OBJECTIVE: To verify the efficacy of school-based interventions aimed at reducing sugar-sweetened beverage (SSB) consumption among adolescents in order to develop or improve public health interventions. DESIGN: Systematic review of interventions targeting adolescents and/or the school environment. SETTING: The following databases were investigated: MEDLINE/PubMed, PsycINFO, CINAHL and EMBASE. Proquest Dissertations and Theses was also investigated for unpublished trials. SUBJECTS: Adolescents were defined as individuals between the ages of 12 and 17 years. RESULTS: A total of thirty-six studies detailing thirty-six different interventions tested among independent samples (n 152 001) were included in the review. Twenty interventions were classified as educational/behavioural and ten were classified as legislative/environmental interventions. Only six interventions targeted both individuals and their environment. Over 70 % of all interventions, regardless of whether they targeted individuals, their environment or both, were effective in decreasing SSB consumption. Legislative/environmental studies had the highest success rate (90·0 %). Educational/behavioural interventions only and interventions that combined educational/behavioural and legislative/environmental approaches were almost equally effective in reducing SSB consumption with success rates of 65·0 and 66·7 %, respectively. Among the interventions that had an educational/behavioural component, 61·5 % were theory-based. The behaviour change techniques most frequently used in interventions were providing information about the health consequences of performing the behaviour (72·2 %), restructuring the physical environment (47·2 %), behavioural goal setting (36·1 %), self-monitoring of behaviour (33·3 %), threat to health (30·6 %) and providing general social support (30·6 %). CONCLUSIONS: School-based interventions show promising results to reduce SSB consumption among adolescents. A number of recommendations are made to improve future studies.
OBJECTIVE: To verify the efficacy of school-based interventions aimed at reducing sugar-sweetened beverage (SSB) consumption among adolescents in order to develop or improve public health interventions. DESIGN: Systematic review of interventions targeting adolescents and/or the school environment. SETTING: The following databases were investigated: MEDLINE/PubMed, PsycINFO, CINAHL and EMBASE. Proquest Dissertations and Theses was also investigated for unpublished trials. SUBJECTS: Adolescents were defined as individuals between the ages of 12 and 17 years. RESULTS: A total of thirty-six studies detailing thirty-six different interventions tested among independent samples (n 152 001) were included in the review. Twenty interventions were classified as educational/behavioural and ten were classified as legislative/environmental interventions. Only six interventions targeted both individuals and their environment. Over 70 % of all interventions, regardless of whether they targeted individuals, their environment or both, were effective in decreasing SSB consumption. Legislative/environmental studies had the highest success rate (90·0 %). Educational/behavioural interventions only and interventions that combined educational/behavioural and legislative/environmental approaches were almost equally effective in reducing SSB consumption with success rates of 65·0 and 66·7 %, respectively. Among the interventions that had an educational/behavioural component, 61·5 % were theory-based. The behaviour change techniques most frequently used in interventions were providing information about the health consequences of performing the behaviour (72·2 %), restructuring the physical environment (47·2 %), behavioural goal setting (36·1 %), self-monitoring of behaviour (33·3 %), threat to health (30·6 %) and providing general social support (30·6 %). CONCLUSIONS: School-based interventions show promising results to reduce SSB consumption among adolescents. A number of recommendations are made to improve future studies.
Authors: Peter von Philipsborn; Jan M Stratil; Jacob Burns; Laura K Busert; Lisa M Pfadenhauer; Stephanie Polus; Christina Holzapfel; Hans Hauner; Eva A Rehfuess Journal: Obes Facts Date: 2020-08-12 Impact factor: 3.942
Authors: Peter von Philipsborn; Jan M Stratil; Jacob Burns; Laura K Busert; Lisa M Pfadenhauer; Stephanie Polus; Christina Holzapfel; Hans Hauner; Eva Rehfuess Journal: Cochrane Database Syst Rev Date: 2019-06-12
Authors: Maree Teesson; Katrina E Champion; Nicola C Newton; Frances Kay-Lambkin; Cath Chapman; Louise Thornton; Tim Slade; Matthew Sunderland; Katherine Mills; Lauren A Gardner; Belinda Parmenter; David R Lubans; Leanne Hides; Nyanda McBride; Steve Allsop; Bonnie J Spring; Scarlett Smout; Bridie Osman Journal: BMJ Open Date: 2020-07-13 Impact factor: 2.692
Authors: Nicole Kajons; Michael David; Justine Gowland-Ella; Peter Lewis; Samantha Batchelor Journal: BMC Public Health Date: 2018-06-26 Impact factor: 3.295
Authors: Sophie Laura Holzmann; Hanna Schäfer; Georg Groh; David Alexander Plecher; Gudrun Klinker; Gunther Schauberger; Hans Hauner; Christina Holzapfel Journal: Nutrients Date: 2019-08-30 Impact factor: 5.717