The impact of positive and reduction health claims on consumers’ food choices

Health messages may be an important predictor in the selection of healthier food choices among young adults. The primary objective of our study is to test the impact of labeling whole grain pasta with a health message descriptor displayed at the point-of-purchase (POP) on consumer choice in a campus dining setting. The study was conducted in a large US college dining venue during lunch service; data were collected during a nine-week period, for a total of 18 days of observation. Each day, an information treatment (i.e., no-message condition; vitamin message; fiber message) was alternated assigned to whole grain penne. Over the study period, the selection of four pasta options (white penne, whole grain penne, spinach fettuccine, and tortellini) were recorded and compiled for analysis. Logistic regression and pairwise comparison analyses were performed to estimate the impact of health messages on diners’ decisions to choose whole grain penne among the four pasta types. Our results indicate that only the message about vitamin benefits had a significant effect on this choice, with a 7.4% higher probability of selecting this pasta than the no-message condition and 6.0% higher than the fiber message condition. These findings suggest that psychological health claims (e.g., reduction of fatigue) of whole grains seem more attractive than physiological health claims (e.g., maintaining a healthy weight) for university students. In line with the 2015–2020 Dietary Guidelines for Americans, our results suggest that small changes made at the POP have the potential to contribute to significant improvements in diet (e.g., achieving recommended levels of dietary fiber). These findings have important implications for food service practitioners in delivering information with the greatest impact on healthy food choices.

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A Newfangled Collagenase Inhibitor Topical Formulation Based on Ethosomes with Sambucus nigra L. Extract

Pharmaceuticals ◽

10.3390/ph14050467 ◽

2021 ◽

Vol 14 (5) ◽

pp. 467

Author(s):

Ana Henriques Mota ◽

Inês Prazeres ◽

Henrique Mestre ◽

Andreia Bento-Silva ◽

Maria João Rodrigues ◽

...

Keyword(s):

Biological Activities ◽

Scientific Evidence ◽

Release Profile ◽

Health Claims ◽

Topical Formulation ◽

Sambucus Nigra ◽

Western Asia ◽

Wide Range ◽

The Impact ◽

Over Time

Sambucus nigra L. (S. nigra) is a shrub widespread in Europe and western Asia, traditionally used in medicine, that has become popular in recent years as a potential source of a wide range of interesting bioactive compounds. The aim of the present work was to develop a topical S. nigra extract formulation based on ethosomes and thus to support its health claims with scientific evidence. S. nigra extract was prepared by an ultrasound-assisted method and then included in ethosomes. The ethosomes were analyzed in terms of their size, stability over time, morphology, entrapment capacity (EC), extract release profile, stability over time and several biological activities. The prepared ethosomes were indicated to be well defined, presenting sizes around 600 nm. The extract entrapment capacity in ethosomes was 73.9 ± 24.8%, with an interesting slow extract release profile over 24 h. The extract-loaded ethosomes presented collagenase inhibition activity and a very good skin compatibility after human application. This study demonstrates the potential use of S. nigra extract incorporated in ethosomes as a potential cosmeceutical ingredient and on further studies should be performed to better understand the impact of S. nigra compounds on skin care over the time.

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Governance of differential stakeholder interests in supply chains and networks

Journal on Chain and Network Science ◽

10.3920/jcns2013.1001 ◽

2013 ◽

Vol 13 (2) ◽

pp. 99-105 ◽

Cited By ~ 1

Author(s):

E.F.M. Wubben ◽

H.J. Bremmers ◽

P.T.M. Ingenbleek ◽

A.E.J. Wals

Keyword(s):

Social Sciences ◽

Business Models ◽

Production Systems ◽

Stakeholder Management ◽

Data Gathering ◽

Health Claims ◽

Stakeholder Dialogue ◽

Stakeholder Interests ◽

Multi Stakeholder ◽

The Impact

Competing frames and interests regarding food provision and resource allocation, adding to the increased global interdependencies, necessitate agri-food companies and institutions to engage themselves in very diverse multi-stakeholder settings. To develop new forms of interaction, and governance, researchers with very different backgrounds in social sciences try to align, or at least share, research trajectories. This first paper in a special issue on governance of differential stakeholder interests discusses, first, different usages of stakeholder categories, second, the related intersubjectivity in sciences, third, an rough sketch of the use of stakeholder management in different social sciences. Social science researchers study a wide variety of topics, such as individual stakeholder impact on new business models, stakeholder group responses to health claims, firm characteristics explaining multi-stakeholder dialogue, and the impact of multi-stakeholder dialogue on promoting production systems, and on environmental innovations. Interestingly, researchers use very different methods for data gathering and data analysis.

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Impact assessment of the public health product tax in Hungary

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1231 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

L Zámbó ◽

M Bakacs ◽

É Illés ