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Indian Pediatrics

, Volume 56, Issue 10, pp 849–863 | Cite as

Indian Academy of Pediatrics Guidelines on the Fast and Junk Foods, Sugar Sweetened Beverages, Fruit Juices, and Energy Drinks

  • Piyush GuptaEmail author
  • Dheeraj Shah
  • Praveen Kumar
  • Nidhi Bedi
  • Hema Gupta Mittal
  • Kirtisudha Mishra
  • Sumaira Khalil
  • Ke Elizabeth
  • Rupal Dalal
  • Rekha Harish
  • Upendra Kinjawadekar
  • Kristin Indumathi
  • Sheetal S. Gandhi
  • J. P. Dadhich
  • Niranjan Mohanty
  • Ajay Gaur
  • A. K. Rawat
  • Srikanta Basu
  • Raghavendra Singh
  • R. Remesh Kumar
  • Bakul Jayant Parekh
  • Santosh T. Soans
  • Digant Shastri
  • H. P. S. Sachdev
  • Pediatric and Adolescent Nutrition Society (Nutrition Chapter) of Indian Academy of Pediatrics
Recommendations

Abstract

Justification

In view of easy availability and increasing trend of consumption of fast foods and sugar sweetened beverages (fruit juices and drinks, carbonated drinks, energy drinks) in Indian children, and their association with increasing obesity and related non-communicable diseases, there is a need to develop guidelines related to consumption of foods and drinks that have the potential to increase this problem in children and adolescents.

Objectives

To review the evidence and formulate consensus statements related to terminology, magnitude of problem and possible ill effects of junk foods, fast foods, sugar-sweetened beverages and carbonated drinks; and to formulate recommendations for limiting consumption of these foods and beverages in Indian children and adolescents. Process: A National Consultative group constituted by the Nutrition Chapter of the Indian Academy of Pediatrics (IAP), consisting of various stakeholders in private and public sector, reviewed the literature and existing guidelines and policy regulations. Detailed review of literature was circulated to the members, and the Group met on 11th March 2019 at New Delhi for a day-long deliberation on framing the guidelines. The consensus statements and recommendations formulated by the Group were circulated to the participants and a consensus document was finalized.

Conclusions

The Group suggests a new acronym ‘JUNCS’ foods, to cover a wide variety of concepts related to unhealthy foods (Junk foods, Ultra-processed foods, Nutritionally inappropriate foods, Caffeinated/colored/carbonated foods/beverages, and Sugar-sweetened beverages). The Group concludes that consumption of these foods and beverages is associated with higher free sugar and energy intake; and is associated with higher body mass index (and possibly with adverse cardiometabolic consequences) in children and adolescents. Intake of caffeinated drinks may be associated with cardiac and sleep disturbances. The Group recommends avoiding consumption of the JUNCS by all children and adolescents as far as possible and limit their consumption to not more than one serving per week. The Group recommends intake of regional and seasonal whole fruits over fruit juices in children and adolescents, and advises no fruit juices/drinks to infants and young children (age <2 y), whereas for children aged 2–5 y and >5–18 y, their intake should be limited to 125 mL/day and 250 mL/day, respectively. The Group recommends that caffeinated energy drinks should not be consumed by children and adolescents. The Group supports recommendations of ban on sale of JUNCS foods in school canteens and in near vicinity, and suggests efforts to ensure availability and affordability of healthy snacks and foods. The Group supports traffic light coding of food available in school canteens and recommends legal ban of screen/print/digital advertisements of all the JUNCS foods for channels/magazines/websites/social media catering to children and adolescents. The Group further suggests communication, marketing and policy/taxation strategies to promote consumption of healthy foods, and limit availability and consumption of the JUNCS foods.

Keywords

Energy drinks Fast foods Fruit juices Obesity Non-communicable Diseases Prevention 

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Notes

Funding: None. Competing interest: None stated.

