STRATEGIES TO
LIMIT SUGAR-SWEETENED
BEVERAGE CONSUMPTION
IN YOUNG CHILDREN
PROCEEDINGS OF A WORKSHOP
Nancy Konopasek and Meghan Quirk, Rapporteurs
Food and Nutrition Board
Health and Medicine Division
THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu
THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001
This activity was supported by contracts between the National Academy of Sciences and The California Endowment, Chobani Foundation, and Robert Wood Johnson Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-46632-5
International Standard Book Number-10: 0-309-46632-6
Digital Object Identifier: https://doi.org/10.17226/24910
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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2017. Strategies to limit sugar-sweetened beverage consumption in young children: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/24910.
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PLANNING COMMITTEE ON STRATEGIES TO LIMIT SUGAR-SWEETENED BEVERAGE CONSUMPTION IN YOUNG CHILDREN1
KAREN WEBER CULLEN (Chair), Professor, Pediatrics-Nutrition, Children’s Nutrition Research Center, Baylor College of Medicine
LEANN BIRCH, William P. Flatt Professor, Department of Foods and Nutrition, University of Georgia
ESA DAVIS, Associate Professor Medicine, Clinical and Translational Science, Director, University of Pittsburgh Medical Center Tobacco Treatment Service, University of Pittsburgh
BARBARA DEVANEY, Senior Fellow, Mathematica Policy Research
CHRISTINA ECONOMOS, Professor and the New Balance Chair in Childhood Nutrition, Friedman School of Nutrition Science and Policy and Medical School, Tufts University, and Co-Founder and Director, ChildObesity180
BRIAN ELBEL, Associate Professor, Population Health and Health Policy, School of Medicine and Wagner School of Public Service, New York University
TRACY FOX, President, Food, Nutrition and Policy Consultants, LLC
BARRY POPKIN, W.R. Kenan, Jr. Distinguished Professor Gillings School of Global Public Health, Director Global Food Research Program, University of North Carolina at Chapel Hill
ANNA MARIA SIEGA-RIZ, Professor of Nursing and Associate Dean for Research, School of Nursing; jointly appointed in Public Health Sciences and Obstetrics and Gynecology, University of Virginia
Health and Medicine Division Staff
MEGHAN QUIRK, Project Director
MEREDITH YOUNG, Senior Program Assistant
ANN YAKTINE, Director, Food and Nutrition Board
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.
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Reviewers
This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.
We thank the following individuals for their review of this proceedings:
STEPHEN DANIELS, University of Colorado School of Medicine
ANNE FERREE, Alliance for a Healthier Generation
RACHEL JOHNSON, University of Vermont
BERNADETTE MARRIOTT, Medical University of South Carolina
BARBARA O. SCHNEEMAN, University of California, Davis (Emeritus)
Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by HUGH H. TILSON, University of North Carolina at Chapel Hill. He was responsible for making certain that an
independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteurs and the National Academies.
Contents
1 INTRODUCTION AND WORKSHOP OVERVIEW
Organization of This Proceedings of a Workshop
Opening Remarks from the Workshop Sponsors
Prevalence, Trends, and Disparities in Beverage Intake Among Young Children
Cost-Effective Strategies to Limit Sugar-Sweetened Beverages in Children: What Can We Expect?
Drinking Water: What Do We Need to Know and Do?
Facilitated Discussion with the Audience
3 BEVERAGE INTAKE GUIDELINES APPLICABLE TO YOUNG CHILDREN
Scientific Report of the 2015 Dietary Guidelines Advisory Committee
Regulations and Policies for Beverages in Federal Nutrition Programs
State and Local Public Health Opportunities to Support Healthy Beverage Intake
State-Level Policies in the Child Care Setting
New York City’s Strategies to Reduce Sugar-Sweetened Beverage Consumption
Facilitated Discussion with the Audience
5 INNOVATIONS AND CHALLENGES OF EMERGING STRATEGIES
COPE Water First Initiative with the Notah Begay III Foundation
Howard County Unsweetened: Policy + Outreach + Media = Change
Facilitated Discussion with the Audience
Local Ordinances and Regulations: Feasibility, Challenges, and Impact
6 THE ROLE OF INDUSTRY IN SUGAR-SWEETENED BEVERAGE CONSUMPTION
Marketing Sugar-Sweetened Beverages to Young Children and Their Parents
Sugar-Sweetened Beverages: Voluntary and Regulatory Industry Approaches
Partnerships with Industry to Improve Beverage Choices of Young Children
Facilitated Discussion with the Audience
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Acronyms and Abbreviations
| AAP | American Academy of Pediatrics |
| BMI | body mass index |
| BRFSS | Behavioral Risk Factor Surveillance System |
| CACFP | Child and Adult Care Food Program |
| CDC | Centers for Disease Control and Prevention |
| CFBAI | Children’s Food and Beverage Advertising Initiative |
| CFOC | Caring for Our Children |
| CHOICES | Childhood Obesity Intervention Cost-Effectiveness Study |
| COPE | Community Outreach and Patient Empowerment |
| DGA | Dietary Guidelines for Americans |
| DGAC | Dietary Guidelines Advisory Committee |
| DNPAO | Division of Nutrition, Physical Activity, and Obesity |
| ECE | early care and education |
| FITS | Feeding Infants and Toddlers Study |
| HER | Healthy Eating Research |
| IFPS II | Infant Feeding Practices Study II |
| IOM | Institute of Medicine |
| NAP SACC | Nutrition and Physical Activity Self-Assessment for Child Care |
| NB3 | Notah Begay III (Foundation) |
| NCCOR | National Collaborative on Childhood Obesity Research |
| NHANES | National Health and Nutrition Examination Survey |
| NYC DOHMH | New York City Department of Health and Mental Hygiene |
| QRIS | Quality Rating and Improvement System |
| RWJF | Robert Wood Johnson Foundation |
| SNAP | Supplemental Nutrition Assistance Program |
| SNAP-Ed | Supplemental Nutrition Assistance Program Education |
| SSB | sugar-sweetened beverage |
| USDA | U.S. Department of Agriculture |
| WHO | World Health Organization |
| WIC | Special Supplemental Nutrition Program for Women, Infants, and Children |
