Abstract

Excess sugary drink (SD) consumption is associated with childhood obesity and development of cardiometabolic disease. In addition to having high added sugar content, many SDs also contain caffeine, which may further encourage excess SD consumption among children. The objective of this study was to develop a conceptual framework of children's caffeinated SD consumption using group concept mapping, an applied social research multimethodology that collectively harnesses qualitative and quantitative data from participants to generate a visual representation of their ideas and input. Children, 8–14 years old, who reported consuming ≥12 ounces of caffeinated SDs (e.g., sodas, sweet teas) per day were recruited throughout Washington, D.C. and invited to participate. Concept mapping included three participant-driven activities: (1) brainstorming (n = 51), during which children reported reasons for their SD consumption, from which 58 unique reasons were identified; (2) sorting (n = 70), during which children sorted each of the reported reasons into categories and named each category; and (3) rating (n = 74), during which children rated the influence of each reason on their own caffeinated SD consumption. Similarity matrices, multidimensional scaling, and hierarchical cluster analysis were used to generate concept maps (hereafter “SODA MAPS”), which display the 58 reasons organized within eight overarching clusters. Among these eight clusters, Taste and Feel, Something to Do, and Energy were rated as particularly influential. Children's caffeinated SD consumption is encouraged not only by the palatable taste and reported preferences for these beverages (e.g., Taste and Feel), but also by psychological (e.g., Mood and Focus), biological (e.g., Energy), social (e.g., Something to Do) and environmental reasons (e.g., Nothing Better Available). Thus, the SODA MAPS can inform the development of tailored, multi-level SD reduction interventions that incorporate strategies to address important and currently overlooked reasons for caffeinated SD consumption among children.

Highlights

  • Excess sugary drink (SD) consumption is a key contributor to excess weight gain and obesity in children [1,2,3]

  • We focused on children from minority and/or low-income backgrounds, who report the highest intakes of SDs and are disproportionately burdened by obesity and cardiometabolic disease [19, 34]

  • 8–14 years old participated in concept mapping, a mixed-method approach, which involves a series of participantdriven activities, including brainstorming, sorting, and rating

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Summary

Introduction

Excess sugary drink (SD) consumption is a key contributor to excess weight gain and obesity in children [1,2,3]. Weight gain and obesity during childhood increase the risk of multiple health issues, including type 2 diabetes [4, 5], cardiovascular diseases [6], fatty liver, and dyslipidemia [7, 8], as well as bone and joint issues [9], dental decay [10], and psychological problems [11,12,13,14]. Contrary to recommendations to limit SD intake to

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