A randomized controlled trial was conducted to determine whether a simple educational intervention targeting parents of young infants could have an impact on the consumption of juice and sugar-sweetened beverages (SSBs) in early childhood and decrease overweight and obesity rates. Parents of 2- to 4-month-old infants were randomized into intervention (n = 67) and control (n = 77) groups. Parents completed questionnaires about juice and SSB consumption and knowledge at baseline and 1-year follow-up. Intervention parents received informational handouts and watched videos about the health effects of juice and SSBs. Knowledge about juice increased significantly in the intervention group compared with control (P < .01) and was significantly higher in black/African American parents (P < .05) and those with some college education (P < .05). The intervention had a significant impact on the knowledge gained by parents about the health effects of juice and SSBs but did not decrease the consumption of sugary drinks or change children’s weight status.
HalesCMCarrollMDFryarCDOgdenCL. Prevalence of obesity among adults and youth: United States, 2015-2016. NCHS Data Brief. 2017;(288):1-8.
2.
ReevesGMPostolacheTTSnitkerS. Childhood obesity and depression: connection between these growing problems in growing children. Int J Child Health Hum Dev. 2008;1(2):103-114.
3.
AndersonSECohenPNaumovaENMustA. Association of depression and anxiety disorders with weight change in a prospective community-based study of children followed up into adulthood. Arch Pediatr Adolesc Med. 2006;160(3):285-291.
4.
EmmettPMJonesLR. Diet, growth, and obesity development throughout childhood in the Avon Longitudinal Study of Parents and Children. Nutr Rev. 2015;73(suppl 3):175-206.
5.
SaavedraJMDemingDDattiloAReidyK. Lessons from the feeding infants and toddlers study in North America: what children eat, and implications for obesity prevention. Ann Nutr Metab. 2013;62(suppl 3):27-36.
6.
LewisKHSkeltonJHsuFCEzouahPTaverasEMBlockJP. Use of electronic health record data to study the association of sugary drink consumption with child weight status. Acad Pediatr. 2020;20(6):767-775.
7.
PanLLiRParkSGaluskaDASherryBFreedmanDS. A longitudinal analysis of sugar-sweetened beverage intake in infancy and obesity at 6 years. Pediatrics. 2014;134(suppl 1):S29-S35.
8.
GaffneyKFKitsantasPCheemaJ. Clinical practice guidelines for feeding behaviors and weight-for-age at 12 months: a secondary analysis of the Infant Feeding Practices Study II. Worldviews Evid Based Nurs. 2012;9(4):234-242.
9.
BentleyMENultyAK. When does it all begin: what, when, and how young children are fed. Nestle Nutr Inst Workshop Ser. 2020;93:15-24.
10.
SonnevilleKRLongMWRifas-ShimanSLKleinmanKGillmanMWTaverasEM. Juice and water intake in infancy and later beverage intake and adiposity: could juice be a gateway drink. Obesity (Silver Spring). 2015;23(1):170-176.
11.
ZiesmannAKiflenRRubeisV, et al. The association between early childhood and later childhood sugar-containing beverage intake: a prospective cohort study. Nutrients. 2019;11(10):2338.
12.
KayMCWelkerEBJacquierEFStoryMT. Beverage consumption patterns among infants and young children (0–47.9 months): data from the Feeding Infants and Toddlers Study, 2016. Nutrients. 2018;10(7):825.
13.
KoplinJJKerrJALodgeC, et al. Infant and young child feeding interventions targeting overweight and obesity: a narrative review. Obes Rev. 2019;20(suppl 1):31-44.
14.
HeymanMBAbramsSA, Section on Gastroenterology Hepatology and Nutrition, Committee on Nutrition. Fruit juice in infants, children, and adolescents: current recommendations. Pediatrics. 2017;139(6):e20170967.
15.
AuerbachBJWolfFMHikidaA, et al. Fruit juice and change in BMI: a meta-analysis. Pediatrics. 2017;139(4):e20162454.
16.
DuffyEWKayMCJacquierEF, et al. Trends in food consumption patterns of US infants and toddlers from Feeding Infants and Toddlers Studies (FITS) in 2002, 2008, 2016. Nutrients. 2019;11(11):2807.
WelshJALundeenEASteinAD. The sugar-sweetened beverage wars: public health and the role of the beverage industry. Curr Opin Endocrinol Diabetes Obes. 2013;20(5):401-406.
