ArticleJournal of the Academy of Nutrition and Dietetics2026
Water Insecurity Is Associated with Sugar-Sweetened Beverage Consumption in a Small-Scale Population in Lowland Bolivia Experiencing Lifestyle Changes.
Article in Journal of the Academy of Nutrition and Dietetics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Water and nutrition in a rapidly changing world: Introduction to the special issue.Journal of the Academy of Nutrition and Dietetics · 2026Article
- Native American resilience to protect family nutrition during a pandemic: A qualitative analysis.PLOS global public health · 2026Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundEmerging evidence indicates water insecurity (WI) is detrimental to nutritional outcomes and dietary choices.
objectiveWI experiences were measured alongside market and traditional sugar-sweetened beverage (SSB) consumption in a small-scale society experiencing the early stages of a nutrition transition (ie, lifestyle and dietary changes away from traditional foods) to test how they are associated.
designThe 12-item Household Water Insecurity Experiences (HWISE) scale was implemented along with a cross-sectional retrospective survey of beverage intake and sociodemographic characteristics across 5 communities at varying distances from a market town. PARTICIPANTS/
settingParticipants were Tsimané forager-horticulturalist adults aged 16 years and older (n = 455; 47% were women) in lowland Bolivia from April through May 2019.
main outcome measureSugar-sweetened beverage consumption and traditional beverage consumption were measured. STATISTICAL ANALYSES PERFORMED: Multivariate logistic and Poisson regressions were performed, adjusting for possible confounding variables, including age, gender, income, household water needs, and community residence.
resultsUsing logistic regressions, each point higher WI (HWISE) score was associated with 23% (95% CI 1.01 to 1.50; P = .035) and 27% (95% CI 1.06 to 1.52; P = .008) higher odds of consuming an SSB in the past week for men and women, respectively. For men, each point higher HWISE score was associated with 13% (95% CI 1.10 to 1.16; P < .001) higher odds of drinking chicha fuerte (ie, a traditional, homemade fermented beverage with antibacterial properties) and 16% (95% CI 1.02 to 1.32; P = .022) higher odds of consuming liquor. SSB consumption was highest in the closest communities to the market town and declined significantly with distance; and traditional beverages, such as chicha dulce (a sugar-sweetened, unfermented homemade chicha), were lowest in the close communities and increased with distance to the market town.
conclusionsAmong Tsimané adults living in the Bolivian Amazon experiencing the nutrition transition, WI was associated with greater SSB intake. Distance to the main market town shaped access and preferences, as it was associated with SSB and traditional beverage consumption.
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