scholarly journals Sociodemographic, lifestyle, behavioral, and parental factors associated with sugar-sweetened beverage consumption in children in China

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261199
Author(s):  
Haijun Guo ◽  
Dung Phung ◽  
Cordia Chu
Keyword(s):  
Physical Activity ◽  
Low Income ◽  
Fast Food ◽  
Policy Development ◽  
Associated Factors ◽  
Parental Education ◽  
Current Trend ◽  
Parental Factors ◽  
Sugar Sweetened Beverage ◽  
Sweetened Beverage

Objective Evidence shows sugar-sweetened beverage (SSB) consumption is a risk factor for obesity and non-communicable diseases (NCDs) in children. Investigating the influential profiles, which have been examined insufficiently, will help to inform the reduction of SSB consumption. The present research examines the current trend in SSB consumption and associated factors among children in China, in order to inform policy development. Methods Secondary data was extracted from China’s Health and Nutrition Survey (CHNS; 2004, 2006, 2009, and 2011), a repeated cross-sectional research, and a Chi-squared test was applied to compare SSB consumption in the last year, queried by social demographical, `environmental, behavioral, and parental factors. Multilevel mixed-effects logistic regression was employed to examine the trend and effects of the multiple factors. Results A total of 6015 Chinese children aged 6–17 years were investigated. From 2004 to 2011, the percentage of SSB consumption in children increased from 72.6% to 90.3%. The prevalence in urban areas was higher than the prevalence in rural areas, higher in high schools than primary and middle schools, higher in east coast affluent provinces than other provinces, and higher in high-income households than low-income households. Other associated factors include children’s fast food and salty snacks preference, level of physical activity, sedentariness, and parental education. The strongest association with SSB consumption in children was the mother’s SSB consumption (adjusted odds ratio: 5.54, 95% CI: 3.17–9.67). Conclusion Children’s SSB consumption has increased significantly in China, and is associated with socio-economic, demographic, level of physical activity, food preference, and parental factors. Future strategies aimed at reducing SSB consumption among children need to consider these factors.

scholarly journals Lifestyle-related behaviors and health-related quality of life among children and adolescents in China

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Zhenzhen Qin ◽  
Na Wang ◽  
Robert S. Ware ◽  
Yugen Sha ◽  
Fei Xu
Keyword(s):  
Physical Activity ◽  
Fast Food ◽  
Health Related Quality ◽  
Sugar Sweetened Beverage ◽  
Sweetened Beverage ◽  
Screen Viewing ◽  
Insufficient Physical Activity ◽  
Related Quality ◽  
Health Related

Abstract Purpose To investigate associations of five typical lifestyle-related behavioral risk factors (insufficient physical activity, prolonged screen viewing, deprived sleeping, consumption of fast food and sugar-sweetened beverage) with health-related quality of life (HRQoL) among school students in China. Methods Students aged 9–17 years (grades 4–12) were randomly selected from primary and high schools in Nanjing, China, to participate in this cross-sectional study in 2018. The outcome variable, HRQoL, was assessed using the Child Health Utility 9D (CHU9D) instrument and scored from 0 (worst) to 1 (best). Physical activity (including screen viewing and sleeping) and dietary intake were measured using a validated Physical Activity Scale and Food Frequency Questionnaire, respectively. Lifestyle-related behaviors were categorized as sufficient/insufficient or no/yes, and their associations with HRQoL were assessed using mixed-effects linear regression models. Results Overall, 4388 participants completed the questionnaire (response rate = 97.6%). Students with insufficient physical activity [mean difference (MD) = − 0.03; 95% confidence interval (CI) = − 0.04, − 0.01], prolonged screen time (MD = − 0.06; 95% CI = − 0.07, − 0.04), insufficient sleeping time (MD = − 0.04; 95% CI = − 0.07, − 0.02), consumption of sugar-sweetened beverage (MD = − 0.02; 95% CI = − 0.03, − 0.01) or fast food intake (MD = − 0.03; 95% CI = − 0.04, − 0.02) reported significantly lower HRQoL scores. When considered additively, each additional lifestyle-related risk factor was associated with an average decrease of 0.03 units (95% CI: − 0.03, − 0.02) CHU9D score. Conclusions For Chinese students, HRQoL was positively associated with physical activity and sleep duration, but negatively with screen time and consumption of sugar-sweetened beverage and fast food. Moreover, lifestyle-related behaviors may have an additive effect on HRQoL.

scholarly journals Time Trends and Socio-demographic Differences in Chinese Children's Sugar-sweetened Beverage Consumption (P18-111-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Yang Wu ◽  
Yuheng Luo
Keyword(s):  
Low Income ◽  
Urban Areas ◽  
Time Trends ◽  
Descriptive Analysis ◽  
High Income ◽  
Nutrition Survey ◽  
Sugar Sweetened Beverage ◽  
Beverage Consumption ◽  
Sweetened Beverage ◽  
Low Income Families

