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04-18-2018 | Obesity | Review | Article

Sugar-Sweetened Beverage, Obesity, and Type 2 Diabetes in Children and Adolescents: Policies, Taxation, and Programs

Journal: Current Diabetes Reports

Authors: Yilin Yoshida, Eduardo J. Simoes

Abstract

Purpose of Review

Obesity has grown at an alarming rate in children and adolescents. Concurrently, consumption on sugar-sweetened beverages (SSBs) also rose significantly. This review provides an overview of obesity and type 2 diabetes mellitus (T2DM) related to SSBs and current policies restricting SSBs in schools, school-based interventions, and taxation on reducing SSB intake and obesity. We also discuss challenges of and future steps for these initiatives.

Recent Findings

Clinical and epidemiological studies suggest a strong association between SSB intake and obesity and T2DM. School food policies have been initiated at federal, state, and local levels. School-based interventions have shown positive effects on SSB intake and obesity reduction. Taxation on SSBs is promising in combating obesity and in generating revenue. Challenges towards compliance and implementation of the policies and programs exist.

Summary

The relationship between SSB and obesity and T2DM is a complex problem which requires comprehensive solutions. Continued efforts in restricting SSBs in schools are needed. Intervention programs should be tailored to age, gender, language, and culture and involve participation from families and local communities. Taxation can reduce SSB consumption by direct economic incentive, earmarking revenues to support healthy foods, and sending negative message. However, a higher tax rate may be necessary to have a measurable effect on weight.

Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. JAMA. 2012;307(5):483–90. CrossRefPubMed

Popkin BM. Patterns of beverage use across the lifecycle. Physiol Behav. 2010;100(1):4–9. CrossRefPubMedPubMedCentral

Johnson RK, Appel LJ, Brands M, Howard BV, Lefevre M, Lustig RH, et al. Dietary sugars intake and cardiovascular health: a scientific statement from the American Heart Association. Circulation. 2009;120(11):1011–20. CrossRefPubMed

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. CrossRefPubMed

Bleich SN, Wang YC, Wang Y, Gortmaker SL. Increasing consumption of sugar-sweetened beverages among US adults: 1988-1994 to 1999-2004. Am J Clin Nutr. 2009;89(1):372–81. CrossRefPubMed

Fox MK, Pac S, Devaney B, Jankowski L. Feeding infants and toddlers study: what foods are infants and toddlers eating? J Am Diet Assoc. 2004;104(1 Suppl 1):s22–30. CrossRefPubMed

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. CrossRefPubMed

Malik VS, Popkin BM, Bray GA, Després J-P, Willett WC, Hu FB. Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes. A Meta-Analysis. 2010;33(11):2477–83.

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. CrossRefPubMed

10.

Dubois L, Farmer A, Girard M, Peterson K. Regular sugar-sweetened beverage consumption between meals increases risk of overweight among preschool-aged children. J Am Diet Assoc. 2007;107(6):924–34. discussion 34-5 CrossRefPubMed

11.

Ludwig DS, Peterson KE, Gortmaker SL. Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet. 2001;357(9255):505–8. CrossRefPubMed

12.

Malik VS, Willett WC, Hu FB. Sugar-sweetened beverages and BMI in children and adolescents: reanalyses of a meta-analysis. Am J Clin Nutr. 2009;89(1):438–9. author reply 9-40 CrossRefPubMed

13.

Vartanian LR, Schwartz MB, Brownell KD. Effects of soft drink consumption on nutrition and health: a systematic review and meta-analysis. Am J Public Health. 2007;97(4):667–75. CrossRefPubMedPubMedCentral

14.

Olsen NJ, Heitmann BL. Intake of calorically sweetened beverages and obesity. Obes Rev. 2009;10(1):68–75. CrossRefPubMed

15.

