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

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

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Review

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

V Mazarello Paes et al. Obes Rev. 2015 Nov.

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.

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Figures

Figure 1
Figure 1
Overview of search results for evidence on determinants of sugar‐sweetened beverage consumption in young children.

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