Protecting Children from Harmful Food Marketing: Options for Local Government to Make a Difference

Harris, Jennifer L.; Graff, Samantha

doi:10.1201/b18225-16

Cited by 26 publications

(10 citation statements)

References 60 publications

(56 reference statements)

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“…Five studies ( Anderson et al, 2005 , Evans et al, 2010 , Fahlman et al, 2008 , Francis et al, 2010 , van de Gaar et al, 2014 ) were included that investigated the sugar intake of elementary school- aged children as taught through a curriculum approach, experiential learning and provision of fruits and vegetables at school. The sugar consumption was reported through the variables of: (1) sugar-sweetened beverage consumption; (2) 24-hour dietary recalls; and (3) self-reported intake of sugary foods.…”

Section: Resultsmentioning

confidence: 99%

The effect of teacher-delivered nutrition education programs on elementary-aged students: An updated systematic review and meta-analysis

Cotton

Dudley

Peralta

et al. 2020

Preventive Medicine Reports

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Research shows that schools can make a positive impact on children’s nutritional outcomes. However, it is also reported that schools and teaching staff note many barriers, which may restrict nutritional education programming and delivery. This is concerning, considering the view that teachers are the key agents for promoting health and nutrition within schools. The purpose of the updated systematic review and meta-analysis was to ascertain the impact that nutrition education programs have on elementary-aged students’ energy intake, fruit, vegetable, sugar consumption and nutritional knowledge. A systematic literature search was conducted using electronic databases (The Cochrane Central Register of Controlled Trials (CENTRAL); A + Education; ERIC; PsycINFO; MEDLINE; ProQuest Central, Journals@Ovid and SAGE Health Sciences Full-Text Collection) from 1990 to 31st October 2018. This process yielded 34 studies for inclusion in this systematic review and meta-analysis. Of these studies, seven studies had a focus on energy intake, five had a focus on sugar consumption, 21 of the studies looked at fruit and vegetable consumption and 13 studies focused on nutritional knowledge. The results suggest that the teaching of nutrition education in elementary schools by qualified teachers can make an important contribution to the knowledge and dietary habits of children. The small and medium effect sizes indicate that prudent, evidence-based decisions need to be made by policy makers and pedagogues as to the teaching strategies employed when delivering nutrition education programs to elementary-aged students. The review is reported in accordance to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (van Sluijs et al., 2007).

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Section: Resultsmentioning

confidence: 99%

The effect of teacher-delivered nutrition education programs on elementary-aged students: An updated systematic review and meta-analysis

Cotton

Dudley

Peralta

et al. 2020

Preventive Medicine Reports

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“…We found low-certainty evidence that such interventions are associated with reduced body weight among adults when compared with general weight loss counselling [38,39]. Moreover, we found very low-certainty evidence that improved access to drinking water at school may be associated with reduced body weight [48,49,66].…”

Section: Effects On Ssb Consumptionmentioning

confidence: 78%

“…We found low-certainty evidence for consistent associations with decreases in SSB consumption for: nutritional rating score shelf labelling [40,41]; limits on the availability of SSB in schools [42][43][44][45]; and healthier default beverages in children's menus in chain restaurants [46]. We found very low-certainty evidence for associations with decreases in SSB consumption for: improved access to drinking water at school [24,[47][48][49]; fruit provision at school [50]; urban planning restrictions on new fast-food restaurants [51]; and restrictions on the number of stores selling SSB in remote communities [52].…”

Section: Effects On Ssb Consumptionmentioning

confidence: 90%

Environmental Interventions to Reduce the Consumption of Sugar-Sweetened Beverages: Abridged Cochrane Systematic Review

