0
msJAMA |

The Growing Political Movement Against Soft Drinks in Schools FREE

Ellen J. Fried, JD; Marion Nestle, PhD, MPH
[+] Author Affiliations

Not Available


Not Available


JAMA. 2002;288(17):2181. doi:10.1001/jama.288.17.2181-JMS1106-7-1.
Text Size: A A A
Published online

The causes of obesity are complex and reflect food and lifestyle choices that ultimately result in an energy intake that exceeds expenditure. In 1997, American children obtained 50% of their calories from added fat and sugar (35% and 15%, respectively); only 1% regularly ate diets conforming to the recommendations of the Food Guide Pyramid, and 45% failed to achieve any of the Pyramid recommendations.1 Although parental influence remains a critical determinant of children's dietary intake, environmental factors outside parental control also influence what children eat. These factors include the marketing of high-calorie, low-nutrient soft drinks and other snack foods to children in schools.

In 2001, the advertising budgets of Coca-Cola and PepsiCo approached $3 billion in the United States alone.2 Soft drink companies aim advertising campaigns at children in efforts to develop lifetime brand loyalties and capture market shares.3 Entire conferences are devoted to marketing to children, offering sessions on effective promotional campaigns and "emotional branding for kids."4 That these advertising and marketing techniques affect children's recognition of brand names, requests for food purchases, food choices, and levels of consumption is well established.5

The consumption of soft drinks is of special concern because many contain sugars and corn sweeteners but few essential nutrients, and because soft drinks are currently the leading source of added sugars in the adolescent diet. Nearly one fourth of adolescents drink more than 26 oz/day, which provides at least 300 kcal, approximately 12% to 15% of their daily caloric need. Children who habitually consume sodas take in fewer nutrients but more calories; they are more likely to be overweight or obese after adjustment for anthropometric, demographic, dietary, and lifestyle variables.6 Furthermore, students in schools that provide access to soft drinks and snack foods are less likely to consume fruits, juice, milk, and vegetables than students who do not have such access.7

Nevertheless, about 60% of US middle and high schools sell soft drinks in vending machines.8 In 2002 an estimated 240 US school districts had entered into exclusive "pouring rights" contracts with soft drink companies.9 Typically, the companies give the schools cash and other incentives in return for the right to sell sodas in vending machines, and to advertise on scoreboards, in hallways, on book covers, and other places. These contracts reward schools for selling more soda to students, and some even directly link the school's revenues to the amount of soda sold.10

School nutrition has become an important focus of political and legislative initiatives targeting the causes of obesity. Recently, several school districts across the country have refused to enter into deals with soft drink companies after protests by parents, students and school officials.11 In February 2002, the Oakland school district banned all sales of soda and candy. In August, the Los Angeles school board voted to take soft drinks off cafeteria menus and end the sale of soft drinks in vending machines by 2004. This action is especially significant since the Los Angeles district is so large (677 schools and 736 000 students) and its schools sell $4.5 million worth of sodas annually.12 These actions signal a growing movement to oust soft drinks from schools. These actions will most likely decrease soft drink companies' support for schools, but for many schools, contracts with soda companies are a significant source of revenue. Strong public advocacy is critical to ensure that schools are adequately funded from noncommercial sources.

Voicing opposition to a ban on school soda sales, a spokesman for the National Soft Drink Association implied that the problem is lack of activity rather than too many calories. He said that obesity is "about the couch and not the can."12 To prevent childhood obesity, it is necessary to promote greater activity but also to eliminate environmental factors that foster excess caloric intake. As political initiatives increasingly eliminate soft drink vending machines and advertising from schools, it will be important to assess whether doing so significantly decreases calorie consumption and obesity among children.

