DEPARTMENT OF NUTRITION AND FOOD SCIENCE

UNIVERSITY OF GHANA, LEGON

The Relationship between Sugar-sweetened beverages (SSBs) intake and nutritional status
of school-aged children (6-12 years)

Location: ..................................... Date: ...........................

Name of student: ..................................... Student #: .................................
School: ..................................... Interviewers: .....................................

Introduction:
We are undertaking a research project to learn more about the relationship between Sugar-
Sweetened Beverage (SSB) consumption and how it affects school age children’s health. Answers
provided to these questions will help with the better understanding of the project topic and help to
add more knowledge to already existing literature. Remember, there are no right or wrong answers.

SECTION 1: GENERAL INFORMATION

1. How old are you? [ ]

2. Gender? 1= Male 2=Female [ ]

3. Tribe: 1= Akan 2= Ga/Adangbe 3= Ewe 4 =Northern ethnicity 5= Foreigner (specify where

from) [ ]

4. Class [ ]

5. Religion: 1= Christian 2= Muslim 3= Traditional 4= other(specify) [ ]

6. Parent’s/ Guardian’s occupation: 0=None 1= Professional 2=Trader/Business 3= Manual

worker 4= Agriculture [ ]
SECTION 2: HEALTH AND WELL-BEING

7. Have you been sick or not feeling well for the past 3 months? 1=Yes 0=No [ ]
if yes to question 7 answer the following. Select all that apply.

CONDITION RESPONSE (YES= 1; NO=0)

a.Tiredness or lack of energy
b. Fever
c. Tooth decay/ dental problem
d. Stomachache
e. Loss of weight
f. Other (specify)

8. What do you think are some benefits of drinking sugar sweetened beverages? (List as many as
you can)
a) ............................................................................................................................................
b) .............................................................................................................................................
c) ................................................................................................................................................

9. What do you think are some disadvantages of drinking any Sugar sweetened Beverage?(list as
many as you can)
a) .................................................................................................................................................
b) ................................................................................................................................................
c) ................................................................................................................................................

10. Do you think drinking SSBs affects your health or well-being?

a) Yes, it makes me feel better

b) Yes, it makes me feel worse

c) No, it doesn't make a difference

d) I'm not sure

11. Do you know that drinking too many SSBs can have negative effects on your health?

a) Yes, I know

b) No, I didn't know

c) I'm not sure

12. How often do you exercise or engage in sports?

a) Every day

b) A few times a week

c) Occasionally

d) Rarely

e) Never

13. How many hours of sleep do you typically get on a school night?

a) Less than 6 hours

b) 6-8 hours

c) 8-10 hours

d) More than 10 hours

14. How many hours do you spend watching TV, playing video games, or using electronic devices
on a school day?

a) Less than 1 hour

b) 1-2 hours

c) 2-3 hours

d) More than 3 hours

e) Never
.15. How many hours do you spend watching TV, playing video games, or using electronic devices
on a weekends or non-school days?

a) Less than 1 hour

b) 1-2 hours

c) 2-3 hours

d) More than 3 hours

e) Never

16.How often do you have breakfast?

a) Every day

b) 3-4 times per week

c) 1-2 times per week

d) Rarely (once a month)

e) Never

17. Do you have any known health conditions or allergies? ? 1=Yes 0=No [ ]
If yes, please specify. _______

18. How many times do you normally eat in a day? [ ]

19. How often do you buy SSBs in school per week? [ ]

20. Are your parents or guardians aware of your soft drink consumption habits?

a) Yes, they are fully aware

b) They have some knowledge but not fully aware

c) No, they are not aware

19) How often do your parents or guardians provide you with soft drinks at home?
a) Daily

b) 3-4 times per week

c) 1-2 times per week

d) Rarely (once a month)

e) Never

20. Is there anything else you would like to share or any additional comments you would like to
make about sugar-sweetened beverages?

a) .................................................................................................................................................
b) ................................................................................................................................................
c) ................................................................................................................................................

