scholarly journals Cognitive and home environmental predictors of change in sugar-sweetened beverage consumption among adolescents

2009 ◽  
Vol 103 (5) ◽  
pp. 768-774 ◽  
Author(s):  
Nicole P. M. Ezendam ◽  
Alexandra E. Evans ◽  
Melissa H. Stigler ◽  
Johannes Brug ◽  
Anke Oenema
Keyword(s):  
Environmental Factors ◽  
Behavioural Control ◽  
Environmental Predictors ◽  
Sugar Sweetened Beverage ◽  
Perceived Behavioural Control ◽  
Mediation Analyses ◽  
Sweetened Beverage ◽  
Cognitive Determinants ◽  
Home Availability

Sugar-sweetened beverage (SSB) consumption may increase risk for unnecessary weight gain. To develop interventions discouraging consumption, more insight is needed about cognitive and environmental predictors related to the decrease in SSB consumption. The present paper aims (1) to describe the relationship between potential cognitive determinants of change (attitudes, subjective norms, perceived behavioural control and intentions) and perceived environmental factors (family food rule and home availability of SSB) with changes in SSB consumption between baseline and 4-month follow-up and (2) to study whether the relationships between the environmental factors and SSB consumption are mediated by the cognitive determinants. Information on possible predictors and SSB intake at baseline and 4-month follow-up was provided by 348 Dutch adolescents (aged 12–13 years) through online questionnaires that were completed at school. Multilevel logistic regression and mediation analyses were used to determine direct and indirect associations between predictors and behaviour. The present results show that a high perceived behavioural control to decrease intake at baseline was associated with a decrease in consumption of SSB between baseline and follow-up (OR = 0·53). Low availability and a stricter family food rule were associated with a decrease in SSB consumption between baseline and follow-up (OR = 2·39, 0·54). The association between availability and decrease in SSB consumption was for 68 % mediated by perceived behavioural control to drink less. In conclusion, interventions to decrease SSB intake should focus on improving attitudes and perceived behavioural control to reduce intake, and on limiting home availability and stimulating stricter family food rules regarding SSB consumption.

scholarly journals Reducing alcohol consumption during pre-drinking sessions: Testing an integrated behaviour-change model

2018 ◽  
Author(s):  
Kim M. Caudwell ◽  
Jacob J Keech ◽  
Kyra Hamilton ◽  
Barbara Mullan ◽  
Martin S Hagger
Keyword(s):  
Alcohol Consumption ◽  
Behaviour Change ◽  
Structural Equation ◽  
Social Cognitive ◽  
Behavioural Control ◽  
Change Model ◽  
Drinking Alcohol ◽  
Online Questionnaire ◽  
Perceived Behavioural Control

Objective: Pre-drinking, the practice of consuming alcohol prior to attending a subsequent event, increases the risk of alcohol-related harm, and is common in undergraduate student populations. The current study tested an integrated behaviour change model to identify the motivational, social-cognitive, and implicit predictors of pre-drinking. Design: University students (N = 289) completed an online questionnaire comprising measures of motivational and social-cognitive constructs related to reducing pre-drinking alcohol consumption and past behaviour, and an implicit association test for drinking identity. Participants reported their pre-drinking alcohol consumption at follow-up, four weeks from baseline. Main Outcome Measures: Self-reported pre-drinking alcohol consumption. Results: A variance-based structural equation model revealed that few model hypotheses were supported. Although the effects of past behaviour, perceived behavioural control, and implicit drinking identity, on follow-up pre-drinking alcohol consumption were statistically significant, the effect of intention was not. Conclusion: Current findings indicate pre-drinking alcohol consumption is associated with past behaviour, perceived behavioural control, and implicit drinking identity, and not intentions to reduce pre-drinking alcohol consumption. Finding raise questions over the validity of applying the integrated model in this context. Interventions should consider these factors and attempt to facilitate the formation of intentions that lead to subsequent behaviour.

scholarly journals Socio-economic inequalities in children's snack consumption and sugar-sweetened beverage consumption: the contribution of home environmental factors

