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

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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 languageEnglish
Article numbere029492
Number of pages9
JournalBMJ Open
Volume10
Issue number3
DOIs
Publication statusPublished - 4 Mar 2020
Externally publishedYes

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)

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