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Effectiveness of behavioral interventions to reduce the intake of sugar-sweetened beverages in children and adolescents: a systematic review and meta-analysis
Abstract Context Consumption of sugar-sweetened beverages (SSBs) among children has been associated with adverse health outcomes. Numerous behavioral interventions aimed at reducing the intake of SSBs among children have been reported, yet evidence of their effectiveness is lacking. Objective This s...
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| Published in: | Nutrition reviews 2018-02, Vol.76 (2), p.88-107 |
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| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c420t-fdb5e1d4f4d6c62c530f34185d4e9fd2cab7a397e5aa190e2303a18649fcb22e3 |
| container_end_page | 107 |
| container_issue | 2 |
| container_start_page | 88 |
| container_title | Nutrition reviews |
| container_volume | 76 |
| creator | Abdel Rahman, Abir Jomaa, Lamis Kahale, Lara A Adair, Pauline Pine, Cynthia |
| description | Abstract
Context
Consumption of sugar-sweetened beverages (SSBs) among children has been associated with adverse health outcomes. Numerous behavioral interventions aimed at reducing the intake of SSBs among children have been reported, yet evidence of their effectiveness is lacking.
Objective
This systematic review explored the effectiveness of educational and behavioral interventions to reduce SSB intake and to influence health outcomes among children aged 4 to 16 years.
Data Sources
Seven databases were searched for randomized controlled trials published prior to September 2016. Studies identified were screened for eligibility.
Study Selection
Trials were included in the review if they met the PICOS (Population, Intervention, Comparison, Outcome, and Study design) criteria for inclusion of studies.
Data Extraction
Data were extracted by 2 reviewers following Cochrane guidelines and using Review Manager software.
Results
Of the 16 trials included, 12 were school based and 4 were community or home based. Only 3 trials provided data that could be pooled into a meta-analysis for evaluating change in SSB intake. Subgroup analyses showed a trend toward a significant reduction in SSB intake in participants in school-based interventions compared with control groups. Change in body mass index z scores was not statistically significant between groups.
Conclusions
The quality of evidence from included trials was considered moderate, and the effectiveness of educational and behavioral interventions in reducing SSB intake was modest.
Systematic Review Registration
PROSPERO registration number CRD42014004432. |
| doi_str_mv | 10.1093/nutrit/nux061 |
| format | article |
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Context
Consumption of sugar-sweetened beverages (SSBs) among children has been associated with adverse health outcomes. Numerous behavioral interventions aimed at reducing the intake of SSBs among children have been reported, yet evidence of their effectiveness is lacking.
Objective
This systematic review explored the effectiveness of educational and behavioral interventions to reduce SSB intake and to influence health outcomes among children aged 4 to 16 years.
Data Sources
Seven databases were searched for randomized controlled trials published prior to September 2016. Studies identified were screened for eligibility.
Study Selection
Trials were included in the review if they met the PICOS (Population, Intervention, Comparison, Outcome, and Study design) criteria for inclusion of studies.
Data Extraction
Data were extracted by 2 reviewers following Cochrane guidelines and using Review Manager software.
Results
Of the 16 trials included, 12 were school based and 4 were community or home based. Only 3 trials provided data that could be pooled into a meta-analysis for evaluating change in SSB intake. Subgroup analyses showed a trend toward a significant reduction in SSB intake in participants in school-based interventions compared with control groups. Change in body mass index z scores was not statistically significant between groups.
Conclusions
The quality of evidence from included trials was considered moderate, and the effectiveness of educational and behavioral interventions in reducing SSB intake was modest.
