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. 2014 Mar;84(3):177-84.
doi: 10.1111/josh.12134.

Piloting "sodabriety": a school-based intervention to impact sugar-sweetened beverage consumption in rural Appalachian high schools

Laureen H Smith  1 , Christopher Holloman
Affiliations

Piloting "sodabriety": a school-based intervention to impact sugar-sweetened beverage consumption in rural Appalachian high schools

Laureen H Smith et al. J Sch Health. 2014 Mar.

Abstract

Background: Sugar-sweetened beverages (SSBs) are the largest source of added sugar in the US diet. In adolescents aged 12-19, these drinks account for 13% to 28% of total daily calories. Compared with other adolescents, those residing in Appalachia have the highest consumption rates of SSBs.

Methods: Using a Teen Advisory Council (TAC), a student-designed and student-led intervention was conducted at 2 high schools in a rural Appalachian county. Using repeated-measures models design with Bonferroni correction, data were collected on daily and weekly consumption of SSBs and of water at baseline, immediately post-intervention, and 30 days post-intervention. Vending machine surveys were completed.

Results: The 186 participants reported purchasing SSBs from school vending machines (41.4%), cafeteria (36.5%), and school stores (7.7%). Daily SSB servings decreased from an average of 2.32 (SD = 2.14) to 1.32 (SD = 1.29) (p < .001). Weekly consumption decreased from an average of 4.30 (SD = 2.40) days/week to 2.64 (SD = 1.91) (p < .001). Water consumption increased 19% from baseline to immediately post-intervention.

Conclusions: Student-directed efforts to support behavioral change are feasible and effective at affecting individual lifestyle behaviors. Small and manageable changes may lead to net improvements in lifestyle behaviors.

Keywords: adolescent health; obesity; peer intervention; sugar-sweetened beverages.

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