Health awareness concerning soft drinks: Implications for nutritional outcomes among adults in Saudi Arabia
Main Article Content
Keywords
Chronic Diseases; Health Awareness; Nutritional Outcomes; Soft Drinks
Abstract
This study aimed to evaluate the level of health awareness related to soft drink (SD) consumption among adults in
Al-Ahsa, Saudi Arabia, and to explore its relationship with sociodemographic characteristics, expenditure patterns,
and nutritional outcomes measured by body mass index (BMI). A random sample of 370 individuals was selected from
Al-Ahsa Governorate to collect primary data through an electronic questionnaire. The data were investigated using
descriptive statistics, such as frequencies, percentages, Chi-square test, independent samples t-test, ANOVA table, and
Pearson’s correlation. The findings revealed that only 3.5% of the sample consumes Pepsi ‘daily,’ whereas 27.6% of individuals consumed Coca-Cola ‘rarely once a week.’ Generally, the weekly consumption of various SDs is very low. Conversely,
there is a statistically significant disparity of 10% between individuals who consumed SDs and those who perceived a link
between SDs and health risks, such as obesity and diabetes as indicated by Chi-square test (8.94). The results also signify
that while most participants are aware of the adverse effects of SD intake on health—particularly SDs’ link with obesity, diabetes, and nutrient deficiencies, the nutritional outcome remains influenced by sociodemographic factors, such
as age, gender, education, and marital status. Interestingly, the study found no significant association between health
awareness and BMI, suggesting that awareness alone may not directly translate into improved nutritional outcomes.
However, the findings highlight the potential role of fiscal policies, such as the national excise tax on sugary beverages, in
curbing consumption. Participants with greater awareness tended to report lower weekly spending on SDs, reflecting the
impact of both financial and educational interventions. Future research should consider longitudinal designs to assess
behavioral trends over time, incorporate objective nutritional assessment tools, and examine additional lifestyle factors.
References
Al Otaibi, H.H. 2017. Sugar sweetened beverages consumption behavior and knowledge among university students in Saudi Arabia. J Eco Bus Manag. 5(4):173–176. https://doi.org/10.18178/joebm.2017.5.4.507.
Alabdulkader, S., Alzaben, A. S., Almoayad, F., Mortada, E. M., Benajiba, N., Aboul-Enein, B. H., Dodge, E., Bernstein, J., Bawazeer, N. 2024. Evaluating attitudes toward soft drink consumption among adults in Saudi Arabia: FIVE years after selective taxation implementation. Prev Med Rep. 44:102808. https://doi.org/10.1016/j.pmedr.2024.102808
Alghamdi, M., Alshahrani, N. and Alamri, S. 2023. The association between soft drinks consumption and frequency of bone fractures among young adults in western region of Saudi Arabia: a cross-sectional study. Am J Biomed Sci Res. 22(3):223–230. https://doi.org/10.34297/AJBSR.2024.22.003023.
Aljaadi, A.M., Turki, A., Gazzaz, A.Z., Al-Qahtani, F.S., Althumiri, N.A. and Bin Dhimm N.F. 2023. Soft and energy drinks consumption and associated factors in Saudi adults: a national cross-sectional study. Front Nutr. 10:1286633. https://doi.org/10.3389/fnut.2023.1286633
Almatari, A., Asiri, R.K., Shabana, N., Algahwaji, E., Alnahdi, F., Alhadhrami, S., Khairo, Y. and Attiah, M. 2024. The association between soft drinks consumption and frequency of bone fractures among young adults in western region of Saudi Arabia: a cross-sectional study. Am J Biomed Sci Res. 22(6):AJBSR.MS.ID.003023. https://doi.org/10.34297/AJBSR.2024.22.003023.
Alsukait, R., Wilde, P., Bleich, S.N., Singh, G. and Folta, S.C. 2020b. Evaluating Saudi Arabia’s 50% carbonated drink excise tax: changes in prices and volume sales. Eco Human Biol. 38:1–6. https://doi.org/10.1016/j.ehb.2020.100868.