References

  1. 1.
    Gupta A, Kapil U, Singh G. Consumption of junk foods by school-aged children in rural Himachal Pradesh, India. Indian J Public Health. 2018;62:65–7.PubMedGoogle Scholar
  2. 2.
    Kaushik JS, Narang M, Parakh A. Fast food consumption in children. Indian Pediatr. 2011;48:95–101.Google Scholar
  3. 3.
    Joseph N, Nelliyani M, Rai S, Babu YPR, Kotian SM, Ghosh T, et al. Fast food consumption pattern and its association with overweight among high school boys in Mangalore city of southern India. J Clin Diag Res. 2015;9:LC13–17.Google Scholar
  4. 4.
    Mittal H, Gupta P. Fruit drinks: How healthy and safe? Indian Pediatr. 2008;45:215–7.Google Scholar
  5. 5.
    Bhushan C, Taneja S, Khurana A. Burden of Packaged Food on Schoolchildren: Based on the CSE survey ‘Know Your Diet’ 2017. Centre for Science and Environment, New Delhi. Available from: http://www.mdiaenvironmentportal.org.in/files/file/Burden%20qf%20Packaged%20Food%20on%20School%20Children.pdf Accessed January 20, 2019.Google Scholar
  6. 6.
    Keshari P, Mishra CP. Growing menace of fast food consumption in India: Time to act. Int J Comm Med and Public Health. 2016;3:1355–62.Google Scholar
  7. 7.
    International Institute for Population Sciences (IIPS) and ICF. 2017. National Family Health Survey (NFHS-4), 2015–16: India. Mumbai: IIPS.Google Scholar
  8. 8.
    Bedi N, Dewan P, Gupta P. Energy drinks: potions of illusion. Indian Pediatr. 2014;51:529–33.PubMedGoogle Scholar
  9. 9.
    Zhang Qi. Food policy approaches to obesity prevention: an international perspective. Curr Obes Rep. 2014;3:171–82.PubMedPubMedCentralGoogle Scholar
  10. 10.
    World Health Organization. Breastfeeding. Available from: https://www.who.int/nutrition/topics/exclusive_breastfeeding/en/. Accessed January 4, 2019.
  11. 11.
    World Health Organization. Global Recommendations on Physical Activity for Health. Geneva: World Health Organization; 2010.Google Scholar
  12. 12.
    Definition of fast food. Available from: https://www.merriam-webster.com/dictionary/fast-food. Accessed March 1, 2019.
  13. 13.
    Draft Guidelines for regulating food high in fat, sugar and salt (HFSS) also popularly known as junk food. Available from:www.indiaenvironmentportal.org.in/.../Junk%20Food%20Guidelines%20-%20January. Accessed March 01, 2019.
  14. 14.
    Working Group Members on Matters related to Junk foods and Addressing Problem of Obesity in India in 2015. Report of Working Group on Addressing Consumption of Foods High in Fat, Salt and Sugar (HFSS) and Promotion of Healthy Snacks in Schools of India. Available from: http://nipccd.nic.in/reports/hfss.pdf. Accessed March 01, 2019.
  15. 15.
    Monteiro CA, Cannon G, Levy RB, Moubarac JC, Jaime P, Martins AP, et al. NOVA. The star shines bright. [Food classification. Public health] World Nutrition. 2016;7:1–3.Google Scholar
  16. 16.
    Lexico: Dictionary Definition of Caffeinated drinks. Definition. Available from: https://en.oxforddictionaries.com/definition/caffeinated. Accessed 20 April 2019.
  17. 17.
    Lexico: Dictionary Definition of Carbonated beverages. Definition. Available from: https://en.oxforddictionaries.com/definition/carbonated. Accessed April 21, 2019.
  18. 18.
    Get the Facts: Sugar-Sweetened Beverages and Consumption. Centers for Disease Control and Prevention. Available from: https://www.cdc.gov/nutrition/data-statistics/sugar-sweetened-beverages-intake.html. Accessed April 22, 2019.
  19. 19.
    Monteiro CA, Moubarac JC, Levy RB, Canella DS, Louzada MLDC, Cannon G. Household availability of ultra-processed foods and obesity in nineteen European countries. Public Health Nutr. 2018;21:18–26.PubMedGoogle Scholar
  20. 20.
    Braithwaile I, Stewart AW, Hancox RJ, Beasley R, Murphy R, Mitchell EA. The ISAAC phase three study group. Fast food consumption and body mass index in children and adolescents: an international cross sectional study. BMJ. 2014;4:1–9.Google Scholar
  21. 21.
    Statista. United States: How often do you eat fast food (any quick service restaurant) in any given week (on average)? Available from: https://www.statista.com/statistics/561297/us-average-fast-food-consumption-per-week/. Accessed January 16, 2019.
  22. 22.
    Vandevijvere S, De Ridder K, Fiolet T, Bel S, Tafforeau J. Consumption of ultraprocessed food products and diet quality among children, adolescents and adults in Belgium. Eur J Nutr. 2018. doi:  https://doi.org/10.1007/s00394-018-1870-3. [Epub ahead of print].
  23. 23.
    Jain A, Dhanawat J, Kotian MS, Angeline R. Assessment of risk factors of non-communicable diseases among high school students in Mangalore, India. Int J Health Allied Sci. 2012;1:249–54.Google Scholar
  24. 24.
    Puri S, Bhatia V, Swami H, Rai S, Mangat C. Impact of a diet and nutrition related education package on the awareness and practices of school children of Chandigarh. The Internet J Epidemiol. 2007;6:1–7.Google Scholar
  25. 25.
