Evidence map›Paper›PMID 33234187›Full record

ArticlePublic health nutrition2021

Role of social ecological model level on young Pacific children's sugar-sweetened beverage and water intakes: Children's Healthy Living intervention.

Ariella R Korn, Jean Butel, James Davis, Ashley B Yamanaka, Patricia Coleman, Lynne R Wilkens, Christina D Economos, Rachel Novotny

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01881373 (Children's Healthy Living Program for Remote Underserved Minority Populations in the Pacific Region), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01881373 nacompletednot on this map

Children's Healthy Living Program for Remote Underserved Minority Populations in the Pacific Region

TypeinterventionalSponsorUniversity of HawaiiRan2012 to 2020Enrolled9,840ConditionsObesity, Acanthosis Nigricans, Central ObesityArmsCHL program, Delayed Optimized CHL program
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. From preschool to policy: A scoping review of recommended interventions for a systems approach to improve dietary intake in early childhood.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Ariella R KornFriedman School of Nutrition Science and Policy, Tufts University, 150 Harrison Avenue, Boston, MA02111, USA.
Jean ButelCollege of Tropical Agriculture and Human Resources, University of Hawai'i at Mānoa, Honolulu, HI96822, USA.
James DavisJohn A. Burns School of Medicine, University of Hawaii, Honolulu, HI96813, USA.
Ashley B YamanakaCollege of Tropical Agriculture and Human Resources, University of Hawai'i at Mānoa, Honolulu, HI96822, USA.
Patricia ColemanNorthern Marianas College Cooperative Research, Extension, & Education Services, Saipan, MP96950, USA.
Lynne R WilkensUniversity of Hawaii Cancer Center, Honolulu, HI96817, USA.
Christina D EconomosFriedman School of Nutrition Science and Policy, Tufts University, 150 Harrison Avenue, Boston, MA02111, USA.
Rachel NovotnyCollege of Tropical Agriculture and Human Resources, University of Hawai'i at Mānoa, Honolulu, HI96822, USA.
University of Hawaiʻi at Mānoa · USTufts University · USNorthern Marianas College · MP

Funding

The Role of gp120 on Cardiovascular Disease in People Living with HIVU54MD007601 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI JoAnn Umilani Tsark · 2017 to 2026
$59.5M
NIMHD NIH HHS U54 MD007601
6 · The paper itself

Abstract

objectiveTo examine children's sugar-sweetened beverage (SSB) and water intakes in relation to implemented intervention activities across the social ecological model (SEM) during a multilevel community trial.

designChildren's Healthy Living was a multilevel, multicomponent community trial that reduced young child obesity (2013-2015). Baseline and 24-month cross-sectional data were analysed from nine intervention arm communities. Implemented intervention activities targeting reduced SSB and increased water consumption were coded by SEM level (child, caregiver, organisation, community and policy). Child SSB and water intakes were assessed by caregiver-completed 2-day dietary records. Multilevel linear regression models examined associations of changes in beverage intakes with activity frequencies at each SEM level.

settingUS-Affiliated Pacific region.

participantsChildren aged 2-8 years (baseline: n 1343; 24 months: n 1158).

resultsOn average (± sd), communities implemented 74 ± 39 SSB and 72 ± 40 water activities. More than 90 % of activities targeted both beverages together. Community-level activities (e.g. social marketing campaign) were most common (61 % of total activities), and child-level activities (e.g. sugar counting game) were least common (4 %). SSB activities across SEM levels were not associated with SSB intake changes. Additional community-level water activities were associated with increased water intake (0·62 ml/d/activity; 95 % CI: 0·09, 1·15) and water-for-SSB substitution (operationalised as SSB minus water: -0·88 ml/d/activity; 95 % CI: -1·72, -0·03). Activities implemented at the organization level (e.g. strengthening preschool wellness guidelines) and policy level (e.g. SSB tax advocacy) also suggested greater water-for-SSB substitution (P < 0·10).

conclusionsCommunity-level intervention activities were associated with increased water intake, alone and relative to SSB intake, among young children in the Pacific region.

Indexed as

Pediatric ObesitySugar-Sweetened BeveragesBeveragesChild, PreschoolCross-Sectional StudiesDrinkingHealthy LifestyleHumansMultilevel trialPacific regionSocial ecological modelSugar-sweetened beveragesWaterYoung children

Identifiers

PMID33234187
PMCPMC10195608
OpenAlexW3108850690

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.