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Improving Water Consumption in Underserved Elementary Schools: Implementation and Evaluation of a School-based
Kristina L Tatum1, Jessica Gokee LaRose2, Danyel I Smith3
1Department of Pediatrics, Children's Hospital of Richmond, Virginia Commonwealth University, Richmond, VA, United States.
Health Behavior and Policy Review
|June 1, 2026
Summary
A school hydration initiative reduced soda consumption and improved the school's hydration culture. This study highlights effective strategies for promoting healthy beverage choices in elementary schools.
Area of Science:
- Public Health
- Nutrition Science
- School Health Programs
Background:
- Elementary school students often have suboptimal hydration and beverage choices.
- Promoting healthy hydration is crucial for overall student well-being and academic performance.
Purpose of the Study:
- To assess the feasibility and effectiveness of a school-based hydration initiative in elementary schools.
- To evaluate the impact of the initiative on student beverage intake and school hydration policies.
Main Methods:
- The initiative involved installing hydration stations, educational activities during "Water Week," and providing reusable water bottles.
- Student beverage intake and perceptions were assessed via surveys at baseline and follow-up.
- Objective data on water bottle fills from hydration stations were collected.
Main Results:
- Soda consumption decreased, while self-reported use of water refill stations increased.
- A slight decrease in overall daily water intake was observed.
- School personnel reported improved promotion of water as the primary beverage choice.
Conclusions:
- The school hydration initiative effectively reduced soda consumption and enhanced the school's hydration culture.
- Findings can guide future hydration policy and programming for elementary school students.
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