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The association between state bans on soda only and adolescent substitution with other sugar-sweetened beverages: a cross-sectional study.
Int J Behav Nutr Phys Act 2015; 12 Suppl 1:S7IJ

Abstract

BACKGROUND

Across the United States, many states have actively banned the sale of soda in high schools, and evidence suggests that students' in-school access to soda has declined as a result. However, schools may be substituting soda with other sugar-sweetened beverages (SSBs), and national trends indicate that adolescents are consuming more sports drinks and energy drinks. This study examined whether students consumed more non-soda SSBs in states that banned the sale of soda in school.

METHODS

Student data on consumption of various SSBs and in-school access to vending machines that sold SSBs were obtained from the National Youth Physical Activity and Nutrition Study (NYPANS), conducted in 2010. Student data were linked to state laws regarding the sale of soda in school in 2010. Students were cross-classified based on their access to vending machines and whether their state banned soda in school, creating 4 comparison groups. Zero-inflated negative binomial models were used to compare these 4 groups with respect to students’ self-reported consumption of diet soda, sports drinks, energy drinks, coffee/tea, or other SSBs. Students who had access to vending machines in a state that did not ban soda were the reference group. Models were adjusted for race/ethnicity, sex, grade, home food access, state median income, and U.S. Census region.

RESULTS

Students consumed more servings of sports drinks, energy drinks, coffee/tea, and other SSBs if they resided in a state that banned soda in school but attended a school with vending machines that sold other SSBs. Similar results were observed where schools did not have vending machines but the state allowed soda to be sold in school. Intake was generally not elevated where both states and schools limited SSB availability – i.e., states banned soda and schools did not have SSB vending machines.

CONCLUSION

State laws that ban soda but allow other SSBs may lead students to substitute other non-soda SSBs. Additional longitudinal research is needed to confirm this. Elevated SSB intake was not observed when both states and schools took steps to remove SSBs from school.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26221969

Citation

Taber, Daniel R., et al. "The Association Between State Bans On Soda Only and Adolescent Substitution With Other Sugar-sweetened Beverages: a Cross-sectional Study." The International Journal of Behavioral Nutrition and Physical Activity, vol. 12 Suppl 1, 2015, pp. S7.
Taber DR, Chriqui JF, Vuillaume R, et al. The association between state bans on soda only and adolescent substitution with other sugar-sweetened beverages: a cross-sectional study. Int J Behav Nutr Phys Act. 2015;12 Suppl 1:S7.
Taber, D. R., Chriqui, J. F., Vuillaume, R., Kelder, S. H., & Chaloupka, F. J. (2015). The association between state bans on soda only and adolescent substitution with other sugar-sweetened beverages: a cross-sectional study. The International Journal of Behavioral Nutrition and Physical Activity, 12 Suppl 1, pp. S7. doi:10.1186/1479-5868-12-S1-S7.
Taber DR, et al. The Association Between State Bans On Soda Only and Adolescent Substitution With Other Sugar-sweetened Beverages: a Cross-sectional Study. Int J Behav Nutr Phys Act. 2015 Jul 27;12 Suppl 1:S7. PubMed PMID: 26221969.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The association between state bans on soda only and adolescent substitution with other sugar-sweetened beverages: a cross-sectional study. AU - Taber,Daniel R, AU - Chriqui,Jamie F, AU - Vuillaume,Renee, AU - Kelder,Steven H, AU - Chaloupka,Frank J, Y1 - 2015/07/27/ PY - 2015/7/30/entrez PY - 2015/7/30/pubmed PY - 2016/8/23/medline SP - S7 EP - S7 JF - The international journal of behavioral nutrition and physical activity JO - Int J Behav Nutr Phys Act VL - 12 Suppl 1 N2 - BACKGROUND: Across the United States, many states have actively banned the sale of soda in high schools, and evidence suggests that students' in-school access to soda has declined as a result. However, schools may be substituting soda with other sugar-sweetened beverages (SSBs), and national trends indicate that adolescents are consuming more sports drinks and energy drinks. This study examined whether students consumed more non-soda SSBs in states that banned the sale of soda in school. METHODS: Student data on consumption of various SSBs and in-school access to vending machines that sold SSBs were obtained from the National Youth Physical Activity and Nutrition Study (NYPANS), conducted in 2010. Student data were linked to state laws regarding the sale of soda in school in 2010. Students were cross-classified based on their access to vending machines and whether their state banned soda in school, creating 4 comparison groups. Zero-inflated negative binomial models were used to compare these 4 groups with respect to students’ self-reported consumption of diet soda, sports drinks, energy drinks, coffee/tea, or other SSBs. Students who had access to vending machines in a state that did not ban soda were the reference group. Models were adjusted for race/ethnicity, sex, grade, home food access, state median income, and U.S. Census region. RESULTS: Students consumed more servings of sports drinks, energy drinks, coffee/tea, and other SSBs if they resided in a state that banned soda in school but attended a school with vending machines that sold other SSBs. Similar results were observed where schools did not have vending machines but the state allowed soda to be sold in school. Intake was generally not elevated where both states and schools limited SSB availability – i.e., states banned soda and schools did not have SSB vending machines. CONCLUSION: State laws that ban soda but allow other SSBs may lead students to substitute other non-soda SSBs. Additional longitudinal research is needed to confirm this. Elevated SSB intake was not observed when both states and schools took steps to remove SSBs from school. SN - 1479-5868 UR - https://www.unboundmedicine.com/medline/citation/26221969/The_association_between_state_bans_on_soda_only_and_adolescent_substitution_with_other_sugar_sweetened_beverages:_a_cross_sectional_study_ L2 - https://www.ijbnpa.org/content/12/S1/S7 DB - PRIME DP - Unbound Medicine ER -