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Trends in sugar-sweetened beverage and 100% fruit juice consumption among California children
Amy L Beck1, Anisha Patel, Kristine Madsen
1Department of Pediatrics, University of California, San Francisco, USA.
Insights
Sugar-sweetened beverage (SSB) consumption significantly decreased in California children from 2003 to 2009. However, 100% fruit juice intake increased among minority children, possibly due to reduced SSB availability.
Area of Science:
- Pediatric Nutrition
- Public Health Trends
- Dietary Habits Research
Background:
- Childhood consumption of sugar-sweetened beverages (SSBs) is linked to adverse health outcomes.
- Understanding beverage consumption patterns is crucial for public health interventions.
- Trends in SSB and 100% fruit juice intake among children require ongoing monitoring.
Purpose of the Study:
- To analyze trends in sugar-sweetened beverage (SSB) and 100% fruit juice consumption.
- To examine consumption patterns in California children aged 2–11 years.
- To assess changes from 2003 to 2009.
Main Methods:
- Utilized serial cross-sectional data from the California Health Interview Survey.
- Collected parent-reported daily beverage servings for children.
- Employed trend analysis and multivariate logistic regression.
Main Results:
- Daily SSB consumption declined significantly across all age groups (2–5 and 6–11 years) and racial/ethnic groups.
- Latino children showed higher SSB consumption disparities.
- 100% fruit juice consumption increased among Latino children (ages 2–5) and Latino/African American children (ages 6–11).
Conclusions:
- A notable decrease in SSB consumption among California children is a positive public health development.
- Increased 100% fruit juice intake among minority children may be an indirect effect of SSB reduction strategies.
- Further research is needed to understand the implications of these shifting beverage preferences.
Objective:
To determine trends in the consumption of sugar-sweetened beverages (SSBs) and 100% fruit juice by California children ages 2 to 11 years from 2003 to 2009.
Methods:
This analysis used serial cross-sectional data from the California Health Interview Survey, a telephone survey of households in California. Parents were asked how many servings of SSBs and 100% fruit juice the child consumed the day before. A test of trend was used to evaluate changes in consumption over time. Multivariate logistic regression was used to determine the independent effects of race/ethnicity, parental education, and household income on beverage consumption.
Results:
The percentage of children consuming an SSB on the prior day declined from 40% in 2003 to 16% in 2009 (P < .001) among children ages 2 to 5 and from 54% in 2003 to 33% in 2009 (P < .001) among children ages 6 to 11. The percentage of children consuming any SSB decreased for all racial/ethnic groups, although there were disparities with higher consumption among Latinos. Among children ages 2 to 5, consumption of 2 or more servings of 100% fruit juice per day decreased among white children and increased among Latinos. For children ages 6 to 11, consumption of 2 or more servings of 100% fruit juice per day remained stable for white children and increased among Latinos and African Americans.
Conclusions:
The decrease in SSB consumption by California children from 2003 to 2009 is a promising trend. The increase in 100% fruit juice consumption among minority children during this period may be an unintended consequence of efforts to reduce SSB consumption.
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