s ugar b usters : a presentation about sugary beverages presented by loretta de guzman & morgan...
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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!