    Nemnuhoi H, Sharma S. Trends in fast food consumption among adolescents in Ludhiana (Punjab). Food Sci Res J. 2016;7:276–80.Google Scholar
  26. 26.
    Vaida N. Prevalence of fast food intake among urban adolescent students. The International Journal of Engineering and Science. 2013;2:353–59.Google Scholar
  27. 27.
    Kumar H, Palaha R, Kaur A. Study of consumption, behaviour and awareness of fast food among university hostellers. Asian J Clin Nutr. 2013;5:1–7.Google Scholar
  28. 28.
    Mishra SK, Mukhopadhyay S. Eating and weight concerns among Sikkimese adolescent girls and their biocultural correlates: an exploratory study. Public Health Nutr. 2011;14:853–9.PubMedGoogle Scholar
  29. 29.
    Vidya B, Damayanthi MN, Sharada R, Manjunatha S. Junk food consumption pattern and obesity among school going children in an urban field practice area: a cross sectional study”. J Evidence-based Med Healthcare. 2015;2:1796–1801.Google Scholar
  30. 30.
    Prabhavathi Y, Krishna Kishore NT, Ramesh Kumar M. Consumer preference and spending pattern in Indian fast food industry. International Journal of Scientific and Research Publications. 2014;4:1–5.Google Scholar
  31. 31.
    Purushothaman S, Reddy C, Chaly PE, Priyadarshni I. Predilection for junk food consumption among 15-year-old schoolchildren in North Chennai, India. Medical Journal of Islamic World Academy of Sciences. 2015;23:125–30.Google Scholar
  32. 32.
    Kansagara T, Parmar DV, Chauhan M, Dave P. A study on dietary intake among school going adolescent girls in rural and urban area of Jamnagar District, Gujarat. Int J Med Sci Public Health. 2018;7:697–702.Google Scholar
  33. 33.
    Kotecha PV, Patel SV, Baxi RK, Mazumdar VS, Shobha M, Mehta KG. Dietary pattern of schoolgoing adolescents in urban Baroda. India. J Health Popul Nutr. 2013;31:490–6.PubMedGoogle Scholar
  34. 34.
    Namrata, Agrahari K, Jaiswal M, Singh A. A comparative study on the consumption pattern of fast food among adolescent girls and boys of Sultanpur. International Journal of Home Science 2016;2:7–16.Google Scholar
  35. 35.
    Singh M, Mishra S. Fast food consumption pattern and obesity among school going (9-13 year) in Lucknow District. International Journal of Science and Research. 2014;3:1672–4.Google Scholar
  36. 36.
    Shukla R, Shukla M, Ahmad S, Shukla NK, Sidhu HK. Expenses incurred on junk food consumption among adolescent girls: A pilot study. International J Multidisciplinary Res Develop. 2017;4:291–29.Google Scholar
  37. 37.
    Shokeen S. A study on fast food pattern consumption in India. International Journal of Research and Engineering. 2016;3:10–5.Google Scholar
  38. 38.
    Singh AK, Maheshwari A, Sharma N, Anand K. Lifestyle associated risk factors in adolescents. Indian J Pediatr. 2006;73:901–6.PubMedGoogle Scholar
  39. 39.
    NIPCCD. Eating Pattern of School Going Children in Delhi — A Report. New Delhi: Child Development Division, National Institute of Public Cooperation and Child Development; 2008.Google Scholar
  40. 40.
    Goel S, Kaur T, Gupta M. Increasing proclivity for junk food among overweight adolescent girls in district Kurukshetra, India. International Research Journal of Biological Sciences. 2013;3:80–4.Google Scholar
  41. 41.
    Meena M, Varma K. Fast food consumption among adolescent schoolgirls in Jaipur. International Journal of Innovative Research and Review. 2015;3:38–4.Google Scholar
  42. 42.
    Anitharaj MS. “Global Fast Food Retailing in India — A way ahead. IOSR Journal of Business and Management (IOSR-JBM). 2018:23;38–43.Google Scholar
  43. 43.
    Goyal A, Singh NP. Consumer perception about fast food in India: An exploratory study. British Food Journal. 2007;109:182–95.Google Scholar
  44. 44.
    Ministry of Food Processing Industries (MOFPI). Annual Report 2015–2016. Available from: http://www.mofpi.nic.in/sites/default/files/15-16-finalannualreportenglish.pdf. Accessed March 01, 2019.
  45. 45.
    India Brand Equity Foundation. Indian Food Processing, Exports of Processed Food and Related Products. Available from https://www.ibef.org/industry/indian-food-industry.aspx. Accessed March 01, 2019.
  46. 46.
    Jubilant Food Works Limited. Available from: http://www.jubilantfoodworks.com/wp-content/uploads/2017/06/JFL-Corporate_Presentation.pdf. Accessed March 01, 2019.
  47. 47.
    PWC. Retail and Consumer Quarterly Newsletter Q1 FY 2018. Available from: https://www.pwc.in/assets/pdfs/industries/retail-and-consumer/newsletters/retail-and-consumer-quarterly-newsletter-q1-fy-2018.pdf. Accessed March 01, 2019.
  48. 48.
    The changing landscape of the retail food service industry. Available at https://www.pwc.in/research-insights/2018/the-changing-landscape-of-the-retail-food-service-industry.html. Accessed March 01, 2019.
  49. 49.
    Rauber F, da Costa Louzada ML, Steele EM, Millett C, Monteiro CA, Levy RB. Ultra-processed food consumption and chronic non-communicable diseases-related dietary nutrient profile in the UK (2008-2014). Nutrients. 2018;10. pii:E587. doi:  https://doi.org/10.3390/nu10050587.Google Scholar
