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The nutritional content of supermarket beverages: a cross-sectional analysis of New Zealand, Australia, Canada and the UK

  • Lynne Chepulis (a1), Gael Mearns (a2), Shaunie Hill (a3), Jason HY Wu (a4), Michelle Crino (a4), Sarah Alderton (a5) and Katharine Jenner (a5)...
  • Please note a correction has been issued for this article.

Abstract

Objective

To compare the nutritional content, serving size and taxation potential of supermarket beverages from four different Western countries.

Design

Cross-sectional analysis. Multivariate regression analysis and χ2 comparisons were used to detect differences between countries.

Setting

Supermarkets in New Zealand (NZ), Australia, Canada and the UK.

Subjects

Supermarket beverages in the following categories: fruit juices, fruit-based drinks, carbonated soda, waters and sports/energy drinks.

Results

A total of 4157 products were analysed, including 749 from NZ, 1738 from Australia, 740 from Canada and 930 from the UK. NZ had the highest percentage of beverages with sugar added to them (52 %), while the UK had the lowest (9 %, P<0·001). Differences in energy, carbohydrate and sugar content were observed between countries and within categories, with UK products generally having the lowest energy and sugar content. Up to half of all products across categories/countries exceeded the US Food and Drug Administration’s reference single serving sizes, with fruit juices contributing the greatest number. Between 47 and 83 % of beverages in the different countries were eligible for sugar taxation, the UK having the lowest proportion of products in both the low tax (5–8 % sugar) and high tax (>8 % sugar) categories.

Conclusions

There is substantial difference between countries in the mean energy, serving size and proportion of products eligible for fiscal sugar taxation. Current self-regulatory approaches used in these countries may not be effective to reduce the availability, marketing and consumption of sugar-sweetened beverages and subsequent intake of free sugars.