Abstract Objectives To examine the time trends in Chinese children's sugar-sweetened beverage consumption and how sugar-sweetened beverage consumption varied by socio-demographic variables. Methods A total of 3316 Children aged 6 to 17 were investigated in the China Health and Nutrition Survey in 2004, 2006, 2009 and 2011. Their sugar-sweetened beverage intake and socio-demographic information were self-reported. Descriptive analysis and chi-squared tests were conducted using SPSS 20.0. Results The percentage of children having consumed sugar-sweetened beverage in the past year increased from 72.0% in 2004 to 90.2% in 2011. More boys consumed sugar-sweetened beverage than girls (81.7% in boys vs. 79.2% in girls, P < 0.05). Living in urban areas (86.2% in urban vs. 78.0% in rural children, P < 0.001), from high-income families (87.6% in high-income vs. 73.4% in children from low-income families, P < 0.001), aged 6–12 years (81.3% in 6–12 vs. 77.9% in the 15–17 age group, P < 0.05). Conclusions Sugar-sweetened beverage consumption has significantly increased among Chinese children. Being boys, living in urban areas, from high-income families, and of younger age are positively associated with sugar-sweetened beverage consumption. Funding Sources The present study is funded by a PhD research startup foundation of Jiangxi University of Finance and Economics. Supporting Tables, Images and/or Graphs

Linking a sugar-sweetened beverage tax with fruit and vegetable subsidies: A simulation analysis of the impact on the poor

2021 ◽  
Author(s):  
Pourya Valizadeh ◽  
Barry M Popkin ◽  
Shu Wen Ng
Keyword(s):  
Low Income ◽  
Simulation Analysis ◽  
Fruit And Vegetable ◽  
Sugar Sweetened Beverage ◽  
Subsidy Rate ◽  
Sweetened Beverage ◽  
Financial Gain ◽  
Households With Children ◽  
The Impact ◽  
Low Income Households

Abstract Background US individuals, particularly from low-income subpopulations, have very poor diet quality. Policies encouraging shifts from consuming unhealthy food towards healthy food consumption are needed. Objectives We simulate the differential impacts of a national sugar-sweetened beverage (SSB) tax and its combination with fruit and vegetable (FV) subsidies targeted to low-income households, on SSB and FV purchases of lower and higher SSB purchasers. Design We considered a one-cent-per-ounce SSB tax and two FV subsidy rates of 30% and 50% and used longitudinal grocery purchase data for 79,044 urban/semiurban US households from 2010-2014 Nielsen Homescan. We used demand elasticities for lower and higher SSB purchasers, estimated via longitudinal quantile regression, to simulate policies’ differential effects. Results Higher-SSB purchasing households made larger reductions (per adult equivalent) in SSB purchases than lower SSB purchasers due to the tax (e.g., 4.4 oz/day at SSB purchase percentile 90 vs. 0.5 oz/day at percentile 25; p &lt; 0.05). Our analyses by household income indicated low-income households would make larger reductions than higher-income households at all SSB purchase levels. Targeted FV subsidies induced similar, but nutritionally insignificant, increases in FV purchases of low-income households regardless of their SSB purchase levels. Subsidies, however, were effective in mitigating the tax burdens. All low-income households experienced a net financial gain when the tax was combined with a 50% FV subsidy, but net gains were smaller among higher SSB purchasers. Further, low-income households with children gained smaller net financial benefits than households without children and incurred net financial losses under a 30% subsidy rate. Conclusions SSB taxes can effectively reduce SSB consumption. FV subsidies would increase FV purchases, but nutritionally meaningful increases are limited due to low purchase levels pre-policy. Expanding taxes beyond SSBs, larger FV subsidies, or subsidies beyond FVs, particularly for low-income households with children, may be more effective.

scholarly journals Correlates of sugar-sweetened beverage intake among low-income women during the first 1000 days

2020 ◽  
pp. 1-6
Author(s):  
Erika R Cheng ◽  
Elizabeth Batista ◽  
Ling Chen ◽  
Kelsey Nichols ◽  
Sohyun Park ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Low Income ◽  
Postpartum Women ◽  
Median Regression ◽  
Cross Sectional ◽  
Sugar Sweetened Beverage ◽  
Sweetened Beverage ◽  
Sweetened Beverages ◽  
Supplemental Nutrition Program

