{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T11:40:23Z","timestamp":1792410023721,"version":"4.4.0"},"reference-count":35,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"unspecified","delay-in-days":291,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Sugar-sweetened beverage (SSB) consumption is increasing across South Asia, alongside a growing burden of diet-related non-communicable diseases. Although countries in the region have introduced measures including taxation, nutrition labelling and restrictions in institutional settings, policies remain fragmented and implementation is uneven. Drawing on lessons from tobacco control, we propose Surveil, Protect, Offer, Warn, Enforce, and Raise (S-POWER) as an implementation framework to strengthen SSB regulation in South Asia. S-POWER brings together six complementary policy domains: surveillance of consumption and policy impact; protection of children from unhealthy food environments; provision of healthier alternatives; front-of-pack nutrition labelling; restrictions on marketing and promotion and health-oriented taxation. Rather than proposing new policy instruments, the framework seeks to connect existing evidence-based measures within a coherent regulatory approach. S-POWER may provide a practical basis for strengthening policy implementation in South Asia and other settings facing similar nutrition transitions and commercial pressures.<\/jats:p>","DOI":"10.1017\/s1368980026103644","type":"journal-article","created":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T10:47:34Z","timestamp":1792406854000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["From MPOWER to S-POWER: adapting tobacco-control frameworks for sugar-sweetened beverage regulation in South Asia"],"prefix":"10.1017","volume":"29","author":[{"given":"Rumana","family":"Huque","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00sv97b10","id-type":"ROR","asserted-by":"publisher"}],"name":"ARK Foundation"},{"id":[{"id":"https:\/\/ror.org\/05wv2vq37","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Dhaka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2083-2253","authenticated-orcid":false,"given":"S.M.","family":"Abdullah","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00sv97b10","id-type":"ROR","asserted-by":"publisher"}],"name":"ARK Foundation"},{"id":[{"id":"https:\/\/ror.org\/05wv2vq37","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Dhaka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5364-4366","authenticated-orcid":false,"given":"Romaina","family":"Iqbal","sequence":"additional","affiliation":[{"name":"Aga Khan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nisha","family":"Arunatilake","sequence":"additional","affiliation":[{"name":"Institute of Policy Studies of Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghanshyam","family":"Gautam","sequence":"additional","affiliation":[{"name":"HERD International"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi","family":"Mehrotra","sequence":"additional","affiliation":[{"name":"Centre for Health Innovation and Policy Foundation"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,10,19]]},"reference":[{"key":"S1368980026103644_ref13","unstructured":"13. 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UNICEF; available at https:\/\/knowledge.unicef.org\/child-nutrition-and-development\/protecting-children-unhealthy-food-marketing-toolkit-11 (accessed August 26 2026)."},{"key":"S1368980026103644_ref27","doi-asserted-by":"publisher","DOI":"10.3390\/nu16172819"},{"key":"S1368980026103644_ref11","unstructured":"11. World Health Organization (2025) The MPOWER measures. World Health Organization; available at https:\/\/www.who.int\/initiatives\/mpower (accessed April 2026)."},{"key":"S1368980026103644_ref20","first-page":"CD012292","article-title":"Environmental interventions to reduce the consumption of sugar-sweetened beverages and their effects on health","volume":"6","author":"von Philipsborn","year":"2019","journal-title":"Cochrane Database Syst Rev."},{"key":"S1368980026103644_ref10","doi-asserted-by":"publisher","DOI":"10.1186\/s40795-026-01444-8"},{"key":"S1368980026103644_ref15","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12098"},{"key":"S1368980026103644_ref35","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(17)30045-2"},{"key":"S1368980026103644_ref30","unstructured":"30. WHO Framework Convention on Tobacco Control. Framework Convention on Tobacco Control; available at https:\/\/fctc.who.int\/who-fctc\/overview\/parties (accessed August 2025)."},{"key":"S1368980026103644_ref25","unstructured":"25. World Health Organization (WHO) (2026) Healthy diet."},{"key":"S1368980026103644_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2018.02.027"},{"key":"S1368980026103644_ref29","unstructured":"29. World Health Organization Framework Convention on Tobacco Control (2025) Implementation Database for the WHO FCTC. WHO Framework Convention on Tobacco Control; available at https:\/\/extranet.who.int\/fctcapps\/fctcapps\/fctc\/implementation-database\/parties\/pakistan#:~:text=Basic%20facts,Population%20(in%20thousands):%20193000 (accessed Summer 2026)."},{"key":"S1368980026103644_ref14","unstructured":"14. The Hindu Bureau (2026) Supreme Court asks FSSAI to consider warning labels for packaged foods high in sugar, salt and saturated fat. 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Published by Cambridge University Press on behalf of The Nutrition Society","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided that no alterations are made and the original article is properly cited. The written permission of Cambridge University Press or the rights holder(s) must be obtained prior to any commercial use and\/or adaptation of the article.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e198"}}