SECTION 3: OBSERVATIONS BY RESEARCHERS:

21.Do you see SSBs being sold on the school compound? 1=Yes 0=No [ ]

22. Do you see SSBs being sold around the school? 1=Yes 0=No [ ]
 DEPARTMENT OF NUTRITION AND FOOD SCIENCE

UNIVERSITY OF GHANA, LEGON

The Relationship between Sugar-sweetened beverages (SSBs) intake and nutritional status of school-aged children (6-12 years)

Location: ..................................... Date: ...........................

Name of student: ..................................... Student #: ................................. School: .....................................
Interviewers: .....................................
SECTION 4: DIETARY ASSESSMENT (24 – HOUR RECALL)
Participant information: Sex: 1=Female [ ] 2=Male [ ] Age=[ ]
I am going to ask you about all the food and beverages you consumed yesterday from the time you got up to the time you went to sleep.
I want to know everything you ate and drank whether meal or snack, no matter how small. I will also ask you to estimate how much you
ate for each food. Let’s start with the first thing you ate yesterday after waking up. What time did you first eat something when you got
up?
Approximate time of Food or beverages consumed Was it a Meal or Food model quantity Estimated quantity in
eating event Snack (e.g.½ ball model) grams
 DEPARTMENT OF NUTRITION AND FOOD SCIENCE

UNIVERSITY OF GHANA, LEGON

The Relationship between Sugar sweetened beverages (SSBs) intake and nutritional status of school-aged children (6-12 years)
Location: ..................................... Date: ...........................
Name of student: ..................................... Student #: .................................
School: ..................................... Interviewers: .....................................

SECTION 5: MODIFIED FOOD FREQUENCY QUESTIONNAIRE (SUGAR-SWEETENED BEVERAGES)

Participant information: Sex: 1=Female [ ] 2=Male [ ] Age = [ ] years
We would like to know how often you drink different kinds of sugar-sweetened beverages. Please look at each category of beverages
listed below and choose “how often” and “how much each time” in the past month. If you don't drink a particular type of beverage,
mark, 0 = Never, 1=1-3 times per month ,2=5-6 times per week, 3=3-4 times per week, 4=1-2 times per week, 5=Once per day,6=2-3
times per day in the table below.

BEVERAGE HOW OFTEN HOW MUCH EACH TIME

CATEGORIES 2-3 Once 1-2 times 3-4 5-6 1-3 times Never Less 250ml 330ml 500ml
times per day per week times times per month than
per day per week per week 150ml
Water or
unsweetened
sparkling water
100% fruit juice
(fresh mango
juice)
 2-3 Once 1-2 times 3-4 5-6 1-3 times Never Less 250ml 330ml 500ml
times per day per week times times per month than
per day per week per week 150ml
Flavored juice
beverages
(Kalyppo,
juicee, happy
delight)
Milk beverage
(yoghurt,
brukina,
vitamilk)
Carbonated soft
drinks (coke,
malt, fanta)
Tea or coffee,
with cream and
or sugar
(includes non-
dairy creamer)
Energy and
sports drinks
(Rush,
Lucozade)
Local drinks
(sobolo, asana,
lamugin)
Other (list):
DEPARTMENT OF NUTRITION AND FOOD SCIENCE

UNIVERSITY OF GHANA, LEGON

The Relationship between Sugar sweetened beverages (SSBs) intake and nutritional status
of school-aged children (6-12 years)

Location: ..................................... Date: ...........................

Name of student: ..................................... Student #: .................................
School: ..................................... Interviewers: .....................................

SECTION 6: ANTHROPOMETRY ASSESSMENT

Sex: 1=Female [ ] 2=Male [ ] Age : ..............................................
Measure : Measurement 1 Measurement 2 Measurement 3

I. Weight (kg)
Measurement 1 |____|____|____|. |____|
Measurement 2 |____|____|____|. |____|
Measurement 3 |____|____|____|. |____|

II. Height (cm)

Measurement 1 |____|____|____|. |____|
Measurement 2 |____|____|____|. |____|
Measurement 3 |____|____|____|. |____|