Dataset Information

An agent-based model of child sugar-sweetened beverage consumption: implications for policies and practices.

ABSTRACT:

Background

A strong body of evidence links young children's intake of sugar-sweetened beverages (SSBs) with myriad negative outcomes.

Objectives

Our research provides insight into whether and to what extent potential intervention strategies can reduce young children's consumption of SSBs.

Methods

We built an agent-based model (ABM) of SSB consumption representing participants in the Project Viva longitudinal study between ages 2 and 7 y. In addition to extensive data from Project Viva, our model used nationally representative data as well as recent, high-quality literature. We tested the explanatory power of the model through comparison to consumption patterns observed in the Project Viva cohort. Then, we applied the model to simulate the potential impact of interventions that would reduce SSB availability in 1 or more settings or affect how families receive and respond to pediatrician advice.

Results

Our model produced age-stratified trends in beverage consumption that closely match those observed in Project Viva cohort data. Among the potential interventions we simulated, reducing availability in the home-where young children spend the greatest amount of time-resulted in the largest consumption decrease. Removing access to all SSBs in the home resulted in them consuming 1.23 (95% CI: 1.21, 1.24) fewer servings of SSBs per week on average between the ages of 2 and 7 y, a reduction of ∼60%. By comparison, removing all SSB availability outside of the home (i.e., in schools and childcare) had a smaller impact (0.77; CI: 0.75, 0.78), a reduction of ∼40%.

Conclusions

These results suggest that interventions reducing SSB availability in the home would have the strongest effects on SSB consumption.

SUBMITTER: Kasman M

PROVIDER: S-EPMC9535525 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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Publications

An agent-based model of child sugar-sweetened beverage consumption: implications for policies and practices.

Kasman Matt M Hammond Ross A RA Purcell Rob R Heuberger Benjamin B Moore Travis R TR Grummon Anna H AH Wu Allison J AJ Block Jason P JP Hivert Marie-France MF Oken Emily E Kleinman Ken K

The American journal of clinical nutrition 20221001 4

<h4>Background</h4>A strong body of evidence links young children's intake of sugar-sweetened beverages (SSBs) with myriad negative outcomes.<h4>Objectives</h4>Our research provides insight into whether and to what extent potential intervention strategies can reduce young children's consumption of SSBs.<h4>Methods</h4>We built an agent-based model (ABM) of SSB consumption representing participants in the Project Viva longitudinal study between ages 2 and 7 y. In addition to extensive data from P ...[more]

PMID: 36041179

Similar Datasets

Project description:BackgroundSugar-sweetened beverage (SSB) intake is a substantial source of energy in the diet of US children.ObjectiveWe examined the associations between mothers' child-feeding practices and SSB intake among 6-y-old children.MethodsWe analyzed data from the Year 6 Follow-up of the Infant Feeding Practices Study II in 1350 US children aged 6 y. The outcome variable was child's SSB intake. The exposure variables were 4 child-feeding practices of mothers: setting limits on sweets or junk foods, regulating their child's favorite food intake to prevent overconsumption, pressuring their child to eat enough, and pressuring their child to "clean the plate." We used multinomial logistic regression and controlled for child and maternal characteristics. Analyses were stratified on child weight status.ResultsThe consumption of SSBs ≥1 time/d was observed among 17.1% of underweight/normal-weight children and in 23.2% of overweight/obese children. Adjusted ORs (aORs) of consuming SSBs ≥1 time/d (vs. no SSB consumption) were significantly lower in children whose mothers reported setting limits on sweets/junk foods (aOR: 0.29; 95% CI: 0.15, 0.58 for underweight/normal-weight children; aOR: 0.16; 95% CI: 0.03, 0.79 for overweight/obese children). SSB intake was higher among underweight/normal-weight children whose mothers reported trying to keep the child from eating too much of their favorite foods (aOR: 2.03; 95% CI: 1.25, 3.29). Mothers' tendency to pressure their children to consume more food or to "clean the plate" was not associated with child's SSB intake.ConclusionsSSBs were commonly consumed by young children. The odds of daily SSB intake were lower among children whose mothers set limits on sweets/junk foods regardless of child's weight but were higher among underweight/normal-weight children whose mothers restricted the child's favorite food intake. Future studies can investigate the impact of alternatives to restrictive feeding practices that could reduce children's SSB intake.

Dataset Information

An agent-based model of child sugar-sweetened beverage consumption: implications for policies and practices.

Background

Objectives

Methods

Results

Conclusions

Publications

An agent-based model of child sugar-sweetened beverage consumption: implications for policies and practices.

Similar Datasets

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