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Food and health

The sugar content of children’s and lunchbox beverages sold in the UK before and after the soft drink industry levy



Childhood obesity is associated with an increased intake of sugary soft drinks and juice drinks. The aims of this study were (1) to report the sugar and energy content in commercial fruit juice (FJ), juice drinks (JDs) and smoothies (S) specifically targeted at children in the UK, (2) to identify beverages liable for the soft drinks industry levy (SDIL) and (3) to compare the amount of sugar in these beverages before and after the levy.


The beverages were retrieved using the online shopping tool, my Supermarket, websites of nine major supermarkets in the UK and manufacturers webpages. Comparisons of sugar content were taken before and after the introduction of the SDIL.


131 FJJDS fulfilled the inclusion criteria. The mean sugar content of all the beverages was 6.3 g ± 4.5/100 mL. There was large variation in the sugar content from 0.1 g/100 mL to 15.2 g/100 mL, with smoothies found to contain the most sugar (11.55 ± 1.62 g/mL). The beverages were reanalysed in September 2018 to determine their eligibility for the SDIL. Of the 131 products only seven JDs were eligible for the levy. Four of these beverages had reformulated their ingredients since the initial analysis resulting in a sugar content of <5 g/100 mL.


The majority of the beverages targeted at children and children’s lunch boxes were not eligible for the SDIL. This study suggests the necessity to adapt the SDIL to include all FJJDS aimed at children as the total sugar content of these beverages are still above the recommended quantities for this age group.

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  1. 1.

    WHO. Taking action on childhood obesity. 2018. Accessed Oct 2018.

  2. 2.

    Health and Social Care Information Centre. National Child Measurement Programme, England 2017/18. 2018 Accessed Jan 2019.

  3. 3.

    Malik S, Pan A, Willett WHF. Sugar-sweetened beverages and weight gain in children and adults: a systematic review and meta-analysis. Am J Clin Nutr 2013;98:1084–102.

    CAS  Article  Google Scholar 

  4. 4.

    Lifshitz F. Obesity in Children. J Clin Res Pediatric Endo 2008;1:53–60.

    Article  Google Scholar 

  5. 5.

    Bes-Rastrollo M, Sayon-Orea C, Ruiz-Canela M, Martinez-Gonzalez MA. Impact of sugars and sugar taxation on body weight control: A comprehensive literature review. Obesity 2006;24:1410–26.

    Article  Google Scholar 

  6. 6.

    Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Bhadoria AS. Childhood obesity: causes and consequences. J Fam Med Prim Care 2015;4:187–92.

    Article  Google Scholar 

  7. 7.

    Scientific Advisory Committee on Nutrition. Carbohydrates and Health. The Stationary Office. 2015.

  8. 8.

    Public Health England. Health matters: child dental health—GOV.UK. 2018. Accessed Jan 2019.

  9. 9.

    British Nutrition Foundation. Perfect portions for toddler tums. 2014. Toddler Eatwell Leaflet_OL.pdf. 2014. Accessed Feb 2019.

  10. 10.

    Public Health England. National Diet and Nutrition Survey. Results from Years 7 and 8 (combined) of the Rolling Programme (2014/2015 to 2015/2016). 2018 Accessed Oct 2018.

  11. 11.

    Vieux F, Maillot M, Constant F, Drewnowski A. Water and beverage consumption patterns among 4 to 13-year-old children in the United Kingdom. BMC Public Health 2017;17:479.

    Article  Google Scholar 

  12. 12.

    HM Government. Childhood Obesity A Plan for Action. 2016. Accessed Feb 2019.

  13. 13.

    UK Government. Soft Drinks Industry Levy comes into effect—GOV.UK. 2018. Accessed Feb 2019.

  14. 14.

    HM Revenue & Customs. (2018) Check if your drink is liable for the Soft Drinks Industry Levy—GOV.UK. 2018. Accessed Feb 2019.

  15. 15.

    Boulton J, Hashem KM, Jenner KH, Lloyd-Williams F, Bromley H, Capewell S. How much sugar is hidden in drinks marketed to children? A survey of fruit juices, juice drinks and smoothies. BMJ Open 2016;6:1–5.

    Article  Google Scholar 

  16. 16.

    British Soft Drinks Association (BSDA). Fruit Juice Technical Guidance—1st ed. 2016; (May): 1–36.

  17. 17.

    Buttris J Why 5%? An explanation of SACN’s recommendations about sugars and health Public Health England. 2015 Accessed Feb 2019.

  18. 18.

    Gill JMR, Sattar N. Fruit juice: just another sugary drink? Lancet Diabetes Endocrinol 2014;2:444–6.

    Article  Google Scholar 

  19. 19.

    Mintel Store. UK Fruit Juice, Juice Drinks and Smoothies Industry Report. 2016. Accessed Dec 2018.

  20. 20.

    Du M, Tugendhaft A, Erzse A, Hofman KJ. Sugar-sweetened beverage taxes: industry response and tactics. Yale J Biol Med 2018;91:185–90.

    PubMed  PubMed Central  Google Scholar 

  21. 21.

    Moran AJ, Roberto CA. Health Warning Labels Correct Parents’ Misperceptions About Sugary Drink Options. Am J Prev Med 2018;55:e19–27.

    Article  Google Scholar 

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Author information




SEH and MEC developed the research question, BTYC and CPI collected the data. All authors contributed to the analysis of the findings of the paper and wrote the paper. All authors approved the final submission.

Corresponding author

Correspondence to Miriam E. Clegg.

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The authors declare that they have no conflict of interest.

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Chu, B.T.Y., Irigaray, C.P., Hillier, S.E. et al. The sugar content of children’s and lunchbox beverages sold in the UK before and after the soft drink industry levy. Eur J Clin Nutr 74, 598–603 (2020).

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