Sugar-sweetened beverages and body mass index in children and adolescents: a meta-analysis

The objective of this systematic review and meta-analysis is to compare the effect of physical activity only with that of physical activity plus diet interventions on body mass index (BMI) in Latin American children and adolescents. We searched the Medline, Embase, Scopus, Web of Science, and Scielo databases from their inception until March 2020, including studies examining the effect of physical activity or physical activity plus diet interventions on BMI in children and adolescents and based on data from intervention studies. The DerSimonian and Laird method was used to compute a pooled standardized mean difference for BMI in terms of effect size (ES) and respective 95% confidence intervals (CIs). Eighteen studies were included. Analyses were performed based on intervention (four studies were included for physical activity only and four studies were included for physical activity plus diet). In the analysis of physical activity only versus control, there was no effect on BMI (ES = 0.00; 95% CI −0.17–0.17, I2 = 0.0%; p = 0.443). In the analysis of physical activity plus diet versus control, there was a decrease in BMI in favour of the intervention group (ES = −0.28; 95% CI −0.42–−0.14, I2 = 74.5%; p = 0.001). When ES was estimated considering only the effect in intervention groups, there was no evidence of a decrease in BMI (ES = −0.17; 95% CI −0.44–0.11, I2 = 84.5%; p < 0.001) for physical activity only (eight studies). However, there was a statistically significant decrease in BMI (ES = −0.30; 95% CI −0.50–0.11, I2 = 95.8%; p < 0.001) for physical activity plus diet (ten studies). Some limitations of this review could compromise our results, but the main limitation that should be stated is the quality of the studies (mainly medium/moderate), especially as physical activity and diet interventions cannot be blinded, compromising the quality of these studies. In summary, this meta-analysis offers evidence that physical activity plus diet interventions produced a reduction in BMI in Latin American children and adolescents, but physical activity only interventions did not.

Download Full-text

P2-280 Water and sugar sweetened beverages consumption and change in body mass index among Brazilian 4th graders after one school year follow-up

Journal of Epidemiology & Community Health ◽

10.1136/jech.2011.142976k.13 ◽

2011 ◽

Vol 65 (Suppl 1) ◽

pp. A299-A299

Author(s):

R. Sichieri ◽

E. M. Yokoo ◽

R. A. Pereira ◽

G. V. Veiga

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Sugar Sweetened Beverages ◽

School Year ◽

Sweetened Beverages

Download Full-text

Weight and body mass index increase in children and adolescents exposed to antipsychotic drugs in non-interventional settings: a meta-analysis and meta-regression

European Child & Adolescent Psychiatry ◽

10.1007/s00787-020-01582-9 ◽

2020 ◽

Author(s):

Marco Pozzi ◽

Roberta Ida Ferrentino ◽

Giulia Scrinzi ◽

Cristina Scavone ◽

Annalisa Capuano ◽

...

Keyword(s):

Body Mass Index ◽

Children And Adolescents ◽

Body Mass ◽

Antipsychotic Drugs ◽

Meta Analysis ◽

Body Mass Index Increase ◽

Meta Regression

Download Full-text

Public acceptability of a sugar-sweetened beverages tax and its associated factors in the Netherlands

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.326 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

M Eykelenboom ◽

M M van Stralen ◽

M R Olthof ◽

C M Renders ◽

I H M Steenhuis

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Educational Level ◽

Economic Benefit ◽

Associated Factors ◽

Sociodemographic Factors ◽

Sugar Sweetened Beverages ◽

Sweetened Beverages ◽

Public Acceptability ◽

Health Initiatives

Abstract Background Public acceptability of a sugar-sweetened beverages (SSBs) tax is important for governments in the decision-making process. Therefore, the aim of the present study was to investigate the level of public acceptability of an SSBs tax and its associated factors. Methods Dutch adults representative of the Dutch population for age, sex, educational level and location (n = 500) completed an online self-administered questionnaire. The acceptability of an SSBs tax was measured on a 7-point Likert scale. Associations between acceptability and sociodemographic factors, body mass index, SSB consumption, and beliefs about effectiveness (9 items, e.g. 'An SSBs tax would reduce people's SSB consumption'), appropriateness (7 items), socioeconomic and economic benefit (5 items), implementation (1 item) and trust (3 items) were assessed using multivariable linear regression analyses. Results Of the participants, 40% supported and 43% opposed an SSBs tax in general. Moreover, 42% supported (43% opposed) an SSBs tax as a strategy to reduce overweight and 55% supported (32% opposed) an SSBs tax if revenue is used for health initiatives. Participants with a low educational level (B=-0.82;95%CI = [-1.31,-0.32]), overweight (B=-0.49;95%CI = [-0.89,-0.09]), moderate or high SSB consumption (B=-0.86;95%CI = [-1.30,-0.43] and B=-1.01;95%CI = [-1.47,-0.56], respectively) and households with adolescents (B=-0.57;95%CI = [-1.09,-0.05]) reported lower acceptability of an SSBs tax than their counterparts. Beliefs about effectiveness, appropriateness, socioeconomic and economic benefit, implementation and trust were associated with acceptability (P < 0.001). Conclusions Public acceptability of an SSBs tax tends to be higher if revenue is used for health initiatives. Sociodemographic factors, body mass index, SSB consumption and several beliefs about effectiveness, appropriateness, socioeconomic and economic benefit, implementation and trust are associated with acceptability. Key messages It should be considered to include a recommendation to use revenue for health initiatives in global guidelines for SSBs taxes. Targeting population subgroups with low levels of support might be an effective strategy for communication campaigns.

Download Full-text