Intra-and interpersonal determinants of sugar sweetened beverage and daily sugar intake among adolescent girls in Tasikmalaya City: A cross-sectional study
Sugar Sweetened Beverages (SSBs) are a type of high-energy drink favored by adolescents. Determinants within the individual and interactions with others can influence SSB intake. This study aimed to understand the association between intra- and interpersonal determinants of the frequency of SSBs consumption and daily sugar intake in adolescent girls. This study used a cross-sectional design, with 342 subjects selected from1425 junior high school students in Tasikmalaya City. Data collection on daily sugar intake used the SQ-FFQ, while the frequency of SSBs consumption was assessed using a questionnaire. Data analysis was performed using chi-square and logistic regression. The results showed that most participants frequently consumed SSBs (83%) and had excessive daily sugar intake (61.1%). Sweet taste preference (p=0.041; aOR 1.919[1.028–3.585]), advertising influence (p=0.013; aOR 2.141 [1.176–3.898]), and access to SSBs at school (p=0.033; aOR 2.594 [1.082–6.214]) were associated with the frequency of consumption. The frequency of SSBs consumption (p=0.000; aOR 7.293 [3.681–14.452]) and maternal education (p=0.044; aOR 1,662 [1.013 – 2.726]) were associated with daily sugar intake. Access to SSBs at school was the most dominant determinant associated with the frequency of SSBs consumption. School-based interventions can include providing drinking water, especially during lunchtime.
Keywords : Adolescents, socio‑ecological factors, sugar‑sweetened beverages, sugar intake
- Amson, A., Pauzé, E., Remedios, L., Pritchard, M., & Potvin Kent, M. (2023). Adolescent exposure to food and beverage marketing on social media by gender: A pilot study. Public Health Nutrition, 26(1), 33–45. https://doi.org/10.1017/S1368980022002312
- Bawajeeh, A., Zulyniak, M. A., Evans, C. E. L., & Cade, J. E. (2022). Characterizing adolescents’ dietary intake by taste: Results from the UK National Diet and Nutrition Survey. Frontiers in Nutrition, 9, Article 893643. https://doi.org/10.3389/fnut.2022.893643
- Beaulieu, D., Vézina-Im, L. A., Turcotte, S., Guillaumie, L., Boucher, D., Douville, F., & Simard, D. (2020). Correlates of sugar-sweetened beverages consumption among adolescents. Public Health Nutrition, 23(12), 2145–2154. https://doi.org/10.1017/S1368980019005147
- Bragança, M. L. B. M., Coelho, C. C. N. da S., Oliveira, B. R. de, Bogea, E. G., Confortin, S. C., & Silva, A. A. M. da. (2022). The frequency of daily consumption of sugar-sweetened beverages is associated with reduced muscle mass index in adolescents. Nutrients, 14(22), Article 4917. https://doi.org/10.3390/nu14224917
- Brownbill, A. L., Miller, C. L., & Braunack-Mayer, A. J. (2018). The marketing of sugar-sweetened beverages to young people on Facebook. Australian and New Zealand Journal of Public Health, 42(4), 354–360. https://doi.org/10.1111/1753-6405.12801
- Buwana, A. C. (2023). Studi literatur: Intensi konsumsi sugar-sweetened beverages ditinjau dari prediktor theory of planned behavior. Buletin Riset Psikologi dan Kesehatan Mental, 3(1), 16–24. https://doi.org/10.20473/brpkm.v3i1.48477
- Calcaterra, V., Cena, H., Magenes, V. C., Vincenti, A., Comola, G., Beretta, A., Di Napoli, I., & Zuccotti, G. (2023). Sugar-sweetened beverages and metabolic risk in children and adolescents with obesity: A narrative review. Nutrients, 15(3), Article 702. https://doi.org/10.3390/nu15030702
- Chaffee, B. W., Werts, M., White, J. S., Couch, E. T., Urata, J., Cheng, J., & Kearns, C. (2021). Beverage advertisement receptivity associated with sugary drink intake and harm perceptions among California adolescents. American Journal of Health Promotion, 35(4), 525–532. https://doi.org/10.1177/0890117120969057