  50. 50.
    Martinez Steele E, Popkin BM, Swinburn B, Monteiro CA. The share of ultra-processed foods and the overall nutritional quality of diets in the US: evidence from a nationally representative cross-sectional study. Popul Health Metr. 2017;15:6.PubMedPubMedCentralGoogle Scholar
  51. 51.
    Moubarac JC, Batal M, Louzada ML, Martinez Steele E, Monteiro CA. Consumption of ultra-processed foods predicts diet quality in Canada. Appetite. 2017;108:512–20.PubMedGoogle Scholar
  52. 52.
    Braithwaite I, Stewart AW, Hancox RJ, Beasley R, Murphy R, Mitchell EA, et al. Fast-food consumption and body mass index in children and adolescents: an international cross-sectional study. BMJ Open. 2014;4:e005813.PubMedPubMedCentralGoogle Scholar
  53. 53.
    Dubois L, Farmer A, Girard M, Peterson K. Regular sugar sweetenedbeverage consumption between meals increases risk of overweight among preschool-aged children. J Am Diet Assoc. 2007;107:924–34.PubMedGoogle Scholar
  54. 54.
    Ludwig DS, Peterson KE, Gortmaker SL. Sweetened drinks and childhood obesity: A prospective, observational analysis. Lancet. 2001;357:505–8.PubMedGoogle Scholar
  55. 55.
    Costa CS, Del-Ponte B, Assunção MCF, Santos IS. Consumption of ultra-processed foods and body fat during childhood and adolescence: a systematic review. Public Health Nutr. 2018;21:148–59.PubMedGoogle Scholar
  56. 56.
    Thompson OM, Ballew C, Resnicow K, Must A, Bandini LG, Cyr H, et al. Food purchased away from home as a predictor of change in BMI z-score among girls. Int J Obes Relat Metab Disord. 2004;2:282–9.Google Scholar
  57. 57.
    Niemeier HM, Raynor HA, Lloyd-Richardson EE, Rogers ML, Wing RR. Fast food consumption and breakfast skipping: predictors of weight gain from adolescence to a dulthood in a nationally representative sample. J Adolesc Health. 2006;39:842–9.PubMedGoogle Scholar
  58. 58.
    Costa CS, Rauber F, Leffa PS, Sangalli CN, Campagnolo PDB, Vitolo MR. Ultra-processed food consumption and its effects on anthropometric and glucose profile: A longitudinal study during childhood. Nutr Metab Cardiovasc Dis. 2019;29:177–84.PubMedGoogle Scholar
  59. 59.
    Mistry SK, Puthussery S. Risk factors of overweight and obesity in childhood and adolescence in South Asian countries: a systematic review of the evidence. Public Health. 2015;129:200–9.PubMedGoogle Scholar
  60. 60.
    Bibiloni Mdel M, Pich J, Pons A, Tur JA. Body image and eating patterns among adolescents. BMC Public Health. 2013;13:1104.PubMedGoogle Scholar
  61. 61.
    Park SJ, Lee SM, Kim SM, Lee M. Gender specific effect of major dietary patterns on the metabolic syndrome risk in Korean pre- pubertal children. Nutr Res Pract. 2013;7:139–45.PubMedPubMedCentralGoogle Scholar
  62. 62.
    Shang X, Li Y, Liu A, Zhang Q, Hu X, Du S, et al. Dietary pattern and its association with the prevalence of obesity and related cardiometabolic risk factors among Chinese children. PLoS One. 2012;7:e43183.PubMedPubMedCentralGoogle Scholar
  63. 63.
    Rauber F, Campagnolo PD, Hoffman DJ, Vitolo MR. Consumption of ultra-processed food products and its effects on children’s lipid profiles: A longitudinal study. Nutr Metab Cardiovasc Dis. 2015;25:116–22.PubMedGoogle Scholar
  64. 64.
    Romero-Polvo A, Denova-Gutiérrez E, Rivera-Paredez B, Castañón S, Gallegos-Carrillo K, Halley-Castillo E, et al. Association between dietary patterns and insulin resistance in Mexican children and adolescents. Ann Nutr Metab. 2012;61142–50.PubMedGoogle Scholar
  65. 65.
    Karatzi K, Moschonis G, Barouti AA, Lionis C, Chrousos GP, Manios Y. Dietary patterns and breakfast consumption in relation to insulin resistance in children. The Healthy Growth Study. Public Health Nutr. 2014;17:2790–7.PubMedGoogle Scholar
  66. 66.
    Kelishadi R, Qorbani M, Djalalinia S, Sheidaei A, Rezaei F, Arefirad T, Safiri S, Asayesh H, Motlagh ME. Physical inactivity and associated factors in Iranian children and adolescents: The weight disorders survey of the CASPIAN-IV study. J Cardiovasc Thorac Res. 2017;9:41–8.PubMedPubMedCentralGoogle Scholar
  67. 67.
    Zhao Y, Wang L, Xue H, Wang H, Wang Y. Fast food consumption and its associations with obesity and hypertension among children: results from the baseline data of the childhood obesity study in China mega-cities. BMC Public Health. 2017;17:933.PubMedPubMedCentralGoogle Scholar
  68. 68.
    Oellingrath IM, Svendsen MV, Hestetun I. Eating patterns and mental health problems in early adolescence — a cross-sectional study of 12–13-year-old Norwegian school children. Public Health Nutr. 2014;17:2554–62.PubMedGoogle Scholar
  69. 69.
    Xu H, Sun Y, Wan Y, Zhang S, Xu H, Yang R, et al. Eating pattern and psychological symptoms: A cross-sectional study based on a national large sample of Chinese adolescents. J Affect Disord. 2019;244:155–63.PubMedGoogle Scholar
  70. 70.
