Sugar-sweetened beverages (SSBs) and, to some extent, fruit juice are modifiable risk factors for childhood obesity. Data on consumption have not been previously systematically collected in the electronic health record (EHR) in a way that could facilitate observational research and population health management. In 2017 to 2018, we used data from an EHR-based SSB and fruit juice screener to study the association between consumption and weight status among children 6 months through 17 years of age. Our dataset included 22,291 children (15% <2 years; 23% 2-5 years; 34% 6-11 years; 28% 12-17 years) of diverse race/ethnicity (27% African American, 30% Hispanic). Sugary drink consumption was very common; 43% reported ≥2 per day. For children 6 to 17 years, greater consumption was associated cross sectionally with higher BMIz (eg, 6-11 years old children consuming ≥3/day had 0.27 (95% CI, 0.18, 0.36) higher BMIz vs those consuming <1/week). Sugary drink consumption was most associated with high BMIz in school-aged children. Early childhood may be a critical period for intervening on sugary beverage consumption in obesity prevention efforts.
Use of Electronic Health Record Data to Study the Association of Sugary Drink Consumption With Child Weight Status
Examining the Effects of Taxes and Warning Labels on Parents’ Purchases of Sugar-Sweetened Beverages Using a Choice Experiment
The purpose of this study is to conduct a discrete choice experiment to investigate whether warning labels on Sugar-Sweetened Beverages (SSBs) alter the effectiveness of a tax on SSBs, especially among parents who are Black, Latinx and lower income. The research team will conduct an online choice experiment with 2,700 … More
SHIFT: Testing Culturally Appropriate Messaging for Black Community to Limit Children’s Sugary-Beverage Intake and Increase Water Consumption
The project’s goal is to conduct a randomized, controlled trial to evaluate the impact of a culturally appropriate social behavior change communication campaign on sugar-sweetened beverage (SSB) and water consumption among black families with children aged 0-5 years. Specific aims include: (1) Deliver a culturally appropriate social behavior change communication … More
This study seeks to develop and test the impact of “nudges” in an online grocery store on purchases of fruit drinks and healthier substitutes among a sample of low-income parents of children ages 1-5 years. The goal of this project is to reduce fruit drink intake among low-income children, including … More