Change in drink purchases in 16 Australian recreation centres following a sugar-sweetened beverage reduction initiative: An observational study

Tara Boelsen-Robinson; Liliana Orellana; Kathryn Backholer; Ariana Kurzeme; Alethea Jerebine; Beth Gilham; Alexandra Chung; Anna Peeters

doi:10.1136/bmjopen-2019-029492

Change in drink purchases in 16 Australian recreation centres following a sugar-sweetened beverage reduction initiative: An observational study

Tara Boelsen-Robinson, Liliana Orellana, Kathryn Backholer, Ariana Kurzeme, Alethea Jerebine, Beth Gilham, Alexandra Chung, Anna Peeters

Research output: Contribution to journal › Article › peer-review

16 Citations (Scopus)

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Abstract

Objective To assess the impact of a sugar-sweetened beverage (SSB) reduction initiative on customer purchasing patterns, including volume sales of healthy and unhealthy packaged drinks and sales value of all packaged drinks, in a major Australian aquatic and recreation provider, YMCA Victoria. Design Prospective Setting 16 aquatic and recreation centres in Victoria, Australia. Interventions The SSB-reduction initiative aimed to remove all SSBs (excluding sports drinks) and increase healthier drink availability over a 1-year period. Primary and secondary outcome measures Itemised monthly drink sales data were collected for 16 centres, over 4 years (2 years preimplementation, 1 year implementation and 1 year postimplementation). Drinks were classified as € green' (best choice), € amber' (choose carefully) or € red' (limit). Interrupted time series analysis was conducted for each centre to determine the impact on volume sales of € red' and € green' drinks, and overall sales value. A novel meta-analysis approach was conducted to estimate the mean changes across centres. Results Following implementation, volume sales of € red' drinks reduced by 46.2% across centres (95% CI: -53.2% to -39.2%), € green' drink volume did not change (0.0%, 95% CI: -13.3% to 13.2%) and total drink sales value decreased by 24.3% (95% CI: -32.0% to -16.6%). Conclusions The reduction of SSBs in health-promoting settings such as recreation centres is a feasible, effective public health policy that is likely to be transferable to other high-income countries with similarly unhealthy beverage offerings. However, complementary strategies should be considered to encourage customers to switch to healthier alternatives, particularly when translating policies to organisations with less flexible income streams.

Original language	English
Article number	e029492
Number of pages	9
Journal	BMJ Open
Volume	10
Issue number	3
DOIs	https://doi.org/10.1136/bmjopen-2019-029492
Publication status	Published - 4 Mar 2020
Externally published	Yes

Bibliographical note

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/
This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

Funder

Competing interests Professor Peeters has received funding from Melton and Wyndham city councils to conduct evaluations of healthy food policies. Ms Kurzeme and Ms Jerebine are employed by YMCA Victoria. Dr Boelsen-Robinson, Associate Professor Orellana, Dr Backholer, Ms Gilham and Mrs Chung declare no competing financial interests.

Funding Information:
Funding This study was funded in part by VicHealth. TBR is supported by an Australian Government Research Training Program Scholarship, a National Health and Medical Research Council Centre for Research Excellence grant (APP1152968) and a grant from The Australian Prevention Partnership Centre. LO is supported by Deakin University. KB is supported by a National Heart Foundation Future Leader Fellowship (102047). AK is supported by YMCA Victoria. AJ is supported by YMCA Victoria. BG is supported by research funding from the Victorian Health Promotion Foundation (VicHealth). AC is supported by an Australian Government Research Training Program Scholarship. AP is supported by a National Health and Medical Research Council fellowship (GNT1045456) and Deakin University.

Funding Information:
This study was funded in part by VicHealth. TBR is supported by an Australian Government Research Training Program Scholarship, a National Health and Medical Research Council Centre for Research Excellence grant (APP1152968) and a grant from The Australian Prevention Partnership Centre. LO is supported by Deakin University. KB is supported by a National Heart Foundation Future Leader Fellowship (102047). AK is supported by YMCA Victoria. AJ is supported by YMCA Victoria. BG is supported by research funding from the Victorian Health Promotion Foundation (VicHealth). AC is supported by an Australian Government Research Training Program Scholarship. AP is supported by a National Health and Medical Research Council fellowship (GNT1045456) and Deakin University.