Nissinen K, Mikkila V, Mannisto S, Lahti-Koski M, Rasanen L, Viikari J, et al. Sweets and sugar-sweetened soft drink intake in childhood in relation to adult BMI and overweight. The Cardiovascular Risk in Young Finns Study. Public Health Nutr. 2009;12(11):2018–26. CrossRefPubMed

16.

Viner RM, Cole TJ. Who changes body mass between adolescence and adulthood? Factors predicting change in BMI between 16 year and 30 years in the 1970 British Birth Cohort. Int J Obes. 2006;30(9):1368–74. CrossRef

17.

Freedman DS, Khan LK, Serdula MK, Dietz WH, Srinivasan SR, Berenson GS. The relation of childhood BMI to adult adiposity: the Bogalusa Heart Study. Pediatrics. 2005;115(1):22–7. CrossRefPubMed

18.

• Abbasi A, Juszczyk D, van Jaarsveld CHM, Gulliford MC. Body mass index and incident type 1 and type 2 diabetes in children and young adults: a retrospective cohort study. J Endoc Soc. 2017;1(5):524–37. A new study adds evidence that children with obesity face a significantly higher odds of having type 2 diabetes later in life. CrossRef

19.

Wojcicki JM, Heyman MB. Healthier choices and increased participation in a middle school lunch program: effects of nutrition policy changes in San Francisco. Am J Public Health. 2006;96(9):1542–7. CrossRefPubMedPubMedCentral

20.

Fletcher JM, Frisvold D, Tefft N. Taxing soft drinks and restricting access to vending machines to curb child obesity. Health Aff (Millwood). 2010;29(5):1059–66. CrossRef

21.

U.S. General Accounting Office. School meal programs: competitive foods are available in many schools; actions taken to restrict them differ by state and locality. Washington, D.C.: U.S. 2004.

22.

U.S. Department of Agriculture, Food and Nutrition Service. National School Lunch Program (NSLP). Cited Feberary 20, 2018. Available at https://www.fns.usda.gov/nslp/national-school-lunch-program-nslp

23.

“S. 2507 —108th Congress: Child Nutrition and WIC Reauthorization Act of 2004.” www.GovTrack.us. 2004. Cited February 2, 2018. Available at https://www.govtrack.us/congress/bills/108/s2507

24.

Chriqui JF, Resnick, E, Schneider L, et al. School district wellness policies: evaluating progress and potential for improving children’s health five years after the federal mandate. School years 2006–07 through 2010-11. Chicago, IL: Bridging the Gap, Health Policy Center, Institute for Health Research and Policy, University of Illinois at Chicago; 2013.

25.

Institute of Medicine. Nutrition standards for foods in schools: leading the way toward healthier youth. Washington, DC: The National Academies Press; 2007.

26.

U.S. Department of Agriculture, Office of Communications, Agriculture Secretary Vilsack highlights new “smart snacks in school” standards; will ensure school vending machines, snack bars include healthy choices; 2013. Cited Feberary 2, 2018. Available at https://www.usda.gov/media/press-releases/2013/06/27/agriculture-secretary-vilsack-highlights-new-smart-snacks-school

27.

Jeffrey Levi SV, Richardson L, St. Laurent R, Segal LM. F as in fat: how obesity policies are failing in America. In: Trust for America's health; 2009.

28.

Story M, Kaphingst KM, French S. The role of schools in obesity prevention. Futur Child. 2006;16(1):109–42. CrossRef

29.

San Francisco Unified School District. SFUSD Student Nutrition and Physical Fitness Plan Time: Revised. In: District SFUS, editor. San Francisco 2003.

30.

Veugelers PJ, Fitzgerald AL. Effectiveness of school programs in preventing childhood obesity: a multilevel comparison. Am J Public Health. 2005;95(3):432–5. CrossRefPubMedPubMedCentral

31.

Tipton JA. Reducing sugar-sweetened beverage intake among students: school-based programs and policies that work. NASN Sch Nurse. 2016;31(2):102–10. CrossRefPubMed

32.