    Jacka FN, Mykletun A., Berk M, Bjelland I, Tell GS. The association between habitual diet quality and the common mental disorders in community-dwelling adults: The Hordaland Health study. Psychosom Med. 2011;73:483–90.PubMedGoogle Scholar
  71. 71.
    Baldrick FR, Elborn JS, Woodside JV, Treacy K, Bradley JM, Patterson CC, et al. Effect of fruit and vegetable intake on oxidative stress and inflammation in COPD: A rando-mised controled trial. Eur Respir J. 2012;39:1377–84.PubMedGoogle Scholar
  72. 72.
    Evans EW, Hayes C, Palmer CA, Bermudez OI, Cohen SA, Must A. Dietary intake and severe early childhood caries in low-income, young children. J Acad Nutr Diet. 2013;113:1057–61.PubMedPubMedCentralGoogle Scholar
  73. 73.
    Vargas CM, Dye BA, Kolasny CR, Buckman DW, McNeel TS, Tinanoff N, et al. Early childhood caries and intake of 100 percent fruit juice: Data from NHANES, 1999–2004. J Am Dent Assoc. 2014;145:1254–61.PubMedGoogle Scholar
  74. 74.
    Arria AM, Bugbee BA, Caldeira KM, Vincent KB. Evidence and knowledge gaps for the association between energy drink use and high-risk behaviors among adolescents and young adults. Nutr Rev. 2014;72 Suppl 1:87–97.PubMedPubMedCentralGoogle Scholar
  75. 75.
    Mangi MA, Rehman H, Rafique M, Illovsky M. Energy drinks and the risk of cardiovascular disease: A review of current literature. Cureus. 2017;9:e1322.PubMedPubMedCentralGoogle Scholar
  76. 76.
    Park S, Lee Y, Lee JH. Association between energy drink intake, sleep, stress and suicidality in Korean adolescents: energy drink use in isolation or in combination with junk food consumption. Nutr J. 2016;15:87.PubMedPubMedCentralGoogle Scholar
  77. 77.
    Smit HJ, Cotton JR, Hughes SC, Rogers PJ. Mood and cognitive performance effects of “energy” drink constituents: caffeine, glucose and carbonation. Nutr Neurosci. 2004;7:127–39.PubMedGoogle Scholar
  78. 78.
    Howick J, Chalmers I, Glasziou P, Greenhalgh T, Heneghan C, Liberati A, et al. The 2011 Oxford CEBM Evidence Levels of Evidence (Introductory Document). Oxford Centre for Evidence-Based Medicine. Available from: https://www.cebm.net/index.aspx?o=5653. Accessed 10 June 2019.
  79. 79.
    Centre for Consumer Studies, Indian Institute of Public Administration. Mishra S, Pathania M. Evaluation of the effect of Junk food on the health of schoolchildren of Delhi. Available From: http://www.consumereducation.in/ResearchStudyReports/JunkFood2016.pdf. Accessed March 01, 2019.
  80. 80.
    The Times of India. Time up for junk food in school canteens in Delhi. Available from: https://timesofindia.indiatimes.com/city/delhi/Time-up-for-junk-food-in-school-canteens-in-Delhi/articleshow/49422275.cms. Accessed March 01, 2019.
  81. 81.
    DownToEarth. Delhi High court orders curb on junk food sale in school all over India. Available from: https://www.downtoearth.org.in/news/delhi-high-court-orders-curb-on-junk-food-sale-in-schools-across-india-49038. Accessed March 01, 2019.
  82. 82.
    Woods J, Bressan A, Langelaan CC, Mallon A, Palermo C. Australian school canteens: Menu guideline adherence or avoidance? Health Promotion Journal of Australia. 2014;25:110–5.PubMedGoogle Scholar
  83. 83.
    Nathan N, Yoong SL, Sutherland R, Reilly K, Delaney T, Janssen L, et al. Effectiveness of a multicomponent intervention to enhance implementation of a healthy canteen policy in Australian primary schools: a randomised controlled trial. Int J Behav Nutr Phys Act. 2016;13:106.PubMedPubMedCentralGoogle Scholar
  84. 84.
    Locatelli NT, Canella DS, Bandoni DH. Positive influence of school meals on food consumption in Brazil. Nutrition. 2018;53:140–4.PubMedGoogle Scholar
  85. 85.
    Harris DM, Seymour J, Grummer-Strawn L, Cooper A, Collins B, DiSogra L, et al. Let’s move salad bars to schools: A public–private partnership to increase student fruit and vegetable consumption. Child Obesity. 2012;8:294–7.Google Scholar
  86. 86.
    Slusser WM, Cumberland WG, Browdy BL, Lange L, Neumann C. A school salad bar increases frequency of fruit and vegetable consumption among children living in low-income households. Public Health Nutr. 2007;10:1490–6.PubMedGoogle Scholar
  87. 87.
    Vargas-Garcia EJ, Evans CEL, Prestwich A, Sykes-Muskett BJ, Hooson J, Cade JE. Interventions to reduce consumption of sugar sweetened beverages or increase water intake: evidence from a systematic review and metaanalysis. Obes Rev. 2017;18:1350–63.PubMedGoogle Scholar
  88. 88.
    National Institute of Nutrition. Assessment of Current Scenario of Food Labelling in India. 2009. Available from: http://www.icmr.nic.in/annual/2009-10/english/nutrition.pdf. Accessed March 01, 2019.
  89. 89.
  90. 90.
    Food Standards Agency. Front-of-pack nutrition labeling. Available from: http://food.gov.uk/scotland/scotnut/signpostig/#.UpejmuLK-ne. Accessed March 01, 2019.
  91. 91.
    Australia Food News. Australian ministers approve front-of-pack labeling system but dairy products approach still to be finalized. Jun 17. 2013 Available from: http://www.ausfoodnews.com.au/2013/06/17/australian-ministers-approve-front-of-pack-labellingsystem-but-dairy-products-approach-still-to-befinalised.html. Accessed March 01, 2019.