2014 ◽  
Vol 112 (3) ◽  
pp. 467-476 ◽  
Author(s):  
Wilke J. C. van Ansem ◽  
Frank J. van Lenthe ◽  
Carola T. M. Schrijvers ◽  
Gerda Rodenburg ◽  
Dike van de Mheen
Keyword(s):  
Environmental Factors ◽  
Educational Level ◽  
Maternal Education ◽  
Eating Behaviour ◽  
High Educational Level ◽  
Sugar Sweetened Beverage ◽  
Snack Consumption ◽  
Home Availability ◽  
High Educational ◽  
Economic Inequalities

In the present study, we examined the association between maternal education and unhealthy eating behaviour (the consumption of snack and sugar-sweetened beverages (SSB)) and explored environmental factors that might mediate this association in 11-year-old children. These environmental factors include home availability of snacks and SSB, parental rules about snack and SSB consumption, parental intake of snacks and SSB, peer sensitivity and children's snack-purchasing behaviour. Data were obtained from the fourth wave of the INPACT (IVO Nutrition and Physical Activity Child cohorT) study (2011), in which 1318 parent–child dyads completed a questionnaire. Data were analysed using multivariate regression models. Children of mothers with an intermediate educational level were found to consume more snacks than those of mothers with a high educational level (B= 1·22,P= 0·02). This association was not mediated by environmental factors. Children of mothers with a low educational level were found to consume more SSB than those of mothers with a high educational level (B= 0·63,P< 0·01). The association between maternal educational level and children's SSB consumption was found to be mediated by parental intake of snacks and SSB and home availability of SSB. The home environment seems to be a promising setting for interventions on reducing socio-economic inequalities in children's SSB consumption.

scholarly journals A Brief Motivational Intervention Differentially Reduces Sugar-sweetened Beverage (SSB) Consumption

2021 ◽  
Author(s):  
Ashley E Mason ◽  
Laura Schmidt ◽  
Laura Ishkanian ◽  
Laurie M Jacobs ◽  
Cindy Leung ◽  
...  
Keyword(s):  
Behavioral Interventions ◽  
Environmental Intervention ◽  
Motivational Intervention ◽  
Sugar Sweetened Beverage ◽  
Brief Motivational Intervention ◽  
Sweetened Beverage ◽  
Reduce Sugar ◽  
Multi Level ◽  
Clinical Trial Information

Abstract Background Environmental and behavioral interventions hold promise to reduce sugar-sweetened beverage (SSBs) consumption. Purpose To test, among frequent SSB consumers, whether motivations to consume SSBs moderated the effects of (a) a workplace SSB sales ban (environmental intervention) alone, and (b) a “brief motivational intervention” (BI) in addition to the sales ban, on changes in SSB consumption. Methods We assessed whether (1) baseline motivations to consume SSBs (craving, psychological stress, or taste enjoyment) impacted changes in daily SSB consumption at 6-month follow-up among frequent (&gt;12oz of SSBs/day) SSB consumers (N = 214); (2) participants randomized to the BI (n = 109) versus to the sales ban only (n = 105) reported greater reductions in SSB consumption at follow-up; and (3) motivations to consume SSBs moderated any changes in SSB consumption. Results In response to the sales ban alone, individuals with stronger SSB cravings (+1 SD) at baseline showed significantly smaller reductions in daily SSB consumption at 6-month follow-up relative to individuals with weaker (−1 SD) SSB cravings (2.5 oz vs. 22.5 oz), p &lt; .01. Receiving the BI significantly increased reductions for those with stronger SSB cravings: Among individuals with stronger cravings, those who received the BI evidenced significantly greater reductions in daily SSB consumption [M(SE) = −19.2 (2.74) oz] than those who did not [M(SE) = −2.5 (2.3) oz, p &lt; .001], a difference of 16.72 oz. Conclusions Frequent SSB consumers with stronger SSB cravings report minimal reductions in daily SSB consumption with a sales ban only, but report greater reductions if they also receive a motivational intervention. Future multilevel interventions for institutions should consider both environmental and individualized multi-level interventions. Clinical Trial information NCT02585336.

