Abstract
Objective. To examine the proportion of health care providers who counsel adolescent patients on sports and energy drink (SED) consumption and the association with provider characteristics. Methods. This is a cross-sectional analysis of a survey of providers who see patients ≤17 years old. The proportion providing regular counseling on sports drinks (SDs), energy drinks (EDs), or both was assessed. Chi-square analyses examined differences in counseling based on provider characteristics. Multivariate logistic regression calculated adjusted odds ratios (aOR) for characteristics independently associated with SED counseling. Results. Overall, 34% of health care providers regularly counseled on both SEDs, with 41% regularly counseling on SDs and 55% regularly counseling on EDs. On adjusted modeling regular SED counseling was associated with the female sex (aOR: 1.44 [95% CI: 1.07–1.93]), high fruit/vegetable intake (aOR: 2.05 [95% CI: 1.54–2.73]), family/general practitioners (aOR: 0.58 [95% CI: 0.41–0.82]) and internists (aOR: 0.37 [95% CI: 0.20–0.70]) versus pediatricians, and group versus individual practices (aOR: 0.59 [95% CI: 0.42–0.84]). Modeling for SD- and ED-specific counseling found similar associations with provider characteristics. Conclusion. The prevalence of regular SED counseling is low overall and varies. Provider education on the significance of SED counseling and consumption is important.
Highlights
Sugar-sweetened beverages (SSB) are drinks sweetened with various forms of sugars that add calories and include, but are not limited to, soda, fruit ades and fruit drinks, and sports (SD) and energy drinks (ED)
42% of individuals never counseled about sports drinks (SDs) and 32% about EDs
We found that one-third of health care providers in this study reported comprehensive sports and energy drink (SED) counseling, indicating that the majority of health care providers who see adolescent patients were not providing both SD and ED counseling regularly
Summary
Sugar-sweetened beverages (SSB) are drinks sweetened with various forms of sugars that add calories and include, but are not limited to, soda, fruit ades and fruit drinks, and sports (SD) and energy drinks (ED). SSB intake contributes approximately 300 kilocalories to the daily intake of adolescents 12–19 years old in the United States [1]. Regular consumption of these caloric drinks can increase the risk for obesity [2] and dental caries [3]. Sports and energy drinks (SEDs) are relatively new products that are increasingly marketed to adolescents [4]. In 2010, the proportion of high school students who consumed SDs and EDs at least once per day was 16% and 5%, respectively [7]
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