TY - JOUR
T1 - Time trends in consumption of sugar-sweetened beverages and related socioeconomic differences among adolescents in Eastern Europe
T2 - Signs of a nutrition transition?
AU - Chatelan, Angeline
AU - Rouche, Manon
AU - Dzielska, Anna
AU - Lebacq, Thérésa
AU - Fismen, Anne Siri
AU - Kelly, Colette
AU - Zaborskis, Apolinaras
AU - Kopcakova, Jaroslava
AU - Tsareva, Anna
AU - Kalman, Michal
AU - Castetbon, Katia
N1 - Funding Information: Health Behaviour in School-Aged Children (HBSC) is an international survey carried out in collaboration with the WHO Regional Office for Europe. Data collection is funded at the national level for each HBSC survey. The work related to this article was possible thanks to the academic support of the Université libre de Bruxelles, Belgium, and the financial support of the University of Lausanne, Switzerland (mobility fellowship). The work was also supported by the European Regional Development Fund-Project “Effective Use of Social Research Studies for Practice” (No. CZ.02.1.01/0.0/0.0/16_025/0007294) and by the Czech Ministry of Education, Youth and Sports, Inter-Excellence, LTT18020, as well as the Federal State Budgetary Institution “Saint-Petersburg Scientific-Research Institute for Physical Culture” in Russia. Publisher Copyright: © 2021 The Author(s) 2021. Published by Oxford University Press on behalf of the American Society for Nutrition.
PY - 2021/10/1
Y1 - 2021/10/1
N2 - Background: High intake of sugar-sweetened beverages (SSBs) contributes to detrimental cardio-metabolic indicators in youth. Monitoring of SSB consumption is lacking in Eastern Europe. Objectives: We assessed trends in the prevalence of adolescent daily consumption of SSBs in 14 Eastern European countries between 2002 and 2018, both overall and according to family material affluence. Methods: We used 2002, 2006, 2010, 2014, and 2018 data of the Health Behaviour in School-Aged Children school-based study (repeated cross-sectional). Nationally representative samples of adolescents aged 11, 13, and 15 years were included (n = 325,184; 51.2% girls). Adolescents completed a standardized questionnaire, including a question on SSB consumption frequency. We categorized adolescents into 3 socioeconomic groups based on the relative Family Affluence Scale (FAS). Adjusted prevalences of daily SSB consumption by survey year, as well as country-level time trends between 2002 and 2018, were computed using multilevel logistic models (overall and by FAS groups). Results: In 2018, the prevalence of adolescents consuming SSBs every day varied considerably between countries (range, 5.1%-28.1%). Between 2002 and 2018, the prevalence of daily SSB consumption declined in 10/14 countries (P for linear trends ≤ 0.004). The largest reductions were observed in Slovenia (OR, 0.48; 95% CI: 0.45-0.50) and the Russian Federation (OR, 0.67; 95% CI: 0.64-0.70). Daily SSB consumption was reduced at faster rates among the most affluent adolescents (who were larger consumers in 2002) than in the least affluent adolescents in 11/14 countries (P for linear trends ≤ 0.004). Thus, differences between FAS groups narrowed over time or even reversed, leading to larger proportions of daily consumers in the least affluent adolescents in 2018 in 5/14 countries (P ≤ 0.05). Conclusions: Adolescent daily consumption of SSBs decreased between 2002 and 2018 in most Eastern European countries. Declines were larger among higher-affluence adolescents. These results are useful to evaluate and plan interventions promoting healthy childhood diets.
AB - Background: High intake of sugar-sweetened beverages (SSBs) contributes to detrimental cardio-metabolic indicators in youth. Monitoring of SSB consumption is lacking in Eastern Europe. Objectives: We assessed trends in the prevalence of adolescent daily consumption of SSBs in 14 Eastern European countries between 2002 and 2018, both overall and according to family material affluence. Methods: We used 2002, 2006, 2010, 2014, and 2018 data of the Health Behaviour in School-Aged Children school-based study (repeated cross-sectional). Nationally representative samples of adolescents aged 11, 13, and 15 years were included (n = 325,184; 51.2% girls). Adolescents completed a standardized questionnaire, including a question on SSB consumption frequency. We categorized adolescents into 3 socioeconomic groups based on the relative Family Affluence Scale (FAS). Adjusted prevalences of daily SSB consumption by survey year, as well as country-level time trends between 2002 and 2018, were computed using multilevel logistic models (overall and by FAS groups). Results: In 2018, the prevalence of adolescents consuming SSBs every day varied considerably between countries (range, 5.1%-28.1%). Between 2002 and 2018, the prevalence of daily SSB consumption declined in 10/14 countries (P for linear trends ≤ 0.004). The largest reductions were observed in Slovenia (OR, 0.48; 95% CI: 0.45-0.50) and the Russian Federation (OR, 0.67; 95% CI: 0.64-0.70). Daily SSB consumption was reduced at faster rates among the most affluent adolescents (who were larger consumers in 2002) than in the least affluent adolescents in 11/14 countries (P for linear trends ≤ 0.004). Thus, differences between FAS groups narrowed over time or even reversed, leading to larger proportions of daily consumers in the least affluent adolescents in 2018 in 5/14 countries (P ≤ 0.05). Conclusions: Adolescent daily consumption of SSBs decreased between 2002 and 2018 in most Eastern European countries. Declines were larger among higher-affluence adolescents. These results are useful to evaluate and plan interventions promoting healthy childhood diets.
KW - Eastern Europe
KW - Health Behaviour in School-Aged Children study
KW - adolescents
KW - family affluence scale
KW - health equity
KW - socioeconomic inequalities in diet
KW - sodas
KW - sugar-sweetened beverage
KW - trend analysis
UR - http://www.scopus.com/inward/record.url?scp=85117184668&partnerID=8YFLogxK
U2 - https://doi.org/10.1093/ajcn/nqab175
DO - https://doi.org/10.1093/ajcn/nqab175
M3 - Article
C2 - 34086855
SN - 0002-9165
VL - 114
SP - 1476
EP - 1485
JO - American Journal of Clinical Nutrition
JF - American Journal of Clinical Nutrition
IS - 4
ER -