Students of the 6. Grade
Conditions
Brief summary
This study evaluates the effect of changes in the range of drinks offered in vending machines in schools on the sugar intake of pupils via drinks.
Detailed description
Children and adolescents consume a considerable amount of liquid in the form of sugary drinks. A high sugar diet associated not only with the increase in overweight children, but also with type II diabetes, cardiovascular disease and cancer. In many schools, cold drink vending machines with different fillings are available offering various sugary drinks. Participating schools will be randomised in a ratio of 1:1:1 into three groups. In one intervention group, the vending machines will be re-equipped to contain 60% drinks containing a maximum of 6.7g sugar/100ml, 20% drinks containing more than 6.7g sugar/100ml and 20% water. In the second intervention group, the vending machines offer 80% water, 20% products with a maximum of 6.7g sugar/100ml. In the control group, the range of products offered by the vending machines remains unchanged. Information of the students drinking habits, total fluid intake and sugar intake in the form of food and drinks will be collected. In addition, data such as body height, body weight, physical activity and socio-democratic or socio-economic data will be accumulated. The sales figures of the drinks in the vending machines will be recorded and information about the surroundings of the schools (fast food chains, supermarkets, etc.) will be collected. The survey of students and data collection will be repeated three times. In a sub-study, demographic data and the frequency of consumption of sugared beverages and water are collected from 2 focus groups. In addition, participants will complete a questionnaire on general attitudes towards sugary drinks or water, obstacles to and incentives for reducing sugar consumption by liquids or increasing water consumption.
Interventions
sugar reduction in the offered drinks
Sponsors
Study design
Eligibility
Inclusion criteria
* Students in one of the recruited schools * Appropriate knowledge of the German language
Exclusion criteria
* No signed consent of parent and of child
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Consumption of mean liquid free sugar intake per week (g) by using the 7-day fluid record | 1 week | self report of fluid consumption |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Water intake by using the 7-day fluid record with the proportion of children meeting the EFSA adequate intake for water from fluids | 1 week | self report of fluid consumption |
| Consumption of free sugar from food by 24-h dietary recall | 24 hours | self report of food consumption |
| Body weight and Body-Mass-Index (BMI) by using body weight and height | Start, 3-4 months, 7-8 months | Measured with a calibrated body scale in light clothes and without shoes |
| Absolute (mL) and relative (%) contribution of each fluid intake category to total fluid intake by using the 7-day fluid record | 1 week | self report of fluid consumption, the measure presents only one outcome fluid intake, which will be reported in ml and %. |
| Physical activity | Start, 3-4 months, 7-8 months | International Physical Activity Questionnaire for Adolescents (IPAQ-A), scale title Physical activity of adolescents, scale minimum 0, scale maximum 7, higher scores mean a better outcome |
| Socio-demographic and socioeconomic factors | after 7-8 months | questionnaire, scale title socio-demographic and socio-econimoc status, scale minimum is 0, scale maximum is 3, higher scores mean a better outcome |
| Sales data (frequencies of beverages) of the vending machine and school cafeteria operators | through study completion, an average of 8 month | Interview |
| Abdominal girth | Start, 3-4 months, 7-8 months | inelastic tape |
Countries
Austria