SUGAR BUSTERS: A PRESENTATION ABOUT SUGARY BEVERAGESPresented by Loretta de Guzman & Morgan Holland

Dietetic Students, San Francisco State University

LITERATURE REVIEWRecent research suggests there is an association between obesity and consumption of sugar-laden beverages (SSBs)

In the United States, the consumption of soft drinks, or SSBs has increased 500% in the last 50 years.

Soft drinks are the largest single food source of calories in the US.

In a 2012 nationwide study of 11,429 students in grades 9-12, showed that 65% of students drank some type of SSB at least once or more each day and about 22% drank SSBs 3 times a day.

Nationally, there is a decrease in drinking SSBs in adolescents.  In California, however, the numbers show a different trend.  In a policy brief by the UCLA Center for Health Policy Research, found that the consumption of SSBs declined in all age groups, except in 12-17 year olds.

65% of adolescents drank at least 1 SSB in 2011-2012 vs. 60% in 2005-2007. Between 2009 and 2011, adolescent consumption of sports and energy drinks

increased from 31% to 38%.

NEEDS ASSESSMENT Trending obesity epidemic in U.S. has reached

crisis proportions > 1/3 or 37%, of adults are obese

Heart disease, diabetes, stroke, & cancer rank in the top ten leading causes of death in the U.S. all food related diseases, relation to

overweight/obesity, hypertension, & osteoporosis

17% of children and adolescents in U.S. are obese triple the rate of a generation ago

Shift from reactionary approaches to preventive Public Health Ex. FDA is including “added sugars” on labels &

California Obesity Prevention Program, CDC

NEEDS ASSESSMENT (CONT’D) Americans eat 16% of their daily calories from

sugars added during food production

High school students at greater risk of obesity  Limited $, targeting by marketing & advertising & peer

influence Efforts to educate this population directly show promise A recent survey of SFUSD 10.5% of HS students were

overweight & another 13.3% were at risk for falling in that category

Sugar Busters 8 week project that engages high school students

through lectures, interactive demos & current videos   Pilot program at Galileo Academy of Science and

Technology in San Francisco

PROGRAM DESIGN Sugar Busters program will implement strategies to educate high school

students to build their capacity to make long term health supportive food and beverage choices 8 week series, 1 hour interactive lectures

Increase knowledge & self-efficacy of the participants in regards to healthy snacking & beverage consumption.

Approximately 46 student participants enrolled Juniors/seniors ages 16-17 (Mr. Richard McDowell’s Health Academy class) &

freshman/sophomores ( Ms. Jackie Alarcon’s health class)

Convo w/ instructor & a pretest was administered to assess the current knowledge, attitudes, & beliefs of this population as baseline data

Evidenced-based research as platform to provide an effective intervention

Mr. McDowell’s class , working on health campaign One group of students sugary beverage tax

METHOD Pretest/post-test method of evaluation

Knowledge, behaviors, and areas of interest of the students Format: delivers information, applies lessons, & evaluates the outcomes

First lesson in the series sugar content in commonly consumed beverages

Agenda: Introduction & Pre-test New America Media Why Soda Sucks

Galileo High School student - 2012 winner Goals and objectives Statistics Sugar Stoplight Game & sugar content demonstration Current event connection – Sugar Tax & film preview “Fat Smack” Video Post-test/Conclusion

GOALS & OBJECTIVES

To improve obesity rates and obesity-related disease health outcomes amongst students at Galileo Health Academy through

interactive education Sugar Busters program lesson 1: Objective 1: To increase ability to identify sugar-

laden beverages (knowledge) Goal 1: Upon program completion, 100% of Galileo

Health Academy participants will be able to identify at least two commonly consumed beverages with high sugar content

Goal 2: Students will be able to list one short-term and one long-term negative health Impacts of sugary beverage consumption

Objective 2:  Students will report increased confidence to reduce sugar consumption (attitude/belief) Goal 1: By program end, 85% of participants will report

confidence to reduce or maintain low consumption of sugar laden beverages

Goal 2: The majority of participants will convey increased self-efficacy in the ability to understand measurement values of sugar (grams) on nutrition labels

Objective 3: Intent to decrease consumption of sugary beverages (behavior) Goal 1: At least 70% of participants will convey anticipated

intent to reduce the frequency of drinking beverages with high sugar content in the future by program end

Goal 2: After program completion, the majority of participants will indicate intention to increase water consumption

GOALS & OBJECTIVES (CONT’D)

EVALUATION Pre-test /post-test model

Likert scales, beverage frequency questionnaire, & open ended questions

Evaluate behaviors, intended improvements in knowledge, self-efficacy, & intended behavior change Open-ended questions, general commentary, “Stop

Light” game & measurement game convert grams into teaspoons & visually assess the sugar

content in commonly consumed beverages

Promissory note

Success = provided critical information in regards to sugar laden beverages, positive student reaction, demonstrate learning, & indicate intent to decrease sugar laden beverage consumption/increase water

RESULTS & DISCUSSION

ESTIMATED DAILY WATER VS. OTHER BEVERAGE CONSUMPTION

None

1 to

3 g

lass

es

4 to

6 g

lass

es

7+ g

lass

es

0

5

10

15

20

25

30

Water

WaterOther Beverages

15%

33%

4%11%

30%

7%

Beverages Other Than H2O Weekly

Non-Diet Soda

Diet Soda

Fruit Juice

Odwalla Smoothie

Vitamin Water

Coffee Drink w/ Sugar

Gatorade

Other

COMPARISON OF DESIRE TO REDUCE SUGARY BEVERAGES, BELIEF CAN REDUCE SUGARY BEVERAGES & BELIEF CAN INCREASE AMOUNT OF WATER

Desire

to re

duce

# o

f sug

ary

drin

ks

Belie

f can

redu

ce sug

ary

drin

ks

Incr

ease

the

amou

nt o

f wat

er0

10

20

30

5 (most likely)4321 (least likely)

PROMISSORY NOTE  SUGAR BUSTERS Make a Commitment to a Healthier You! ☐ I promise to drink water when I am thirsty ☐ I promise to read the nutritional information on the back of the drink so that I choose healthy drinks ☐ I promise to drink more during the coming week(s) and less  ☐ I make this promise because  Name Grade

PROMISSORY NOTE AGREEMENTS TO FUTURE CONSUMPTION BEHAVIOR

Drink When Thirsty

Read Nutritional Info

Drink More Water

Acknowledge that Sugar is Unhealthy

0 5 10 15 20 25 30

NoYes

R = 28 stu-dents

ROOM FOR IMPROVEMENT

Conversion factors for teaspoons to tablespoons & grams to teaspoons Pre-test & Post-test: only 1 student correct many blank responses

Pre-test responses 2 teaspoons to 3000 teaspoons in one tablespoon,

& .9 teaspoons to 116 teaspoons in one gram Post-test responses

2 teaspoons to 100 teaspoons in one tablespoon, & ¼ teaspoon to 12 teaspoons in one gram

Improve how question is asked & provide more opportunity for practice

SUMMARY & BEYOND

Ability to identify sugar laden beverages & report the negative impacts of these drinks were improved

Program successful overall Collected data, promissory note & anecdotal

commentary from the students Future

measurement conversions repetition & elevate the other topics of discussion to build deeper understanding and create lasting change

support positive outcomes in regards to the overarching goal

Incorporate student feedback and areas of interest into future presentations

THANK YOU!