Impacto de políticas de restricción de publi­cidad, promoción y patrocinio de bebidas azucaradas: Una revisión sistemática

Leila Guarnieri; Lucas Perelli; Marcos Clausen; Germán  Guaresti; Natalia  Espinola; Andrea Graciano; Andrea Alacaraz

doi:10.17843/rpmesp.2025.421.14023

Authors

Leila Guarnieri Fundación InterAmericana del Corazón Argentina, Buenos Aires, Argentina https://orcid.org/0000-0001-8120-183X
Lucas Perelli Instituto de Efectividad Clínica y Sanitaria, Departamento de Evaluaciones de Tecnologías Sanitarias, Buenos Aires, Argentina https://orcid.org/0000-0001-6444-4143
Marcos Clausen Hospital Zonal Dr. Ramón Carrillo, Bariloche, Argentina https://orcid.org/0009-0000-1245-5692
Germán Guaresti Universidad Nacional de Río Negro, Sede Andina, Bariloche, Argentina https://orcid.org/0000-0002-5535-3925
Natalia Espinola Instituto de Efectividad Clínica y Sanitaria, Departamento de Evaluaciones de Tecnologías Sanitarias, Buenos Aires, Argentina https://orcid.org/0000-0001-5511-3561
Andrea Graciano Universidad de Buenos Aires, Buenos Aires, Argentina https://orcid.org/0000-0002-4934-6681
Andrea Alcaraz Instituto de Efectividad Clínica y Sanitaria, Departamento de Evaluaciones de Tecnologías Sanitarias, Buenos Aires, Argentina. https://orcid.org/0000-0002-4260-8239

DOI:

https://doi.org/10.17843/rpmesp.2025.421.14023

Keywords:

Sugar-Sweetened Beverages, Advertising, Health policy, Noncommunicable Diseases

Abstract

Objectives. To summarize the evidence on the impact of the implementation of the ban on the advertising, promotion and sponsorship (APS) of sugar-sweetened beverages (SSBs) in terms of decreased consumption, advertising exposure and relevant clinical outcomes. Materials and methods. Systematic review of articles published between 2001-2021 in the PubMed, Embase, Global Health, CINAHL and LILACS databases written in English, Portuguese or Spanish. We included experimental, observational and economic model studies. Risk of bias was assessed using RoB2, Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies, Quality Assessment Tool for Before-After (Pre-Post) Studies With No Control Group and Consolidated Health Economic Evaluation Reporting Standards 2022. We carried out a descriptive synthesis of the studies. Results. We selected 11 out of 1146 identified studies. Due to the heterogeneity of the outcomes, it was not possible to conduct a meta-analysis. The interventions corresponded to a comprehensive policy; restrictions on television advertising, promotions, point-of-sale advertising and advertising in schools. We found changes in clinical outcomes (obesity, cardiovascular disease, diabetes, cancer), economic outcomes (purchase, sale, cost-effectiveness, other economic outcomes), exposure and consumption. Most of the effect measures decreased as
a result of the interventions. More studies on effectively implemented policies are still needed. The results of the included studies should be interpreted taking into account their methodological limitations. Conclusions. Policies to restrict the APS of SSBs may be effective, particularly in reducing their consumption in children and adolescents, with a positive impact on their health.

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