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Current Obesity Reports
Published in: Current Obesity Reports 3/2013

01-09-2013 | Economy and Environment (T Andreyeva, Section Editor)

Reducing Sugar-Sweetened Beverage Consumption: Evidence, Policies, and Economics

Authors: Amber Hsiao, Y. Claire Wang

Published in: Current Obesity Reports | Issue 3/2013

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Abstract

Sugar-sweetened beverages (SSBs) are the largest source of added sugar in the US diet and have contributed to the obesity and diabetes epidemics. This review article describes the health consequences of overconsumption of SSB over the past decades, and its potential implications on economic costs and population health. Policy-based strategies to discourage SSB consumption are discussed, with particular emphasis on their economic rationales. Though there is evidence of the need to curb SSB consumption at the population level, several important evidence gaps remain regarding potential unintended consequences, and the comparative and cost effectiveness of policy interventions.
Literature
1.
2.
3.
4.
Wang YC, Bleich SN, Gortmaker SL. Increasing caloric contribution from sugar-sweetened beverages and 100% fruit juices among US children and adolescents, 1988-2004. Pediatrics. 2008;121(6):e1604–14. doi:10.​1542/​peds.​2007-2834.PubMedCrossRef
5.
6.
U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary guidelines for Americans, 2010. 7th ed. Washington: U.S. Government Printing Office; 2010.
7.
•• Andreyeva T, Chaloupka FJ, Brownell KD. Estimating the potential of taxes on sugar-sweetened beverages to reduce consumption and generate revenue. Prev Med. 2011;52(6):413–6. doi:10.​1016/​j.​ypmed.​2011.​03.​013. This analysis models the impact of a beverage tax based on regional beverage consumption data, historic trends, and recent estimates on SSB price elasticity of demand. It finds that a national penny-per-ounce SSB tax could generate more than $79 billion over 5 years.
8.
Dennison BA, Rockwell HL, Baker SL. Excess fruit juice consumption by preschool-aged children is associated with short stature and obesity. Pediatrics. 1997;99(1):15–22.PubMed
9.
10.
Nicklas TA, Yang SJ, Baranowski T, Zakeri I, Berenson G. Eating patterns and obesity in children. The Bogalusa Heart Study. Am J Prev Med. 2003;25(1):9–16.PubMedCrossRef
11.
12.
•• Mozaffarian D, Hao T, Rimm EB, Willett WC, Hu FB. Changes in diet and lifestyle and long-term weight gain in women and men. N Engl J Med. 2011;364(25):2392–404. doi:10.​1056/​NEJMoa1014296. Using 3 prospective cohort studies of health professionals, this study provides one of the most comprehensive analyses of dietary and lifestyle factors as correlated with long-term weight gain.PubMedCrossRef
13.
14.
De Castro JM. The effects of the spontaneous ingestion of particular foods or beverages on the meal pattern and overall nutrient intake of humans. Physiol Behav. 1993;53(6):1133–44.PubMedCrossRef
15.
DiMeglio DP, Mattes RD. Liquid versus solid carbohydrate: effects on food intake and body weight. Int J Obes Relat Metab Disord. 2000;24(6):794–800.PubMedCrossRef
16.
Malik VS, Schulze MB, Hu FB. Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr. 2006;84(2):274–88.PubMed
17.
Sorensen LB, Raben A, Stender S, Astrup A. Effect of sucrose on inflammatory markers in overweight humans. Am J Clin Nutr. 2005;82(2):421–7.PubMed
18.
•• Malik VS, Popkin BM, Bray GA, Despres JP, Willett WC, Hu FB. Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis. Diabetes Care. 2010;33(11):2477–83. doi:10.​2337/​dc10-1079. This meta-analysis finds that individuals in the highest quintile of SSB consumption (~1–2 servings/day compared to the lowest quintile <1 serving/month) have a 26% greater risk of developing type 2 diabetes.PubMedCrossRef
19.