scholarly journals Plasma Metabolomic Signatures of Sugar-Sweetened Beverage Consumption and Risk of Type 2 Diabetes Among US Adults

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 1040-1040
Author(s):  
Danielle Haslam ◽  
Jun Li ◽  
Marta Guasch-Ferre ◽  
Liming Liang ◽  
Clary B Clish ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Cox Regression ◽  
Pearson Correlation ◽  
Metabolic Changes ◽  
Plasma Metabolites ◽  
Sugar Sweetened Beverage ◽  
Sweetened Beverage ◽  
Sugary Drinks

Abstract Objectives Sugar-sweetened beverage (SSB) consumption is associated with a higher risk of type 2 diabetes (T2D), but the metabolic changes linking SSB consumption to T2D are not fully understood. Thus, we aimed to identify a plasma metabolomic signature of SSB consumption and evaluate its association with incident T2D. Methods We used liquid chromatography–mass spectrometry to measure plasma metabolites (&gt;200) among 3,434 participants from three US cohorts: Nurses’ Health Study (NHS), NHS II, and Health Professionals Follow-up Study (HPFS). SSB consumption (servings/day; sodas, fruit punches, and other sugary drinks) was estimated from food frequency questionnaires. We used elastic net regression with 10-fold-cross-validation to identify metabolites associated with higher SSB consumption among a training set of participants (n = 2068) and replicated the association in a testing set (n = 1366). A metabolomic signature score was calculated as the weighted sum of SSB-associated metabolites. Pearson correlation (r) coefficients and 95% confidence intervals (CI) between the metabolomic signature and self-reported SSB consumption were calculated. We used multivariable Cox regression models to estimate hazard ratios (HR) and CI of the identified metabolomic signature with incident T2D among all participants. Results We identified an SSB plasma metabolomic signature of 71 metabolites, primarily lipids and amino acids. Pearson correlation (r) coefficients between self-reported SSBs and the plasma metabolomic signature were 0.18 (95% CI: 0.14, 0.22; P &lt; 0.0001) and 0.19 (95% CI: 0.14, 0.24; P &lt; 0.0001) in the training and testing sets, respectively. After a median follow-up of 22 years, the metabolomic signature was significantly associated with higher T2D risk [HR for quartile (Q) 1 versus 4 (95% CI): 1.45 (1.02, 2.05); P = 0.04] in models adjusting for factors related to demographics, lifestyle, diet, and body mass index. The association persisted when further adjusting for self-reported SSB consumption [HR for Q1 versus Q4 (95% CI): 1.42 (1.00, 2.02); P = 0.05]. Conclusions We identified a novel metabolomic signature of SSB consumption in US adults that associated with elevated incident T2D risk. This signature may reflect both SSB consumption and metabolic changes related to T2D risk, although residual confounding cannot be ruled out. Funding Sources NIH.

scholarly journals STUDENT MIDWIVES’ INTENTION TO DELIVER WEIGHT MANAGEMENT INTERVENTIONS: A THEORY OF PLANNED BEHAVIOUR & SELF-DETERMINATION THEORY APPROACH

2018 ◽  
Author(s):  
Emily Jane Kothe ◽  
Michelle Lamb ◽  
Lauren Bruce ◽  
Skye McPhie ◽  
Anna Klas ◽  
...  
Keyword(s):  
Weight Management ◽  
Social Cognitive ◽  
Autonomous Motivation ◽  
Self Determination Theory ◽  
Subjective Norms ◽  
Behavioural Control ◽  
Perceived Behavioural Control ◽  
Management Intervention ◽  
Management Interventions ◽  
Cognitive Determinants

