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

Details

• Journal Article:
  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.
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• Subjects:
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Beverages
  • Carbonated Beverages
  • Cross-Sectional Studies
  • Data Interpretation, Statistical
  • Energy Drinks
  • Energy Intake
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• Keywords:
  • Sugar-sweetened beverages
  • measuring consumption
  • screener questions
  • food frequency questionnaire-style questions
  • population surveillance
  • Manuscript format: research
  • Research purpose: relationship testing
  • Study design
  • quantitative
  • Outcome measure: SSB intake
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• Source:
  Am J Health Promot. 32(6):1431-1437
• DOI:
  http://dx.doi.org/10.1177/0890117117736957
• Pubmed ID:
  29121793
• Pubmed Central ID:
  PMC6298428
• Document Type:
  Text ; Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Genre:
  Journal Article
• Volume:
  32
• Issue:
  6
• Download URL:
  https://stacks.cdc.gov/view/cdc/61437/cdc_61437_DS1.pdf
• File Type:
  [PDF - 95.35 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:836341ed6fc30b9862c9ede6e7b804a4cb63737506c542750ab22429df004c82c6a1564cb1af9f6714569654edbc1d7f039843c5ab91b175259b6480bf1cacbd