- Costa, D., Warkentin, S., & Oliveira, A. (2022). Sugar-sweetened beverages, effects on appetite and public health strategies to reduce the consumption among children: A review. Porto Biomedical Journal, 7(1), e172. https://doi.org/10.1097/J.PBJ.0000000000000172
- Craig, C., Clark, T., Alves, A. R., Amini, M., & Ra, J. S. (2022). Consumption of sugar-sweetened beverages and fast foods deteriorates adolescents’ mental health. Frontiers in Nutrition, 9, Article 1058190. https://doi.org/10.3389/fnut.2022.1058190
- Grummon, A. H., Oliva, A., Hampton, K. E., & Patel, A. I. (2015). Association between student purchases of beverages during the school commute and in-school consumption of sugar-sweetened beverages, San Francisco Bay Area, 2013. Preventing Chronic Disease, 12, Article E220. https://doi.org/10.5888/pcd12.150306
- Gui, Z., Huang, S., Chen, Y., Zhao, Y., Jiang, N., Zhang, S., & Chen, Y. (2021). Association between sugar-sweetened beverage consumption and executive function in children. Nutrients, 13(12), Article 4563. https://doi.org/10.3390/nu13124563
- Hidayanti, L., Rahfiludin, M. Z., Nugraheni, S. A., & Murwani, R. (2022). Association between the habitual snack consumption at school and the prevalence of overweight in adolescent students in Tasikmalaya, Indonesia. Open Access Macedonian Journal of Medical Sciences, 10(E), 980–986. https://doi.org/10.3889/oamjms.2022.9858
- Keller, A., & Bucher Della Torre, S. (2015). Sugar-sweetened beverages and obesity among children and adolescents: A review of systematic literature reviews. Childhood Obesity, 11(4), 338–346. https://doi.org/10.1089/chi.2014.0117
- Kementerian Kesehatan Republik Indonesia. (2019). Laporan nasional Riset Kesehatan Dasar (Riskesdas) 2018. Badan Penelitian dan Pengembangan Kesehatan.
- Kementerian Kesehatan Republik Indonesia. (2020). Standar antropometri anak. Direktorat Gizi Masyarakat.
- Kourouniotis, S., Keast, R. S. J., Riddell, L. J., Lacy, K., Thorpe, M. G., & Cicerale, S. (2016). The importance of taste on dietary choice, behaviour and intake in a group of young adults. Appetite, 103, 1–7. https://doi.org/10.1016/j.appet.2016.03.015
- Kuklina, E. V., & Park, S. (2020). Sugar-sweetened beverage consumption and lipid profile: More evidence for interventions. Journal of the American Heart Association, 9(5), e015061. https://doi.org/10.1161/JAHA.120.015061
- Kumar, A., Kulchar, R. J., Khadka, N., Smith, C., Mukherjee, P., Rizal, E., & Sokal-Gutierrez, K. (2023). Maternal–child consumption of ultra-processed foods and sugar-sweetened beverages in informal settlements in Mumbai, India. Journal of Health, Population and Nutrition, 42(1), Article 86. https://doi.org/10.1186/s41043-023-00486-z
- Laksmi, P. W., Morin, C., Gandy, J., Moreno, L. A., Kavouras, S. A., Martinez, H., Salas-Salvadó, J., & Guelinckx, I. (2018). Fluid intake of children, adolescents and adults in Indonesia: Results of the 2016 Liq.In7 national cross-sectional survey. European Journal of Nutrition, 57(Suppl. 3), 89–100. https://doi.org/10.1007/s00394-018-1740-z
- Lara-Castor, L., Micha, R., Cudhea, F., Miller, V., Shi, P., Zhang, J., Sharib, J. R., Erndt-Marino, J., Cash, S. B., Barquera, S., Mozaffarian, D., et al. (2024). Intake of sugar-sweetened beverages among children and adolescents in 185 countries between 1990 and 2018: Population-based study. BMJ, 386, e079234. https://doi.org/10.1136/bmj-2024-079234
- Leal, J. S. V., Vegi, A. S. F., Meireles, A. L., Machado, Í. E., & Menezes, M. C. (2022). Burden of non-communicable chronic diseases attributable to the consumption of sugar-sweetened beverages, 1990–2019. Clinical Nutrition ESPEN, 51, 253–261. https://doi.org/10.1016/j.clnesp.2022.08.019
- Li, P., Ren, Z., Zhang, J., Zhao, A., Zhang, Y., Lan, H., Szeto, I. M. Y., & Wang, P. (2022). Consumption of added sugar among Chinese toddlers and its association with picky eating and daily screen time. Nutrients, 14(9), Article 1840. https://doi.org/10.3390/nu14091840
