Using community-based participatory systems science approach to inform promising strategies to reduce SSB and excess juice consumption among families of infants and toddlers in Puerto Rico

The purpose of this study is to inform promising strategies that can curb SSB and excess fruit juice consumption and potentially provide safe, palatable potable drinking water as an alternative by building capacity in systems thinking among diverse stakeholders that serve families with infants and toddlers in Puerto Rico. The study will employ Group Model More

Child-Directed Marketing, Health Claims, and Nutrients in Popular Beverages

Fruit drinks are a major source of added sugar in children’s diets. This study describes the associations between front-of-package child-directed marketing (i.e., sports, fantasy, or child-directed imagery; child-directed text) and (1) health-related claims and (2) nutrient content of fruit drinks, 100% juices, and flavored waters. Beverage purchase data from a national sample of 1,048 households More

Nutrition-related claims lead parents to choose less healthy drinks for young children: a randomized trial in a virtual convenience store

Consumption of sugar-sweetened beverages, including fruit drinks, contributes to childhood obesity. We aimed to examine whether nutrition-related claims on fruit drinks influence purchasing among parents and lead to misperceptions of healthfulness. We conducted an experiment in a virtual convenience store with 2219 parents of children ages 1-5 y. Parents were randomly assigned to view fruit More

Marketing of sugar-sweetened children’s drinks and parents’ misperceptions about benefits for young children

Despite expert recommendations, U.S. parents often serve sugar-sweetened children’s drinks, including sweetened fruit-flavored drinks and toddler milks, to young children. This qualitative research explored parents’ understanding of common marketing tactics used to promote these drinks and whether they mislead parents to believe the drinks are healthy and/or necessary for children. We conducted nine focus groups More

The Impact of Pictorial Health Warnings on Purchases of Sugary Drinks for Children: A Randomized Controlled Trial

This study aimed to examine the impact of pictorial warnings on parents’ purchases of sugary drinks for their children in a naturalistic store laboratory. Parents of children ages 2 to 12 (n = 325, 25% identifying as Black, 20% Hispanic) completed a shopping task in a naturalistic store laboratory in North Carolina. Participants were randomly More

Front-of-package claims & imagery on fruit-flavored drinks and exposure by household demographics

Young children regularly consume sugary fruit drinks, in part because parents may falsely believe they are healthful due to front-of-package (FOP) claims and imagery. The goal of this study was to assess: 1) the prevalence of FOP claims/imagery on fruit-flavored beverages purchased by U.S. households with 0-5-year-olds, and 2) proportional differences in beverages purchased with More

Text Messages to Curb Sugar-Sweetened Beverage Consumption among Pregnant Women and Mothers: A Mobile Health Randomized Controlled Trial

Racial, ethnic, and socioeconomic disparities in childhood obesity in the United States originate in early life. Maternal sugar-sweetened beverage (SSB) consumption is an early life risk factor for later offspring obesity. The goal of this study was to test the effects of policy-relevant messages delivered by text messages mobile devices (mHealth) on maternal SSB consumption. More

Changing Policies and Practices to Implement Beverage Consensus Recommendations

In 2018, Healthy Eating Research (HER)—a national program of the Robert Wood Johnson Foundation (RWJF)—developed a national research agenda to reduce the consumption of sugar-sweetened beverages (SSB) and increase access to and consumption of safe drinking water among 0- to 5-year-olds. Through this process, it became clear that a lack of consistent recommendations for beverage More

Effects of Front-of-Package Disclosures on Parents’ Understanding of Ingredients in Sweetened and Unsweetened Children’s Drinks

The purpose of this study is to examine whether front-of-package (FOP) disclosures increase parents’ (of children ages 1-5) ability to accurately identify the amount of juice and the presence of added sugar and non-nutritive sweeteners (NNS) in children’s drinks (fruit drinks, flavored waters, 100% juice and diluted juice/water blends). The specific aims are: (1) develop More