Journal article
Alaska Native Children Do Not Prefer Sugar-Sweetened Fruit Drinks to Sugar-Free Fruit Drinks
Journal of the Academy of Nutrition and Dietetics, Vol.119(6), pp.984-990
06/01/2019
DOI: 10.1016/j.jand.2019.02.007
PMCID: PMC6536342
PMID: 30987919
Abstract
Background Alaska Native children, including children of Yup'ik descent, consume large volumes of sugar-sweetened fruit drinks, which contain added sugars that contribute to obesity, diabetes, and dental caries. To date, taste preference evaluations have not been conducted on commercially available sugar-free fruit drinks.
Objective The study tested the hypothesis that children would have equal preference for sugar-free and sugar-sweetened fruit drinks.
Design This was an experimental two-alternative forced-choice paired preference test.
Participants/setting The study focused on a convenience sample of Yup'ik children, aged 7 to 10 years, recruited and enrolled from the Yukon-Kuskokwim Health Corporation dental clinic in Bethel, AK (N=89).
Intervention Children evaluated four different commercially available sugar-free fruit drinks paired with the sugar-sweetened versions of each flavor. Order of flavor pair presentation was alternated across children, and order of presentation within each of the four pairs was randomized across pairs.
Main outcome measures The outcome was taste preference for the sugar-free versus the sugar-sweetened version of a fruit drink.
Statistical analyses performed A test of equivalence was run across all four flavors and separately for each flavor using two one-sided tests.
Results The data failed to demonstrate equivalence of the sugar-free and sugar-sweetened fruit drinks across all four flavors (P=0.51) or separately for each flavor. However, this was not because of a preference for sugar-sweetened drinks. The preference for sugar-free drinks overall and for each flavor was >50%. Although the lower bounds of the 90% CIs were within the range of equivalence (40% to 60%), the upper bounds were outside the range of equivalence (>60%). According to post hoc analyses, similar preferences were observed for Yup'ik and non-Yup'ik children, boys and girls, and children of different ages.
Conclusions Taste preference findings suggest that sugar-free fruit drinks may be a well-tolerated alternative to sugar-sweetened fruit drinks for Yup'ik children in Alaska Native communities.
Details
- Title: Subtitle
- Alaska Native Children Do Not Prefer Sugar-Sweetened Fruit Drinks to Sugar-Free Fruit Drinks
- Creators
- Donald L. Chi - University of WashingtonSusan E. Coldwell - University of WashingtonLloyd Mancl - University of WashingtonScarlett Hopkins - Oregon Health & Science UniversityKirsten Senturia - University of WashingtonCameron L. Randall - University of WashingtonEliza Orr - Univ Alaska Fairbanks, Ctr Alaska Nat Hlth Res, Fairbanks, AK USAStephanie Cruz - University of Washington
- Resource Type
- Journal article
- Publication Details
- Journal of the Academy of Nutrition and Dietetics, Vol.119(6), pp.984-990
- DOI
- 10.1016/j.jand.2019.02.007
- PMID
- 30987919
- PMCID
- PMC6536342
- NLM abbreviation
- J Acad Nutr Diet
- ISSN
- 2212-2672
- eISSN
- 2212-2680
- Publisher
- Elsevier
- Number of pages
- 7
- Grant note
- William T. Grant Foundation Scholars Program R56DE025813; T90DE021984 / US National Institute of Dental and Craniofacial Research; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Dental & Craniofacial Research (NIDCR) U01DE027629 / NATIONAL INSTITUTE OF DENTAL & CRANIOFACIAL RESEARCH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Dental & Craniofacial Research (NIDCR)
- Language
- English
- Date published
- 06/01/2019
- Academic Unit
- Public Policy Center (Archive)
- Record Identifier
- 9984283711402771
Metrics
24 Record Views