Comparison of Beverage Recommendations for Young Children: Opportunities for Alignment in U.S. Policy Guidance

In 2019, Healthy Eating Research (HER) developed recommendations on what children ages 0 to 5 should drink as part of a healthy diet, in partnership with the Academy of Nutrition and Dietetics, the American Academy of Pediatrics, the American Academy of Pediatric Dentistry, and the American Heart Association. Having one set of uniform recommendations provided More

A Technology-Driven, Healthcare-Based Intervention to Improve Family Beverage Choices: Results from a Pilot Randomized Trial in the United States

Within an academic health system in the United States that already performs electronic health record-based sugary drink screening, we conducted a pilot randomized trial of a technology-driven family beverage choice intervention. The goal of the intervention was to reduce sugar-sweetened beverage (SSB) and fruit juice (FJ) consumption in 60 parent–child dyads, in which children were More

Healthy Snacks and Drinks for Toddlers: A Qualitative Study of Caregivers’ Understanding of Expert Recommendations and Perceived Barriers to Adherence

Despite expert recommendations, most toddlers consume sugary drinks and more sweet and salty snack foods than fruits and vegetables as snacks. Studies have examined toddler caregivers’ reasons for providing sugary drinks, but few have examined the reasons for providing nutritionally poor snack foods. Researchers conducted focus groups in one low-income community to assess caregivers’ familiarity, More

Effects of Sugary Drink Countermarketing Videos on Caregivers’ Attitudes and Intentions to Serve Fruit Drinks and Toddler Milks to Young Children

This study aimed to test the effects of countermarketing videos addressing common misperceptions about ingredients and claims on children’s sugary drinks. An online randomized controlled experiment was conducted in January 2021 with US caregivers (n = 600) of young children (aged 8‒37 months) to assess the effects of watching countermarketing versus control videos on intentions to serve More

Effect of Front-of-Package Information, Fruit Imagery, and High–Added Sugar Warning Labels on Parent Beverage Choices for Children: A Randomized Clinical Trial

Fruit drinks are widely consumed by young children, and many parents mistakenly believe that these drinks are healthy, potentially due to front-of-package claims and imagery. This study aims to assess the effects of a front-of-package 100% vitamin C claim, fruit imagery, percentage juice and teaspoons of added sugar disclosures, and high–added sugar warnings on parents’ More

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