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School randomised trial on prevention of excessive weight gain by discouraging students from drinking sodas

  • Rosely Sichieri (a1), Ana Paula Trotte (a1), Rita Adriana de Souza (a1) and Gloria V Veiga (a2)
Abstract
AbstractObjective

To determine whether an educational programme aimed at discouraging students from drinking sugar-sweetened beverages could prevent excessive weight gain.

Design

Forty-seven classes in twenty-two schools were randomised as intervention or control.

Subjects

Participants were 1140, 9–12-year-old fourth graders (435 in the intervention group and 608 in the control group). Sugar-sweetened beverages and juice intake were measured through one 24 h recall at baseline and another at the end of the trial. The main outcome was the change in BMI (BMI = weight (kg)/height (m2)), measured at the beginning and at the end of the school year. Intention-to-treat analysis was performed taking into account the cluster (classes) effect.

Results

A statistically significant decrease in the daily consumption of carbonated drinks in the intervention compared to control (mean difference = −56 ml; 95 % CI −119, −7 ml) was followed by a non-significant overall reduction in BMI, P = 0·33. However, among those students overweight at baseline, the intervention group showed greater BMI reduction (−0·4 kg/m2 compared with −0·2 kg/m2 in the control group (P = 0·11)), and this difference was statistically significant among girls (P = 0·009). Fruit juice consumption was slightly increased in the intervention group (P = 0·08), but not among girls.

Conclusion

Decreasing sugar-sweetened beverages intake significantly reduced BMI among overweight children, and mainly among girls. Efforts to reduce energy intake through liquids need to emphasise overall sweetened beverages and addition of sugar on juices.

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Copyright
Corresponding author
*Corresponding author: Email sichieri@ims.uerj.br
Linked references
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1.MT Basset & S Perl (2004) Obesity: the public health challenge of our time. Am J Public Health 94, 1477.

2.CA Monteiro , WL Conde & BM Popkin (2004) The burden of disease from undernutrition and overnutrition in countries undergoing rapid nutrition transition: a view from Brazil. Am J Public Health 94, 433434.

3.GV Veiga , AS da Cunha & R Sichieri (2004) Trends in overweight among adolescents living in the poorest and richest regions of Brazil. Am J Public Health 94, 15441548.

4.JM Warren , CJ Henry , HJ Lightowler , SM Bradshaw & S Perwaiz (2003) Evaluation of a pilot school programme aimed at the prevention of obesity in children. Health Promot Int 18, 287296.

5.RL Atkinson & SA Nitzke (2001) School based programmes on obesity. BMJ 323, 10181019.

6.SL Gortmaker , K Peterson , J Wiecha , AM Sobol , S Dixit , MK Fox & N Laird (1999) Reducing obesity via a school-based interdisciplinary intervention among youth: Planet Health. Arch Pediatr Adolesc Med 153, 409418.

7.H Stice , H Shaw & N Marti (2006) A meta-analytic review of obesity prevention programs for children and adolescents: the skinny on interventions that work. Psychol Bull 132, 667691.

8.DL Katz , M O’Connell , VY Njike , MC Yeh & H Nawaz (2007) Strategies for the prevention and control of obesity in school setting: systematic review and meta-analysis. Int J Obes (Lond) (Epublication ahead of print version).

9.J James , P Thomas , D Cavan & D Kerr (2004) Preventing childhood obesity by reducing consumption of carbonated drinks: cluster randomised controlled trial. BMJ 328, 12371241.

10.DS Ludwig , KE Peterson & SL Gortmaker (2001) Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet 357, 505508.

11.CS Berkey , HR Rockett , AE Field , MW Gillman & GA Colditz (2004) Sugar-added beverages and adolescent weight change. Obes Res 12, 778788.

12.RH Striegel-Moore , D Thompson , SG Affenito (2006) Correlates of beverage intake in adolescent girls: the National Heart, Lung, and Blood Institute Growth and Health Study. J Pediatr 148, 183187.

14.A Sutton (2004) Childhood obesity and consumption of fizzy drinks: play outside to reduce childhood obesity. BMJ 329, 5154.

16.TJ Cole , MC Bellizzi , KM Flegal & WD Dietz (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320, 16.

18.JD Singer & JB Willett (2003) Applied Longitudinal Data Analysis – Modeling Change and Event Occurrence. New York: Oxford University Press.

19.RB Levy-Costa , R Sichieri , NS Pontes & CA Monteiro (2005) Household food availability in Brazil: distribution and trends (1974–2003). Rev Saúde Pública 39, 530540.

20.S Gibson & D Neate (2007) Sugar intake, soft drink consumption and body weight among British children: further analysis of National Diet and Nutrition Survey data with adjustment for under-reporting and physical activity. Int J Food Sci Nutr 58, 445460.

22.C Cavadini , AM Siega-Riz & BM Popkin (2000) US adolescent food intake trends from 1965 to 1996. Arch Dis Child 83, 1824.

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Public Health Nutrition
  • ISSN: 1368-9800
  • EISSN: 1475-2727
  • URL: /core/journals/public-health-nutrition
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