Budd GM, Volpe SL. School-based obesity prevention: research, challenges, and recommendations. J Sch Health. 2006;76(10):485–95. CrossRefPubMed

33.

Gortmaker SL, Peterson K, Wiecha J, Sobol AM, Dixit S, Fox MK, et al. Reducing obesity via a school-based interdisciplinary intervention among youth: Planet Health. Arch Pediatr Adolesc Med. 1999;153(4):409–18. CrossRefPubMed

34.

Nader PR, Stone EJ, Lytle LA, Perry CL, Osganian SK, Kelder S, et al. Three-year maintenance of improved diet and physical activity: the CATCH cohort. Child and Adolescent Trial for Cardiovascular Health. Arch Pediatr Adolesc Med. 1999;153(7):695–704. CrossRefPubMed

35.

• Zhang Q, Liu S, Liu R, Xue H, Wang Y. Food policy approaches to obesity prevention: an international perspective. Curr Obes Rep. 2014;3(2):171–82. This paper provides a comprehensive overview of the recent obesity prevention-related food policies worldwide. CrossRefPubMedPubMedCentral

36.

Franks A, Kelder SH, Dino GA, Horn KA, Gortmaker SL, Wiecha JL, et al. School-based programs: lessons learned from CATCH, Planet Health, and Not-On-Tobacco. Prev Chronic Dis. 2007;4(2):A33. PubMedPubMedCentral

37.

Epstein LH, Paluch RA, Consalvi A, Riordan K, Scholl T. Effects of manipulating sedentary behavior on physical activity and food intake. J Pediatr. 2002;140(3):334–9. CrossRefPubMed

38.

Austin SB, Field AE, Wiecha J, Peterson KE, Gortmaker SL. The impact of a school-based obesity prevention trial on disordered weight-control behaviors in early adolescent girls. Arch Pediatr Adolesc Med. 2005;159(3):225–30. CrossRefPubMed

39.

Chavarro JE, Peterson KE, Sobol AM, Wiecha JL, Gortmaker SL. Effects of a school-based obesity-prevention intervention on menarche (United States). Cancer Causes Control. 2005;16(10):1245–52. CrossRefPubMed

40.

Bjelland M, Bergh IH, Grydeland M, Klepp KI, Andersen LF, Anderssen SA, et al. Changes in adolescents' intake of sugar-sweetened beverages and sedentary behaviour: results at 8 month mid-way assessment of the HEIA study—a comprehensive, multi-component school-based randomized trial. Int J Behav Nutr Phys Act. 2011;8:63. CrossRefPubMedPubMedCentral

41.

Burrows T, Warren JM, Baur LA, Collins CE. Impact of a child obesity intervention on dietary intake and behaviors. Int J Obes. 2008;32(10):1481–8. CrossRef

42.

Collins CE, Dewar DL, Schumacher TL, Finn T, Morgan PJ, Lubans DR. 12 month changes in dietary intake of adolescent girls attending schools in low-income communities following the NEAT Girls cluster randomized controlled trial. Appetite. 2014;73:147–55. CrossRefPubMed

43.

Cunha DB, de Souza Bda S, Pereira RA, Sichieri R. Effectiveness of a randomized school-based intervention involving families and teachers to prevent excessive weight gain among adolescents in Brazil. PLoS One. 2013;8(2):e57498. CrossRefPubMedPubMedCentral

44.

Ezendam NP, Brug J, Oenema A. Evaluation of the web-based computer-tailored FATaintPHAT intervention to promote energy balance among adolescents: results from a school cluster randomized trial. Arch Pediatr Adolesc Med. 2012;166(3):248–55. CrossRefPubMed

45.

Lo E, Coles R, Humbert ML, Polowski J, Henry CJ, Whiting SJ. Beverage intake improvement by high school students in Saskatchewan, Canada. Nutr Res. 2008;28(3):144–50. CrossRefPubMed

46.

