title: Changes in the Healthy Beverage Index in Response to an Intervention Targeting a Reduction in Sugar-Sweetened Beverage Consumption as Compared to an Intervention Targeting Improvements in Physical Activity: Results from the Talking Health Trial.
abstract: The recently developed Healthy Beverage Index (HBI) was designed to evaluate overall beverage intake quality (including total fluid consumption and beverage calories), yet no known intervention studies have assessed longitudinal changes to the HBI. The objective of this investigation was to assess changes in HBI scores in response to a sugar-sweetened beverage (SSB) reduction trial as compared to a physical activity comparison group. Participants were enrolled into a six-month, community-based, controlled behavioral trial and randomized into either a SSB reduction group (SIPsmartER) or a physical activity group (MoveMore). Correlations and multilevel mixed-effects linear regression with intention-to-treat analyses are presented. Total HBI score significantly increased for SIPsmartER (n = 149) (mean increase = 7.5 points (5.4, 9.7), p ≤ 0.001) and MoveMore (n = 143) (mean increase = 3.4 points (1.6, 5.2), p ≤ 0.001) participants, with a significant between group effect (p ≤ 0.05), over the six-month intervention. Other significant changes in HBI components for SIPsmartER included increased SSB and total beverage calorie scores, and decreased low-fat milk and diet soda scores. Changes in total HBI scores were significantly correlated with changes in total Healthy Eating Index-2010 scores (r = 0.15, p ≤ 0.01). Our findings suggest that individual HBI component scores, beyond the SSB component, are influenced by intervention strategies that primarily focus on SSB reduction.
authors.affiliation: Department of Human Nutrition, Foods, and Exercise, Virginia Polytechnic Institute and State University, 295 West Campus Drive, Blacksburg, VA 24061, USA. vhedrick@vt.edu.
authors.forename: Valisa E
authors.initials: VE
authors.lastname: Hedrick
authors.affiliation: Department of Human Nutrition, Foods, and Exercise, Virginia Polytechnic Institute and State University, 295 West Campus Drive, Blacksburg, VA 24061, USA. bdavy@vt.edu.
authors.forename: Brenda M
authors.initials: BM
authors.lastname: Davy
authors.affiliation: Department of Human Nutrition, Foods, and Exercise, Virginia Polytechnic Institute and State University, 295 West Campus Drive, Blacksburg, VA 24061, USA. eamyers@vt.edu.
authors.forename: Emily A
authors.initials: EA
authors.lastname: Myers
authors.affiliation: Department of Agricultural and Applied Economics, Virginia Polytechnic Institute and State University, 250 Drillfield Drive, Blacksburg, VA 24061, USA. wenyou@vt.edu.
authors.forename: Wen
authors.initials: W
authors.lastname: You
authors.affiliation: Department of Human Nutrition, Foods, and Exercise, Virginia Polytechnic Institute and State University, 295 West Campus Drive, Blacksburg, VA 24061, USA. zoellner@vt.edu.
authors.forename: Jamie M
authors.initials: JM
authors.lastname: Zoellner
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D001628:Beverages / Q000032:analysis*; D015992:Body Mass Index; D002149:Energy Intake; D005247:Feeding Behavior; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D008892:Milk; D009043:Motor Activity; D009749:Nutrition Surveys; D064427:Nutritive Sweeteners / Q000008:administration & dosage* / Q000032:analysis; D055815:Young Adult
chemical_list: D064427:Nutritive Sweeteners
keywords: Healthy Beverage Index; Healthy Eating Index; beverage consumption; beverage quality; dietary quality; sugar-sweetened beverages