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Opportunities to reduce children's excessive consumption of calories from beverages
Ryan K Rader1, Kathy B Mullen1, Randall Sterkel2
1Washington University in St Louis, St Louis, MO, USA.
Insights
Nearly one in five children consume excessive calories from beverages like soda, sugar-sweetened beverages (SSBs), and 100% fruit juice (FJ). Fruit juice was a significant contributor to this excessive intake.
Area of Science:
- Pediatric Nutrition
- Public Health
- Dietary Habits
Background:
- Excessive consumption of sugar-sweetened beverages (SSBs) and 100% fruit juice (FJ) is a growing concern in pediatric populations.
- Understanding beverage intake patterns and associated risk factors is crucial for developing effective public health strategies.
Purpose of the Study:
- To characterize the consumption of SSBs and FJ among young children.
- To identify factors associated with excessive calorie intake from these beverages.
- To explore parental willingness to reduce beverage consumption based on physician recommendations.
Main Methods:
- A cross-sectional study involving 830 parents of young children.
- Data collected via a 36-item questionnaire administered in a pediatricians' office.
- Statistical analysis to identify risk factors for excessive calorie consumption.
Main Results:
- High prevalence of soda (62.2%), other SSBs (61.6%), and FJ (88.2%) consumption.
- 26.9% of children exceeded recommended daily FJ intake.
- 18.9% of children consumed excessive calories (>200 kcal/d) from beverages, with FJ being a major contributor.
- Risk factors included exceeding FJ recommendations, age (7-12 years), and Medicaid insurance.
Conclusions:
- Approximately 1 in 5 children consume excessive calories from beverages, with FJ being a primary source.
- Physician recommendations are a key factor parents would consider for reducing beverage intake.
- Targeted interventions are needed to address excessive beverage consumption in children.
Objective:
To describe children's consumption of sugar-sweetened beverages (SSBs) and 100% fruit juice (FJ), and identify factors that may reduce excessive consumption.
Design:
A total of 830 parents of young children completed a 36-item questionnaire at the pediatricians' office.
Results:
Children consumed soda (62.2%), other SSBs (61.6%), and FJ (88.2%): 26.9% exceeded the American Academy of Pediatrics' recommended daily FJ intake. 157 (18.9%) children consumed excessive calories (>200 kcal/d) from beverages (median = 292.2 kcal/d, range 203.8-2177.0 kcal/d). Risk factors for excessive calorie consumption from beverages were exceeding recommendations for FJ (odds ratio [OR] = 119.7, 95% confidence interval [CI] = 52.2-274.7), being 7 to 12 years old (OR = 4.3, 95%CI = 1.9-9.9), and having Medicaid insurance (OR = 2.6, 95%CI = 1.1-6.0). Parents would likely reduce beverage consumption if recommended by the physician (65.6%).
Conclusions:
About 1 in 5 children consumes excessive calories from soda, other SSBs and FJ, with FJ the major contributor.
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