Abstract Objective: To describe prenatal and postpartum consumption of water, cows’ milk, 100 % juice and sugar-sweetened beverages (SSB) among women enrolled in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) programme in New York City (NYC) and to identify correlates of SSB intake in this population. Design: Cross-sectional data were collected from structured questionnaires that included validated beverage frequency questionnaires with the assistance of container samples. The association of maternal and household factors and non-SSB consumption with habitual daily energetic (kJ (kcal)) intake from SSB was assessed by using multivariable median regression. Setting: WIC programme in NYC, NY. Data were collected in 2017. Participants: 388 pregnant or postpartum women (infant aged <2 years) from the NYC First 1000 Days Study. Results: Median age was 28 years (interquartile range (IQR) 24–34); 94·1 % were Hispanic/Latina, and 31·4 % were pregnant. Overall, 87·7 % of pregnant and 89·1% of postpartum women consumed SSB ≥ once weekly, contributing to a median daily energetic intake of 410 kJ (98 kcal) (IQR (113–904 kJ) 27–216) and 464 kJ (111 kcal) (IQR (163–1013 kJ) 39–242), respectively. In adjusted analyses, only consumption of 100 % juice was associated with greater median energetic intake from SSB (adjusted β for each additional ounce = 13; 95% CI 8, 31 (3·2; 95 % CI 2·0, 7·3). Conclusions: Among pregnant and postpartum women in WIC-enrolled families, interventions to reduce SSB consumption should include reduction of 100 % juice consumption as a co-target of the intervention.

scholarly journals Significant Decrease in Childhood Obesity and Waist Circumference over 15 Years in Switzerland: A Repeated Cross-Sectional Study

Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1922
Author(s):  
Isabelle Herter-Aeberli ◽  
Ester Osuna ◽  
Zuzana Sarnovská ◽  
Michael B. Zimmermann
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Childhood Obesity ◽  
Waist Circumference ◽  
Parental Education ◽  
Childhood Overweight ◽  
Overweight And Obesity ◽  
Central Adiposity ◽  
Parental Factors ◽  
The Past

Despite a global increase in childhood obesity over the past decades, several countries, including Switzerland, have recently reported stabilizing trends. Using national data from school-aged children in Switzerland over the past 16 years, our study aim was to assess changes in the prevalence of overweight and obesity, central adiposity and predictors of obesity related to lifestyle and parental factors. Nationally representative samples of children aged 6–12 years were studied in 2002 (n = 2493), 2007 (n = 2218), 2012 (n = 2963), and 2017/18 (n = 2279). Height and weight, waist circumference, and multiple skinfold thicknesses were measured. Potential risk factors for overweight and obesity were determined using a self-administered questionnaire in 2017/18, collecting data on diet, physical activity, and parental factors. Prevalence (95% CI) of overweight (incl. obesity) and obesity in 2017/18 was 15.9% (14.4–17.4) and 5.3% (4.5–6.3), respectively. Binary logistic regression revealed a small but significant decrease in the prevalence of overweight (including obesity) since 2002 (OR (95% CI) = 0.988 (0.978–0.997)), while the change in obesity alone was not significant. The most important risk factors for childhood overweight/obesity in 2017/18 were low parental education, non-Swiss origin of the parents, low physical activity of the child, and male sex. In conclusion, we have shown a small but significant declining trend in the childhood overweight/obesity prevalence over the past 15 years in Switzerland. Based on the risk factor analysis, preventive action in schoolchildren might be most effective in boys, migrant populations, and families with lower education, and should emphasize physical activity.

scholarly journals Public acceptability of a sugar-sweetened beverage tax and its associated factors in the Netherlands

2020 ◽  
pp. 1-11
Author(s):  
Michelle Eykelenboom ◽  
Maartje M van Stralen ◽  
Margreet R Olthof ◽  
Carry M Renders ◽  
Ingrid HM Steenhuis
Keyword(s):  
The Netherlands ◽  
Sex Education ◽  
Economic Benefit ◽  
Associated Factors ◽  
Weight Status ◽  
Education Level ◽  
Sugar Sweetened Beverage ◽  
Sweetened Beverage ◽  
Public Acceptability ◽  
Health Initiatives

Abstract Objective: To investigate the level of public acceptability of a sugar-sweetened beverage (SSB) tax and its associated factors. Design: Participants completed an online self-administered questionnaire. Acceptability of an SSB tax was measured on a seven-point Likert scale (strongly disagree to strongly agree). Associations between acceptability and sociodemographic factors, weight status, SSB consumption and beliefs about effectiveness (e.g., ‘An SSB tax would reduce people’s SSB consumption’), appropriateness, socioeconomic and economic benefit, implementation and trust were assessed using multivariable linear regression analyses. Setting: The Netherlands. Participants: Dutch adults aged ≥18 years representative of the Dutch population for age, sex, education level and location (n 500). Results: Of the participants, 40 % supported and 43 % opposed an SSB tax in general. Moreover, 42 % supported (43 % opposed) an SSB tax as a strategy to reduce overweight, and 55 % supported (32 % opposed) an SSB tax if revenue is used for health initiatives. Participants with a low education 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 a lower acceptability of an SSB 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 SSB tax tends to be higher if revenue is used for health initiatives. The factors associated with acceptability should be taken into consideration.

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