19.
VercammenKAMoranAJZatzLYRimmEB. 100% Juice, fruit, and vegetable intake among children in the special supplemental nutrition program for women, infants, and children and nonparticipants. Am J Prev Med. 2018;55(1):e11-e18.
20.
DrewnowskiARehmCD. Socioeconomic gradient in consumption of whole fruit and 100% fruit juice among US children and adults. Nutr J. 2015;14(1):3.
21.
ShefferlyAScharfRJDeBoerMD. Longitudinal evaluation of 100% fruit juice consumption on BMI status in 2-5-year-old children. Pediatr Obes. 2016;11(3):221-227.
22.
MusialSAbioyeAMurilloAL, et al. Introducing juice and sugar-sweetened beverages in early infancy: parental knowledge and intended behaviors. Clin Pediatr (Phila). 2021;60(2):109-118.
23.
MarriottBPHuntKJMalekAMNewmanJC. Trends in intake of energy and total sugar from sugar-sweetened beverages in the United States among children and adults, NHANES 2003-2016. Nutrients. 2019;11(9):2004.
24.
BirchLLFisherJO. Development of eating behaviors among children and adolescents. Pediatrics. 1998;101(3, pt 2):539-549.
25.
LudwigDSPetersonKEGortmakerSL. Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet. 2001;357(9255):505-508.
26.
CloutierMMWileyJHuedo-MedinaT, et al. Outcomes from a pediatric primary care weight management program: steps to growing up healthy. J Pediatr. 2015;167(2):372-377.e1.
27.
FrenchGMNicholsonLSkyboT, et al. An evaluation of mother-centered anticipatory guidance to reduce obesogenic infant feeding behaviors. Pediatrics. 2012;130(3):e507-e517.
28.
BeckALFernandezARojinaJCabanaM. Randomized controlled trial of a clinic-based intervention to promote healthy beverage consumption among Latino children. Clin Pediatr (Phila). 2017;56(9):838-844.
29.
KlassPDreyerBPMendelsohnAL. Reach out and read: literacy promotion in pediatric primary care. Adv Pediatr. 2009;56:11-27.
30.
GleasonMM. Early childhood health interventions in the primary care setting promote developmental outcomes. J Pediatr. 2018;199:13-15.
31.
NezamiBTWardDSLytleLAEnnettSTTateDF. A mHealth randomized controlled trial to reduce sugar-sweetened beverage intake in preschool-aged children. Pediatr Obes. 2018;13(11):668-676.
32.
MehtaKPhillipsCWardPCoveneyJHandsleyECarterP. Marketing foods to children through product packaging: prolific, unhealthy and misleading. Public Health Nutr. 2012;15(9):1763-1770.
33.
GraffSKunkelDMerminSE. Government can regulate food advertising to children because cognitive research shows that it is inherently misleading. Health Aff (Millwood). 2012;31(2):392-398.
ProchaskaJOJohnsonSLeeP. The Transtheoretical Model of behavior change. In: The Handbook of Health Behavior Change. 3rd ed.New York, NY: Springer Publishing Company; 2009:59-83.
37.
MennellaJA. Ontogeny of taste preferences: basic biology and implications for health. Am J Clin Nutr. 2014;99(3):704S-711S.
38.
SchapiraMMSwartzSGanschowPS, et al. Tailoring educational and behavioral interventions to level of health literacy: a systematic review. MDM Policy Pract. 2017;2(1):2381468317714474.
39.
Rietmeijer-MentinkMPaulisWDvan MiddelkoopMBindelsPJvan der WoudenJC. Difference between parental perception and actual weight status of children: a systematic review. Matern Child Nutr. 2013;9(1):3-22.
40.
State of Childhood Obesity. Helping All Children Grow Up Healthy. Published 2019. Accessed September 7, 2020. http://Stateofobesity.org.
41.
AndreyevaTLuedickeJTrippASHendersonKE. Effects of reduced juice allowances in food packages for the women, infants, and children program. Pediatrics. 2013;131(5):919-927.
42.
LucanSCMarokoARSanonOCSchechterCB. Unhealthful food-and-beverage advertising in subway stations: targeted marketing, vulnerable groups, dietary intake, and poor health. J Urban Health. 2017;94(2):220-232.
43.
US Department of Agriculture and US Department of Health and Human Services. Dietary Guidelines for Americans, 2020-2025. DietaryGuidelines.gov. December2020.