  92. 92.
    Temple JL, Ziegler AM, Epstein LH. Influence of price and labeling on energy drink purchasing in an experimental convenience store. J Nutr Educ Behav. 2015;48:54–9.PubMedGoogle Scholar
  93. 93.
    Crockett RA, King SE, Marteau TM, Prevost AT, Bignardi G, Roberts NW, et al. Nutritional labelling for healthier food or non-alcoholic drink purchasing and consumption. Cochrane Database Sys Rev. 2018;2:CD009315.Google Scholar
  94. 94.
    Swartz JJ, Braxton D, Viera AJ. Calorie menu labeling on quick-service restaurant menus: an updated systematic review of the literature. Int J Behav Nutr Phys Act. 2011;8:135.PubMedPubMedCentralGoogle Scholar
  95. 95.
    Kiszko KM., Martinez OD, Abrams C, Albel B. The influence of calorie labeling on food orders and consumption: A review of the literature. J Community Health. 2014;39:1248–69.PubMedPubMedCentralGoogle Scholar
  96. 96.
    Russell SJ, Croker H, Viner RM. The effect of screen advertising on children’s dietary intake: A systematic review and meta analysis. Obesity Rev. 2019;20:554–68.Google Scholar
  97. 97.
    Dalton M, Longacre K, Drake K, Cleveland L, Harris J, Hendricks K, et al. Child targeted fast food television advertising exposure is linked with fast food intake among preschool children. Public Health Nutr. 2017;20:1548–56.PubMedPubMedCentralGoogle Scholar
  98. 98.
    Boyland EJ, Safran MK, Halford KCG. Exposure to ‘healthy’ fast food meal bundles in television advertisements promotes liking for fast food but not healthier choices in children. British J Nut. 2015;113:1012–8.Google Scholar
  99. 99.
    Dhar T, Baylis K. Fast-food consumption and the ban on advertising targeting children: The Quebec experience. J Marketing Res. 2011;48:799–813.Google Scholar
  100. 100.
    Tan LA, Ng SH, Omar A, Karupaiah T. What’s on YouTube? A case study on food and beverage advertising in videos targeted at children on social media. Child Obes. 2018;14:280–90.PubMedGoogle Scholar
  101. 101.
    Brand JE. Television Advertising to Children: A Review of Contemporary Research on the Influence of Television Advertising Directed to Children. Canberra: Australian Communications and Media Authority, Commonwealth of Australia; 2007.Google Scholar
  102. 102.
    Keller K, Kuilema LG, Lee N, Yoon J, Mascaro B, Combes AL, et al. The impact of food branding on children’s eating behavior and obesity. Physiol Behav. 2012;106:379–86.PubMedGoogle Scholar
  103. 103.
    Roberto CA, Baik J, Harris JL, Brownell KD. Influence of licensed characters on children’s taste and snack preferences. Pediatrics. 2010;126:88–93.PubMedGoogle Scholar
  104. 104.
    World Health Organization. 2008–2013 Action Plan for the Global Strategy for the Prevention and Control of Non-communicable Diseases. Geneva: WHO; 2008.Google Scholar
  105. 105.
    Thow AM, Jan S, Leeder S, Swinburn B. The effect of fiscal policy on diet, obesity and chronic disease: A systematic review. Bull World Health Organ. 2010;88:609–14.PubMedPubMedCentralGoogle Scholar
  106. 106.
    Mhurchu CN, Blakely T, Jiang Y, Eyles HC, Rodgers A. Effects of price discounts and tailored nutrition education on supermarket purchases: A randomized controlled trial. Am J Clin Nutr. 2010;91:736–47.Google Scholar
  107. 107.
    Colchero MA, Popkin BM, Rivera JA, Ng SW. Beverage purchases from stores in Mexico under the excise tax on sugar sweetened beverages: observational study. BMJ. 2016;352:h6704.PubMedPubMedCentralGoogle Scholar
  108. 108.
    Gordon KE, Dynan L, Siegel RM. Healthier choices in school cafeterias: A systematic review of cafeteria interventions. J Pediatr. 2018;203:273–9.PubMedGoogle Scholar
  109. 109.
    Avery A, Bostock L, McCullough F. A systematic review investigating interventions that can help reduce consumption of sugars sweetened beverages in children leading to changes in body fatness. J Hum Nutr Diet. 2015;28:52–64.PubMedGoogle Scholar
  110. 110.
    World Health Organization. Guideline: Sugars Intake for Adults and Children. Geneva: World Health Organization; 2015.Google Scholar
  111. 111.
    US Department of Health and Human Services and US Department of Agriculture. 2015–2020 Dietary Guidelines for Americans. 8th ed. December 2015. Available from: http://health.gov/dietaryguidelines/2015/guidelines/. Accessed February 10, 2019.
  112. 112.
    Scientific Advisory Committee on Nutrition (2015). Carbohydrates and Health. Available from: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/445503/SACN_Carbohydrates_and_Health.pdf. Accessed January 18, 2019.
  113. 113.
    Fidler Mis N, Braegger C, Bronsky J, Campoy C, Domellöf M, Embleton ND, et al. ESPGHAN Committee on Nutrition. Sugar in Infants, Children and Adolescents: A position paper of the European Society for Pediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition. J Pediatr Gastroenterol Nutr. 2017;65:681–96.PubMedGoogle Scholar
  114. 114.
