Journal of South Asian Association of Pediatric Dentistry

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VOLUME 3 , ISSUE 1 ( January-June, 2020 ) > List of Articles

ORIGINAL RESEARCH

Assessment of Dietary Behavior Change in Families Participating in a “2-Week Sugar Challenge”: An Observational Study

Shivangi Manek, Ashwin M Jawdekar

Keywords : Behavior, Diet, Environment, Families, Obesity, Parents

Citation Information : Manek S, Jawdekar AM. Assessment of Dietary Behavior Change in Families Participating in a “2-Week Sugar Challenge”: An Observational Study. J South Asian Assoc Pediatr Dent 2020; 3 (1):14-18.

DOI: 10.5005/jp-journals-10077-3036

License: CC BY-NC 4.0

Published Online: 01-06-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Dietary behaviors are a result of social and cultural practices; consumption of sugar-rich food and beverages being no exception. The World Health Organization (WHO) sugar guideline 2015 states that adults and children should reduce their daily intake of sugar to less than 10% of their total energy and a further reduction to 5% would provide additional health benefits. In view of this, a dietary behavior change pertaining to free-sugar reduction is needed in families. Aim: To assess the dietary behavior change in families participating in a “2-week sugar challenge” in terms of their willingness to participate and adherence to the challenge and defaults. Settings and design: A 2-week sugar challenge was conducted in a residential complex in Mumbai. Materials and methods: This study consisted of a convenient sample of 30 families with children belonging to 3- to 12-year age-group, who were approached for the study. They were given a list of products to be avoided and that could be consumed. Families and individuals were assessed for willingness to participate and adherence to the challenge. Statistical analysis: Variable means, standard deviations, and percentages were analyzed. Results: Of the contacted families, more than 80% (with children aged 3–12 years) were willing to participate in the study. Of the participating families, 2.70% and 3.22% of adults and children sustained the challenge for 2 weeks, respectively. None of the families as a whole could adhere to the challenge. The mean number of days the challenge was sustained by adults and children was 2.96 (±3.79) and 3.04 (±3.77), respectively. The most common defaulted food item was “milk additives.” Conclusion: Willingness in terms of sugar challenge was high but sustainability was poor.


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  1. Chi DL, Luu M, Chu F. A scoping review of epidemiologic risk factors for pediatric obesity: Implications for future childhood obesity and dental caries prevention research. J Public Health Dent 2017;77:S8–S31.
  2. Heilmann A, Sheiham A, Watt RG, et al. The common risk factor approach-an Integrated population-and evidence-based approach for reducing social inequalities in oral health. Gesundheitswesen 2016;78(10):672–677. DOI: 10.1055/s-0035-1548933.
  3. Lustig RH, Schmidt LA, Brindis CD. Public health: toxic truth about sugar. Nature 2012;482(7383):27–29. DOI: 10.1038/482027a.
  4. Sheiham A. Improving oral health for all: focusing on determinants and conditions. Health Educ J 2000;59(4):351–363. DOI: 10.1177/001789690005900408.
  5. Larsen JK, Hermans RC, Sleddens EF, et al. How parental dietary behavior and food parenting practices affect children's dietary behavior. Interacting sources of influence? Appetite 2015;89:246–257.
  6. WHO. Diet, nutrition and the prevention of chronic disease. Geneva: WHO/FAO Expert Consultation, 2003: Technical Report Series 916.
  7. Schneider D. International trends in adolescent nutrition. Social Sci Med 2000;51(6):955–967. DOI: 10.1016/s0277-9536(00)00074-5.
  8. Antwi F, Fazylova N, Garcon MC, et al. The effectiveness of web-based programs on the reduction of childhood obesity in school-aged children: a systematic review. JBI Libr Syst Rev 2012;10(Suppl):1–4. DOI: 10.11124/jbisrir-2012-248.
  9. World Health Organisation. Guideline: sugars intake for adult and children. Geneva, Switzerland 2015.
  10. Damle SG. Textbook of Pediatric Dentistry. 4th ed., Arya Medi Publishing House; 2012.
  11. Stangor C. Principles of Social Psychology [Internet]. BCcampus; 2014. Chapter 4, Attitudes Behaviour, And Persuasion. Available from: https://opentextbc.ca/socialpsychology/chapter/changing-attitudes-by-changing-behavior/.
  12. Poutanen R, Lahti S, Tolvanen M, et al. Parental influence on children's oral health-related behavior. Acta Odontol Scand 2006;64(5):286–292. DOI: 10.1080/00016350600714498.
  13. Jawdekar AM, Natekar SN, Nagda RJ. Sugar meter-A ready-reckoner tool to inform WHO (2015) sugar guidelines. IDRR 2016;11:16–22.
  14. Taylor ZE, Eisenberg N, VanSchyndel SK, et al. Children's negative emotions and ego-resiliency: longitudinal relations with social competence. Emotion 2014;14(2):397. DOI: 10.1037/a0035079.
  15. Charles D. The Power Of Habit [Internet] The Random House Publishing Group.2011- [cited 2012]. Available from: http://takechargeworld.com/wp-content/uploads/2016/09/Charles-Duhigg.The-Power-of-Habit.pdf.
  16. Michie S, Ashford S, Sniehotta FF, et al. A refined taxonomy of behaviour change techniques to help people change their physical activity and healthy eating behaviours: the CALO-RE taxonomy. Psychol Health 2011;26(11):1479–1498. DOI: 10.1080/08870446.2010.540664.
  17. Bettinghaus EP. Health promotion and the knowledge-attitude-behavior continuum. Prev Med 1986;15(5):475–491. DOI: 10.1016/0091-7435(86)90025-3.
  18. Tolvanen M, Anttonen V, Mattila ML, et al. Influence of children's oral health promotion on parents’ behaviours, attitudes and knowledge. Acta Odontol Scand 2016;74(5):321–327. DOI: 10.3109/00016357.2015.1122836.
  19. Birch LL, Davison KK. Family environmental factors influencing the developing behavioral controls of food intake and childhood overweight. Pediatr Clin 2001;48(4):893–907. DOI: 10.1016/s0031-3955(05)70347-3.
  20. Prinstein MJ, Boergers J, Spirito A. Adolescents’ and their friends’ health-risk behavior: factors that alter or add to peer influence. J Pediatr Psychol 2001;26(5):287–298. DOI: 10.1093/jpepsy/26.5.287.
  21. Horwath CC. Applying the transtheoretical model to eating behaviour change: challenges and opportunities. Nutr Res Reviews 1999;12(2):281–317. DOI: 10.1079/095442299108728965.
  22. Hochbaum G, Rosenstock I, Kegels S. Health belief model. United States Public Health Service 1952.
  23. Popkin BM. Nutritional patterns and transitions. Popul Dev Rev 1993;19(1):138–157. DOI: 10.2307/2938388.
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