Organization WH. Diet, nutrition and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation. Geneva, Switzerland; 2003. p. 54-71.
20.
21.
Wolff E, Dansinger ML. Soft drinks and weight gain: how strong is the link? Medscape J Med. 2008;10(8):189.PubMed
22.
23.
Chen L, Appel LJ, Loria C, Lin PH, Champagne CM, Elmer PJ, et al. Reduction in consumption of sugar-sweetened beverages is associated with weight loss: the PREMIER trial. Am J Clin Nutr. 2009;89(5):1299–306. doi:10.​3945/​ajcn.​2008.​27240.PubMedCrossRef
24.
25.
26.
Ebbeling CB, Feldman HA, Osganian SK, Chomitz VR, Ellenbogen SJ, Ludwig DS. Effects of decreasing sugar-sweetened beverage consumption on body weight in adolescents: a randomized, controlled pilot study. Pediatrics. 2006;117(3):673–80. doi:10.​1542/​peds.​2005-0983.PubMedCrossRef
27.
•• de Ruyter JC, Olthof MR, Seidell JC, Katan MB. A trial of sugar-free or sugar-sweetened beverages and body weight in children. N Engl J Med. 2012;367(15):1397–406. doi:10.​1056/​NEJMoa1203034. This trial of 641 normal-weight children in the Netherlands randomly assigned participants to receive either sugar-free, artificially-sweetened drinks or sugary drinks for 18 months. Those in the sugar-free group increased their weight by 6.35 kg, compared to 7.37 kg in the sugar group.PubMedCrossRef
28.
29.
Schulze MB, Liu S, Rimm EB, Manson JE, Willett WC, Hu FB. Glycemic index, glycemic load, and dietary fiber intake and incidence of type 2 diabetes in younger and middle-aged women. Am J Clin Nutr. 2004;80(2):348–56.PubMed
30.
Willett W, Manson J, Liu S. Glycemic index, glycemic load, and risk of type 2 diabetes. Am J Clin Nutr. 2002;76(1):274S–80S.PubMed
31.
•• Chen L, Caballero B, Mitchell DC, Loria C, Lin PH, Champagne CM, et al. Reducing consumption of sugar-sweetened beverages is associated with reduced blood pressure: a prospective study among United States adults. Circulation. 2010;121(22):2398–406. doi:10.​1161/​circulationaha.​109.​911164. Analyzing data from the 18-month PREMIER RCT, reducing SSB intake was significantly associated with systolic and diastolic blood pressure reductions, even after adjusting for weight change.
32.
Perez-Pozo SE, Schold J, Nakagawa T, Sanchez-Lozada LG, Johnson RJ, Lillo JL. Excessive fructose intake induces the features of metabolic syndrome in healthy adult men: role of uric acid in the hypertensive response. Int J Obes. 2010;34(3):454–61. doi:10.​1038/​ijo.​2009.​259. 2005.CrossRef
33.
34.
35.
36.
37.
Libuda L, Alexy U, Remer T, Stehle P, Schoenau E, Kersting M. Association between long-term consumption of soft drinks and variables of bone modeling and remodeling in a sample of healthy German children and adolescents. Am J Clin Nutr. 2008;88(6):1670–7. doi:10.​3945/​ajcn.​2008.​26414.PubMedCrossRef
38.
39.
40.
Aeberli I, Zimmermann MB, Molinari L, Lehmann R, l'Allemand D, Spinas GA, et al. Fructose intake is a predictor of LDL particle size in overweight schoolchildren. Am J Clin Nutr. 2007;86(4):1174–8.PubMed
41.
42.
Havel PJ. Dietary fructose: implications for dysregulation of energy homeostasis and lipid/carbohydrate metabolism. Nutr Rev. 2005;63(5):133–57.PubMedCrossRef
43.
44.
Estruch R, Ros E, Salas-Salvadó J, Covas M-I, D.Pharm., Corella D, et al. Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med. doi:10.​1056/​NEJMoa1200303.
45.
Institute of Medicine. Accelerating progress in obesity prevention: solving the weight of the nation. Washington: The National Academies Press; 2012.
46.
47.
Finkelstein EA, Fiebelkorn IC, Wang G. National medical spending attributable to overweight and obesity: how much, and who's paying? Health Aff (Project Hope). 2003;Suppl Web Exclusives:W3-219-26.
48.
49.
50.