Objectives: Overweight and obesity during pregnancy is a risk to the health of mother and child. Midwives can modify this key risk factor by providing weight management interventions to women before and during pregnancy. This study investigated social cognitive determinants of pre-clinical student midwives’ intention to provide weight management intervention in preconception and antenatal clinical contexts. Social cognitive determinants from the Theory of Planned Behaviour (attitudes, subjective norms, perceived behavioural control) and Self-Determination Theory (autonomous motivation) were used to predict pre-clinical students’ intentions once they enter practice.Method: The sample was 183 female pre-clinical student midwives from 17 Australian universities (age range = 18-54 years). Participants received a cross-sectional questionnaire that measured demographic items, attitudes, subjective norms, perceived behavioural control and autonomous motivation towards providing weight management intervention at two different stages of pregnancy – preconception and antenatal. Results: Attitudes, subjective norms, and perceived behavioural control accounted for 56% of intention to provide weight management interventions to women planning pregnancy; however, the addition of autonomous motivation was non-significant. In contrast, attitudes and subjective norms (but not perceived behavioural control) accounted for 39% of intention to provide weight management interventions to women during pregnancy. Furthermore, the addition of autonomous motivation to the model was significant and accounted for an additional 3.1% of variance being explained. Implications and Conclusions: Curriculum changes that support and increase pre-clinical student midwives’ intention should focus on these specific correlates of intention in order to foster long term changes in clinical practice. Changes to the education and training of midwives should be carefully considered to understand their impact on these important determinants of intention to engage in this critical clinical skill.

scholarly journals Randomized Controlled Trial of a Clinic-Based Intervention to Promote Healthy Beverage Consumption Among Latino Children

2017 ◽  
Vol 56 (9) ◽  
pp. 838-844 ◽  
Author(s):  
Amy L. Beck ◽  
Alicia Fernandez ◽  
Jenssy Rojina ◽  
Michael Cabana
Keyword(s):  
Fruit Juice ◽  
Controlled Trial ◽  
Total Sugar ◽  
Latino Parents ◽  
Educational Module ◽  
Sugar Sweetened Beverage ◽  
Beverage Consumption ◽  
Sweetened Beverage ◽  
And Control

The objective of this study was to evaluate an educational module for Latino parents about the health effects of sweet beverages. Latino parents were randomized to receive the beverage module or a control module. Child beverage consumption was assessed at baseline, 2 weeks, 2 months, and 3 months via a beverage recall survey. At 2-week follow-up, children of intervention participants had a mean reduction in 7-day total sugar-sweetened beverage and 100% fruit juice consumption of 16 ounces while controls had a mean increase of 4 ounces ( P = .01). At 2-month and 3-month follow-up, there was a reduction in mean total sugar-sweetened beverage and 100% fruit juice consumption among both intervention and control children. An educational module on beverages for Latino parents reduced child consumption of sweet beverages at 2-week follow-up. However, study participation appears to have also reduced controls’ beverage consumption suggesting that frequent intensive surveys of beverage intake may be an intervention unto itself.

scholarly journals Added sugars and sugar-sweetened beverage consumption, dietary carbohydrate index and depression risk in the Seguimiento Universidad de Navarra (SUN) Project

2017 ◽  
Vol 119 (2) ◽  
pp. 211-221 ◽  
Author(s):  
Almudena Sanchez-Villegas ◽  
Itziar Zazpe ◽  
Susana Santiago ◽  
Aurora Perez-Cornago ◽  
Miguel A. Martinez-Gonzalez ◽  
...  
Keyword(s):  
Cox Regression ◽  
University Graduates ◽  
Sugar Sweetened Beverage ◽  
Added Sugars ◽  
Beverage Consumption ◽  
Sweetened Beverage ◽  
Depression Risk ◽  
Carbohydrate Quality ◽  
Incident Cases