Publisher Copyright:
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Keywords

interrupted time series analysis
nutrition and dietetics
policy analysis
recreation centres
sugar sweetened beverage

ASJC Scopus subject areas

Medicine(all)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1136/bmjopen-2019-029492Licence: CC BY-NC

PublishedFinal published version, 1.54 MBLicence: CC BY-NC

Cite this

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abstract = "Objective To assess the impact of a sugar-sweetened beverage (SSB) reduction initiative on customer purchasing patterns, including volume sales of healthy and unhealthy packaged drinks and sales value of all packaged drinks, in a major Australian aquatic and recreation provider, YMCA Victoria. Design Prospective Setting 16 aquatic and recreation centres in Victoria, Australia. Interventions The SSB-reduction initiative aimed to remove all SSBs (excluding sports drinks) and increase healthier drink availability over a 1-year period. Primary and secondary outcome measures Itemised monthly drink sales data were collected for 16 centres, over 4 years (2 years preimplementation, 1 year implementation and 1 year postimplementation). Drinks were classified as € green' (best choice), € amber' (choose carefully) or € red' (limit). Interrupted time series analysis was conducted for each centre to determine the impact on volume sales of € red' and € green' drinks, and overall sales value. A novel meta-analysis approach was conducted to estimate the mean changes across centres. Results Following implementation, volume sales of € red' drinks reduced by 46.2% across centres (95% CI: -53.2% to -39.2%), € green' drink volume did not change (0.0%, 95% CI: -13.3% to 13.2%) and total drink sales value decreased by 24.3% (95% CI: -32.0% to -16.6%). Conclusions The reduction of SSBs in health-promoting settings such as recreation centres is a feasible, effective public health policy that is likely to be transferable to other high-income countries with similarly unhealthy beverage offerings. However, complementary strategies should be considered to encourage customers to switch to healthier alternatives, particularly when translating policies to organisations with less flexible income streams.",

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AU - Jerebine, Alethea

AU - Gilham, Beth

AU - Chung, Alexandra

AU - Peeters, Anna

N1 - © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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N2 - Objective To assess the impact of a sugar-sweetened beverage (SSB) reduction initiative on customer purchasing patterns, including volume sales of healthy and unhealthy packaged drinks and sales value of all packaged drinks, in a major Australian aquatic and recreation provider, YMCA Victoria. Design Prospective Setting 16 aquatic and recreation centres in Victoria, Australia. Interventions The SSB-reduction initiative aimed to remove all SSBs (excluding sports drinks) and increase healthier drink availability over a 1-year period. Primary and secondary outcome measures Itemised monthly drink sales data were collected for 16 centres, over 4 years (2 years preimplementation, 1 year implementation and 1 year postimplementation). Drinks were classified as € green' (best choice), € amber' (choose carefully) or € red' (limit). Interrupted time series analysis was conducted for each centre to determine the impact on volume sales of € red' and € green' drinks, and overall sales value. A novel meta-analysis approach was conducted to estimate the mean changes across centres. Results Following implementation, volume sales of € red' drinks reduced by 46.2% across centres (95% CI: -53.2% to -39.2%), € green' drink volume did not change (0.0%, 95% CI: -13.3% to 13.2%) and total drink sales value decreased by 24.3% (95% CI: -32.0% to -16.6%). Conclusions The reduction of SSBs in health-promoting settings such as recreation centres is a feasible, effective public health policy that is likely to be transferable to other high-income countries with similarly unhealthy beverage offerings. However, complementary strategies should be considered to encourage customers to switch to healthier alternatives, particularly when translating policies to organisations with less flexible income streams.

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Change in drink purchases in 16 Australian recreation centres following a sugar-sweetened beverage reduction initiative: An observational study

Abstract

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UN SDGs

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