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Development and validation of the healthy beverage index for Chinese children
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Xue-ting LIU1, Xiao-yu WANG1, 2, 3, Yu-jie XU1, 3, Jing-yuan XIONG2, 4, Guo CHENG1, 3
Modern Preventive Medicine | 2025, 52(24) : 4479 - 4487
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Modern Preventive Medicine | 2025, 52(24): 4479-4487
• Nutrition and Food Hygiene •
Development and validation of the healthy beverage index for Chinese children
Full
Xue-ting LIU1, Xiao-yu WANG1, 2, 3, Yu-jie XU1, 3, Jing-yuan XIONG2, 4, Guo CHENG1, 3
Affiliations
  • West China Women and Children Nutrition Center, West China Second Hospital, Sichuan University, Chengdu, Sichuan 610041, China
Published: 2025-12-25 doi: 10.20043/j.cnki.MPM.202507224
Outline
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Objective

To develop a comprehensive index for evaluating the beverage intake quality of Chinese children and assess its reliability and validity.

Methods

Using data on commercially available children’s beverages in China collected through both online and offline channels, beverage scores were calculated for different beverage categories. Based on these scores and relevant domestic and international recommendations, CCHBI was established. Leveraging publicly available data from the China Health and Nutrition Survey and referencing the validity and reliability evaluation methods of the Healthy Beverage Index for American Children, the validity and reliability of CHNS were assessed in terms of construct validity, discriminant validity, and internal consistency.

Results

The CCHBI comprised four assessment dimensions—beverages, added sugars, water intake, and knowledge/attitudes—with 14 indicators, yielding a total score range of -77 to 19 points. Children with higher CCHBI scores exhibited water consumption more aligned with recommended standards and tended to choose healthier beverages such as 100% pure fruit juice. The index identified five distinct beverage consumption patterns, reflecting diversity in intake. The CCHBI demonstrated strong discriminant validity, differentiating beverage quality across sociodemographic factors such as residential location and maternal education level (Ps<0.05). Children with poor beverage intake quality exhibited an increased risk of overweight/obesity, confirming criterion validity. The standardized and non-standardized Cronbach α coefficients were 0.63 and 0.67, respectively, indicating acceptable internal consistency.

Conclusion

The CCHBI effectively reflects beverage intake quality and consumption habits among Chinese children, with satisfactory reliability and validity.

Beverage intake quality  /  Health beverage index  /  Chinese children
刘雪婷, 汪晓语, 徐裕杰, 熊静远, 成果. 中国儿童健康饮料指数的建立与验证. 现代预防医学, 2025 , 52 (24) : 4479 -4487 . DOI: 10.20043/j.cnki.MPM.202507224
Xue-ting LIU, Xiao-yu WANG, Yu-jie XU, Jing-yuan XIONG, Guo CHENG. Development and validation of the healthy beverage index for Chinese children[J]. Modern Preventive Medicine, 2025 , 52 (24) : 4479 -4487 . DOI: 10.20043/j.cnki.MPM.202507224
Year 2025 volume 52 Issue 24
22
11
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Article Info
doi: 10.20043/j.cnki.MPM.202507224
  • Receive Date:2025-07-15
  • Online Date:2026-11-02
  • Published:2025-12-25
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  • Received:2025-07-15
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    West China Women and Children Nutrition Center, West China Second Hospital, Sichuan University, Chengdu, Sichuan 610041, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
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Percentage of
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属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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