Philadelphia beverage tax: Did it curb childhood obesity?

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Philadelphia beverage tax: Did it curb childhood obesity?
ObesityChildrenMetabolic Syndrome
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The 2017 Philadelphia beverage tax aimed to reduce sugar-sweetened beverage consumption and improve pediatric health. While it significantly reduced sugary drink purchases, its impact on overall pediatric weight was limited, with minor changes observed in specific subgroups.

By Dr. Priyom Bose, Ph.D.Reviewed by Benedette Cuffari, M.Sc.Nov 27 2024 Despite slashing sugary drink sales by over 25%, Philadelphia’s beverage tax reveals nuanced effects on children’s weight, spotlighting the complexity of tackling pediatric obesity.

How does added sugar affect pediatric health? Approximately 65% of children in the United States exceed recommended sugar intake levels due to higher consumption of sugar-sweetened beverages . A higher intake of excess sugar increases the risk of metabolic syndrome, weight gain, and dental caries in children.

About the study Difference-in-differences analyses were performed to estimate how beverage tax impacted the weight of children in Philadelphia as compared to children in Pennsylvania and New Jersey counties where this tax was not imposed. All relevant data were collected from electronic health records from the pediatric health system in the Philadelphia region.

Standardized BMI and obesity prevalence were measured based on standardized guidelines from the U.S. Centers for Disease Control and Prevention . The pre-tax control group, which primarily comprised White children residing in low Yost Index census tracts, exhibited lower zBMI than the Philadelphia cohort. The cross-sectional sample indicated similar differences between Philadelphia and the control group.

The cross-sectional analysis revealed no significant difference in zBMI for children between two and five years of age. However, zBMI increased for children between six and twelve years of age, whereas it was reduced for those between thirteen and eighteen. No change in zBMI was observed by sex.

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