Sichieri R, Paula Trotte A, de Souza RA, Veiga GV. School randomised trial on prevention of excessive weight gain by discouraging students from drinking sodas. Public Health Nutr. 2009;12(2):197–202. CrossRefPubMed

47.

Powell LM, Chriqui J, Chaloupka FJ. Associations between state-level soda taxes and adolescent body mass index. J Adolesc Health. 2009;45(3 Suppl):S57–63. CrossRefPubMed

48.

Pomeranz JL. Advanced policy options to regulate sugar-sweetened beverages to support public health. J Public Health Policy. 2012;33(1):75–88. CrossRefPubMed

49.

Institute of Medicine. Local government actions to prevent childhood obesity. Washington, DC: The National Academies Press; 2009.

50.

Sturm R, Powell LM, Chriqui JF, Chaloupka FJ. Soda taxes, soft drink consumption, and children's body mass index. Health Aff (Millwood). 2010;29(5):1052–8. CrossRefPubMedPubMedCentral

51.

“H.R.5279 – 113 ^th Congress: SWEET Act (2013-2014)”. Cited February 2, 2018. Available at https://www.congress.gov/bill/113th-congress/house-bill/5279

52.

Levy DT, Friend KB, Wang YC. A review of the literature on policies directed at the youth consumption of sugar sweetened beverages. Adv Nutr. 2011;2(2):182S–200S. CrossRefPubMedPubMedCentral

53.

Chriqui JF, Eidson SS, Bates H, Kowalczyk S, Chaloupka FJ. State sales tax rates for soft drinks and snacks sold through grocery stores and vending machines, 2007. J Public Health Policy. 2008;29(2):226–49. CrossRefPubMed

54.

• Maa J. Taxing soda: strategies for dealing with the obesity and diabetes epidemic. Perspect Biol Med. 2016;59(4):448–64. This study describes the historical and scientific framework of policy on SSBs and lessons learned from implementing these efforts. CrossRefPubMed

55.

Cook County Government. Sweetened beverage tax. Cited February 20, 2018. Available at https://www.cookcountyil.gov/service/sweetened-beverage-tax

56.

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. CrossRefPubMedPubMedCentral

57.

Buhler S, Raine KD, Arango M, Pellerin S, Neary NE. Building a strategy for obesity prevention one piece at a time: the case of sugar-sweetened beverage taxation. Can J Diabetes. 2013;37(2):97–102. CrossRefPubMed

58.

Thow AM, Jan S, Leeder S, Swinburn B. The effect of fiscal policy on diet, obesity and chronic disease: a systematic review. Bull World Health Organ. 2010;88(8):609–14. CrossRefPubMedPubMedCentral

59.

Andreyeva T, Long MW, Brownell KD. The impact of food prices on consumption: a systematic review of research on the price elasticity of demand for food. Am J Public Health. 2010;100(2):216–22. CrossRefPubMedPubMedCentral

60.

Joanne F. Guthrie CN, K Ralston, M Prell, and M Ollinger. Nutrition standards for competitive foods in schools: implications for foodservice revenues, EIB-114. In: U.S. Department of Agriculture ERS, editor. 2013.

61.

Taber DR, Chriqui JF, Powell LM, Chaloupka FJ. Banning all sugar-sweetened beverages in middle schools: reduction of in-school access and purchasing but not overall consumption. Arch Pediatr Adolesc Med. 2012;166(3):256–62. CrossRefPubMed

62.

Fernandes MM. The effect of soft drink availability in elementary schools on consumption. J Am Diet Assoc. 2008;108(9):1445–52. CrossRefPubMed

63.

Forshee RA, Storey ML, Ginevan ME. A risk analysis model of the relationship between beverage consumption from school vending machines and risk of adolescent overweight. Risk Anal. 2005;25(5):1121–35. CrossRefPubMed

64.

Kropski JA, Keckley PH, Jensen GL. School-based obesity prevention programs: an evidence-based review. Obesity. 2008;16(5):1009–18. CrossRefPubMed

65.

