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Question 1: What is the best strategy to promote water consumption in children?
  1. Joana Kist-van Holthe,
  2. Teatske Altenburg,
  3. Mai Chinapaw
  1. Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands
  1. Correspondence to Joana Kist-van Holthe, Department of Public and Occupational Health and the EMGO Institute for Health and Care Research, VU University Medical Center, van der Boechorststraat 7, Amsterdam 1081BT, The Netherlands; j.kist{at}

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Mario is obese and drinks over 1 L of sweetened beverages a day. His mother is worried about her son because she is obese as well and was just diagnosed with type 2 diabetes. She has read that sugar-containing beverage intake is linked to obesity in childhood. She wonders if there is a way to get Mario to drink water instead of sweetened beverages and asks your opinion.

Structured clinical question

In children and adolescents (0–18 years) (patient), how should we promote water drinking (intervention) to increase water intake (outcome)?


Secondary sources (Cochrane Library): nil.

Search strategy MEDLINE (to October 2015) ‘water’ and ‘drink’ and ‘children’ yielded 292 hits, of which 7 were relevant; ‘water’ and ‘encourage*’ and ‘children’ with limit ‘clinical study’ produced 274 hits and revealed two additional studies; ‘water’ and ‘promot*’ with limit ‘clinical study’ produced 126 hits …

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  • Contributors JK-vH performed the search; JK-vH and TA independently checked all titles and abstracts; TA and MC performed quality assessment; JK-vH drafted the manuscript; all authors revised and approved the manuscript.

  • Funding Netherlands Organization for Health Research and Development (ZonMw 91211057).

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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