Ntr450 life cycleproject


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Ntr450 life cycleproject

  1. 1. Sugar Sweetened Beverage Consumption in Toddlers Melanie Campbell Brittany Loomis Lyndee Nevitt Shawna Pierce Jody Silentman
  2. 2. Background & Significance Currently, one out of three children are considered obese in the United States1 and sugar sweetened beverages (SSB) are a major contributor to this.  Beverage companies are spending about half a billion dollars in marketing that is aimed directly at children ages 2-172.  By 2008, 91% of children were consuming SSB’s on a regular basis3.  Today, SSB’s continue to be the largest source of added sugars in the diet of children4. 
  3. 3. Background & Significance The problem affects many people: children, parents, schools, and day care providers.  Because children have little free will, their parents choices dramatically affect their health.  Advertisements lead parents to believe that juice and sports drinks are beneficial for their children, when in fact it is the exact opposite.  Because of this lack of knowledge, it has been shown that many parents do not believe there is a need to change their children’s beverage consumption5. 
  4. 4. Background & Significance The constant access of SSB’s children receive will result in a lasting negative impact throughout their entire lives.  It has been shown that there is a positive correlation with consumption of SSB’s and Body Mass Index6.  However, learning more about SSB’s is one way to cut out an unnecessary risk to disease in the lives of children. 
  5. 5. Factors Associated with the Problem – Demographic  Gender - slightly more problematic in males7  Minorities  Low education level (in parents)8  Low socioeconomic status http://www.ahchealthenews.com/wp-content/uploads/2013/08/More-bad-news-aboutkids-and-sugary-drinks.jpg
  6. 6. Factors Associated with the Problem – Personal  Information  Misconceptions: example – tap water seen as dangerous in Latino families9  Motivation/Behavioral Skills8  Perceptions of consequences  Modeling  Providing alternatives https://encryptedtbn2.gstatic.com/images?q=tbn:ANd9GcRBAyxvvTTkP3meKRsh509fO8ql VW303zW9fs-d_dj2lcs6ioZn
  7. 7. Factors Associated with the Problem – Cultural/Social  Culturally  relevant drinks Ex: “Agua Fresca” (natural = healthy)  View on 100% juice  Social Norms  Sports drinks in children’s athletic events  Traditions https://encryptedtbn2.gstatic.com/images?q=tbn:ANd9GcRNTxZHrMBM1al5KCCgthUcw9Uhe2 48N6khrJ8IKHboVeTtR2s-
  8. 8. Factors Associated with the Problem – Environmental  Access to foods  Less control at daycares/schools  Dense-areas of fast food restaurants10  Pricing  Advertising11 http://i.huffpost.com/gen/1251978/thumbs/o-COCA-COLA-facebook.jpg
  9. 9. Interventions Addressing the Problem12       The study reviewed the excessive weight gain in American Indian/ Alaskan native children. The purpose of this study was to promote consumption of water for thirst among toddlers and reduce the consumption of sugarsweetened beverages to reduce the risk of obesity. The population was American Indian and Alaskan native children aged 18-24 months. There were a total of 205 participants. They found that the prevention of consumption of sugar sweetened beverages prevented child obesity, as well as lowered the BMI. We learned that the overconsumption of sugar sweetened beverages are positively related to child obesity, and the prevention of this consumption from toddlers to adolescence can help in lower BMI as well as less risk of obesity later in life.
  10. 10. Interventions Addressing the Problem13  The second intervention we reviewed was developed to evaluate an InformationMotivation-Behavior Skills (IMB) Model.  Targeted 3-5 year-olds from low-income/lowresource minority households.  Showed that sugar sweetened beverages lead to an overconsumption of calories by children that can lead to them becoming overweight.  The role that parents and families play in this behavior.
  11. 11. Interventions Addressing the Problem14       The third intervention we studied was focused towards underserved minority populations in Alaska, American Samoa, Commonwealth of the Northern Mariana Islands, Guam, and Hawai’i. It was carried out by the Children’s Healthy Living (CHL) program and concentrated on the idea of Community Engagement Process (CEP). The study consisted of about 900 community stakeholders such as teachers, parents, and leaders of the community. It focused on children ages 2-8. CEP identified environmental priorities by the community members and desired change in behavioral outcomes. We learned that with acquired relevant information from community members themselves that a more successful implemented program could be created to sustain a population’s overall health and well-being.
