Top

International Journal of Public Health

Published in:

Open Access 01-06-2020 | Obesity | Original article

Relations between sweetened beverage consumption and individual, interpersonal, and environmental factors: a 6-year longitudinal study in German children and adolescents

Authors: Sven Schneider, Jutta Mata, Philipp Kadel

Published in: International Journal of Public Health | Issue 5/2020

Abstract

Objectives

This study aims to characterize the consumption of sweetened beverages (SB) among young people in Germany in terms of individual and interpersonal-environmental correlates.

Methods

A representative sample of children and adolescents from Germany was assessed twice, 6 years apart (total longitudinal sample n = 11,691 children and adolescents aged between 0 and 17 years old; weighted). The relations between individual and interpersonal-environmental factors at baseline with SB intake 6 years later were analysed using bivariate and multivariate methods.

Results

The majority of children and adolescents in Germany consume sweetened beverages weekly, 23% daily. SB consumption is particularly high in boys and often accompanied by other unhealthy lifestyle behaviours including a high level of tobacco and media consumption with a concurrent deficiency in fruit and vegetable consumption. Interpersonal factors associated with higher sweetened beverage consumption include low socio-economic status, tobacco consumption of parents, and older maternal age.

Conclusions

Research on factors that correlate with sweetened beverage consumption is crucial to design effective interventions. Our findings underline the importance of complex, multi-level interventions to target sweetened beverage intake and obesity.

Available only for authorised users

Bere E, Glomnes ES, Te Velde SJ, Klepp K-I (2008) Determinants of adolescents’ soft drink consumption. Public Health Nutr 11:49–56. https://doi.org/10.1017/S1368980007000122 CrossRefPubMed

Bjelland M, Lien N, Grydeland M, Bergh IH, Anderssen SA, Ommundsen Y, Klepp K-I, Andersen LF (2011) Intakes and perceived home availability of sugar-sweetened beverages, fruit and vegetables as reported by mothers, fathers and adolescents in the HEIA (HEalth In Adolescents) study. Public Health Nutr 14:2156–2165. https://doi.org/10.1017/S1368980011000917 CrossRefPubMed

Bogart LM, Elliott MN, Ober AJ, Klein DJ, Hawes-Dawson J, Cowgill BO, Uyeda K, Schuster MA (2017) Home sweet home: parent and home environmental factors in adolescent consumption of sugar-sweetened beverages. Acad Pediatr 17:529–536. https://doi.org/10.1016/j.acap.2017.01.015 CrossRefPubMedPubMedCentral

Dallacker M, Hertwig R, Peters E, Mata J (2016) Lower parental numeracy is associated with children being under- and overweight. Soc Sci Med 161:126–133CrossRef

Dallacker M, Hertwig R, Mata J (2018) Parents’ considerable underestimation of sugar and their child’s risk of overweight. Int J Obes 42:1097–1100CrossRef

Denney-Wilson E, Crawford D, Dobbins T, Hardy L, Okely AD (2009) Influences on consumption of soft drinks and fast foods in adolescents. Asia Pac J Clin Nutr 18:447–452PubMed

Elfhag K, Tynelius P, Rasmussen F (2007) Sugar-sweetened and artificially sweetened soft drinks in association to restrained, external and emotional eating. Physiol Behav 91:191–195. https://doi.org/10.1016/j.physbeh.2007.02.005 CrossRefPubMed

Elfhag K, Tholin S, Rasmussen F (2008) Consumption of fruit, vegetables, sweets and soft drinks are associated with psychological dimensions of eating behaviour in parents and their 12-year-old children. Public Health Nutr 11:914–923. https://doi.org/10.1017/S1368980008002371 CrossRefPubMed

Garnett BR, Rosenberg KD, Morris DS (2013) Consumption of soda and other sugar-sweetened beverages by 2-year-olds: findings from a population-based survey. Public Health Nutr 16:1760–1767. https://doi.org/10.1017/S1368980012004399 CrossRefPubMed

Hebden L, Hector D, Hardy LL, King L (2013) A fizzy environment: availability and consumption of sugar-sweetened beverages among school students. Prev Med 56:416–418. https://doi.org/10.1016/j.ypmed.2013.02.017 CrossRefPubMed

Hennessy M, Bleakley A, Piotrowski JT, Mallya G, Jordan A (2015) Sugar-sweetened beverage consumption by adult caregivers and their children: the role of drink features and advertising exposure. Health Educ Behav 42:677–686. https://doi.org/10.1177/1090198115577379 CrossRefPubMed