- Lin, L., Li, C., Jin, C., Peng, Y., Hashem, K. M., MacGregor, G. A., He, F. J., & Wang, H. (2018). Sugar and energy content of carbonated sugar-sweetened beverages in Haidian District, Beijing: A cross-sectional study. BMJ Open, 8(8), e022048. https://doi.org/10.1136/bmjopen-2018-022048
- Madsen, K. A., Falbe, J., Olgin, G., Ibarra-Castro, A., & Rojas, N. (2019). Purchasing patterns in low-income neighbourhoods: Implications for studying sugar-sweetened beverage taxes. Public Health Nutrition, 22(10), 1807–1814. https://doi.org/10.1017/S1368980019000375
- Mahmood, L., Flores-Barrantes, P., Moreno, L. A., Manios, Y., & Gonzalez-Gil, E. M. (2021). The influence of parental dietary behaviors and practices on children’s eating habits. Nutrients, 13(4), Article 1138. https://doi.org/10.3390/nu13041138
- Malik, V. S., & Hu, F. B. (2022). The role of sugar-sweetened beverages in the global epidemics of obesity and chronic diseases. Nature Reviews Endocrinology, 18(4), 205–218. https://doi.org/10.1038/s41574-021-00627-6
- Marriott, B. P., Hunt, K. J., Malek, A. M., & Newman, J. C. (2019). Trends in intake of energy and total sugar from sugar-sweetened beverages in the United States among children and adults, NHANES 2003–2016. Nutrients, 11(9), Article 2004. https://doi.org/10.3390/nu11092004
- Nguyen, M., Jarvis, S. E., Tinajero, M. G., Yu, J., Chiavaroli, L., Mejia, S. B., Khan, T. A., Tobias, D. K., Willett, W. C., Hu, F. B., Hanley, A. J., Birken, C. S., Sievenpiper, J. L., & Malik, V. S. (2023). Sugar-sweetened beverage consumption and weight gain in children and adults: A systematic review and meta-analysis of prospective cohort studies and randomized controlled trials. The American Journal of Clinical Nutrition, 117(1), 160–174. https://doi.org/10.1016/j.ajcnut.2022.11.008
- Pender, S., Stevenson, R. J., Francis, H. M., & Oaten, M. J. (2019). Wanting and liking for sugar-sweetened beverages and snacks differ following depletion and repletion with energy and fluids. Appetite, 137, 81–89. https://doi.org/10.1016/j.appet.2019.02.014
- Prasetyo, Y. B., Permatasari, P., & Susanti, H. D. (2023). The effect of mothers’ nutritional education and knowledge on children’s nutritional status: A systematic review. International Journal of Child Care and Education Policy, 17(1), Article 11. https://doi.org/10.1186/s40723-023-00114-7
- Rahfiludin, M. Z., Arso, S. P., Joko, T., Asna, A. F., Murwani, R., & Hidayanti, L. (2021). Plant-based diet and iron deficiency anemia in Sundanese adolescent girls at Islamic boarding schools in Indonesia. Journal of Nutrition and Metabolism, 2021, Article 6469883. https://doi.org/10.1155/2021/6469883
- Ridwana, R., Al Kautsar, A., Saleh, F., Himayah, S., Arrasyid, R., & Pamungkas, T. D. (2022). Spatiotemporal monitoring of rice crops in the COVID-19 pandemic period for local food security using Sentinel-2B imagery: Case study of Tasikmalaya City. IOP Conference Series: Earth and Environmental Science, 1089(1), Article 012039. https://doi.org/10.1088/1755-1315/1089/1/012039
- Rogers, P. J., Ferriday, D., Irani, B., Hoi, J. K. H., England, C. Y., Bajwa, K. K., & Gough, T. (2020). Sweet satiation: Acute effects of consumption of sweet drinks on appetite for and intake of sweet and non-sweet foods. Appetite, 149, Article 104631. https://doi.org/10.1016/j.appet.2020.104631
- Russell, C., Baker, P., Grimes, C., Lindberg, R., & Lawrence, M. A. (2023). Global trends in added sugars and non-nutritive sweetener use in the packaged food supply: Drivers and implications for public health. Public Health Nutrition, 26(5), 952–964. https://doi.org/10.1017/S1368980022001598
- Sajdakowska, M., Jeżewska-Zychowicz, M., Gębski, J., & Kiełb, A. (2024). Consumption of sugar-sweetened beverages by Polish young adults: A preliminary study on the importance of sugar tax familiarity and health effects. Foods, 13(22), Article 3616. https://doi.org/10.3390/foods13223616