  12. 12. Solutions to the Problem  Develop a community exchange program:  It would be held once a week in an accessible location within the community  Low-income/low-resource families would bring in sugar-sweetened beverages from home in exchange for:  Water, low-fat milk or milk alternatives
  13. 13. Solutions to the Problem  The programs goals would be to: Guide & educate parents/guardians, as well as day cares & preschools.   Provide them with resources to fun learning activities to teach toddlers to choose water or non-sweetened beverages over sugary drinks & juices. Connect with partners to provide resources such as local growers/fresh markets, coupon services or discounts (such as set up a discount program by vendors), get the community (volunteer programs) involved with providing weekly pick-up & provide delivery services to those that cannot attend.
  14. 14. Solutions to the Problem Who does this program target?  Parents and families of toddlers  Toddlers aged 2-5  Low income households  Low resource households  Local child care centers
  15. 15. Solutions to the Problem How would you get them involved?  Inform daycare providers  Low income medical & dental clinics  Community health fairs  Community health services  Provide educational classes  Follow up with parents weekly
  16. 16. Solutions to the Problem SMART Objectives: 1. Eighty five percent of community residents within the chosen low-income/low-resources region will participate in the Community Exchange program held every Wednesday by April 2014. 1. One year after the start of the program, participating households will have no beverage item with a sugar content over 15g per serving.
  17. 17. References 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Odgen CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity trends in body mass index among US children and adolescents, 19992010. JAMA. 2012;307:483-90. US Federal Trade Commission. Marketing Food to Children and Adolescents: A Review of Industry Expenditures, Activities, and SelfRegulation. Washinton, DC: US Federal Trade Commision; 2008. Lasater G, Piernas C, Popkin BM. Beverage patterns and trends among school-aged children in the US, 1989-2008. Nutr J. 2011;10:103. Reedy J, Krebs-Smith SM. Dietary source of energy, solid fats, and added sugars among children and adolescents in the United States. J of Am Dietetic Assc. 2010; 110(10):1477-1484. De Craemer M, De Decker E, De Bourdeaudhuij I, Deforche B, Vereecken C, Duvinage K, Grammatikaki E, Lotova V, FernandezAlvira JM, Zych K, Manios Y, Cardon G. Physical activity and beverage consumption in preschoolers: focus groups with parents and teachers. BMC Public Health. 2013 March 27;13:278. doi: 10.1186/1471-2458- 13-278. DeBoer MD, Scharf RJ, Demmer Rt. Sugar-sweetened beverages and weight gain in 2- to 5- year old children. Pediatrics. 2013 Sep;132(3):413-20. doi:10.1542/peds.2013-0570. Gillis LJ, Bar-Or O. Food away from home, sugar-sweetened drink consumption and juvenile obesity. J Am Coll Nutr. 2003 Dec;22(6):539-45 Goodell LS, Pierce MB, Amico KR, Ferris AM. Parental information, motivation, and behavioral skills correlate with child sweetened beverage consumption. J Nutr Educ Behav. 2012 May-Jun;44(3):240-5. Bogart LM, Cowgill BO, Sharma AJ, Uyeda K, Sticklor LA, Alijewicz KE, Schuster MA. Parental and home environmental facilitators of sugar-sweetened beverage consumption among overweight and obese Latino youth. Acad Pediatr. 2013 Jul-Aug;13(4):348-55. Richmond TK, Spadano-Gasbarro JL, Walls CE, Austin SB, Greaney ML, Wang ML, Mezegebu S, Peterson KE. Middle school food environments and racial/ethnic differences in sugar-sweetened beverage consumption: Findings from the Healthy Choices study. Prev Med. 2013 Nov;57(5):735-8. Giancoli A, Soto R, Sachnoff K. Sugary drinks: a big problem for little kids. First 5 LA. 2011. Available at: http://www.first5la.org/files/Sugar-Sweetened_Drink_Policy_Brief.pdf. Accessed November 19, 2013. Karanja N, Lutz T, Ritenbaugh C, Maupome G, Jones J, Becker T, Aickin M. The TOTS community intervention to prevent overweight in American Indian toddlers beginning at birth: a feasibility and efficacy study. J Community Health. 2010 Dec;35(6):667-75. doi: 10.1007/s10900-010-9270Goodell, L.S., Amico, K.R., Pierce, M.B., Ferris, A.M. 2008. An information-motivation-behavioral skills model for child sweetened beverage consumption. FASEB J. (Abstract 678) Fialkowski MK, DeBaryshe B, Bersamin A, Nigg C, Guerrero RL, Rojas G, Areta AAR, Vargo A, Camacho TB, Castro R, Luick B, Novotny R. A Community Engagement Process Identifies Environmental Priorities to Prevent Early Childhood Obesity: The Children’s Healthy Living (CHL) Program for Remote Underserved Populations in the US Affiliated Pacific Islands, Hawaii and Alaska. Matern Child Health J. 2013.