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Avery, A., Bostock, L. and McCullough, F. (2015) A systematic review investigating interventions that can help reduce consumption of sugar-sweetened beverages in children leading to changes in body fatness. Journal of Human Nutrition and Dietetics, 28 . pp. 52-64. ISSN 1365-277X

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Abstract

Background

Both the prevalence of childhood obesity and the consumption of sugar-sweetened beverages (SSBs) have increased globally. The present review describes interventions that reduce the consumption of SSBs in children and determines whether this leads to subsequent changes in body fatness.

Methods

Three databases were searched from 2000 to August 2013. Only intervention control trials, ≥6 months in duration, which aimed to reduce the consumption of SSBs in >100 children aged 2–18 years, and reporting changes in body fatness, were included. The quality of selected papers was assessed.

Results

Eight studies met inclusion criteria. Six interventions achieved significant (P < 0.05) reductions in SSB intake, although this was not always sustained. In the two interventions providing replacement drinks, significant differences in body mass index (12- or 18-month follow-up) were reported (P = 0.001 and 0.045). The risk of being overweight/obesity was reduced (P < 0.05) in three of the five education programmes but in one programme only for girls who were overweight at baseline and in one programme only for pupils perceived to be at greater risk at baseline. In the one study that included both provision of water and education, the risk of being overweight was reduced by 31% (P = 0.04) in the intervention group.

Conclusions

The evidence suggests that school-based education programmes focusing on reducing SSB consumption, but including follow-up modules, offer opportunities for implementing effective, sustainable interventions. Peer support and changing the school environment (e.g. providing water or replacement drinks) to support educational programmes could improve their effectiveness. Home delivery of more suitable drinks has a big impact on reducing SSB consumption, with associated reductions in body weight.

Item Type:	Article
RIS ID:	https://nottingham-repository.worktribe.com/output/742022
Keywords:	childhood obesity, sugar sweetened beverages, dietary intervention, public health, systematic review
Schools/Departments:	University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine
Identification Number:	10.1111/jhn.12267
Depositing User:	Eprints, Support
Date Deposited:	09 May 2017 11:03
Last Modified:	04 May 2020 16:59
URI:	https://eprints.nottingham.ac.uk/id/eprint/42648

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