Systematic Review Registration
PROSPERO registration number CRD42014004432.</description><identifier>ISSN: 0029-6643</identifier><identifier>EISSN: 1753-4887</identifier><identifier>DOI: 10.1093/nutrit/nux061</identifier><identifier>PMID: 29281069</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Adolescent ; Behavior Control ; Beverages - adverse effects ; Child ; Dietary Sugars - administration & dosage ; Dietary Sugars - adverse effects ; Health Education ; Humans ; Overweight - prevention & control ; Randomized Controlled Trials as Topic ; Special ; Sweetening Agents - administration & dosage ; Sweetening Agents - adverse effects</subject><ispartof>Nutrition reviews, 2018-02, Vol.76 (2), p.88-107</ispartof><rights>The Author(s) 2017. Published by Oxford University Press on behalf of the International Life Sciences Institute. 2017</rights><rights>The Author(s) 2017. Published by Oxford University Press on behalf of the International Life Sciences Institute.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-fdb5e1d4f4d6c62c530f34185d4e9fd2cab7a397e5aa190e2303a18649fcb22e3</citedby><cites>FETCH-LOGICAL-c420t-fdb5e1d4f4d6c62c530f34185d4e9fd2cab7a397e5aa190e2303a18649fcb22e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,786,790,891,1591,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29281069$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Abdel Rahman, Abir</creatorcontrib><creatorcontrib>Jomaa, Lamis</creatorcontrib><creatorcontrib>Kahale, Lara A</creatorcontrib><creatorcontrib>Adair, Pauline</creatorcontrib><creatorcontrib>Pine, Cynthia</creatorcontrib><title>Effectiveness of behavioral interventions to reduce the intake of sugar-sweetened beverages in children and adolescents: a systematic review and meta-analysis</title><title>Nutrition reviews</title><addtitle>Nutr Rev</addtitle><description>Abstract
Context
Consumption of sugar-sweetened beverages (SSBs) among children has been associated with adverse health outcomes. Numerous behavioral interventions aimed at reducing the intake of SSBs among children have been reported, yet evidence of their effectiveness is lacking.
Objective
This systematic review explored the effectiveness of educational and behavioral interventions to reduce SSB intake and to influence health outcomes among children aged 4 to 16 years.
Data Sources
Seven databases were searched for randomized controlled trials published prior to September 2016. Studies identified were screened for eligibility.
Study Selection
Trials were included in the review if they met the PICOS (Population, Intervention, Comparison, Outcome, and Study design) criteria for inclusion of studies.
Data Extraction
Data were extracted by 2 reviewers following Cochrane guidelines and using Review Manager software.
Results
Of the 16 trials included, 12 were school based and 4 were community or home based. Only 3 trials provided data that could be pooled into a meta-analysis for evaluating change in SSB intake. Subgroup analyses showed a trend toward a significant reduction in SSB intake in participants in school-based interventions compared with control groups. Change in body mass index z scores was not statistically significant between groups.
Conclusions
The quality of evidence from included trials was considered moderate, and the effectiveness of educational and behavioral interventions in reducing SSB intake was modest.
Systematic Review Registration
PROSPERO registration number CRD42014004432.</description><subject>Adolescent</subject><subject>Behavior Control</subject><subject>Beverages - adverse effects</subject><subject>Child</subject><subject>Dietary Sugars - administration & dosage</subject><subject>Dietary Sugars - adverse effects</subject><subject>Health Education</subject><subject>Humans</subject><subject>Overweight - prevention & control</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Special</subject><subject>Sweetening Agents - administration & dosage</subject><subject>Sweetening Agents - adverse effects</subject><issn>0029-6643</issn><issn>1753-4887</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNqFkT1vFDEQhi0EIkegpEUuaTb4Y723pkBCUQhIkWigtmbt8Z1hb33Y3g33Z_it-LgQoKKaYh4_M56XkOecXXCm5atpLimUWr6zjj8gK75Wsmn7fv2QrBgTuum6Vp6RJzl_YYxxoeVjcia06Dnr9Ir8uPIebQkLTpgzjZ4OuIUlxAQjDVPBVDslxCnTEmlCN1ukZYvHHnzF44M8byA1-RaxVImrggUTbDBXhtptGF3CicLkKLg4YrZVmF9ToPmQC-6gBFvFS8DbX9AOCzQwwXjIIT8ljzyMGZ_d1XPy-d3Vp8v3zc3H6w-Xb28a2wpWGu8Ghdy1vnWd7YRVknnZ8l65FrV3wsKwBqnXqAC4Zigkk8D7rtXeDkKgPCdvTt79POzQHVesBzD7FHaQDiZCMP92prA1m7gYpaXulaqCl3eCFL_NmIvZhfrTcYQJ45wN1_XgSrSqr2hzQm2KOSf092M4M8dMzSlTc8q08i_-3u2e_h3in9lx3v_H9RPB-7QS</recordid><startdate>20180201</startdate><enddate>20180201</enddate><creator>Abdel Rahman, Abir</creator><creator>Jomaa, Lamis</creator><creator>Kahale, Lara