AlTamimi, J.Z., Alshwaiyat, N.M., Alkhalidy, H., AlKehayez, N.M., Alagal, R.I., Alsaikan, R.A., Alsemari, M.A., BinMowyna, M.N. and AlFaris, N.A. 2023. Sugar-sweetened beverages consumption in a multi-ethnic population of young men and association with sociodemographic characteristics and obesity. Int J Environ Res Public Health. 20(6):1–12. https://doi.org/10.3390/ijerph20064861.
Alzaben, A. S., Aljahdali, A. A., Almoayad, F., Benajiba, N., Alabdulkader, S., & Bawazeer, N. M. 2025. Carbonated Beverage Consumption Among Saudi Adults Before and After Implementation of Soft Drink Tax. Journal of Community Health, 1-8. https://doi.org/10.1007/s10900-025-01447-9.
Bärebring, L., Palmqvist, M., Winkvist, A. et al. 2020. Gender differences in perceived food healthiness and food avoidance in a Swedish population-based survey: a cross-sectional study. Nutr J. 19:140. https://doi.org/10.1186/s12937-020-00659-0
Campos-Ramírez C, Ramírez-Amaya V, Olalde-Mendoza L, Palacios-Delgado J, Anaya-Loyola MA. (2020). Soft drink consumption in young Mexican adults is associated with higher total body fat percentage in men but not in women. Foods. 9(12):1760. https://doi.org/10.3390/foods9121760
Dams, J. (2017). Evaluating the effectiveness of sugar tax to combat South African’s sweet tooth. International Journal Of Economics And Finance Studies, 9(2), 83-98. https://doi.org/10.1177/00220345211014463.
DeVellis, R.F. 2003. Scale Development: Theory and Applications, 2nd edn. Thousand Oaks, CA: Sage.
Elizabeth, L., Machado, P., Zinöcker, M., Baker, P., & Lawrence, M. (2020). Ultra-processed foods and health outcomes: a narrative review. Nutrients, 12(7), 1955. https://doi.org/10.3390/nu12071955.
General Authority for Statistics (GASTAT). 2018. Saudi Health Interview Survey Results. GASTAT, Riyadh, Saudi Arabia.
Islam, M.D.A., Al-karasneh, A.F., Hussain, A., Muhanna, A., Albu-hulayqah, T., Naqvi, A.A., Iqbal, M.S., Farooqui, M.E., Elrggal, M., Mahmoud, M.A. and Haseeb, A. 2020. Assessment of beverage consumption by young adults in Saudi Arabia. Saudi Pharm J. 28:1635–1647. https://doi.org/10.1016/j.jsps.2020.10.010.
Jalloun, R. A., & Qurban, M. A. (2022). The impact of taxes on soft drinks on adult consumption and weight outcomes in Medina, Saudi Arabia. Human Nutrition & Metabolism, 27, 200139. https://doi.org/10.1016/j.hnm.2022.200139.
Kiefer, I., Rathmanner, T. and Kunze, M. 2005. Eating and dieting differences in men and women. J Men Health Gender. 2(2):194–201. https://doi.org/10.1016/j.jmhg.2005.04.010
Malik, V.S., Hu, F.B. and Willett, W.C. 2013. Sugar-sweetened beverages and weight gain in children and adults: A systematic review and meta-analysis. Lancet Diabetes Endocrinol. 10(6):433–445. https://doi.org/10.1016/S2213-8587(21)00304-6.
Megally, R. and Al-Jawaldeh, A. 2020. Impact of sin taxes on consumption volumes of sweetened beverages and soft drinks in Saudi Arabia. F1000Res. 9:1117. https://doi.org/10.12688/f1000research.25853.2.
Regassa, I.F., Endris, B.S., Habtemariam, E., Hassen, H.Y. and Ghebreyesus, S.H. 2021. Development and validation of food frequency questionnaire for food and nutrient intakes of adults in Butajira, Southern Ethiopia. J Nutr Sci. 10:1–13. https://doi.org/10.1017/jns.2021.94
Rivard, C., Smith, D., McCann, S.E. and Hyland, A. 2012. Taxing sugar-sweetened beverages: a survey of knowledge, attitudes and behaviours. Public Health Nutr. 15(8):1355–1361. doi:10.1017/S1368980011002898.
