ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2017
The Effect of State Competitive Food and Beverage Regulations on Childhood Overweight and Obesity.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- "Competitive" food and beverage policies and weight status: A systematic review of the evidence among sociodemographic subgroups.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2024Pooled it
- Using natural experiments to improve public health evidence: a review of context and utility for obesity prevention.Health research policy and systems · 2020Pooled it
- Systematic Review of Natural Experiments for Childhood Obesity Prevention and Control.American journal of preventive medicine · 2019Pooled it
- Competitive food availability in schools before and after the onset of COVID-19: an interrupted time series analysis.Frontiers in public health · 2026Article
- Heterogeneity in place effects on health: The case of time preferences and adolescent obesity.Economics and human biology · 2023Article
- Impact of the external school food environment on the associations of internal school food environment with high schoolers' diet and BMI.Public health nutrition · 2022Article
- Regional and sociodemographic differences in average BMI among US children in the ECHO program.Obesity (Silver Spring, Md.) · 2021Article
- Article
- School Food and Beverage Availability and Children's Diet, Purchasing, and Obesity: Evidence From a Natural Experiment.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2020Article
- The impact of state policies for school-based BMI/fitness assessments on children's BMI outcomes in rural versus urban schools: Evidence from a natural experiment.Preventive medicine · 2020Article
- Stronger State School Nutrition Laws Are Associated With Healthier Eating Behaviors and Optimal Weight Status in US Adolescents.American journal of health promotion : AJHP · 2020Observational
- Food Trying and Liking Related to Grade Level and Meal Participation.International journal of environmental research and public health · 2020Article
- Characteristics of the school food environment associated with hypertension and obesity in Brazilian adolescents: a multilevel analysis of the Study of Cardiovascular Risks in Adolescents (ERICA).Public health nutrition · 2019Article
- Hungry for more: key stakeholders' support for more stringent school food policies.Public health nutrition · 2019Article
- Ultra-processed food consumption by Brazilian adolescents in cafeterias and school meals.Scientific reports · 2019Article
- Stakeholder perceptions of a school food policy ten years on.Public health nutrition · 2018Article
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2 authors.
Funding
Abstract
purposePolicy efforts for combating childhood obesity have sought stronger state policies for regulating competitive foods and beverages (CF&Bs) available in schools. However, the evidence linking state policies to children's overall diet and body weight outcomes is limited and mixed, and experts have called for more rigorous studies that are able to address concerns about selection bias. The present study leverages a rare natural experiment where children in military families are "assigned" to different state policies, due to their military parent's periodic relocation, to examine whether state CF&B policies were associated with children's body mass index (BMI) and overweight or obesity.
methodsWe analyzed data from 894 children (12-13 years old) in army families attending public schools located near 25 installations across 23 states in 2013. State CF&B policy measures from the Bridging the Gap project were linked to the child data. Primary outcomes included BMI z-scores and indicator for overweight or obesity. For a subsample of children with self-reported food frequency measures, we also examined the link between state CF&B policies and overall diet. All regression analyses adjusted for a rich set of child and family covariates.
resultsHaving strong or weak policies was significantly associated with lower BMI z-scores, lower odds of overweight or obesity, and better dietary outcomes, relative to no policy.
conclusionsA portfolio of policies that includes multiple strong policies is likely needed to observe any meaningful changes in BMI and obesity.
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