The studies presented here explore the behaviour of adding sugar to beverages and especially milk which has already been observed in the Middle East, but only anecdotally in Lebanon. This dissertation investigated adding sugar behaviors to beverages in the diet of Lebanese children and from the perspectives of parents and children.This dissertation consists of a mixed methods study, a quantitative study and a systematic review of the literature. The aims of these three studies were to (1) explore parental and children reported behaviour of adding sugar to the beverages of children using a dietary recall sheet (2) identify significant predictors of the adding sugar behaviour by primary caregivers to beverages served to children using the Theory of Planned Behaviour (TPB), and (3) conduct a systematic review of the existing literature on the effectiveness of interventions aimed to reduce the intake of sugar sweetened beverages among children and adolescents.Five themes emerged from the qualitative component of the first study, namely: (1) parental practices of adding sugar to various types of beverages at home, (2) knowledge, attitude and belief related to adding sugar to beverages, (3) ingrained behaviour of adding sugar to beverages, (4) parental feeding practices and parental style, and (5) taste perception. In the quantitative study, a multiple linear regression showed that at time 1, perceived behavioural control predicted behaviour. However, at time 2, none of the TPB variables predicted the behaviour. The systematic review of existing literature showed that most of the interventions were effective in reducing the intake of sugar sweetened beverages even though the meta-analysis was not significant.Adding sugar behaviour to children's beverages is a common practice by parents, and an inherited habit among low socioeconomic status Lebanese families. Findings of this dissertation inform the development of prevention interventions to reduce the behaviour of adding sugar to beverages of children in order to control the risk of chronic diseases associated with chronic high sugar intake.
|Date of Award||16 Nov 2016|
- University Of Strathclyde
|Supervisor||Pauline Adair (Supervisor) & Mark Elliott (Supervisor)|