Sugar-sweetened beverage consumption among adults in rural Appalachia

Heather Norman-Burgdolf, Emily DeWitt, Kathryn M. Cardarelli, Rachel Gillespie, Stacey Slone, Alison Gustafson

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Sugar-sweetened beverage (SSB) consumption is decreasing nationally, yet intakes remain high in certain sub-populations as new varieties of SSBs are introduced. This study aims to expand on SSB intake patterns among adults living in Appalachia to develop policy, systems, and environmental (PSE) interventions to reduce consumption. Baseline cohort surveys were conducted to examine beverage consumption patterns of adults in one rural Appalachian county in Kentucky using a validated BEVQ-15 instrument. Ages were collapsed into three generational groups – Millennials (22–38 years), Generation X (39–54 years), and Boomers/Silents (≥55 years). Over half (n = 81; 54%) of the sample (n = 150) were Boomers/Silents. Age was a significant predictor of SSB consumption, with Millennials drinking more daily calories of SSB compared to older adults (329.2 kcal v 157.0 kcal v 134.6 kcal, p = 0.05); a significant amount of those calories coming from non-soda SSBs. Millennials were twice as likely to drink sweetened fruit juice drinks (p = 0.0002) and energy drinks (p = 0.01) daily and consumed six times more daily calories from sweetened fruit juice drinks than the other groups (73.5 kcal v 11.1 kcal v 8.0 kcal, p < 0.01). To our knowledge, this is the first study to show beverage choices and consumption patterns in Appalachian adults vary by age and non-soda SSBs are significant sources of added sugar. These findings inform PSE interventions for reducing SSB consumption, such as tailored marketing approaches and technology-based strategies, within a unique setting, and offer insight for nutrition educators and public health professionals working within rural, remote communities.

Original languageEnglish
Article number101642
JournalPreventive Medicine Reports
Volume24
DOIs
StatePublished - Dec 2021

Bibliographical note

Funding Information:
This research was funded by Centers for Disease Control and Prevention Division of Nutrition, Physical Activity, and Obesity, Cooperative Agreement number 1NU58DP0065690100. This research utilized the Center for Clinical and Translational Science REDCap tool, supported by the NIH National Center for Advancing Translational Sciences through grant number UL1TR001998. The content is solely the responsibility of the authors and does not necessarily represent official views of the NIH. The authors declare there are no conflicts of interest for this work. The funders were not involved in the design of the study, collection of data, analysis, interpretation of findings, or writing of the manuscript.

Funding Information:
We recognize the contributions of Jennifer Hunter to this study. We would like to acknowledge the Martin County Cooperative Extension Office and the Martin County Wellness Coalition for their continued support of this project. We would like to thank Grace Anderson, Haley Copeland, Caroline Blincoe, and Cora Teets for their assistance with data collection and entry. This research was funded by Centers for Disease Control and Prevention Division of Nutrition, Physical Activity, and Obesity, Cooperative Agreement number 1NU58DP0065690100. This research utilized the Center for Clinical and Translational Science REDCap tool, supported by the NIH National Center for Advancing Translational Sciences through grant number UL1TR001998. The content is solely the responsibility of the authors and does not necessarily represent official views of the NIH. The authors declare there are no conflicts of interest for this work. The funders were not involved in the design of the study, collection of data, analysis, interpretation of findings, or writing of the manuscript.

Publisher Copyright:
© 2021

Keywords

  • Adults
  • Appalachia
  • Community-driven intervention
  • Rural health
  • Sugar-sweetened beverages

ASJC Scopus subject areas

  • Health Informatics
  • Public Health, Environmental and Occupational Health

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