Food Group and Dietary Nutrient Intakes by Sugar-Sweetened Beverage Intake Level in Korean High School Students Using the Data from 2007~2015 Korea National Health and Nutrition Examination Survey

Introduction: National prevalence data on home blood pressure monitoring (HBPM) has previously been reported from 2009-2010, but no recent data has been reported. Methods: This report is based on national-level, cross-sectional data for noninstitutionalized US adults aged ≥18 years (n = 6,113 participants) from the National Health and Nutrition Examination Survey (NHANES), 2013-2014. Results: Overall, 25.5% (1560 of 6113) of the adults engaged in HBPM monitoring in the 2013-2014 survey year. This is an increase from the previous NHANES 2009-2010 analysis reporting a 21.7% (1302 of 6001) rate. The frequency of HBPM increased with higher age, higher education level, having a partner, hypertensive, hypertensive aware, and hypertensive treated. Both SBP and DBP were higher in the HBPM group and were both statistically significant. The groups of hypertensive, hypertensive-aware, and hypertensive-treated patients all showed higher rates of HBPM use than nonuse. The frequency of HBPM monitoring in the categories of less than monthly, monthly, and weekly was reported at rates of 7.8% (476 of 6113), 6.6% (401 of 6113), and 11.2% (683 of 6113), respectively. These reported rates are consistent and slightly increased in the weekly HBPM reported use compared with the NHANEs 2009-2010 analysis (7.2% [432 of 6001], 6.6% [396 of 6001], and 7.9% [474 of 6001), respectively). Adjusting for covariables, those who were aware of, treated for, and had known hypertension were more likely to have a higher frequency of HBPM than the reference: unaware, untreated, and no known hypertension (odds ratio (OR) = 1.98; OR = 2.13; and OR = 1.64, respectively). Individuals with less than a high school diploma and having no partner were less likely to perform HBPM than the reference: high school graduate or greater and having a partner (OR = 0.73; OR = 0.65, respectively). Conclusions: Approximately 21.0% (1084 of 6113) of adults engaged in monthly or more frequent HBPM which is an increase from the reported 14.5%(870 of 6001) rate in the 2009-2010 analysis. Having hypertension, being aware of hypertension, and being treated for hypertension were associated with an increased frequency of HBPM. Having no partner and less than a high school diploma were associated with lower frequency of HBPM.

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Will high school students ‘rethink their drink’? Findings from an impact evaluation of a healthy beverage curriculum

Health Education Journal ◽

10.1177/00178969211045725 ◽

2021 ◽

pp. 001789692110457

Author(s):

Ron Strochlic ◽

Gail Woodward-Lopez ◽

Kaela Plank ◽

Sridharshi Hewawitharana ◽

Jackie Richardson ◽

...

Keyword(s):

High School ◽

High School Students ◽

High Schools ◽

Online Survey ◽

School Curriculum ◽

Northern California ◽

Structured Interviews ◽

School Students ◽

Sugar Sweetened Beverage ◽

Beverage Consumption

Objective: To promote healthy beverage consumption among 9–12 grade students (ages 14–18) by means of a 4-week curriculum promoting increased awareness of drinks containing added sugar and the association between sugar-sweetened beverage consumption and health risks. Design: Quasi-experimental pre–post design. Setting: High schools in Northern California with at least 50% of students eligible for free or reduced-price meals. Method: A 4-lesson version of the Rethink Your Drink high school curriculum was piloted in three high schools in two northern California counties. Two high schools in the same area served as comparison sites. A survey of beverage-related knowledge, behaviours, perceptions and self-efficacy was administered to intervention and comparison students before and after the intervention. Focus groups with students and an online survey and semi-structured interviews with teachers were conducted following the intervention. Results: Intervention students reported significantly greater frequency of reading Nutrition Facts labels and understanding of beverage choice influences and decreased consumption of diet soda than comparison students. A decrease of 0.26 times per day in consumption of sugar-sweetened beverages relative to the comparison group was not significant. Conclusion: The intervention resulted in some positive outcomes, but improvements in targeted beverage consumption were not significant. Students and teachers want shorter, more engaging and experiential curricula that build on previous learning. Findings point to actionable recommendations for improvement of high school healthy beverage curricula and suggest the need for reinforcement using a multi-level approach.

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