This study evaluates the effect of changes in the range of drinks offered in vending machines in schools on the sugar intake of pupils via drinks.
Children and adolescents consume a considerable amount of liquid in the form of sugary drinks. A high sugar diet associated not only with the increase in overweight children, but also with type II diabetes, cardiovascular disease and cancer. In many schools, cold drink vending machines with different fillings are available offering various sugary drinks. Participating schools will be randomised in a ratio of 1:1:1 into three groups. In one intervention group, the vending machines will be re-equipped to contain 60% drinks containing a maximum of 6.7g sugar/100ml, 20% drinks containing more than 6.7g sugar/100ml and 20% water. In the second intervention group, the vending machines offer 80% water, 20% products with a maximum of 6.7g sugar/100ml. In the control group, the range of products offered by the vending machines remains unchanged. Information of the students drinking habits, total fluid intake and sugar intake in the form of food and drinks will be collected. In addition, data such as body height, body weight, physical activity and socio-democratic or socio-economic data will be accumulated. The sales figures of the drinks in the vending machines will be recorded and information about the surroundings of the schools (fast food chains, supermarkets, etc.) will be collected. The survey of students and data collection will be repeated three times. In a sub-study, demographic data and the frequency of consumption of sugared beverages and water are collected from 2 focus groups. In addition, participants will complete a questionnaire on general attitudes towards sugary drinks or water, obstacles to and incentives for reducing sugar consumption by liquids or increasing water consumption.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
431
sugar reduction in the offered drinks
NMS St. Veit/Glan
Sankt Veit an der Glan, Carinthia, Austria
NMS II Spittal/Drau
Spittal an der Drau, Carinthia, Austria
Sport-Mittelschule Matzen-Raggendorf
Matzen, Gänserndorf, Austria
Consumption of mean liquid free sugar intake per week (g) by using the 7-day fluid record
self report of fluid consumption
Time frame: 1 week
Absolute (mL) and relative (%) contribution of each fluid intake category to total fluid intake by using the 7-day fluid record
self report of fluid consumption, the measure presents only one outcome "fluid intake", which will be reported in "ml" and "%".
Time frame: 1 week
Water intake by using the 7-day fluid record with the proportion of children meeting the EFSA adequate intake for water from fluids
self report of fluid consumption
Time frame: 1 week
Consumption of free sugar from food by 24-h dietary recall
self report of food consumption
Time frame: 24 hours
Body weight and Body-Mass-Index (BMI) by using body weight and height
Measured with a calibrated body scale in light clothes and without shoes
Time frame: Start, 3-4 months, 7-8 months
Abdominal girth
inelastic tape
Time frame: Start, 3-4 months, 7-8 months
Physical activity
International Physical Activity Questionnaire for Adolescents (IPAQ-A), scale title "Physical activity of adolescents", scale minimum "0", scale maximum "7", higher scores mean a better outcome
Time frame: Start, 3-4 months, 7-8 months
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Gymnasium Bad Vöslau/Gainfard
Bad Vöslau, Lower Austria, Austria
NMS Lanzenkirchen
Lanzenkirchen, Lower Austria, Austria
BG/BRG Zehnergasse
Wiener Neustadt, Lower Austria, Austria
Bischöfliches Gymnasium Graz
Graz, Styria, Austria
NMS Liezen
Liezen, Styria, Austria
BG/BRG Wels
Wels, Upper Austria, Austria
GRG II Zirkusgasse
Vienna, Austria
...and 5 more locations
Socio-demographic and socioeconomic factors
questionnaire, scale title "socio-demographic and socio-econimoc status", scale minimum is "0", scale maximum is "3", higher scores mean a better outcome
Time frame: after 7-8 months
Sales data (frequencies of beverages) of the vending machine and school cafeteria operators
Interview
Time frame: through study completion, an average of 8 month