Philipsborn¹,

Stratil

Burns

et al. 2020

Obes Facts

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Background: Regular consumption of sugar-sweetened beverages (SSB) can increase the risk for obesity, type 2 diabetes, cardiovascular disease, and dental caries. Interventions that alter the physical or social environment in which individuals make beverage choices have been proposed to reduce the consumption of SSB. Methods: We included randomised controlled, non-randomised controlled, and interrupted time series studies on environmental interventions, with or without behavioural co-interventions, implemented in real-world settings, lasting at least 12 weeks, and including at least 40 individuals. Studies on the taxation of SSB were not included, as these are subject of a separate Cochrane review. We used standard Cochrane methods for data extraction, risk of bias assessment, and evidence grading and synthesis. Searches were updated to January 24, 2018. Results: We identified 14,488 unique records and assessed 1,030 full texts for eligibility. We included 58 studies comprising a total of 1,180,096 participants and a median length of follow-up of 10 months. We found moderate-certainty evidence for consistent associations with decreases in SSB consumption or sales for the following interventions: traffic light labelling, price increases on SSB, in-store promotion of healthier beverages in supermarkets, government food benefit programs with incentives for purchasing fruits and vegetables and restrictions on SSB purchases, multi-component community campaigns focused on SSB, and interventions improving the availability of low-calorie beverages in the home environment. For the remaining interventions we found low- to very-low-certainty evidence for associations showing varying degrees of consistency. Conclusions: With observed benefits outweighing observed harms, we suggest that environmental interventions to reduce the consumption of SSB be considered as part of a wider set of measures to improve population-level nutrition. Implementation should be accompanied by evaluations using appropriate methods. Future studies should examine population-level effects of interventions suitable for large-scale implementation, and interventions and settings not yet studied thoroughly.

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“…The Healthy Me, Healthy We campaign addresses a critical gap in the current literature about the use of social marketing in ECE-based nutrition and physical activity interventions for children. Although social marketing has proven to be effective in other settings, such as schools [37,[83][84][85][86], it has rarely been applied in the ECE setting [38]. The few ECEbased interventions that have used social marketing found it to be effective in changing child food preferences and caloric intake [87,88].…”

Section: Discussionmentioning

confidence: 99%

Using a social marketing approach to develop Healthy Me, Healthy We: a nutrition and physical activity intervention in early care and education

Vaughn

Bartlett

Luecking

et al. 2018

Translational Behavioral Medicine

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Although social marketing principles have been successfully employed in school-based interventions to prevent obesity, use in early care and education (ECE) settings has been limited. This paper describes the use of the social marketing approach to develop an ECE-based intervention that encourages an ECE provider-parent partnership to improve the quality of preschool children's diets and their level of physical activity. A six-step social marketing approach for public health interventions guided the development of this ECE-based intervention. These steps were as follows: (i) initial planning, (ii) formative research, (iii) strategy development, (iv) program development, (v) implementation, and (vi) monitoring and evaluation. During this process, we reviewed current literature, conducted focus groups with ECE providers and parents, developed a detailed conceptual model and content map, created and tested the campaign concept, and developed final campaign materials along with strategies for its implementation. The final intervention resulting from this process was an 8-month campaign known as Healthy Me, Healthy We. The campaign is delivered by the child care center and includes branded materials for use in the classroom and at home. The final campaign is being evaluated in a cluster-randomized trial. Healthy Me, Healthy We offers an innovative approach to promoting healthy eating and physical activity during early childhood, a key developmental period, that leverages partnership between ECE providers and parents to affect behavior change.

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Protecting Children from Harmful Food Marketing: Options for Local Government to Make a Difference

Cited by 26 publications

References 60 publications

The effect of teacher-delivered nutrition education programs on elementary-aged students: An updated systematic review and meta-analysis

The effect of teacher-delivered nutrition education programs on elementary-aged students: An updated systematic review and meta-analysis

Environmental Interventions to Reduce the Consumption of Sugar-Sweetened Beverages: Abridged Cochrane Systematic Review

Using a social marketing approach to develop Healthy Me, Healthy We: a nutrition and physical activity intervention in early care and education

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