•• Cawley J, Meyerhoefer C. The medical care costs of obesity: an instrumental variables approach. J Health Econ. 2012;31(1):219–30. doi:10.​1016/​j.​jhealeco.​2011.​10.​003. This analysis estimates medical costs attributable to obesity by using the Medical Expenditure Panel Survey that includes work absenteeism by profession. It is the first study to correct for errors in self-reported weight and height, which have been shown to lead to underestimates of obesity prevelance and medical costs.PubMedCrossRef
51.
52.
Lightwood J, Bibbins-Domingo K, Coxson P, Wang YC, Williams L, Goldman L. Forecasting the future economic burden of current adolescent overweight: an estimate of the coronary heart disease policy model. Am J Public Health. 2009;99(12):2230–7. doi:10.​2105/​AJPH.​2008.​152595.PubMedCrossRef
53.
U.S. Centers for Disease Control and Prevention. National diabetes fact sheet. In: National center for chronic disease prevention and health promotion and division of diabetes translation. 2011.
54.
55.
•• Wang YC, Coxson P, Shen YM, Goldman L, Bibbins-Domingo K. A penny-per-ounce tax on sugar-sweetened beverages would cut health and cost burdens of diabetes. Health Aff (Project Hope). 2012;31(1):199–207. doi:10.​1377/​hlthaff.​2011.​0410. Using the Coronary Heart Disease Policy Model, this study estimates the effect of a penny-per-ounce SSB tax could have on reducing the burden of diabetes, coronary heart events, strokes, and premature deaths. The authors estimate that more than $17 billion in medical costs would be saved, and an additional $13 billion collected in tax revenue.CrossRef
56.
Janssen I, Craig WM, Boyce WF, Pickett W. Associations between overweight and obesity with bullying behaviors in school-aged children. Pediatrics. 2004;113(5):1187–94.PubMedCrossRef
57.
58.
Clarke PJ, O'Malley PM, Schulenberg JE, Johnston LD. Midlife health and socioeconomic consequences of persistent overweight across early adulthood: findings from a national survey of American adults (1986-2008). Am J Epidemiol. 2010;172(5):540–8. doi:10.​1093/​aje/​kwq156.PubMedCrossRef
59.
60.
Nutrition and Physical Activity Initiative. Lots to lose: how America's health and obesity crisis threatens our economic future: bipartisan policy Center June 2012.
61.
Towers Watson. Multinational workforce health: building a sustainable global strategy 2011. Report No.: TW-NA-2011-19710.
62.
Trust for America's Health, Robert Wood Johnson Foundation. F as in fat: how obesity threatens America's future 2010.
63.
National Soft Drink Association v. R. Block, (1983).
64.
Nestle M. Food politics: how the food industry influences nutrition and health. 2002.
65.
US Department of Agriculture. Foods sold in competition with USDA school meal programs. 2001.
66.
Commercial activities in schools. In: Office GA. 2000.
67.
68.
Center for Science in the Public Interest. State school foods report card 2007: a state-by-state evaluation of policies for foods and beverages sold through vending machines, school stores, a La Carte, and other venues outside of school meals. 2007.
69.
Cradock AL, McHugh A, Mont-Ferguson H, Grant L, Barrett JL, Wang YC, et al. Effect of school district policy change on consumption of sugar-sweetened beverages among high school students, Boston, Massachusetts, 2004-2006. Prev Chron Dis. 2011;8(4):A74.
70.
Federal Register. National school lunch program and school breakfast program: nutrition standards for all foods sold in school as required by the Healthy, Hunger-Free Kids Act of 2010. 2013.
71.
American Beverage Association. Alliance school beverage guidelines: final progress report (2009-2010). 2010.
72.
• Brownell KD, Farley T, Willett WC, Popkin BM, Chaloupka FJ, Thompson JW, et al. The public health and economic benefits of taxing sugar-sweetened beverages. N Engl J Med. 2009;361(16):1599–605. doi:10.​1056/​NEJMhpr0905723. This report provides a summary of the health effects of SSBs and the rationale for taxing. It discusses key factors to consider when developing an SSB taxation policy, as well as arguments for and against taxation.PubMedCrossRef
