Sugar-sweetened beverage consumption among adults in rural Appalachia

Sugar-sweetened beverage (SSB) consumption is decreasing nationally, yet intakes remain high in certain sub-populations as new varieties of SSBs are introduced. This study aims to expand on SSB intake patterns among adults living in Appalachia to develop policy, systems, and environmental (PSE) inte...

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Autores principales:	Heather Norman-Burgdolf, Emily DeWitt, Kathryn M. Cardarelli, Rachel Gillespie, Stacey Slone, Alison Gustafson
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Sugar-sweetened beverages Appalachia Adults Community-driven intervention Rural health Medicine R
Acceso en línea:	https://doaj.org/article/55d9f26687e74695bb428c96f6dbb816
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spelling	oai:doaj.org-article:55d9f26687e74695bb428c96f6dbb8162021-11-20T05:05:40ZSugar-sweetened beverage consumption among adults in rural Appalachia2211-335510.1016/j.pmedr.2021.101642https://doaj.org/article/55d9f26687e74695bb428c96f6dbb8162021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2211335521003338https://doaj.org/toc/2211-3355Sugar-sweetened beverage (SSB) consumption is decreasing nationally, yet intakes remain high in certain sub-populations as new varieties of SSBs are introduced. This study aims to expand on SSB intake patterns among adults living in Appalachia to develop policy, systems, and environmental (PSE) interventions to reduce consumption. Baseline cohort surveys were conducted to examine beverage consumption patterns of adults in one rural Appalachian county in Kentucky using a validated BEVQ-15 instrument. Ages were collapsed into three generational groups – Millennials (22–38 years), Generation X (39–54 years), and Boomers/Silents (≥55 years). Over half (n = 81; 54%) of the sample (n = 150) were Boomers/Silents. Age was a significant predictor of SSB consumption, with Millennials drinking more daily calories of SSB compared to older adults (329.2 kcal v 157.0 kcal v 134.6 kcal, p = 0.05); a significant amount of those calories coming from non-soda SSBs. Millennials were twice as likely to drink sweetened fruit juice drinks (p = 0.0002) and energy drinks (p = 0.01) daily and consumed six times more daily calories from sweetened fruit juice drinks than the other groups (73.5 kcal v 11.1 kcal v 8.0 kcal, p < 0.01). To our knowledge, this is the first study to show beverage choices and consumption patterns in Appalachian adults vary by age and non-soda SSBs are significant sources of added sugar. These findings inform PSE interventions for reducing SSB consumption, such as tailored marketing approaches and technology-based strategies, within a unique setting, and offer insight for nutrition educators and public health professionals working within rural, remote communities.Heather Norman-BurgdolfEmily DeWittKathryn M. CardarelliRachel GillespieStacey SloneAlison GustafsonElsevierarticleSugar-sweetened beveragesAppalachiaAdultsCommunity-driven interventionRural healthMedicineRENPreventive Medicine Reports, Vol 24, Iss , Pp 101642- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sugar-sweetened beverages Appalachia Adults Community-driven intervention Rural health Medicine R
spellingShingle	Sugar-sweetened beverages Appalachia Adults Community-driven intervention Rural health Medicine R Heather Norman-Burgdolf Emily DeWitt Kathryn M. Cardarelli Rachel Gillespie Stacey Slone Alison Gustafson Sugar-sweetened beverage consumption among adults in rural Appalachia
description	Sugar-sweetened beverage (SSB) consumption is decreasing nationally, yet intakes remain high in certain sub-populations as new varieties of SSBs are introduced. This study aims to expand on SSB intake patterns among adults living in Appalachia to develop policy, systems, and environmental (PSE) interventions to reduce consumption. Baseline cohort surveys were conducted to examine beverage consumption patterns of adults in one rural Appalachian county in Kentucky using a validated BEVQ-15 instrument. Ages were collapsed into three generational groups – Millennials (22–38 years), Generation X (39–54 years), and Boomers/Silents (≥55 years). Over half (n = 81; 54%) of the sample (n = 150) were Boomers/Silents. Age was a significant predictor of SSB consumption, with Millennials drinking more daily calories of SSB compared to older adults (329.2 kcal v 157.0 kcal v 134.6 kcal, p = 0.05); a significant amount of those calories coming from non-soda SSBs. Millennials were twice as likely to drink sweetened fruit juice drinks (p = 0.0002) and energy drinks (p = 0.01) daily and consumed six times more daily calories from sweetened fruit juice drinks than the other groups (73.5 kcal v 11.1 kcal v 8.0 kcal, p < 0.01). To our knowledge, this is the first study to show beverage choices and consumption patterns in Appalachian adults vary by age and non-soda SSBs are significant sources of added sugar. These findings inform PSE interventions for reducing SSB consumption, such as tailored marketing approaches and technology-based strategies, within a unique setting, and offer insight for nutrition educators and public health professionals working within rural, remote communities.
format	article
author	Heather Norman-Burgdolf Emily DeWitt Kathryn M. Cardarelli Rachel Gillespie Stacey Slone Alison Gustafson
author_facet	Heather Norman-Burgdolf Emily DeWitt Kathryn M. Cardarelli Rachel Gillespie Stacey Slone Alison Gustafson
author_sort	Heather Norman-Burgdolf
title	Sugar-sweetened beverage consumption among adults in rural Appalachia
title_short	Sugar-sweetened beverage consumption among adults in rural Appalachia
title_full	Sugar-sweetened beverage consumption among adults in rural Appalachia
title_fullStr	Sugar-sweetened beverage consumption among adults in rural Appalachia
title_full_unstemmed	Sugar-sweetened beverage consumption among adults in rural Appalachia
title_sort	sugar-sweetened beverage consumption among adults in rural appalachia
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/55d9f26687e74695bb428c96f6dbb816
work_keys_str_mv	AT heathernormanburgdolf sugarsweetenedbeverageconsumptionamongadultsinruralappalachia AT emilydewitt sugarsweetenedbeverageconsumptionamongadultsinruralappalachia AT kathrynmcardarelli sugarsweetenedbeverageconsumptionamongadultsinruralappalachia AT rachelgillespie sugarsweetenedbeverageconsumptionamongadultsinruralappalachia AT staceyslone sugarsweetenedbeverageconsumptionamongadultsinruralappalachia AT alisongustafson sugarsweetenedbeverageconsumptionamongadultsinruralappalachia
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Sugar-sweetened beverage consumption among adults in rural Appalachia

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