    World Health Organization. Healthy Diet. Available from: https://www.who.int/news-room/fact-sheets/detail/healthy-diet. Accessed January 20, 2019.
  115. 115.
    World Health Organization. Guideline: Sodium Intake for Adults and Children. Geneva: WHO; 2012.Google Scholar
  116. 116.
    World Health Organization (WHO). 2008–2013 Action Plan for the Global Strategy for the Prevention and Control of Non-Communicable Diseases. Geneva: WHO; 2008.Google Scholar
  117. 117.
    Bergallo P, Castagnari V, Fernandez A, Mejia R. Regulatory initiatives to reduce sugar-sweetened beverages (SSBs) in Latin America. PLoS One. 2018;13:e0205694.PubMedPubMedCentralGoogle Scholar
  118. 118.
    Food Safety and Standards Authority of India. Draft guidelines for making available wholesome, nutritious, safe and hygienic food to school children in India. Available from: http://www.old.fssai.gov.in/Portals/0/Pdf/Order_Draft_Guidelines_School_Children.pdf. Accessed February 20, 2019.
  119. 119.
    Food Safety and Standards Authority of India. Report of the Expert Group on Consumption of Fat, Sugar and Salt and its Ill Health Effects on Indian Population. India: FSSAI: 2017.Google Scholar
  120. 120.
    FOODnavigator-asia.com. India FSSAI to finalise on pack traffic light labeling regulations. Available from: https://www.foodnavigator-asia.com/Article/2018/05/28/India-s-FSSAI-to-finalise-on-pack-traffic-light-labelling-regulations. Accessed February 20, 2019.
  121. 121.
    Heyman MB, Abrams SA. AAP Section on Gastroenterology, Hepatology, and Nutrition, AAP Committee on Nutrition. Fruit Juice in Infants, Children, and Adolescents: Current Recommendations. Pediatrics. 2017;139:e20170967.PubMedGoogle Scholar
  122. 122.
    British Nutrition Foundation. Healthy Hydration Guide. Available from: https://www.nutrition.org.uk/healthyliving/hydration/healthy-hydration-guide.html. Accessed February 02, 2019.
  123. 123.
    Better Health Channel. Children’s diet: fruit and vegetables. Available from: https://www.betterhealth.vic.gov.au/health/HealthyLiving/childrens-diet-fruit-and-vegetables. Accessed March 02, 2019.
  124. 124.
    FOODnavigator-asia.com. APAC sugar taxes: How 2018 is shaping up from a policy perspective. Available from: https://www.foodnavigator-asia.com/Article/2018/01/03/APAC-sugar-taxes-How-2018-is-shaping-up-from-a-policy-perspective. Accessed March 01, 2019.
  125. 125.
    BeverageDaily.com. UK sets sugar reduction targets for juice and milk-based drinks. Available from: https://www.beveragedaily.com/Article/2018/05/23/UK-sets-sugar-reduction-targets-forjuice-and-milk-based-drinks. Accessed February 01, 2019.
  126. 126.
    Business Insider. Unlimited sugary drinks refills banned in France. Available from: https://www.businessinsider.in/Unlimitedsugary-drink-refills-are-now-banned-in-France/articleshow/56811607.cms. Accessed February 01, 2019.
  127. 127.
    National Preventative Health Taskforce. Australia: The Healthiest Country by 2020. Canberra: Commonwealth of Australia; 2009.Google Scholar
  128. 128.
    American Academy of Pediatrics. Sports Drinks and Energy Drinks for Children and Adolescents: Are they appropriate? Committee on Nutrition and the Council on Sports Medicine and Fitness. Pediatrics. 2011;127:1182–9.Google Scholar
  129. 129.
    American College of Sports Medicine Updated Energy Drink Guidelines. Summit Medical Group. Available from: https://www.summitmedicalgroup.com/news/nutrition/american-college-sports-medicine-updated-energy-drink-guidelines/. Accessed January 26, 2019.
  130. 130.
    EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2015. Scientific Opinion on the safety of caffeine. EFSA Journal. 2015;13:4102.Google Scholar
  131. 131.
    Wikoff D, Welsh BT, Henderson R, Brorby GP, Britt J, Myers E, et al. Systematic review of the potential adverse effects of caffeine consumption in healthy adults, pregnant women, adolescents, and children. Food Chemical Toxicol. 2017;109:585–648.Google Scholar
  132. 132.
    ICBA Guidelines for the Composition, Labelling and Responsible Marketing of Energy Drinks. Available from: http://www.icba-net.org/files/resources/energy-drink-guidelines.pdf. Accessed February 05, 2019.
  133. 133.
    UNESDA Code for the Labelling and Marketing of Energy Drinks. UNESDA — Soft Drinks Europe. Available from: https://www.unesda.eu/wp-content/uploads/2018/02/Updated-UNESDA-Energy-Drinks-Code_November-2017.pdf. Accessed January 27, 2019.
  134. 134.
    American Beverage Association. ABA Guidance for the Responsible Labeling and Marketing of Energy Drinks. Available from: https://www.ameribev.org/les/resources/2014-energy-drinks-guidance-approved-by-bod-43020c.pdf. Accessed January 07, 2019.
  135. 135.
    Food Safety and Standards Authority of India. Food Safety and Standards Authority of India proposes regulation of energy drinks, and caffeine (Revised). Available from: https://old.fssai.gov.in/Portals/0/STANDARDS_OF_ENERGY_DRINKS_.pdf. Accessed January 16, 2019.