73.
74.
Chaloupka FJ, Wang YC, Powell LM, Andreyeva T, Chriqui J, Rimkus LM. Estimating the potential impact of sugar-sweetened and other beverage excise taxes in Illinois. 2011.
75.
•• Powell LM, Chriqui JF, Khan T, Wada R, Chaloupka FJ. Assessing the potential effectiveness of food and beverage taxes and subsidies for improving public health: a systematic review of prices, demand and body weight outcomes. Obes Rev. 2012. doi:10.​1111/​obr.​12002. This systematic review summarizes the state of knowledge on price elasticities of food and beverage taxes.PubMed
76.
Manning WG, Keeler EB, Newhouse JP, Sloss EM, Wasserman J. The taxes of sin. Do smokers and drinkers pay their way? JAMA. 1989;261(11):1604–9.PubMedCrossRef
77.
Friedman RR, Brownell KD. Sugar-sweetened beverage taxes: an updated policy brief: Yale Center for Food Policy & Obesity. 2012.
78.
McGranahan L. Who would be affected by soda taxes? 2011 Contract No.: 284.
79.
Elasticity: big price increases cause coke volume to plummet. Beverage Digest. November 21, 2008:3-4.
80.
Wilson D, Roberts J. Special report: how Washington went soft on childhood obesity. Reuters. 2012 April 27.
81.
82.
•• Finkelstein EA, Zhen C, Nonnemaker J, Todd JE. Impact of targeted beverage taxes on higher- and lower-income households. Arch Intern Med. 2010;170(22):2028–34. doi:10.​1001/​archinternmed.​2010.​449. This analysis examines the differential impact of SSBs on low- and high-income households. It finds that high taxes would particularly positively impact the weight outcomes of middle-income households.
83.
84.
Smith TA, Lin BH, Lee JY. Taxing caloric sweetened beverages: potential effects on beverage consumption, calorie intake, and obesity. Washington, D.C.: U.S. Department of Agriculture, Economic Research Service 2010 Contract No.: ERR-100.
85.
86.
87.
88.
Wansink B, Hanks AS, Just DR, Cawley J, Sobal J, Wethington E, et al. From coke to coores: a field study of a sugar-sweetened beverage tax and its unintended consequences. 2012.
89.
90.
91.
92.
Cunnyngham KE. Reaching those in need: state supplemental nutrition assistance program participation rates in 2010. 2012.
93.
94.
US Department of Agriculture. Implications of restricting the use of food stamp benefits - summary. In: Food and nutrition services. Washington, DC; 2007.
95.
Holleman J. SC chief health officials eye food stamp soda ban. The State. 2013.
96.
97.
98.
99.
100.
101.
Centers for Disease Control and Prevention. Obesity in K-8 students - New York City, 2006-07 to 2010-11 school years. MMWR Morb Mortal Wkly Rep. 2011;60(49):1673–8.
102.
Robbins JM, Mallya G, Polansky M, Schwarz DF. Prevalence, disparities, and trends in obesity and severe obesity among students in the Philadelphia, Pennsylvania, school district, 2006-2010. Prev Chron Dis. 2012;9:E145. doi:10.​5888/​pcd9.​120118.
103.
Babey SH, Wolstein J, Diamant AL, Bloom A, Goldstein H. A patchwork of progress: changes in overweight and obesity among California's 5th, 7th, and 9th Graders, 2005-2010. 2011.
104.
Molaison EF, Kolbo JR, Zhang L, Harbaugh B, Armstrong MG, Rushing K, et al. Prevalence and trends in obesity among Mississippi public school students, 2005-2009. J Miss State Med Assoc. 2010;51(3):67–72.PubMed
105.
Fryar CD, Ervin RB. Caloric intake from fast food among adults: United States, 2007-2010. In: US Centers for Disease Control and Prevention. 2013.
Metadata
Title
Reducing Sugar-Sweetened Beverage Consumption: Evidence, Policies, and Economics
Authors
Amber Hsiao
Y. Claire Wang
Publication date
01-09-2013
Publisher
Springer US
Published in
Current Obesity Reports / Issue 3/2013
Electronic ISSN: 2162-4968
DOI
https://doi.org/10.1007/s13679-013-0065-8

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