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Sugar-sweetened beverages (SSBs) are a large source of added sugar in teenagers' diets, comprising 20-25% of daily calories. Despite efforts, teens in rural and southern states continue to have the high SSB consumption rates. Using Teen Advisory Councils (TAC), students designed and delivered school-specific interventions at five Tennessee schools. Using repeated measures models with Bonferroni correction, data were collected on SSBs and water consumption at baseline and 30 days postintervention. The 573 participants ranged from 13 to 19 years; mean age 15.97 years (SD = 1.4). Daily SSB servings decreased from a mean of 2.37 (SD = 2.06) to 1.87 (SD = 1.89; p = 0.024). Weekly SSB behaviors decreased 10%. Daily water consumption increased 19.5% to 4.46 (SD = 2.97) servings (p = 0.03). Student-led efforts supported behavioral changes. TACs were effective at changing lifestyle behaviors. Community-driven solutions may result in manageable changes to sustain behaviors.

Sugar-sweetened beverages (SSBs) are a large source of added sugar in teenagers' diets, comprising 20–25% of daily calories. Despite efforts, teens in rural and southern states continue to have the high SSB consumption rates. Using Teen Advisory Councils (TAC), students designed and delivered school-specific interventions at five Tennessee schools. Using repeated measures models with Bonferroni correction, data were collected on SSBs and water consumption at baseline and 30 days postintervention. The 573 participants ranged from 13 to 19 years; mean age 15.97 years (SD = 1.4). Daily SSB servings decreased from a mean of 2.37 (SD = 2.06) to 1.87 (SD = 1.89; p =.024). Weekly SSB behaviors decreased 10%. Daily water consumption increased 19.5% to 4.46 (SD = 2.97) servings (p =.03). Student-led efforts supported behavioral changes. TACs were effective at changing lifestyle behaviors. Community-driven solutions may result in manageable changes to sustain behaviors. [ABSTRACT FROM AUTHOR]

Introduction: This study describes sugar‐sweetened beverage (SSB) behaviors of children and compares child‐reported SSB behaviors to parent‐reported SSB behaviors during school days and nonschool days. Method: Six elementary schools from Tennessee participated with 444 students and 287 parents. Descriptive statistics included means, standard deviation (SD), ranges of values, and measures of central tendency. To explore the relationship between parent and child report, intraclass correlation coefficients (ICC) were analyzed. The mean (SD) differences and limits of agreement were calculated using paired t tests with Bonferroni corrections for multiple outcomes of interest. A p < 0.05 was significant. Results: Reporting differed with SSB type of school day. Children reported higher quantities of sweet tea and "coke/soda." Both agreed on SSB abstention, except for juice. ICCs ranged from 0.383 to 0.513 (p = 0.000). The lowest and highest ICCs were for sweet tea, based on school days or nonschool days. Discussion: To determine the best estimate of SSBs, information should be obtained from children and parents to improve accuracy and enhance education about health behaviors. [ABSTRACT FROM AUTHOR]