Five-a-day, a price to pay: An evaluation of the UK program impact accounting for market forces

Capacci, Sara; Mazzocchi, Mario

doi:10.1016/j.jhealeco.2010.10.006

Cited by 112 publications

(105 citation statements)

References 30 publications

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“…Demographic and lifestyle characteristics assessed were: gender, age, marital status, living status, region of residence, number of years of education, smoking habits, alcoholic drinking habits, dietary supplement taking habits, height and weight (used to calculate body mas index) and month of questionnaire completion. These characteristics have all previously been associated with FV consumption and dietary knowledge. The complete questionnaire is provided in Appendix S1.…”

Section: Methodsmentioning

confidence: 99%

Low fruit and vegetable consumption is associated with low knowledge of the details of the 5‐a‐day fruit and vegetable message in the UK: findings from two cross‐sectional questionnaire studies

Appleton

Krumplevska

Smith

et al. 2017

J Human Nutrition Diet

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These findings suggest that, although most of the UK population sampled were aware of the 5-a-day FV message and could recount this correctly, details of the 5-a-day FV message were not well known, and that FV consumption was related to this knowledge. These findings suggest that strategies to increase FV consumption will benefit from increasing UK consumers' knowledge of the details of the 5-a-day FV message.

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Section: Methodsmentioning

confidence: 99%

Low fruit and vegetable consumption is associated with low knowledge of the details of the 5‐a‐day fruit and vegetable message in the UK: findings from two cross‐sectional questionnaire studies

Appleton

Krumplevska

Smith

et al. 2017

J Human Nutrition Diet

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show abstract

“…56 For diet, the econometric analysis of the UK 5 a day marketing campaign, aimed at increasing F&V consumption in the population, concluded that the campaign increased average F&V consumption by 0.3 portions per day. 57 A meta-analysis of randomised controlled trials in retirement age adults increased F&V intake by approximately one portion per day both the short term (less than a year) and long term (more than a year). 58 Translating this kind of evidence for impact assessment is challenging, but required, to estimate the likely effectiveness of different interventions.…”

Section: Unanswered Questions and Future Researchmentioning

confidence: 99%

Mortality, greenhouse gas emissions and consumer cost impacts of combined diet and physical activity scenarios: a health impact assessment study

et al. 2017

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ObjectiveTo quantify changes in mortality, greenhouse gas (GHG) emissions and consumer costs for physical activity and diet scenarios.DesignFor the physical activity scenarios, all car trips from <1 to <8 miles long were progressively replaced with cycling. For the diet scenarios, the study population was assumed to increase fruit and vegetable (F&V) consumption by 1–5 portions of F&V per day, or to eat at least 5 portions per day. Health effects were modelled with the comparative risk assessment method. Consumer costs were based on fuel cost savings and average costs of F&V, and GHG emissions to fuel usage and F&V production.SettingWorking age population for England.ParticipantsData from the Health Survey for England, National Travel Survey and National Diet and Nutrition Survey.Primary outcomes measuredChanges in premature deaths, consumer costs and GHG emissions stratified by age, gender and socioeconomic status (SES).ResultsPremature deaths were reduced by between 75 and 7648 cases per year for the physical activity scenarios, and 3255 and 6187 cases per year for the diet scenarios. Mortality reductions were greater among people of medium and high SES in the physical activity scenarios, whereas people with lower SES benefited more in the diet scenarios. Similarly, transport fuel costs fell more for people of high SES, whereas diet costs increased most for the lowest SES group. Net GHG emissions decreased by between 0.2 and 10.6 million tons of carbon dioxide equivalent (MtCO2e) per year for the physical activity scenarios and increased by between 1.3 and 6.3 MtCO2e/year for the diet scenarios.ConclusionsIncreasing F&V consumption offers the potential for large health benefits and reduces health inequalities. Replacing short car trips with cycling offers the potential for net benefits for health, GHG emissions and consumer costs.

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“…Some examples include food labeling, food reformulation, food taxes and subsidies, income and social protection policies [22]. Agentic approaches have usually targeted the entire population or disadvantaged populations only [50, 51] (e.g. nutrition education and health information campaigns) [22].…”

Section: Discussionmentioning

confidence: 99%

Interventions promoting healthy eating as a tool for reducing social inequalities in diet in low- and middle-income countries: a systematic review

Mayén

Mestral

Zamora

et al. 2016

Int J Equity Health

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IntroductionDiet is a major risk factor for non-communicable diseases (NCDs) and is also strongly patterned by socioeconomic factors. Whether interventions promoting healthy eating reduce social inequalities in diet in low- and middle-income countries (LMICs) remains uncertain. This paper aims to summarize current evidence on interventions promoting healthy eating in LMICs, and to establish whether they reduce social inequalities in diet.MethodsSystematic review of cross-sectional or quasi-experimental studies (pre- and post-assessment of interventions) in Pubmed, Scielo and Google Scholar databases, including adults in LMICs, assessing at least one outcome of healthy eating and showing results stratified by socioeconomic status.ResultsSeven intervention studies including healthy eating promotion, conducted in seven LMICs (Brazil, Chile, Colombia, Iran, Panama, Trinidad and Tobago, and Tunisia), met our inclusion criteria. To promote healthy eating, all interventions used nutrition education and three of them combined nutrition education with improved acces to foods or social support. Interventions targeted mostly women and varied widely regarding communication tools and duration of the nutrition education sessions. Most interventions used printed material, media use or face-to-face training and lasted from 6 weeks to 5 years. Four interventions targeted disadvantaged populations, and three targeted the entire population. In three out of four interventions targeting disadvantaged populations, healthy eating outcomes were improved suggesting they were likely to reduce social inequalities in diet. All interventions directed to the entire population showed improved healthy eating outcomes in all social strata, and were considered as having no impact on social inequalities in diet.ConclusionIn LMICs, agentic interventions promoting healthy eating reduced social inequalities in diet when specifically targeting disadvantaged populations. Further research should assess the impact on social inequalities in diet of a combination of agentic and structural approaches in interventions promoting healthy eating.Electronic supplementary materialThe online version of this article (doi:10.1186/s12939-016-0489-3) contains supplementary material, which is available to authorized users.

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Five-a-day, a price to pay: An evaluation of the UK program impact accounting for market forces

Cited by 112 publications

References 30 publications

Low fruit and vegetable consumption is associated with low knowledge of the details of the 5‐a‐day fruit and vegetable message in the UK: findings from two cross‐sectional questionnaire studies

Low fruit and vegetable consumption is associated with low knowledge of the details of the 5‐a‐day fruit and vegetable message in the UK: findings from two cross‐sectional questionnaire studies

Mortality, greenhouse gas emissions and consumer cost impacts of combined diet and physical activity scenarios: a health impact assessment study

Interventions promoting healthy eating as a tool for reducing social inequalities in diet in low- and middle-income countries: a systematic review

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