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Copyright

Corresponding author

*Corresponding author: Email lynne.chepulis@waikato.ac.nz

References

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1. Malik, VS, Popkin, BM, Bray, GA et al. (2010) Sugar-sweetened beverages, obesity, type 2 diabetes mellitus, and cardiovascular disease risk. Circulation 121, 13561364.
2. Malik, VS & Hu, FB (2015) Fructose and cardiometabolic health: what the evidence from sugar-sweetened beverages tells us. J Am Coll Cardiol 66, 16151624.
3. Singh, GM, Micha, R, Khatibzadeh, S et al. (2015) Estimated global, regional, and national disease burdens related to sugar-sweetened beverage consumption in 2010. Circulation 132, 639666.
4. Ravelo, JL (2016) WHO says no to sugary drinks at headquarters. http://www.devex.com/news/who-says-no-to-sugary-drinks-at-headquarters-88905 (accessed September 2017).
5. Han, E & Powell, LM (2013) Consumption patterns of sugar-sweetened beverages in the United States. J Acad Nutr Diet 113, 4353.
6. Gustafson, A, Christian, JW, Lewis, S et al. (2011) Food venue choice, consumer food environment, but not food venue availability within daily travel patterns are associated with dietary intake among adults, Lexington Kentucky. Nutr J 12, 17.
7. World Health Organization (2014) European Food and Nutrition Action Plan 2015–2020. Copenhagen: WHO Regional Office for Europe; available at http://www.euro.who.int/__data/assets/pdf_file/0008/253727/64wd14e_FoodNutAP_140426.pdf.
8. World Health Organization (2017) Global Strategy on Diet, Physical Activity and Health. Geneva: WHO; available at http://www.who.int/dietphysicalactivity/en/
9. World Health Organization (2016) Fiscal Policies for Diet and the Prevention of Noncommunicable Diseases: Technical Meeting Report, 5–6 May 2015, Geneva, Switzerland. Geneva: WHO; available at http://www.who.int/iris/handle/10665/250131
10. Veerman, JL, Sacks, G, Antonopoulos, N et al. (2016) The impact of a tax on sugar-sweetened beverages on health and health care costs: a modelling study. PLoS One 11, e0151460.
11. Beaglehole, R (2014) Sugar sweetened beverages, obesity, diabetes and oral health: a preventable crisis. Pac Health Dialog 20, 3942.
12. Dietitians of Canada (2016) Taxation and Sugar-Sweetened Beverages: Position of Dietitians of Canada. http://www.dietitians.ca/Downloads/Public/DC-Position-SSBs-and-taxation.aspx (accessed May 2017).
13. Hashem, KM, He, FJ, Jenner, KH et al. (2016) Cross-sectional survey of the amount of free sugars and calories in carbonated sugar-sweetened beverages on sale in the UK. BMJ Open 6, e010874.
14. Neal, B, Sacks, G, Swinburn, B et al. (2013) Monitoring the levels of important nutrients in the food supply. Obes Rev 14, Suppl. 1, 4958.
15. Wang, YC & Vine, SM (2013) Caloric effect of a 16-ounce (473-mL) portion-size cap on sugar-sweetened beverages served in restaurants. Am J Clin Nutr 98, 430435.
16. US Food and Drug Administration (2016) Code of Federal Regulations Title 21. Reference Amounts Customarily Consumed (RACCs). http://www.fda.gov/downloads/food/guidanceregulation/guidancedocumentsregulatoryinformation/labelingnutrition/ucm513820.pdf (accessed June 2017).
17. Australian Bureau of Statistics (2014) Australian Health Survey: Nutrition First Results – Food and Nutrients, 2011–12. Canberra: ABS, Commonwealth of Australia.
18. Ventura, EE, Davis, JN & Goran, MI (2011) Sugar content of popular sweetened beverages based on objective laboratory analysis: focus on fructose content. Obesity (Silver Spring) 19, 868874.
19. Chepulis, L, Mearns, GJ & Skinner, K (2017) Sugar content of supermarket beverages commonly consumed by children in New Zealand. Aust N Z J Public Health 41, 321322.
20. Walker, KZ, Woods, JL, Rickard, CA et al. (2008) Product variety in Australian snacks and drinks: how can the consumer make a healthy choice? Public Health Nutr 11, 10461053.
21. New Zealand Beverage Guidance Panel (2014) Policy Brief: options to reduce sugar sweetened beverage (SSB) consumption in New Zealand. Pac Health Dialog 20, 98102.
22. Brownell, KD, Farley, T, Willett, WC et al. (2009) The public health and economic benefits of taxing sugar-sweetened beverages. N Engl J Med 361, 15991605.
23. Briggs, AD, Mytton, OT, Kehlbacher, A et al. (2013) Overall and income specific effect on prevalence of overweight and obesity of 20% sugar sweetened drink tax in UK: econometric and comparative risk assessment modelling study. BMJ 347, f6189.
24. Euromonitor plc (2014) Passport Global Market Information Database. London: Euromonitor.
25. Eyles, H, Neal, B, Jiang, Y et al. (2016) Estimating population food and nutrient exposure: a comparison of store survey data with household panel food purchases. Br J Nutr 115, 18351842.
26. Trevena, H, Neal, B, Dunford, E et al. (2014) An evaluation of the effects of the Australian Food and Health Dialogue targets on the sodium content of bread, breakfast cereals and processed meats. Nutrients 6, 38023817.
27. Bernstein, JT, Schermel, A, Mills, CM et al. (2016) Total and free sugar content of Canadian prepackaged foods and beverages. Nutrients 8, E582.
28. Canadian Food Inspection Agency (2016) Food Labelling: Reference Amount and Serving Sizes. http://www.inspection.gc.ca/food/labelling/food-labelling-for-industry/nutrition-labelling/information-within-the-nutrition-facts-table/eng/1389198568400/1389198597278?chap=5 (accessed August 2017).
29. World Health Organization (2015) Guideline: Sugars Intake for Adults and Children. Geneva: WHO; available at http://apps.who.int/iris/bitstream/10665/149782/1/9789241549028_eng.pdf
30. Barber, S & Baker, C (2016) Briefing Paper Number 7876: The Soft Drinks Industry Levy. http://www.cliftondavies.com/wp-content/uploads/2017/01/HoC-Soft-Drinks-Industry-Levy-Briefing-Paper.pdf (accessed August 2017).
31. Ni Mhurchu, C & Eyles, H (2014) Sweetened and unsweetened non-alcoholic beverages in New Zealand: assessment of relative availability, price, serve size, and sugar content. Pac Health Dialog 20, 5158.
32. Langlois, K & Garriguet, D (2011) Sugar consumption among Canadians of all ages. Health Rep 22, issue 3, 2327.
33. Merchant, AT, Tripathi, A & Pervaiz, F (2010) Available energy from soft drinks: more than the sum of its parts. Public Health Nutr 13, 19971999.
34. Brisbois, T, Marsden, S, Anderson, G et al. (2014) Estimated intakes and sources of total and added sugars in the Canadian diet. Nutrients 6, 18991912.
35. Popkin, BM & Hawkes, C (2016) Sweetening of the global diet, particularly beverages: patterns, trends, and policy responses. Lancet Diabetes Endocrinol 4, 174186.
36. Singh, GM, Micha, R, Khatibzadeh, S et al. (2015) Global, regional, and national consumption of sugar-sweetened beverages, fruit juices, and milk: a systematic assessment of beverage intake in 187 countries. PLoS One 10, e0124845.
37. Public Health England (2014) NDNS: Results from Years 1 to 4 (Combined). Results of the National Diet and Nutrition Survey (NDNS) Rolling Programme for 2008 and 2009 to 2011 and 2012. London: Public Health England; available at https://www.gov.uk/government/collections/national-diet-and-nutrition-survey
38. Crino, M, Herrera, AMM, Ananthapavan, J et al. (2017) Modelled cost-effectiveness of a package size cap and a kilojoule reduction intervention to reduce energy intake from sugar-sweetened beverages in Australia. Nutrients 9, E983.
39. New Zealand Ministry of Health (2012) Food and Nutrition Guidelines for Healthy Children and Young People (Aged 2–18 years): A Background Paper. http://www.health.govt.nz/system/files/documents/publications/food-nutrition-guidelines-healthy-children-young-people-background-paper-feb15-v2.pdf (accessed February 2017).
40. New Zealand Ministry of Health (2015) Eating and Activity Guidelines for New Zealand Adults. http://www.health.govt.nz/system/files/documents/publications/eating-activity-guidelines-for-new-zealand-adults-oct15_0.pdf (accessed February 2017).
41. Colchero, MA, Popkin, BM & Rivera, JA (2016) Beverage purchases from stores in Mexico under the excise tax on sugar sweetened beverages: observational study. BMJ 352, h6704.
42. Colchero, MA, Salgado, JC, Unar-Munguia, M et al. (2015) Price elasticity of the demand for sugar sweetened beverages and soft drinks in Mexico. Econ Hum Biol 19, 129137.
43. Le Bodo, Y, Paquette, MC & De Wals, P (2016) Feasibility of sugar-sweetened beverage taxation in Canada. In Taxing Soda for Public Health: A Canadian Perspective, pp. 163192. Switzerland: Springer International Publishing AG.
44. Hu, FB (2013) Resolved: there is sufficient scientific evidence that decreasing sugar-sweetened beverage consumption will reduce the prevalence of obesity and obesity-related diseases. Obes Rev 14, 606619.

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A correction has been issued for this article: