Assessing sugar-sweetened beverage intakes, added sugar intakes and BMI before and after the implementation of a sugar-sweetened beverage tax in South Africa
OBJECTIVE: To provide insight into the context and public health implications of the South African sugar-sweetened beverage (SSB) tax (Health Promotion Levy; HPL) by describing SSB and added sugar intakes, as well as BMI, 1 year prior to, at the time of and 1 year after implementation of the HPL.
DESIGN: Longitudinal dietary intake was assessed using a quantitative food frequency questionnaire (QFFQ) and BMI was measured via anthropometry.
SETTING: Soweto, Johannesburg, South Africa.
PARTICIPANTS: Adolescents, young adults and middle-aged adults (n 617).
RESULTS: At baseline, median SSB intakes were 36 ml/d, 214 ml/d and 750 ml/d for those in low, medium and high consumption tertiles, respectively. SSB intake decreased by two times/week in medium consumers and seven times/week in high consumers between baseline and 12 months, equivalent to 107 ml/d and 536 ml/d reductions, respectively. These reduced levels were maintained in the following year (i.e. to 24 months). There was an overall decrease in the amount of energy consumed as added sugar in the low (-48 kJ/d), medium (-153 kJ/d) and high (-106 kJ/d) SSB consumption groups between baseline and 24 months; however, the percentage of total energy consumed as added sugar remained relatively consistent (between 10 and 11 %). There were small overall increases in BMI across low (0·6 kg/m2), medium (0·9 kg/m2) and high (1·0 kg/m2) SSB tertiles between baseline and 24 months.
CONCLUSIONS: These findings suggest reductions in SSB and added sugar consumption contemporaneous to the introduction of the HPL - particularly for those with higher baseline intakes.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2021 |
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Erschienen: |
2021 |
Enthalten in: |
Zur Gesamtaufnahme - volume:24 |
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Enthalten in: |
Public health nutrition - 24(2021), 10 vom: 14. Juli, Seite 2900-2910 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Wrottesley, Stephanie V [VerfasserIn] |
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Links: |
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Themen: |
Added sugar |
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Anmerkungen: |
Date Completed 25.10.2021 Date Revised 09.02.2023 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.1017/S1368980020005078 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM318802619 |
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100 | 1 | |a Wrottesley, Stephanie V |e verfasserin |4 aut | |
245 | 1 | 0 | |a Assessing sugar-sweetened beverage intakes, added sugar intakes and BMI before and after the implementation of a sugar-sweetened beverage tax in South Africa |
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500 | |a published: Print-Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a OBJECTIVE: To provide insight into the context and public health implications of the South African sugar-sweetened beverage (SSB) tax (Health Promotion Levy; HPL) by describing SSB and added sugar intakes, as well as BMI, 1 year prior to, at the time of and 1 year after implementation of the HPL | ||
520 | |a DESIGN: Longitudinal dietary intake was assessed using a quantitative food frequency questionnaire (QFFQ) and BMI was measured via anthropometry | ||
520 | |a SETTING: Soweto, Johannesburg, South Africa | ||
520 | |a PARTICIPANTS: Adolescents, young adults and middle-aged adults (n 617) | ||
520 | |a RESULTS: At baseline, median SSB intakes were 36 ml/d, 214 ml/d and 750 ml/d for those in low, medium and high consumption tertiles, respectively. SSB intake decreased by two times/week in medium consumers and seven times/week in high consumers between baseline and 12 months, equivalent to 107 ml/d and 536 ml/d reductions, respectively. These reduced levels were maintained in the following year (i.e. to 24 months). There was an overall decrease in the amount of energy consumed as added sugar in the low (-48 kJ/d), medium (-153 kJ/d) and high (-106 kJ/d) SSB consumption groups between baseline and 24 months; however, the percentage of total energy consumed as added sugar remained relatively consistent (between 10 and 11 %). There were small overall increases in BMI across low (0·6 kg/m2), medium (0·9 kg/m2) and high (1·0 kg/m2) SSB tertiles between baseline and 24 months | ||
520 | |a CONCLUSIONS: These findings suggest reductions in SSB and added sugar consumption contemporaneous to the introduction of the HPL - particularly for those with higher baseline intakes | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Research Support, Non-U.S. Gov't | |
650 | 4 | |a Added sugar | |
650 | 4 | |a Health Promotion Levy | |
650 | 4 | |a Obesity | |
650 | 4 | |a South Africa | |
650 | 4 | |a Sugar-sweetened beverages | |
650 | 7 | |a Sugars |2 NLM | |
700 | 1 | |a Stacey, Nicholas |e verfasserin |4 aut | |
700 | 1 | |a Mukoma, Gudani |e verfasserin |4 aut | |
700 | 1 | |a Hofman, Karen J |e verfasserin |4 aut | |
700 | 1 | |a Norris, Shane A |e verfasserin |4 aut | |
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