Published: April 2022

ID #: 76336

Journal: Am J Prev Med

Authors: Hua SV, Musicus AA, Thorndike AN, Kenney EL, Rimm EB

See more related research


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 with children aged 0–5 years were linked with front-of-package label and nutrition data to conduct a content analysis on fruit drinks (n=510), 100% juices (n=337), and noncarbonated flavored waters (n=40) in 2019–2020. Unstratified and stratified regression models assessed the differences in the prevalence of claims (macronutrient, micronutrient, natural/healthy, and fruit and juice), non-nutritive sweeteners, and nutrient content (calories, total sugar, and percent daily value of vitamin C) between drinks with and those without child-directed marketing in 2021. Fruit drinks with child-directed marketing were more likely to show front-of-package micronutrient claims and contained more vitamin C than fruit drinks without child-directed marketing. 100% juices with child-directed marketing contained less vitamin C and 3.0 fewer grams of sugar than 100% juices without child-directed marketing. Flavored waters with child-directed marketing contained less vitamin C than flavored waters without child-directed marketing. The combination of child-directed marketing with health-related claims may mislead parents into believing that fruit drinks are healthy and appealing to their children, highlighting the need for government regulation of sugary drink marketing.

Related Research

January 2022

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

July 2022

Reducing Student Exposure to Digital Food and Beverage Marketing

Digital marketing of unhealthy foods and beverages to children and adolescents is pervasive and undermines healthy eating. During the COVID-19 pandemic, students’ time spent online for both recreation and school using educational technology doubled from 3.8 to 7.7 hours per day for 12- to13-year-olds, and racial, ethnic, and socioeconomic disparities widened with children of color More

July 2022

Child and Adult Care Food Program: Impacts of COVID-19 Differences in Reimbursement Rates on Family Childcare Home Providers, Children, and Families

The Child and Adult Care Food Program (CACFP), the largest U.S. nutrition program for childcare, provides tiered reimbursements to family childcare homes (FCCHs) to serve healthy foods to a large proportion of children from households with low incomes. Due to COVID-19, all FCCHs on CACFP temporarily received the higher Tier I reimbursement rate. The aims More