Hölling H, Schlack R, Kamtsiuris P, Butschalowsky H, Schlaud M, Kurth B (2012) The KiGGS study. Nationwide representative longitudinal and cross-sectional study on the health of children and adolescents within the framework of health monitoring at the Robert Koch Institute. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 55:836–842. https://doi.org/10.1007/s00103-012-1486-3 CrossRefPubMed

Kamtsiuris P, Lange M, Schaffrath AR (2007) The German Health Interview and Examination Survey for Children and Adolescents (KiGGS): sample design, response and nonresponse analysis. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50:547–556. https://doi.org/10.1007/s00103-007-0215-9 CrossRefPubMed

Keller A, Bucher Della Torre S (2015) Sugar-sweetened beverages and obesity among children and adolescents: a review of systematic literature reviews. Child Obes 11:338–346. https://doi.org/10.1089/chi.2014.0117 CrossRefPubMedPubMedCentral

Khaw K-T (2008) Combined impact of health behaviors and mortality in men and women: the ERIC-Norfolk prospective population study. PLoS Med 5:1–9. https://doi.org/10.1371/journal.pmed.0050070 CrossRef

Lopez NV, Ayala GX, Corder K, Eisenberg CM, Zive MM, Wood C, Elder JP (2012) Parent support and parent-mediated behaviors are associated with children’s sugary beverage consumption. J Acad Nutr Diet 112:541–547. https://doi.org/10.1016/j.jand.2011.11.013 CrossRefPubMedPubMedCentral

Lundeen EA, Park S, Onufrak S, Cunningham S, Blanck HM (2018) Adolescent sugar-sweetened beverage intake is associated with parent intake, not knowledge of health risks. Am J Health Promot 32:1661–1670. https://doi.org/10.1177/0890117118763008 CrossRefPubMedPubMedCentral

Mazarello Paes V, Hesketh K, O’Malley C, Moore H, Summerbell C, Griffin S, Van Sluijs E, Ong K, Lakshman R (2015) Determinants of sugar-sweetened beverage consumption in young children: a systematic review. Obes Rev 16:903–913. https://doi.org/10.1111/obr.12310 CrossRefPubMedPubMedCentral

Melbye EL, Bergh IH, Hausken SE, Sleddens EF, Glavin K, Lien N, Bjelland M (2016) Adolescent impulsivity and soft drink consumption: the role of parental regulation. Appetite 96:432–442. https://doi.org/10.1016/j.appet.2015.09.040 CrossRefPubMed

Mensink G, Schienkiewitz A, Rabenberg M, Borrmann A, Richter A, Haftenberger M (2018) Consumption of sugary soft drinks among children and adolescents in Germany: results of the cross-sectional KiGGS Wave 2 study and trends. J Health Monit 3(1):32–39. https://doi.org/10.17886/rki-gbe-2018-007 CrossRef

Olafsdottir S, Eiben G, Prell H, Hense S, Lissner L, Mårild S, Reisch L, Berg C (2014) Young children’s screen habits are associated with consumption of sweetened beverages independently of parental norms. Int J Public Health 59:67–75. https://doi.org/10.1007/s00038-013-0473-2 CrossRefPubMed

Park S, Sherry B, Foti K, Blanck HM (2012) Self-reported academic grades and other correlates of sugar-sweetened soda intake among US adolescents. J Acad Nutr Diet 112:125–131. https://doi.org/10.1016/j.jada.2011.08.045 CrossRefPubMed

Park S, Blanck HM, Sherry B, Foti K (2013) Problem behavior, victimization, and soda intake in high school students. Am J Health Behav 37:414–421. https://doi.org/10.5993/AJHB.37.3.14 CrossRefPubMedPubMedCentral

Park S, Pan L, Sherry B, Li R (2014) The association of sugar-sweetened beverage intake during infancy with sugar-sweetened beverage intake at 6 years of age. Pediatrics 134:S56–S62. https://doi.org/10.1542/peds.2014-0646 CrossRefPubMedPubMedCentral

Peters JC, Wyatt HR, Foster GD, Pan Z, Wojtanowski AC, Vander Veur SS, Herring SJ, Brill C, Hill JO (2014) The effects of water and non-nutritive sweetened beverages on weight loss during a 12-week weight loss treatment program. Obesity 22:1415–1421. https://doi.org/10.1002/oby.20737 CrossRefPubMed

Pettigrew S, Jongenelis M, Chapman K, Miller C (2015) Factors influencing the frequency of children’s consumption of soft drinks. Appetite 91:393–398. https://doi.org/10.1016/j.appet.2015.04.080 CrossRefPubMed