- Salim, L. A. (2020). Improving child nutritional status in order to fill the demographic dividend in East Java Province, Indonesia. Asian Social Science, 16(5), 120–127. https://doi.org/10.5539/ass.v16n5p120
- Saraswati, D., Hidayanti, L., & Aisyah, I. S. (2024). The relationship between breakfast habits and nutritional status of adolescent girls: A cross-sectional study in Tasikmalaya. AcTion: Aceh Nutrition Journal, 9(2), 238–247. https://doi.org/10.30867/action.v9i2.1632
- Sartika, R. A. D., Atmarita, Duki, M. I. Z., Bardosono, S., Wibowo, L., & Lukito, W. (2022). Consumption of sugar-sweetened beverages and its potential health implications in Indonesia. Kesmas: Jurnal Kesehatan Masyarakat Nasional, 17(1), 1–9. https://doi.org/10.21109/kesmas.v17i1.5532
- Schneider, S., Mata, J., & Kadel, P. (2020). Relations between sweetened beverage consumption and individual, interpersonal, and environmental factors: A 6-year longitudinal study in German children and adolescents. International Journal of Public Health, 65(5), 559–570. https://doi.org/10.1007/s00038-020-01397-0
- Smirk, E., Mazahery, H., Conlon, C. A., Beck, K. L., Gammon, C., Mugridge, O., & von Hurst, P. R. (2021). Sugar-sweetened beverages consumption among New Zealand children aged 8–12 years: A cross-sectional study of sources and associates/correlates of consumption. BMC Public Health, 21(1), Article 2344. https://doi.org/10.1186/s12889-021-12345-9
- Sousa, A., Sych, J., Rohrmann, S., & Faeh, D. (2020). The importance of sweet beverage definitions when targeting health policies: The case of Switzerland. Nutrients, 12(7), Article 1976. https://doi.org/10.3390/nu12071976
- Sparrow, R., Agustina, R., Bras, H., Sheila, G., Rieger, M., Yumna, A., Feskens, E., & Melse-Boonstra, A. (2021). Adolescent nutrition: Developing a research agenda for the second window of opportunity in Indonesia. Food and Nutrition Bulletin, 42(1_suppl), S9–S20. https://doi.org/10.1177/0379572120983668
- The U.S. Surgeon General’s Advisory. (2023). Social media and youth mental health. U.S. Department of Health and Human Services.
- Tran, Q. D., Nguyen, T. H. H., Le, C. L., Hoang, L. V., Vu, T. Q. C., Phan, N. Q., & Bui, T. T. (2023). Sugar-sweetened beverages consumption increases the risk of metabolic syndrome and its components in adults: Consistent and robust evidence from an umbrella review. Clinical Nutrition ESPEN, 57, 655–664. https://doi.org/10.1016/j.clnesp.2023.08.001
- Valencia, V., Fathinnisa, R., & Al Asyary, F. K. (2022). Systematic review: Hubungan konsumsi sugar-sweetened beverages dengan risiko masalah kesehatan mental pada orang dewasa. Jurnal Ilmiah Wahana Pendidikan, 8(3), 178–183.
- Wang, C. W., Chen, D. R., Chan, C. C., Yeh, Y. P., & Chen, H. H. (2022). “I knew I should stop, but I couldn’t control myself”: A qualitative study to explore the factors influencing adolescents’ consumption of sugar-sweetened beverages and sugary snacks from a socio-ecological perspective. Public Health Nutrition, 25(9), 2465–2474. https://doi.org/10.1017/S1368980022001185
- World Health Organization. (2015). Sugars intake for adults and children. World Health Organization.
- Winzer, E., Wallner, M., Aufschnaiter, A. L., Grach, D., Lampl, C., Schätzer, M., Holstein, B., & Wakolbinger, M. (2023). Investigating the relationships between taste preferences and beverage intake in preadolescents. Foods, 12(8), Article 1641. https://doi.org/10.3390/foods12081641
- Yu, L., Zhou, H., Zheng, F., Song, J., Lu, Y., Yu, X., & Zhao, C. (2022). Sugar is the key cause of overweight/obesity in sugar-sweetened beverages. Frontiers in Nutrition, 9, Article 885704. https://doi.org/10.3389/fnut.2022.885704
- Zhang, R., Yang, Q., Tang, Q., Xi, Y., Lin, Q., & Yang, L. (2022). Is adolescents’ free sugar intake associated with the free sugar intake of their parents? Nutrients, 14(22), Article 4741. https://doi.org/10.3390/nu14224741
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