Consumption of Sugar-Sweetened Soft Drinks Among Saudi Adults: Assessing Patterns and Identifying Influencing Factors Using Principal Component Analysis


Authors

  • Nada Benajiba Department of Health Sciences, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia
  • Samira M. Mahboub Department of Health Sciences, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia

DOI:

https://doi.org/10.3923/pjn.2019.401.407

Keywords:

Obesity, principal component analysis, Saudi adults, Saudi Arabia, sweetened soft drinks

Abstract

Background and Objective: Previous studies showed that the Saudi population is one of the largest consumers of soft drinks in the Middle East. However, most of these studies explored patterns with very little focus on the factors that influence soft drink consumption. The present study aimed to identify factors associated with sweetened soft drink consumption in Saudi adults and the association between different factors using principal component analysis (PCA). Materials and Methods: A cross-sectional study was performed from July-September 2016 in Saudi Arabia, in which 1,194 eligible adult Saudi participants answered an online questionnaire. Data were collected on the amount and frequency of soft drinks consumed and factors that can influence consumption. All responses were categorized using a 5-points Likert scale. Statistical analysis was performed using SPSS and PCA was performed using orthogonal rotation with a varimax option to identify influencing factors. Results: Sixteen percent of the participants reported that they consumed soft drinks daily or frequently (3-6 times/week). The correlation coefficient between frequency and quantity of consumption was R2 = 0.39 (p<0.0001). Barlett’s test was significant and the KMO test was 0.8. PCA revealed two components with approximately 56.1% combined variance: 14.7% constituted “individual” grouping factors of eating at home and watching TV/electronic device use and 41.4% were attributable to “social-environmental” grouping factors, such as availability, affordability, advertising and social gathering. Conclusion: Patterns of sweetened soft drinks consumption in adult Saudis were complex and influenced by socio-environmental and individual factors. A comprehensive approach focusing on these factors is needed to limit soft drink consumption.

References

Curhan, G.C. and J.P. Forman, 2010. Sugar-sweetened beverages and chronic disease. Kidney Int., 77: 569-570.

Basu, S., M. McKee, G. Galea and D. Stuckler, 2013. Relationship of soft drink consumption to global overweight, obesity and diabetes: A cross-national analysis of 75 countries. Am. J. Public Health, 103: 2071-2077.

Ma, Y., F.J. He, Y. Yin, K.M. Hashem and G.A. MacGregor, 2016. Gradual reduction of sugar in soft drinks without substitution as a strategy to reduce overweight, obesity and type 2 diabetes: A modelling study. Lancet Diabetes Endocrinol., 4: 105-114.

Euromonitor International, 2015. Soft drinks in Saudi Arabia. Country Report, pp: 1-7.

Alqarni, S.S.M., 2016. A review of prevalence of obesity in Saudi Arabia. J. Obes. Eat. Disord., 2: 1-6.

International Diabetes Federation, 2014. IDF diabetes atlas update poster, 2014. 6th Edition. International Diabetes Federation, Brussels, Belgium.

Naeem, Z., 2015. Burden of diabetes mellitus in Saudi Arabia. Int. J. Health Sci., 9: V-VI.

Kingdon of Saudi Arabia, 2018. The national transformational program 2020. https://vision2030.gov.sa/sites/default/files/NTP_En.pdf.

Schneider, K. and I. Hoffmann, 2011. Nutrition ecology-a concept for systemic nutrition research and integrative problem solving. Ecol. Food Nutr., 50: 1-17.

Thorpe, M.G., C.M. Milte, D. Crawford and S.A. McNaughton, 2016. A comparison of the dietary patterns derived by principal component analysis and cluster analysis in older Australians. Int. J. Behav. Nutr. Phys. Activity, Vol. 13, No. 1.

Benajiba, N. and R.S. Eldib, 2018. Exploring attitudes related to sweetened soft drinks consumption among adults in Saudi Arabia. Nutr. Food Sci., 48: 433-441.

