the Provision of Beverages in Costa Rican Schools

et al. 2023

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Sugar-sweetened beverages (SSBs) are implicated in weight gain and adverse cardiometabolic heath. Social networks of stakeholders involved in providing potable water and sugar-sweetened beverages (SSBs) in high schools in Costa Rica were studied using social analysis network. In public and private schools, the interactions between the stakeholders in charge of providing beverages are fragmented and their role in preventing the availability of SSBs is weak. School canteen owners ultimately decide what beverages are available at school, which may cause students to choose beverages that increase the risk of overweight/obesity. It is therefore urgently necessary to improve the capacity for two-way interactions between the stakeholders to enhance their roles in the provision of beverages. Hence, it is essential to reinforce the stakeholders’ leadership, and set up innovative ways to exert it in order to develop a shared vision of the types of drinks that should be available in the school environment.

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Use of a Water Filter at Home Reduces Sugary Drink Consumption among Parents and Infants/Toddlers in a Predominantly Hispanic Community: Results from the Water Up!@ Home Intervention Trial

Cited by 9 publications

References 38 publications

The Association between Maternal Sugar-Sweetened Beverage Consumption and Infant/Toddler Added Sugar Intakes

The Association between Maternal Sugar-Sweetened Beverage Consumption and Infant/Toddler Added Sugar Intakes

How providing a low-cost water filter pitcher led Latino parents to reduce sugar-sweetened beverages and increase their water intake: explanatory qualitative results from the Water Up!@Home intervention trial

Exploratory Analysis of Social Networks Linked to the Provision of Beverages in Costa Rican Schools

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