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Trends in Sugar-Sweetened Beverage Intake Among Young Children, United States, 2021-2023

Mary Ellen Grap1,2, Sofia Awan1,2, Carrie A Dooyema1

  • 1Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.

Preventing Chronic Disease
|September 4, 2025
PubMed

Insights

Trends in children's sugar-sweetened beverage (SSB) intake show no national changes. However, some states and the District of Columbia exhibit significant increases in frequent SSB consumption among young children.

Area of Science:

  • Pediatric Nutrition
  • Public Health Surveillance
  • Dietary Trends

Background:

  • Sugar-sweetened beverages (SSBs) are a significant source of added sugars in children's diets.
  • Understanding trends in SSB consumption is crucial for addressing childhood obesity and related health issues.
  • Recent data on SSB intake patterns among very young children (1-5 years) are needed to inform public health strategies.

Purpose of the Study:

  • To examine recent trends in sugar-sweetened beverage (SSB) intake among children aged 1 to 5 years in the United States.
  • To analyze national and state-level changes in SSB consumption frequencies over a three-year period.
  • To identify specific geographic areas with significant trends in frequent SSB consumption.

Main Methods:

  • Utilized data from the National Survey of Children's Health (NSCH) for the years 2021, 2022, and 2023.
  • Conducted trend analyses at national, age-group, and state/jurisdiction levels.
  • Examined two intake frequencies: 1-3 times per week and 4+ times per week, with 'none' as the reference.

Main Results:

  • No significant linear trends in overall SSB intake were observed at the national level.
  • Two states showed significant linear trends for SSB intake of 1-3 times per week.
  • Six states and the District of Columbia demonstrated significant linear trends for SSB intake of 4 or more times per week.

Conclusions:

  • While national trends in children's SSB consumption remained stable, significant increases in frequent intake were noted in specific states and DC.
  • These state-specific findings highlight the need for targeted public health interventions.
  • Public health professionals can leverage these granular data to develop and implement localized strategies to reduce children's SSB consumption.

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