Sallis JF, McKenzie TL, Conway TL, Elder JP, Prochaska JJ, Brown M, et al. Environmental interventions for eating and physical activity: a randomized controlled trial in middle schools. Am J Prev Med. 2003;24(3):209–17. CrossRefPubMed

66.

Cyril S, Nicholson JM, Agho K, Polonsky M, Renzaho AM. Barriers and facilitators to childhood obesity prevention among culturally and linguistically diverse (CALD) communities in Victoria, Australia. Aust N Z J Public Health. 2017;41(3):287–93. CrossRefPubMed

67.

Ickes MJ, McMullen J, Haider T, Sharma M. Global school-based childhood obesity interventions: a review. Int J Environ Res Public Health. 2014;11(9):8940–61. CrossRefPubMedPubMedCentral

68.

Economos CD, Hyatt RR, Goldberg JP, Must A, Naumova EN, Collins JJ, et al. A community intervention reduces BMI z-score in children: Shape Up Somerville first year results. Obesity (Silver Spring). 2007;15(5):1325–36. CrossRef

69.

Mahmood S, Perveen T, Dino A, Ibrahim F, Mehraj J. Effectiveness of school-based intervention programs in reducing prevalence of overweight. Indian J Community Med. 2014;39(2):87–93. CrossRefPubMedPubMedCentral

70.

Silveira JA, Taddei JA, Guerra PH, Nobre MR. Effectiveness of school-based nutrition education interventions to prevent and reduce excessive weight gain in children and adolescents: a systematic review. J Pediatr. 2011;87(5):382–92. CrossRef

71.

Powell LM, Chaloupka FJ. Food prices and obesity: evidence and policy implications for taxes and subsidies. Milbank Q. 2009;87(1):229–57. CrossRefPubMedPubMedCentral

72.

Sturm R, Datar A. Food prices and weight gain during elementary school: 5-year update. Public Health. 2008;122(11):1140–3. CrossRefPubMedPubMedCentral

73.

French SA, Story M, Fulkerson JA, Hannan P. An environmental intervention to promote lower-fat food choices in secondary schools: outcomes of the TACOS Study. Am J Public Health. 2004;94(9):1507–12. CrossRefPubMedPubMedCentral

74.

Wharton CM, Long M, Schwartz MB. Changing nutrition standards in schools: the emerging impact on school revenue. J Sch Health. 2008;78(5):245–51. CrossRefPubMed

75.

Johnston LD, O’Malley PM, Terry-McElrath YM, Colabianchi N. School policies and practices to improve health and prevent obesity: National Secondary School Survey results: school years 2006–07 through 2010–11: Ann Arbor, MI, Bridging the Gap Program, Survey Research Center; 2013.

76.

Hatfield DP, Chomitz VR. Increasing children’s physical activity during the school day. Curr Obes Rep. 2015;4(2):147–56. CrossRefPubMed

77.

Fletcher J, Frisvold D, Tefft N. Substitution patterns can limit the effects of sugar-sweetened beverage taxes on obesity. Prev Chronic Dis. 2013;10:E18. CrossRefPubMedPubMedCentral

78.

Julie Samia Mair MWP, SP Teret. The use of zoning to restrict fast food outlets: a potential strategy to combat obesity. Center for law and the public’s health at Johns Hopkins and Georgetown Universities; 2005.

79.

U.S. Food and Drug Administration. Menu and vending machines labeling requirements. 2010. Cited Feberary 2, 2018. Available at https://www.fda.gov/Food/GuidanceRegulation/GuidanceDocumentsRegulatoryInformation/LabelingNutrition/ucm217762.htm

80.

Harris JL, Graff SK. Protecting young people from junk food advertising: implications of psychological research for First Amendment law. Am J Public Health. 2012;102(2):214–22. CrossRefPubMedPubMedCentral

Medicine Matters Diabetes

Abstract

Purpose of Review

Recent Findings

Summary