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Assessing sugar-sweetened beverage intakes, added sugar intakes and BMI before and after the implementation of a sugar-sweetened beverage tax in South Africa

Bibliographic Data

ID15096157
AuthorsStephanie V Wrottesley (0000-0002-5419-2920, South African Medical Research Council, corresponding author), Nicholas Stacey (0000-0002-3572-5314, South African Medical Research Council), Gudani Mukoma (0000-0002-3305-9274, South African Medical Research Council), Karen J Hofman, Karen Hofman (0000-0001-9512-7220, University of the Witwatersrand), Shane A Norri (0000-0001-7124-3788, South African Medical Research Council), Shane A Norris
Year2021
Volume24
Issue10
Pages2900-2910
Publication date2021-07-01
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980020005078
PMID33315006
OpenAlexW3112170738
LanguageEN
Citations received6
References cited49

Objective: To provide insight into the context and public health implications of the South African sugar-sweetened beverage (SSB) tax (Health Promotion Levy; HPL) by describing SSB and added sugar intakes, as well as BMI, 1 year prior to, at the time of and 1 year after implementation of the HPL. Design: Longitudinal dietary intake was assessed using a quantitative food frequency questionnaire (QFFQ) and BMI was measured via anthropometry. Setting: Soweto, Johannesburg, South Africa. Participants: Adolescents, young adults and middle-aged adults ( n 617). Results: At baseline, median SSB intakes were 36 ml/d, 214 ml/d and 750 ml/d for those in low, medium and high consumption tertiles, respectively. SSB intake decreased by two times/week in medium consumers and seven times/week in high consumers between baseline and 12 months, equivalent to 107 ml/d and 536 ml/d reductions, respectively. These reduced levels were maintained in the following year (i.e. to 24 months). There was an overall decrease in the amount of energy consumed as added sugar in the low (−48 kJ/d), medium (−153 kJ/d) and high (−106 kJ/d) SSB consumption groups between baseline and 24 months; however, the percentage of total energy consumed as added sugar remained relatively consistent (between 10 and 11 %). There were small overall increases in BMI across low (0·6 kg/m 2 ), medium (0·9 kg/m 2 ) and high (1·0 kg/m 2 ) SSB tertiles between baseline and 24 months. Conclusions: These findings suggest reductions in SSB and added sugar consumption contemporaneous to the introduction of the HPL – particularly for those with higher baseline intakes

Added sugar · Animal science · Anthropometry · Biology · Body mass index · Consumption (sociology · Context (archaeology · Environmental health · Geography · Obesity · Sugar · Chemistry · Consumer Attitudes and Food Labeling · Demography · Medicine · Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Endocrinology · Food Science · Internal Medicine

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Citations per year1.2
Citation span2021 - 2026 (6)
Highly citedNo

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