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Determinants of sugar-sweetened beverage consumption in young children : a systematic review.

Mazarello Paes, V. and Hesketh, K. and O’Malley, C. and Moore, H. and Summerbell, C. and Griffin, S. and van Sluijs, E.M.F. and Ong, K.K. and Lakshman, R. (2015) 'Determinants of sugar-sweetened beverage consumption in young children : a systematic review.', Obesity reviews., 16 (11). pp. 903-913.


Sugar-sweetened beverage (SSB) consumption is associated with adverse health outcomes. Improved understanding of the determinants will inform effective interventions to reduce SSB consumption. A total of 46,876 papers were identified through searching eight electronic databases. Evidence from intervention (n = 13), prospective (n = 6) and cross-sectional (n = 25) studies on correlates/determinants of SSB consumption was quality assessed and synthesized. Twelve correlates/determinants were associated with higher SSB consumption (child's preference for SSBs, TV viewing/screen time and snack consumption; parents' lower socioeconomic status, lower age, SSB consumption, formula milk feeding, early introduction of solids, using food as rewards, parental-perceived barriers, attending out-of-home care and living near a fast food/convenience store). Five correlates/determinants were associated with lower SSB consumption (parental positive modelling, parents' married/co-habiting, school nutrition policy, staff skills and supermarket nearby). There was equivocal evidence for child's age and knowledge, parental knowledge, skills, rules/restrictions and home SSB availability. Eight intervention studies targeted multi-level (child, parents, childcare/preschool setting) determinants; four were effective. Four intervention studies targeted parental determinants; two were effective. One (effective) intervention targeted the preschool environment. There is consistent evidence to support potentially modifiable correlates/determinants of SSB consumption in young children acting at parental (modelling), child (TV viewing) and environmental (school policy) levels.

Item Type:Article
Keywords:Correlates, Determinants, Sugar-sweetened beverage, Systematic review, Young children.
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Publisher statement:© 2015 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Date accepted:30 June 2015
Date deposited:23 November 2015
Date of first online publication:November 2015
Date first made open access:No date available

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