Abstract
Context: Consumption of sugar-sweetened beverages (SSBs) among children has
been associated with adverse health outcomes. Numerous behavioral interventions
aimed at reducing the intake of SSBs among children have been reported, yet evidence
of their effectiveness is lacking. Objective: This systematic review explored the
effectiveness of educational and behavioral interventions to reduce SSB intake and to
influence health outcomes among children aged 4 to 16 years. Data Sources: Seven
databases were searched for randomized controlled trials published prior to
September 2016. Studies identified were screened for eligibility. Study Selection:
Trials were included in the review if they met the PICOS (Population, Intervention,
Comparison, Outcome, and Study design) criteria for inclusion of studies. Data
Extraction: Data were extracted by 2 reviewers following Cochrane guidelines and
using Review Manager software. Results: Of the 16 trials included, 12 were school
based and 4 were community or home based. Only 3 trials provided data that could
be pooled into a meta-analysis for evaluating change in SSB intake. Subgroup analyses
showed a trend toward a significant reduction in SSB intake in participants in
school-based interventions compared with control groups. Change in body mass index
z scores was not statistically significant between groups. Conclusions: The quality
of evidence from included trials was considered moderate, and the effectiveness of
educational and behavioral interventions in reducing SSB intake was modest
Original language | English |
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Pages (from-to) | 88-107 |
Number of pages | 20 |
Journal | Nutrition Reviews |
Volume | 76 |
Issue number | 2 |
Early online date | 21 Dec 2017 |
DOIs | |
Publication status | Published - 01 Feb 2018 |