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Behavior Change Techniques to Reduce Sugars Intake by Adolescents: A Systematic Review.

C J Moores1,2, A M Taylor3, S Cowap1,3

  • 1Adelaide Dental School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.

JDR Clinical and Translational Research
|October 12, 2024
PubMed
Summary
This summary is machine-generated.

Effective behavior change techniques (BCTs) for adolescent sugar reduction include feedback on behavior, information on consequences, problem-solving, and social comparison. These strategies support dietary changes for caries prevention.

Keywords:
childchild nutritional sciencesdental cariesdietfood and nutritionschools

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Area of Science:

  • Public Health
  • Nutrition Science
  • Behavioral Science

Background:

  • Adolescent diets are often high in sugars, increasing caries risk.
  • Effective strategies are needed to support sugar reduction in this age group.
  • Caries prevention requires addressing dietary habits.

Purpose of the Study:

  • To systematically review evidence on behavior change techniques (BCTs) for reducing sugar intake in adolescents (ages 10-16).
  • To identify effective BCTs for adolescent sugar reduction.
  • To inform clinical practice and future research.

Main Methods:

  • Systematic review of peer-reviewed evidence from 1990-2023.
  • Searched nine major databases for relevant studies.
  • Coded interventions using the 93-item BCT Taxonomy (Michie Taxonomy v1).
  • Assessed risk of bias and synthesized evidence using vote counting.

Main Results:

  • 35 studies were included, utilizing 25 individual BCTs across 11 clusters.
  • The most effective BCTs for sugar reduction were feedback on behavior (100% success in strong/moderate studies), information on social/environmental consequences (100%), problem-solving (75%), and social comparison (75%).
  • Median of 3 BCTs were applied per study.

Conclusions:

  • Feedback on behavior, information on consequences, problem-solving, and social comparison are strongly supported BCTs for lowering adolescent sugar intake.
  • These findings can guide clinicians in providing effective dietary advice.
  • The results will inform future research directions for adolescent sugar reduction.