BackgroundOver the past three decades the global prevalence of childhood overweight and obesity has increased by 47%. Marketing of energy-dense nutrient-poor foods and beverages contributes to this worldwide increase. Previous research on food marketing to children largely uses self-report, reporting by parents, or third-party observation of children’s environments, with the focus mostly on single settings and/or media. This paper reports on innovative research, Kids’Cam, in which children wore cameras to examine the frequency and nature of everyday exposure to food marketing across multiple media and settings.MethodsKids’Cam was a cross-sectional study of 168 children (mean age 12.6 years, SD = 0.5) in Wellington, New Zealand. Each child wore a wearable camera on four consecutive days, capturing images automatically every seven seconds. Images were manually coded as either recommended (core) or not recommended (non-core) to be marketed to children by setting, marketing medium, and product category. Images in convenience stores and supermarkets were excluded as marketing examples were considered too numerous to count.ResultsOn average, children were exposed to non-core food marketing 27.3 times a day (95% CI 24.8, 30.1) across all settings. This was more than twice their average exposure to core food marketing (12.3 per day, 95% CI 8.7, 17.4). Most non-core exposures occurred at home (33%), in public spaces (30%) and at school (19%). Food packaging was the predominant marketing medium (74% and 64% for core and non-core foods) followed by signs (21% and 28% for core and non-core). Sugary drinks, fast food, confectionary and snack foods were the most commonly encountered non-core foods marketed. Rates were calculated using Poisson regression.ConclusionsChildren in this study were frequently exposed, across multiple settings, to marketing of non-core foods not recommended to be marketed to children. The study provides further evidence of the need for urgent action to reduce children’s exposure to marketing of unhealthy foods, and suggests the settings and media in which to act. Such action is necessary if the Commission on Ending Childhood Obesity’s vision is to be achieved.Electronic supplementary materialThe online version of this article (doi:10.1186/s12966-017-0570-3) contains supplementary material, which is available to authorized users.
This methodology enabled objective analysis of the world in which children live. The main arm examined the frequency and nature of children's exposure to food and beverage marketing and provided data on difficult to measure settings. The methodology will likely generate robust evidence facilitating more effective policymaking to address numerous public health concerns.
The use of lifelogging device in dietary assessments can reduce misreporting and underreporting, which are common in the previous studies conventional methods. We performed the first study in Chinese children (primary school Grade 4) that applied the wearable cameras in assisting dietary recall. Children (n=52) wore the wearable cameras (Narrative Clip 2) for seven consecutive days, during which they completed a 3-day 24-hour dietary recall at home. Then children modified their dietary recalls at school by reviewing the photos taken by the wearable camera at school, with the assistance of the investigator, and generated the camera-assisted 24-hour dietary recalls. Compared with camera-assisted dietary recalls, 8% (n=160) and 1% (n=11) of food items were underreported (i.e. not reported at all) and misreported (i.e. reported in an incorrect amount) by dietary recalls without camera-assistance, respectively. Dietary recalls without camera assistance underestimated daily energy intake by 149±182kcal/d (8%) in comparison to the camera-assisted dietary recalls. Foods consumed on the snacking occasions (40%) were more likely to be underreported than those consumed at main meals (P<0.001). Beverages (37%), fruits (30%), snacks and desserts (16%) were foods most likely to be inaccurately reported. Children were satisfied with the wearable cameras, with a median score 5.0 (IQR: 5.0-5.0) for most features. Wearable cameras hold promise for improving accuracy of dietary intake assessment in children, providing rich objective information on dietary behaviours, and received high level of satisfaction and compliance of the users. Our results suggest that the accuracy of dietary recall among Chinse school-aged children could
Abstract-Smart-phones are becoming our constant companions, they are with us all of the time, being used for calling, web surfing, apps, music listening, TV viewing, social networking, buying, gaming, and a myriad of other uses. Smart-phones are a technology that knows us much better than most of us could imagine. Based on our usage and the fact that we are never far away from our smart phones, they know where we go, who we interact with, what information we consume, and with a little clever software, they can know what we are doing and even why we are doing it. They are beginning to know us better than we know ourselves. In this work we present SenseSeer a generic mobile-cloud-based mobile Lifelogging framework. This framework supports customisable analytic services for sensing the person, understanding the semantics of life activities and the easy deployment of analytic tools and novel interfaces. At present, SenseSeer supports services in many domains, such as personal health monitoring, location tracking, lifestyle analysis and tourism focused applications. This work demonstrate the design principles of SenseSeer and three of its services: My Health, My Location and My Social Activity.
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