Varraso, R., J. Garcia-Aymerich, F. Monier, N. Le Moual and J. De Batlle et al., 2012. Assessment of dietary patterns in nutritional epidemiology: Principal component analysis compared with confirmatory factor analysis. Am. J. Clin. Nutr., 96: 1079-1092.

Kearney, J., 2010. Food consumption trends and drivers. Philos. Trans. R. Soc. Biol. Sci., 365: 2793-2807.

James, D., 2004. Factors influencing food choices, dietary intake and nutrition-related attitudes among African Americans: Application of a culturally sensitive model. Ethnicity Health, 9: 349-367.

Leng, G., R.A.H. Adan, M. Belot, J.M. Brunstrom and K. de Graaf et al., 2017. The determinants of food choice. Proc. Nutr. Soc., 76: 316-327.

Al-Raddadi, R., S. Bahijri, A. Borai and Z. AlRaddadi, 2018. Prevalence of lifestyle practices that might affect bone health in relation to vitamin D status among female Saudi adolescents. Nutrition, 45: 108-113.

Hammad, L.F. and N. Benajiba, 2017. Lifestyle factors influencing bone health in young adult women in Saudi Arabia. Afr. Health Sci., 17: 524-531.

Alsubaie, A.S.R., 2017. Consumption and correlates of sweet foods, carbonated beverages and energy drinks among primary school children in Saudi Arabia. Saudi Med. J., 38: 1045-1050.

Al-Faris, N.A., J.Z. Al-Tamimi, M.O. Al-Jobair and N.M. Al-Shwaiyat, 2015. Trends of fast food consumption among adolescent and young adult Saudi girls living in Riyadh. Food Nutr. Res., Vol. 59, No. 1.

Pettigrew, S., M. Jongenelis, K. Chapman and C. Miller, 2015. Factors influencing the frequency of children's consumption of soft drinks. Appetite, 91: 393-398.

Pollard, J., S.F.L. Kirk and J.E. Cade, 2002. Factors affecting food choice in relation to fruit and vegetable intake: A review. Nutr. Res. Rev., 15: 373-387.

Likert, R., 1932. A technique for the measurement of attitudes. Arch. Psychol., 140: 1-55.

Hu, F.B., 2009. Sugar-sweetened soft drinks consumption and risk of type 2 diabetes and cardiovascular risk. CMR J., 2: 15-18.

Hendel-Paterson, M., S.A. French and M. Story, 2004. Parental attitudes towards soft drink vending machines in high schools. J. Am. Dietetic Assoc., 104: 1597-1600.

Scully, M., B. Morley, P. Niven, D. Crawford, I.S. Pratt and M. Wakefield, 2017. Factors associated with high consumption of soft drinks among Australian secondary-school students. Public Health Nutr., 20: 2340-2348.

Hector, D., A. Rangan, J. Louie, V. Flood and T. Gill, 2009. A NSW centre for public health nutrition project for NSW Health. http://www.cphn.mmb.usyd.edu.au.

Hijazi, N., B. Abalkhail and A. Seaton, 2000. Diet and childhood asthma in a society in transition: A study in urban and rural Saudi Arabia. Thorax, 55: 775-779.

Bere, E., E.S. Glomnes, S.J. te Velde and K.I. Klepp, 2008. Determinants of adolescents’ soft drink consumption. Public Health Nutr., 11: 49-56.

Van der Horst, K., A. Timperio, D. Crawford, R. Roberts, J. Brug and A. Oenema, 2008. The school food environment: Associations with adolescent soft drink and snack consumption. Am. J. Preventive Med., 35: 217-223.

Downloads

Published

15.04.2019

Issue

Section

Research Article

How to Cite

Benajiba, N., & Mahboub, S. M. (2019). Consumption of Sugar-Sweetened Soft Drinks Among Saudi Adults: Assessing Patterns and Identifying Influencing Factors Using Principal Component Analysis. Pakistan Journal of Nutrition, 18(5), 401–407. https://doi.org/10.3923/pjn.2019.401.407