Ranjit N, Evans MH, Byrd-Williams C, Evans AE, Hoelscher DM (2010) Dietary and activity correlates of sugar-sweetened beverage consumption among adolescents. Pediatrics 126:e754–e761. https://doi.org/10.1542/peds.2010-1229 CrossRefPubMedPubMedCentral

Robert-Koch-Institut (2008) Kinder-und Jugendgesundheitssurvey 2003–2006. Public Use File KiGGS, Berlin

Schenk L, Neuhauser H, Ellert U, Poethko-Müller C, Kleiser C, Mensink G (2008) Kinder-und Jugendgesundheitssurvey (KiGGS 2003-2006): Kinder und Jugendliche mit Migrationshintergrund in Deutschland. Robert-Koch-Institut, Berlin

Schneider S, Diehl K, Görig T, Schilling L, De Bock F, Hoffmann K, Albrecht M, Sonntag D, Fischer JJB (2017) Contextual influences on physical activity and eating habits-options for action on the community level. BMC Public Health 17:760. https://doi.org/10.1186/s12889-017-4790-x CrossRefPubMedPubMedCentral

Scully M, Morley B, Niven P, Crawford D, Pratt IS, Wakefield M (2017) Factors associated with high consumption of soft drinks among Australian secondary-school students. Public Health Nutr 20:2340–2348. https://doi.org/10.1017/S1368980017000118 CrossRefPubMed

Sdrali D, Anisiadou M, Goussia-Rizou M, Costarelli V (2010) Adolescents’ soft drinks consumption in family environment: a case study in Northern Greece. Int J Consum Stud 34:684–690. https://doi.org/10.1111/j.1470-6431.2010.00925.x CrossRef

Seabrook JA, Avison WR (2012) Socioeconomic status and cumulative disadvantage processes across the life course: implications for health outcomes. Can Rev Sociol 49:50–68. https://doi.org/10.1111/j.1755-618X.2011.01280.x CrossRefPubMed

Seabrook JA, Dworatzek PD, Matthews JI (2019) Predictors of Food Skills in University Students. Can J Diet Pract Res 80:205–208. https://doi.org/10.3148/cjdpr-2019-011 CrossRefPubMed

Totland TH, Lien N, Bergh IH, Bjelland M, Gebremariam MK, Klepp K-I, Andersen LF (2013) The relationship between parental education and adolescents’ soft drink intake from the age of 11–13 years, and possible mediating effects of availability and accessibility. Br J Nutr 110:926–933. https://doi.org/10.1017/S0007114512005946 CrossRefPubMed

Van Ansem WJ, Van Lenthe FJ, Schrijvers CT, Rodenburg G, Van de Mheen D (2014) Socio-economic inequalities in children’s snack consumption and sugar-sweetened beverage consumption: the contribution of home environmental factors. Br J Nutr 112:467–476. https://doi.org/10.1017/S0007114514001007 CrossRefPubMed

Vereecken CA, Inchley J, Subramanian S, Hublet A, Maes L (2005) The relative influence of individual and contextual socio-economic status on consumption of fruit and soft drinks among adolescents in Europe. Eur J Public Health 15:224–232. https://doi.org/10.1093/eurpub/cki005 CrossRefPubMed

Verzeletti C, Maes L, Santinello M, Vereecken CA (2009) Soft drink consumption in adolescence: associations with food-related lifestyles and family rules in Belgium Flanders and the Veneto Region of Italy. Eur J Public Health 20:312–317. https://doi.org/10.1093/eurpub/ckp150 CrossRefPubMed

WHO (2015) Guideline: sugars intake for adults and children. World Health Organization, Geneva

Winkler J, Stolzenberg H (1999) Der Sozialschichtindex im Bundes- Gesundheitssurvey. Gesundheitswesen 61:178–183

Title: Relations between sweetened beverage consumption and individual, interpersonal, and environmental factors: a 6-year longitudinal study in German children and adolescents
Authors: Sven Schneider
Jutta Mata
Philipp Kadel
Publication date: 01-06-2020
Publisher: Springer International Publishing
Keywords: Obesity
Obesity
Published in: International Journal of Public Health / Issue 5/2020
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-020-01397-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Relations between sweetened beverage consumption and individual, interpersonal, and environmental factors: a 6-year longitudinal study in German children and adolescents

Abstract

Objectives

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 5/2020

Trends in social inequality in overweight and obesity among adolescents in Denmark 1998–2018

Three further ways that the COVID-19 pandemic will affect health outcomes

Socioeconomic inequalities in use and non-use of dental services in Poland

COVID-19 and the need to prioritize health equity and social determinants of health

Excess mortality from COVID-19: a commentary on the Italian experience

Are we losing sight of the meaning of “evidence-based nutrition?”