Roberto, C.A., Lawman, H.G., LeVasseur, M.T., Mitra, N., Peterhans, A., Herring, B. and Bleich, S.N. 2019. Association of a beverage tax on sugar-sweetened and artificially sweetened beverages with changes in beverage prices and sales at chain retailers in a large urban setting. JAMA 321(18):1799–1810. doi:10.1001/jama.2019.4249.
Robinson, J. Likert scale In: Maggino F, editor. 2024. Encyclopedia of Quality of Life and Well-Being Research Cham: Springer, pp. 3917–3918) https://doi.org/10.1007/978-3-031-17299-1_1654
Sandri, E., Pardo, J., Cantín Larumbe, E., Cerdá Olmedo, G. and Falcó, A. 2024. Analysis of the influence of educational level on the nutritional status and lifestyle habits of the young Spanish population. Front Public Health. 12:1341420. https://doi.org/10.3389/fpubh.2024.1341420.
Santos, L. P., Gigante, D. P., Delpino, F. M., Maciel, A. P., & Bielemann, R. M. 2022. Sugar sweetened beverages intake and risk of obesity and cardiometabolic diseases in longitudinal studies: a systematic review and meta-analysis with 1.5 million individuals. Clinical nutrition ESPEN, 51, 128-142. https://doi.org/10.1016/j.clnesp.2022.08.021.
Sarhan, M. M., Aljohani, S. A., Alnazzawi, Y. A., Alharbi, N. A., Alotaibi, S. E., Alhujaili, A. S., & Alwadi, M. A. M. 2024. Individuals’ perceptions of the factors linked to everyday soft drink consumption among university students: qualitative study. Frontiers in Nutrition, 11, 1388918. https://doi.org/10.3389/fnut.2024.1388918.
Sawyer, L., Oddo, V.M., Frett,s A., Knox, M.A., Chan, N., Saelens, B.E. and Jones-Smith, J.C. 2022. Impacts of the Seattle sweetened beverage tax on the perceived healthfulness of sweetened beverages. Nutrients. 993(14):1–12. doi: 10.3390/nu14050993.
Scully, M., Morley, B., Niven, P., Crawford, D., Pratt, I.S., Wakefield, M. 2017. Factors associated with high consumption of soft drinks among Australian secondary-school students. Public Health Nutr. 20(13):2340–2348. https://doi.org/10.1017/S1368980017000118
Sekaran, U. and Bougie, R. 2016. Research Methods for Business – A Skill Building Approach, 7th edn. New York, NY: John Wiley.
Silva, G.M.S.W. and Premathilaka, U.L.R.R.W. 2016. Factors associated with soft drink consumption in preschool-aged children in Sri Lanka. Int J Innov Res Technol (IJIRT). 3:182–186.
Tahmassebi, J.F. and BaniHani, A. 2020. Impact of soft drinks to health and economy: a critical review. Int J Dent Res. 9(4):187–196. https://doi.org/10.1007/s40368-019-00458-0.
Teng, A.M., Jones, A.C., Mizdrak, A., Signal, L., Genç Genc, M. and Wilson, N. 2019. Impact of sugar‐sweetened beverage taxes on purchases anddietary intake: systematic review and meta‐analysis. Obes Rev. 20(9):1187–1204. https://doi.org/10.1111/obr.12868.
Thompson, S.K. 2012. Sampling. 3rd ed. Hoboken (NJ): John Wiley & Sons; p:59-60.
World Health Organization (WHO). 2017. Fiscal policies for diet and prevention of noncommunicable diseases. WHO report. WHO, Geneva, Switzerland. ISBN: 978-92-4-151124-7.
World Health Organization (WHO). 2021. Obesity and overweight. WHO fact sheet. WHO, Geneva, Switzerland.
World Health Organization (WHO). 2023a. Global status report on noncommunicable diseases. WHO, Geneva, Switzerland.
World Health Organization (WHO). 2023b. Noncommunicable diseases country profiles: Saudi Arabia. WHO. Available from https://www.who.int/publications/i/item/9789240074729. Accessed 5 Jun 2025.
Yaghi, N., Boulos, C., Baddoura, R., Abifadel, M. and Yaghi, C. 2022. Validity and reliability of a food frequency questionnaire for community dwelling older adults in a Mediterranean country: Lebanon. Nutr J. 21:1–13. https://doi.org/10.1186/s12937-022-00788-8
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