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Am J Public Health. 2018 Dec;108(12):1659-1665. doi: 10.2105/AJPH.2018.304691. Epub 2018 Oct 25.

Sugar-Sweetened Beverage Attitudes and Consumption During the First 1000 Days of Life.

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Jennifer A. Woo Baidal, Kayla Morel, Kelsey Nichols, and Erin Elbel are with the Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Columbia University Medical Center, New, York, NY. Nalini Charles is with the New York Presbyterian Hospital Special Supplemental Nutrition, Program for Women, Infants, and Children, New York, NY. Jeff Goldsmith is with the Mailman School of Public Health, Columbia University Medical Center, New York, NY. Ling Chen is with the Department of Ob-Gyn, Columbia University Medical Center. Elsie M. Taveras is with the Division of General Academic Pediatrics, Department of Pediatrics, MassGeneral Hospital for Children, Boston, MA.



To examine the relationship of parental sugar-sweetened beverage (SSB) attitudes with SSB consumption during the first 1000 days of life-gestation to age 2 years.


We studied 394 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)-enrolled families during the first 1000 days of life in northern Manhattan, New York, in 2017. In regression models, we assessed cross-sectional relationships of parental SSB attitude scores with habitual daily parent SSB calories and infant SSB consumption, adjusting for demographic and socioeconomic characteristics.


Each point higher parental SSB attitude score was associated with lower parental SSB consumption (-14.5 median kcals; 95% confidence interval [CI] = -22.6, -6.4). For infants, higher parental SSB attitude score was linked with lower odds of infant SSB consumption (adjusted odds ratio [AOR] = 0.84; 95% CI = 0.71, 0.99), and adjustment for socioeconomic factors slightly attenuated results (AOR = 0.85; 95% CI = 0.71, 1.02).


During the first 1000 days of life, greater negativity in parental attitudes toward SSB consumption was associated with fewer parental calories consumed from SSBs and lower likelihood of infant SSB consumption. Public Health Implications. Parental attitudes toward SSBs should be targeted in future childhood obesity interventions during pregnancy and infancy.

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