AbstractThe association between added sugars or sugar-sweetened beverage consumption and the risk of depression, as well as the role of carbohydrate quality in depression risk, remains unclear. Among 15 546 Spanish university graduates from the Seguimiento Universidad de Navarra (SUN) prospective cohort study, diet was assessed with a validated 136-item semi-quantitative FFQ at baseline and at 10-year follow-up. Cumulative average consumption of added sugars, sweetened drinks and an overall carbohydrate quality index (CQI) were calculated. A better CQI was associated with higher whole-grain consumption and fibre intake and lower glycaemic index and consumption of solid (instead of liquid) carbohydrates. Clinical diagnoses of depression during follow-up were classified as incident cases. Multivariable time-dependent Cox regression models were used to estimate hazard ratios (HR) of depression according to consumption of added sugars, sweetened drinks and CQI. We observed 769 incident cases of depression. Participants in the highest quartile of added sugars consumption showed a significant increment in the risk of depression (HR=1·35; 95 % CI 1·09, 1·67, P=0·034), whereas those in the highest quartile of CQI (upper quartile of the CQI) showed a relative risk reduction of 30 % compared with those in the lowest quartile of the CQI (HR=0·70; 95 % CI 0·56, 0·88). No significant association between sugar-sweetened beverage consumption and depression risk was found. Higher added sugars and lower quality of carbohydrate consumption were associated with depression risk in the SUN Cohort. Further studies are necessary to confirm the reported results.

scholarly journals A full Brazilian or all natural: understanding the influences on young women’s decision to remove their pubic hair

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Patricia Obst ◽  
Katherine White ◽  
Ebony Matthews
Keyword(s):  
Young Women ◽  
Online Survey ◽  
Theory Of Planned Behaviour ◽  
Pubic Hair ◽  
Behavioural Control ◽  
Hair Removal ◽  
Psychological Consequences ◽  
Planned Behaviour ◽  
Perceived Behavioural Control

Abstract Background Research indicates that young women are being exposed to increasing pressures to remove pubic hair from their bodies, which has the potential for both negative physical and psychological consequences. Women’s personal choice and reasoning for partaking in pubic hair removal is influenced by broader social influences; however, there is little theory-based research drawing from established decision-making models investigating the underlying processes that lead young women to engage in pubic hair removal practices. Based on the Theory of Planned Behaviour, it was hypothesised that 1) attitude, subjective norm, and perceived behavioural control would predict intention to remove pubic hair; 2) additional variables (prototype similarity and favourability) from the Prototype Willingness Model would significantly predict intention to remove pubic hair; 3) feminist values would significantly predict decreased intention to remove pubic hair; and 4) intention and perceived behavioural control would predict future self-reported removal of pubic hair. Method The current study included a sample of 270 young women (17–25 years old), who completed an online survey and a follow up survey 4 weeks later (N = 96). Results Attitudes, perceived behavioural control, and similarity to prototypical pubic hair removers were significant predictors of intention to remove pubic hair. Intention was significantly positively associated and feminist values were significantly negatively associated with actual pubic hair removal. Conclusions These findings align with Theory of Planned Behaviour propositions. Furthermore, the expansion of the model highlights how broader social images impact on young women when deciding whether to engage in a behaviour that is intimately associated with their body image.

A Salient Sugar Tax Decreases Sugary-Drink Buying

2021 ◽  
pp. 095679762110170
Author(s):  
Grant E. Donnelly ◽  
Paige M. Guge ◽  
Ryan T. Howell ◽  
Leslie K. John
Keyword(s):  
Experimental Data ◽  
Purchase Intentions ◽  
Purchase Decisions ◽  
Sugar Sweetened Beverage ◽  
Excise Taxes ◽  
Sweetened Beverage ◽  
Point Of Purchase ◽  
Follow Up Studies ◽  
Sugary Drink

Many governments have introduced sugary-drink excise taxes to reduce purchasing and consumption of such drinks; however, they do not typically stipulate how such taxes should be communicated at the point of purchase. Historical, field, and experimental data consisting of more than 225,000 purchase decisions indicated that introducing a $0.01-per-ounce sugar-sweetened beverage (SSB) tax—without making it salient on price tags—had no significant effect on purchasing (−1.26%, p = .28). However, when the phrase “includes sugary drink tax” was added to tax-inclusive price tags, SSB purchasing was lower than (a) in the pretax period (−9.78%, p < .001), (b) in a posttax period when drinks did not bear price tags (−5.04%, p < .001), and (c) in a posttax period when drinks bore tax-inclusive price tags that did not mention the tax (−3.83%, p = .002). Making the tax’s beneficiary (student programs) salient on price tags had no added effect. Two follow-up studies suggested that tax salience was effective partly because consumers overestimated the tax amount, leading to reduced purchase intentions.

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