Copyright information

© Indian Academy of Pediatrics 2019

Authors and Affiliations

  • Piyush Gupta
    • 1
    Email author
  • Dheeraj Shah
    • 1
  • Praveen Kumar
    • 2
  • Nidhi Bedi
    • 3
  • Hema Gupta Mittal
    • 4
  • Kirtisudha Mishra
    • 5
  • Sumaira Khalil
    • 6
  • Ke Elizabeth
    • 7
  • Rupal Dalal
    • 8
  • Rekha Harish
    • 3
  • Upendra Kinjawadekar
    • 9
  • Kristin Indumathi
    • 10
  • Sheetal S. Gandhi
    • 11
  • J. P. Dadhich
    • 12
  • Niranjan Mohanty
    • 13
  • Ajay Gaur
    • 14
  • A. K. Rawat
    • 15
  • Srikanta Basu
    • 2
  • Raghavendra Singh
    • 16
  • R. Remesh Kumar
    • 9
  • Bakul Jayant Parekh
    • 9
  • Santosh T. Soans
    • 9
  • Digant Shastri
    • 9
  • H. P. S. Sachdev
    • 17
  • Pediatric and Adolescent Nutrition Society (Nutrition Chapter) of Indian Academy of Pediatrics
  1. 1.Department of PediatricsUniversity College of Medical Sciences and GTB HospitalDelhiIndia
  2. 2.Department of PediatricsLady Hardinge Medical CollegeNew DelhiIndia
  3. 3.Department of PediatricsHamdard Institute of Medical Sciences and ResearchNew DelhiIndia
  4. 4.Department of PediatricsRam Manohar Lohia HospitalNew DelhiIndia
  5. 5.Department of PediatricsChacha Nehru Bal ChikitsalayaNew DelhiIndia
  6. 6.Department of PediatricsSafdarjang HospitalNew DelhiIndia
  7. 7.Sree Mookambika Institute of Medical SciencesKanyakumariIndia
  8. 8.Department of CTARAIIT and Shrimati Malati Dahanukar TrustMumbaiIndia
  9. 9.Indian Academy of PediatricsMumbaiIndia
  10. 10.SUT HospitalThiruvananthapuramIndia
  11. 11.SolapurIndia
  12. 12.Breastfeeding Promotion Network of IndiaNew DelhiIndia
  13. 13.SCB Medical CollegeUrkal UniversityBhubaneswarIndia
  14. 14.Gajra Raje Medical CollegeGwaliorIndia
  15. 15.BhopalIndia
  16. 16.Maulana Azad Medical CollegeNew DelhiIndia
  17. 17.Department of Pediatrics and Clinical EpidemiologySitaram Bhartia Institute of Sciences and ResearchNew DelhiIndia

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