Knowledge of Sugar Content of Sports Drinks is Not Associated with Sports Drink Consumption

Abstract

Purpose.

To examine U.S. adult knowledge of the sugar content of sports drinks and whether this knowledge and other characteristics are associated with their sports drink consumption.

Design.

Nonexperimental.

Setting.

Nationally representative 2011 Summer ConsumerStyles survey data.

Subjects.

3929 U.S. adults.

Measures.

The outcome variable was sports drink consumption in the past 7 days. The main exposure variable was knowledge about sports drinks containing sugar. The covariates were sociodemographic characteristics, physical activity, and weight status.

Analysis.

Multivariable logistic regression analysis was used to estimate adjusted odds ratios (ORs) for adults consuming sports drinks ≥1 times/wk after controlling for other characteristics.

Results.

Approximately 22% of adults reported consuming sports drinks ≥1 times/wk. Most adults (71%) agreed that sports drinks contain sugar; however, this agreement was not significantly associated with adults' sports drink consumption. The odds of drinking sports drinks ≥1 times/wk were significantly higher among younger adults aged 18 to 64 years (OR range: 5.46–2.71), males (OR = 2.09), high-school graduates (OR = 1.52), and highly active adults (OR = 2.09).

Conclusion.

There were disparities in sports drink consumption by sociodemographic characteristics and physical activity level; however, knowledge of sports drinks' sugar content was not associated with consumption. Understanding why some population groups are higher consumers may assist in the development of education, providing those groups with a better understanding of sports drinks' nutritional value and health consequences of excessive sugar consumption in any form.

Keywords

Sugar Knowledge Sports Drinks Sugar-Sweetened Beverage Consumption Prevention Research Manuscript format: research Research purpose: modeling/relationship testing Study design: nonexperimental Outcome measure: behavioral Setting: state/national Health focus: nutrition Strategy: education Target population age: adults Target population circumstances: education/income level,geographic location and race/ethnicity

References

Ogden

Carroll

Kit

Flegal

. Prevalence of obesity in the United States, 2009–2010. NCHS Data Brief. 2012;(82):1–8.

US Dept of Health and Human Services . The Surgeon General's call to action to prevent and decrease overweight and obesity. Rockville, Md: US Public Health Service, Office of the Surgeon General. Available at: http://www.surgeongeneral.gov/topics/obesity/calltoaction/CalltoAction.pdf. Accesssed August 5, 2013.

Ogden

Kit

Carroll

Park

. Consumption of sugar drinks in the United States, 2005–2008. NCHS Data Brief. 2011;(71):1–8.

US Dept of Agriculture and US Dept of Health and Human Services . Dietary Guidelines for Americans, 2010. Washington, DC: US Goverment Printing Office; 2010.

Mattes

. Fluid energy: Where's the problem? J Am Diet Assoc. 2006;106:1956–1961.

Lloyd-Jones

Hong

Labarthe

. Defining and setting national goals for cardiovascular health promotion and disease reduction: The American Heart Association's strategic Impact Goal through 2020 and beyond. Circulation. 2010;121:586–613.

Malik

Schulze

. Intake of sugar-sweetened beverages and weight gain: A systematic review. Am J Clin Nutr. 2006;84:274–288.

Malik

Popkin

Bray

. Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: A meta-analysis. Diabetes Care. 2010;33:2477–2483.

Schulze

Manson

Ludwig

. Sugar-sweetened beverages, weight gain, and incidence of type 2 diabetes in young and middle-aged women. JAMA. 2004;292:927–934.

10.

Johnson

Appel

Brands

. Dietary sugars intake and cardiovascular health: A scientific statement from the American Heart Association. Circulation. 2009;120:1011–1020.

11.

Kit

Fakhouri

Park

. Trends in sugar-sweetened beverage consumption among youth and adults in the United States: 1999–2010. Am J Clin Nutr. 2013;98:180–188.

12.

Han

Powell

. Consumption patterns of sugar-sweetened beverages in the United States. J Acad Nutr Diet. 2013;113:43–53.