REFERENCES

Muñoz  KAKrebs-Smith  SMBallard-Barbash  RCleveland  LE Food intakes of US children and adolescents compared with recommendations. Pediatrics. 1997;100323- 329
Link to Article
Not Available, Advertising Age. Leading National Advertisers.  June24 2002;Available at: http://www.adage.com/page.cms?pageId=918. Accessed September 10, 2002
Nestle  M Food Politics: How the Food Industry Influences Nutrition and Health.  Berkeley University of California Press2002;
Brunico Communications, Advertising and Promoting to Kids.  September18-22 2002;Available at: http://www.kidscreen.com/apk/2002/agenda.html. Accessed September 20, 2002
Borzekowski  DLGRobinson  TNPeregrin  T The 30-second effect: an experiment revealing the impact of television commercials on food preferences of preschoolers. J Am Diet Assoc. 2001;10142- 46
Link to Article
Ludwig  DSPeterson  KEGortmaker  SL Relation between consumption of sugar-sweetened drinks and childhood obesity; a prospective, observational analysis. Lancet. 2001;357505- 508
Link to Article
Cullen  KWEagan  JBaranowski  TOwens  EdeMoor  C Effects of a la carte and snack bar foods at school on children's lunchtime intake of fruits and vegetables. J Am Diet Assoc. 2000;1001482- 1486
Link to Article
Starke  AM Sold on soda. The Oregonian. September11 2001;FD1
Center for Commercial-Free Public Education, Not Available Available at: http://www.commercialfree.org/newsletters/nl1101.pdf. Accessed September 21, 2002.
Not Available, Prevalence and Specifics of District-Wide Beverage Contracts in California's Largest School District. Available at: http://www.phi.org/publications/Sodastudy.pdf. Accessed September 21, 2002.
Center for Commercial-Free Public Education, Not Available Available at: http://www.commercialfree.org/achievementstext.html. Accessed September 21, 2002.
Severson  K L.A. schools to stop soda sales; district takes cue from Oakland ban. San Francisco Chronicle August28 2002;A1

Figures

Tables

References

Muñoz  KAKrebs-Smith  SMBallard-Barbash  RCleveland  LE Food intakes of US children and adolescents compared with recommendations. Pediatrics. 1997;100323- 329
Link to Article
Not Available, Advertising Age. Leading National Advertisers.  June24 2002;Available at: http://www.adage.com/page.cms?pageId=918. Accessed September 10, 2002
Nestle  M Food Politics: How the Food Industry Influences Nutrition and Health.  Berkeley University of California Press2002;
Brunico Communications, Advertising and Promoting to Kids.  September18-22 2002;Available at: http://www.kidscreen.com/apk/2002/agenda.html. Accessed September 20, 2002
Borzekowski  DLGRobinson  TNPeregrin  T The 30-second effect: an experiment revealing the impact of television commercials on food preferences of preschoolers. J Am Diet Assoc. 2001;10142- 46
Link to Article
Ludwig  DSPeterson  KEGortmaker  SL Relation between consumption of sugar-sweetened drinks and childhood obesity; a prospective, observational analysis. Lancet. 2001;357505- 508
Link to Article
Cullen  KWEagan  JBaranowski  TOwens  EdeMoor  C Effects of a la carte and snack bar foods at school on children's lunchtime intake of fruits and vegetables. J Am Diet Assoc. 2000;1001482- 1486
Link to Article
Starke  AM Sold on soda. The Oregonian. September11 2001;FD1
Center for Commercial-Free Public Education, Not Available Available at: http://www.commercialfree.org/newsletters/nl1101.pdf. Accessed September 21, 2002.
Not Available, Prevalence and Specifics of District-Wide Beverage Contracts in California's Largest School District. Available at: http://www.phi.org/publications/Sodastudy.pdf. Accessed September 21, 2002.
Center for Commercial-Free Public Education, Not Available Available at: http://www.commercialfree.org/achievementstext.html. Accessed September 21, 2002.
Severson  K L.A. schools to stop soda sales; district takes cue from Oakland ban. San Francisco Chronicle August28 2002;A1
CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.