Total sugar-sweetened beverage intake among U.S. adults lower when measured using a one-question versus four-question screener

Details

• Alternative Title:
  Am J Health Promot
• Personal Author:
  Lundeen, Elizabeth A. ; Park, Sohyun ; Dooyema, Carrie ; Blanck, Heidi M.
• Description:
  Purpose:
  
  To compare the performance of one survey screener question measuring total sugar-sweetened beverage (SSB) intake to a screener measuring SSB types separately using four questions.
  
  Design:
  
  Cross-sectional.
  
  Setting:
  
  Web-based 2014 SummerStyles survey.
  
  Subjects:
  
  4,167 U.S. adults (≥18 years).
  
  Measures:
  
  Frequency of SSB intake measured using one screener question was compared to frequency using a four-question screener (regular soda, fruit drinks, sports/energy drinks, sweetened coffee/tea). SSB intake (number of times/day) was categorized as 0, >0 to <1, and ≥1 time/day; difference in mean intake was calculated between four questions versus one.
  
  Analysis:
  
  Paired t-tests were used, and agreement was evaluated using weighted kappa and Lin’s Concordance Correlation Coefficient (CCC).
  
  Results:
  
  Mean SSB intake was 1.7 (95% CI: 1.65–1.79) times/day using four questions and 0.6 (95% CI: 0.56–0.62) times/day using one question (p<0.001). Intake frequency based on four questions vs. one, respectively, was 16.0% vs. 38.5% for 0 times/day, 15.6% vs. 42.5% for >0 to <1 time/day, and 68.4% vs. 18.9% for ≥1 time/day. There was fair agreement for the three SSB intake categories (kappa: 0.27), and poor absolute agreement between the two continuous measures (Lin’s CCC: 0.31).
  
  Conclusion:
  
  Daily SSB intake was significantly lower using one screener question versus a four-question screener. Researchers should assess SSB types separately or consider that daily SSB intake is likely underestimated with one question.
  
  
• Subjects:
  Adolescent Adult Aged Aged, 80 And Over Beverages Carbonated Beverages Cross-Sectional Studies Data Interpretation, Statistical Energy Drinks Energy Intake Female Humans Male Middle Aged Nutrition Surveys United States Young Adult

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• Keywords:
  Chlorination Food Frequency Questionnaire-style Questions Health Focus: Nutrition Household Water Treatment Manuscript Format: Research Measuring Consumption Outcome Measure: SSB Intake Population Surveillance Quantitative Research Purpose: Relationship Testing Safe Water Storage Screener Questions Setting: National Study Design Sugar-sweetened Beverages Target Population: Adults Target Population Circumstances: Measurement

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• Source:
  Am J Health Promot. 32(6):1431-1437
• Pubmed ID:
  29121793
• Pubmed Central ID:
  PMC6298428
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  32
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:f739dd85424ec3d8df11c8452a0b8d3ba7907efb4e3f69ed8856015cf1731eeb
• Download URL:
  https://stacks.cdc.gov/view/cdc/61437/cdc_61437_DS1.pdf
• File Type:
  [PDF - 95.35 KB ]