scholarly journals Changes in Non-Nutritive Sweetener Consumption Patterns in Response to a Sugar-Sweetened Beverage Reduction Intervention

Nutrients ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 3428
Author(s):  
Darlene Acero ◽  
Jamie M. Zoellner ◽  
Brenda M. Davy ◽  
Valisa E. Hedrick

Data are lacking on whether non-nutritive sweeteners (NNS) can be used as a strategy to support decreases in sugar-sweetened beverage (SSB) consumption. The purpose of this secondary analysis of a 6-month SSB-reduction intervention was to explore changes in NNS consumption patterns in Talking Health participants within the SIPsmartER (n = 101) intervention. Additionally, participant characteristics were compared for three SSB-NNS change groups (decrease SSB/increase NNS; decrease SSB/no increase in NNS; increase/no change in SSB/regardless of NNS). There was a significant increase in aspartame and total NNS intake for participants (mean daily mg increases of 37.2 ± 13.9 and 63.7 ± 18.5, respectively). With the exception of sex, no differences in participant characteristics were found between the three SSB-NNS change groups. Furthermore, no significant changes in weight or body mass index (BMI) were demonstrated between SSB-NNS change groups over time. Diet soda was the most commonly consumed source of NNS; however, other dietary sources of NNS also contributed to intake. At 6 months, intake of sucralose and saccharin were primarily from dietary sources other than diet sodas (94% and 100%, respectively). These findings suggest that NNS may be a feasible strategy to help reduce SSB consumption. This study supports the need to consistently quantify and identify NNS intake, beyond using diet soda intake as a proxy for NNS intake and grouping all NNS types into one variable, to more accurately address the potential health effects of NNS.

2020 ◽  
Vol 110 (7) ◽  
pp. 1017-1023 ◽  
Author(s):  
Jennifer Falbe ◽  
Matthew M. Lee ◽  
Scott Kaplan ◽  
Nadia A. Rojas ◽  
Alberto M. Ortega Hinojosa ◽  
...  

Objectives. To examine how much sugar-sweetened beverage (SSB) excise taxes increased SSB retail prices in Oakland and San Francisco, California. Methods. We collected pretax (April–May 2017) and posttax (April–May 2018) retail prices of SSBs and non-SSBs from 155 stores in Oakland, San Francisco, and comparison cities. We analyzed data using difference-in-differences high-dimensional fixed-effects regressions, weighted by regional beverage sales. Results. Across all beverage sizes, the weighted average price of SSBs increased by 0.92 cents per ounce (95% confidence interval [CI] = 0.28, 1.56) in Oakland and 1.00 cents per ounce (95% CI = 0.35, 1.65) in San Francisco, compared with prices in untaxed cities. The tax did not significantly alter prices of water, 100% juice, or milk of any size examined. Diet soda only, among non-SSBs, exhibited a higher price increase for some sizes in taxed cities. Conclusions. Within 4 to 10 months of implementation, Oakland’s and San Francisco’s SSB excise taxes significantly increased SSB retail prices by approximately the amount of the taxes, a key mechanism for reducing consumption.


2016 ◽  
Vol 146 (12) ◽  
pp. 2544-2550 ◽  
Author(s):  
Jiantao Ma ◽  
Paul F Jacques ◽  
James B Meigs ◽  
Caroline S Fox ◽  
Gail T Rogers ◽  
...  

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250841
Author(s):  
Payao Phonsuk ◽  
Vuthiphan Vongmongkol ◽  
Suladda Ponguttha ◽  
Rapeepong Suphanchaimat ◽  
Nipa Rojroongwasinkul ◽  
...  

BackgroundThe World Health Organization (WHO) recommends sugar-sweetened beverage (SSB) taxes to address obesity. Thailand has just launched the new tax rates for SSB in 2017; however, the existing tax rate is not as high as the 20% recommended by the WHO. The objective for this study was to estimate the impacts of an SSB tax on body mass index (BMI) and obesity prevalence in Thailand under three different scenarios based on existing SSB and recommended tax rates.MethodsA base model was built to estimate the impacts of an SSB tax on SSB consumption, energy intake, BMI, and obesity prevalence. Literature review was conducted to estimate pass on rate, price elasticity, energy compensation, and energy balance to weight change. Different tax rates (11%, 20% and 25%) were used in the model. The model assumed no substitution effects, model values were based on international data since there was no empirical Thai data available. Differential effects by income groups were not estimated.FindingsWhen applying 11%, 20%, and 25% tax rates together with 100% pass on rate and an -1.30 own-price elasticity, the SSB consumption decreased by 14%, 26%, and 32%, respectively. The 20% and 25% price increase in SSB price tended to reduce higher energy intake, weight status and BMI, when compared with an 11% increase in existing price increase of SSB. The percentage changes of obesity prevalence of 11%, 20% and 25% SSB tax rates were estimated to be 1.73%, 3.83%, and 4.91%, respectively.ConclusionsA higher SSB tax (20% and 25%) was estimated to reduce consumption and consequently decrease obesity prevalence. Since Thailand has already endorsed the excise tax structure, the new excise tax structure for SSB should be scaled up to a 20% or 25% tax rate if the SSB consumption change does not meet a favourable goal.