13.

Snell

Ward

Kandaswami

Stohs

. Comparative effects of selected non-caffeinated rehydration sports drinks on short-term performance following moderate dehydration. J Int Soc Sports Nutr. 2010;7:28.

14.

Sturm

. Stemming the global obesity epidemic: What can we learn from data about social and economic trends? Public Health. 2008;122:739–746.

15.

Harris

Schwartz

Brownell

. Sugary Drink FACTS: Evaluating Sugary Drink Nutrition and Marketing to Youth. New Haven, Conn: Rudd Center for Food Policy and Obesity; 2011.

16.

US Dept of Agriculture, Agricultural Research Service . USDA National Nutrient Database for Standard Reference, Release 25. Beltsville, Md: Nutrient Data Laboratory; 2012.

17.

Nichols

Jonnalagadda

Rosenbloom

Trinkaus

. Knowledge, attitudes, and behaviors regarding hydration and fluid replacement of collegiate athletes. Int J Sport Nutr Exerc Metab. 2005;15:515–527.

18.

Park

Blanck

Sherry

. Factors associated with sugar-sweetened beverage intake among United States high school students. J Nutr. 2012;142:306–312.

19.

Brener

Merlo

Eaton

. Beverage consumption among high school students—United States, 2010 [reprinted from MMWR. 2011;60:778–780]. JAMA. 2011;306:369–371.

20.

Park

Onufrak

Blanck

Sherry

. Characteristics associated with consumption of sports and energy drinks among US adults: National Health Interview Survey, 2010. J Acad Nutr Diet. 2013;113:112–119.

21.

Porter Novelli Public Services . Styles 2011 Methodology. Washington, DC: Deanne Weber; 2012.

22.

Physical Activity Guidelines Advisory Committee . Physical Activity Guidelines Advisory Committee Report, 2008. Washington, DC; 2008.

23.

US Dept of Health and Human Services . 2008 Physical Activity Guidelines for Americans: Be Active, Healthy, and Happy! Washington, DC: US Dept of Health and Human Services; 2008.

24.

National Heart Lung and Blood Institute, National Institute of Diabetes and Digestive and Kidney Diseases (US) . Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report. Bethesda, Md: National Institutes of Health, National Heart, Lung, and Blood Institute; 1998.

25.

Nielsen

Popkin

. Changes in beverage intake between 1977 and 2001. Am J Prev Med. 2004;27:205–210.

26.

Zoellner

Krzeski

Harden

. Qualitative application of the theory of planned behavior to understand beverage consumption behaviors among adults. J Acad Nutr Diet. 2012;112:1774–1784.

27.

Committee on Nutrition and the Council on Sports Medicine and Fitness . Clinical report—sports drinks and energy drinks for children and adolescents: Are they appropriate? Pediatrics. 2011;127:1182–1189.

28.

Henderson

Kelly

. Food advertising in the age of obesity: Content analysis of food advertising on general market and african american television. J Nutr Educ Behav. 2005;37:191–196.

29.

Abbatangelo-Gray

Byrd-Bredbenner

Austin

. Health and nutrient content claims in food advertisements on Hispanic and mainstream prime-time television. J Nutr Educ Behav. 2008;40:348–354.

30.

Bibeau

Saksvig

Gittelsohn

. Perceptions of the food marketing environment among African American teen girls and adults. Appetite. 2012;58:396–399.

31.

Pollard

. Use of consumer panel survey data for public health communication planning: An evaluation of survey results. In: Flegal

, ed. Proceedings of the Section on Health Policy Statistics. Alexandria, Va: American Statistical Association; 2002.

32.

Hedrick

Savla

Comber

. Development of a brief questionnaire to assess habitual beverage intake (BEVQ-15): Sugar-sweetened beverages and total beverage energy intake. J Acad Nutr Diet. 2012;112:840–849.

33.

Segovia-Siapco

Singh

Haddad

Sabate

. Relative validity of a food frequency questionnaire used to assess food intake during a dietary intervention study. Nutr Cancer. 2008;60:603–611.