A</creator><creator>Adair, Pauline</creator><creator>Pine, Cynthia</creator><general>Oxford University Press</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180201</creationdate><title>Effectiveness of behavioral interventions to reduce the intake of sugar-sweetened beverages in children and adolescents: a systematic review and meta-analysis</title><author>Abdel Rahman, Abir ; Jomaa, Lamis ; Kahale, Lara A ; Adair, Pauline ; Pine, Cynthia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-fdb5e1d4f4d6c62c530f34185d4e9fd2cab7a397e5aa190e2303a18649fcb22e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Behavior Control</topic><topic>Beverages - adverse effects</topic><topic>Child</topic><topic>Dietary Sugars - administration & dosage</topic><topic>Dietary Sugars - adverse effects</topic><topic>Health Education</topic><topic>Humans</topic><topic>Overweight - prevention & control</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Special</topic><topic>Sweetening Agents - administration & dosage</topic><topic>Sweetening Agents - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abdel Rahman, Abir</creatorcontrib><creatorcontrib>Jomaa, Lamis</creatorcontrib><creatorcontrib>Kahale, Lara A</creatorcontrib><creatorcontrib>Adair, Pauline</creatorcontrib><creatorcontrib>Pine, Cynthia</creatorcontrib><collection>Open Access: Oxford University Press Open Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nutrition reviews</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abdel Rahman, Abir</au><au>Jomaa, Lamis</au><au>Kahale, Lara A</au><au>Adair, Pauline</au><au>Pine, Cynthia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of behavioral interventions to reduce the intake of sugar-sweetened beverages in children and adolescents: a systematic review and meta-analysis</atitle><jtitle>Nutrition reviews</jtitle><addtitle>Nutr Rev</addtitle><date>2018-02-01</date><risdate>2018</risdate><volume>76</volume><issue>2</issue><spage>88</spage><epage>107</epage><pages>88-107</pages><issn>0029-6643</issn><eissn>1753-4887</eissn><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-1</notes><notes>content type line 23</notes><notes>ObjectType-Undefined-3</notes><abstract>Abstract
Context
Consumption of sugar-sweetened beverages (SSBs) among children has been associated with adverse health outcomes. Numerous behavioral interventions aimed at reducing the intake of SSBs among children have been reported, yet evidence of their effectiveness is lacking.
Objective
This systematic review explored the effectiveness of educational and behavioral interventions to reduce SSB intake and to influence health outcomes among children aged 4 to 16 years.
Data Sources
Seven databases were searched for randomized controlled trials published prior to September 2016. Studies identified were screened for eligibility.
Study Selection
Trials were included in the review if they met the PICOS (Population, Intervention, Comparison, Outcome, and Study design) criteria for inclusion of studies.
Data Extraction
Data were extracted by 2 reviewers following Cochrane guidelines and using Review Manager software.
Results
Of the 16 trials included, 12 were school based and 4 were community or home based. Only 3 trials provided data that could be pooled into a meta-analysis for evaluating change in SSB intake. Subgroup analyses showed a trend toward a significant reduction in SSB intake in participants in school-based interventions compared with control groups. Change in body mass index z scores was not statistically significant between groups.
Conclusions
The quality of evidence from included trials was considered moderate, and the effectiveness of educational and behavioral interventions in reducing SSB intake was modest.
Systematic Review Registration
PROSPERO registration number CRD42014004432.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>29281069</pmid><doi>10.1093/nutrit/nux061</doi><tpages>20</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0029-6643 |
| ispartof | Nutrition reviews, 2018-02, Vol.76 (2), p.88-107 |
| issn | 0029-6643 1753-4887 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5939855 |
| source | Oxford Journals - Connect here FIRST to enable access |
| subjects | Adolescent Behavior Control Beverages - adverse effects Child Dietary Sugars - administration & dosage Dietary Sugars - adverse effects Health Education Humans Overweight - prevention & control Randomized Controlled Trials as Topic Special Sweetening Agents - administration & dosage Sweetening Agents - adverse effects |
| title | Effectiveness of behavioral interventions to reduce the intake of sugar-sweetened beverages in children and adolescents: a systematic review and meta-analysis |
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