Physician groups call for taxes and regulations on kids’ access to sugary drinks


Physicians’ groups have long taken a stand against high consumption of sugary drinks in the United States — and now they are calling for several policies to limit access to sugar-sweetened beverages among children and teens.

The American Academy of Pediatrics and the American Heart Association released policy recommendations on Monday targeted at federal, state and local lawmakers, encouraging them to implement policies that would reduce children’s intake of sugary drinks, such as sodas, sports drinks and juice.

The policy statement is the first time AAP has recommended taxes on sugary drinks, it said.

I talk with my patients and their families all the time about the health harms of sugary drinks and the advantage of drinking primarily water and milk. But still, sugary drinks are a mainstay in many children’s diets. They are inexpensive, easy to find, heavily marketed, and taste sweet, so children like them, said Dr. Natalie Muth, a practicing pediatrician and registered dietitian in Carlsbad, California, who was lead author of the policy statement, published in the journal Pediatrics.

At the same time, pediatricians are diagnosing type 2 diabetes, fatty liver disease, and high cholesterol in our young patients. These are health problems that we rarely saw in children in the past. These are health problems associated with high sugar intake, Muth said.

We have tried, and failed, to curb sugary drink intake through education and individual choices alone, she said. Just like policy changes were necessary and effective in reducing consumption of tobacco and alcohol, we need policy changes that will help reduce sugary drink consumption in children and adolescents.

The policy statement specifically calls for:

  • an excise tax on sugar-sweetened beverages;
  • federal and state governments to support a decrease in marketing of sugary drinks to children and teens;
  • federal nutrition assistance programs to ensure access to healthy foods and discourage consumption of sugar-sweetened drinks;
  • regulations that require added sugars content to be included on nutrition labels, restaurant menus, and advertisements;
  • making healthy beverages, like milk and water, the default on children’s menus;
  • and an implementation of policies in hospitals to limit or disincentivize purchasing sugary drinks.

Out of all of those policy recommendations, Muth said that a sugary drink excise tax has the greatest evidence and precedent to be most impactful.

We know that an increase in price leads to a decrease in consumption, she said. We know from the examples of communities where a sugary tax has already been implemented, such as Mexico and Berkeley, California.


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