Author(s):  
Pearl A. McElfish ◽  
Brett Rowland ◽  
Aaron J. Scott ◽  
Jill Niemeier ◽  
Dalton V. Hoose ◽  
...  

2018 ◽  
Author(s):  
Stéphane Joost ◽  
David De Ridder ◽  
Pedro Marques-Vidal ◽  
Beatrice Bacchilega ◽  
Jean-Marc Theler ◽  
...  

AbstractObjectiveTo identify populations and areas presenting higher consumption of sugar-sweetened beverages (SSB) and their overlap with populations and areas presenting higher body mass index (BMI).DesignCross-sectional population-based study.SettingState of Geneva, Switzerland.Participants15,767 non-institutionalized residents aged between 35 and 74 years (20 and 74 since 2011) of the state of Geneva, Switzerland.Main outcome measuresSpatial indices of sugar-sweetened beverage intake frequency and body mass index. Median regression analysis was used to control for characteristics of patients.ResultsThe SSB intake frequency and the BMI were not randomly distributed across the state. Among the 15,423 participants retained for the analyses, 2,034 (13.2%) were within clusters of high SSB intake frequency and 1,651 (10.7%) was within clusters of low SSB intake frequency, 11,738 (76.1%) showed no spatial dependence. We also identified clusters of BMI, 4,014 (26.0%) participants were within clusters of high BMI and 3,591 (23.3%) were within clusters of low BMI, 7,818 (50.7%) showed no spatial dependence. We found that clusters of SSB intake frequency and BMI overlap in specific areas. 1,719 (11.1%) participants were within high SSB intake frequency and high BMI clusters. After adjustment for covariates (education level, gender, age, nationality, and the median income of the area), the identified clusters persisted and were only slightly attenuated.ConclusionA fine-scale spatial approach allows identifying specific populations and areas presenting higher SSB consumption and, for some areas, higher SSB consumption associated with higher BMI. These findings could guide legislators to develop targeted interventions such as prevention campaigns and pave the way for precision public health.What is already known on this topicThe consumption of sugar-sweetened beverages (SSBs) is an important contributory factor of obesity and obesity-related diseases.SSB consumption varies according to socioeconomic status, which could explain the higher prevalence of obesity in specific areas.SSB taxation faces resistance in many countries due to its potential regressive nature.What this study addsThe spatial analysis of individual-level SSB consumption in the state of Geneva provides a clear identification of populations and areas presenting higher SSB consumption and, for some areas, higher SSB consumption along with higher body mass index (BMI).The results demonstrate the persistence of SSB clustering in the geographic space after adjusting for education level, gender, nationality, age, and neighborhood-level median income.The findings provide guidance for future public health interventions to reduce SSB consumption by better targeting vulnerable populations.


2015 ◽  
Vol 63 (2) ◽  
pp. 462-469 ◽  
Author(s):  
Jiantao Ma ◽  
Caroline S. Fox ◽  
Paul F. Jacques ◽  
Elizabeth K. Speliotes ◽  
Udo Hoffmann ◽  
...  

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2841
Author(s):  
Caroline Miller ◽  
Kerry Ettridge ◽  
Melanie Wakefield ◽  
Simone Pettigrew ◽  
John Coveney ◽  
...  

The need to reduce sugar-sweetened beverage (SSB) consumption is widely accepted, but whether artificially sweetened beverages (ASBs) are a recommended alternative is a growing policy issue because of emerging evidence of potential health effects associated with excess consumption. This study aimed to establish the extent of the Australian population’s knowledge of the risks associated with consuming SSBs (e.g., soda) and ASBs (e.g., diet soda), which is essential for identifying which facets of knowledge to target with public health interventions. A national computer-assisted telephone survey of 3430 Australian adults was conducted in 2017. The survey included a range of measures to test associations between SSB and ASB knowledge and beliefs, demographic characteristics, and soda and diet soda consumption. Participants had an overall awareness that there were health risks associated with SSB and ASB consumption, but they lacked more detailed knowledge of health effects and nutritional composition of these drinks. These knowledge gaps are concerning given that SSBs and ASBs are consumed in large quantities in Australia. Public health interventions targeting consumers’ limited knowledge and perceptions of health risks associated with excess sugar, calorie intake and artificial sweeteners are essential in reducing the health burden of obesity.


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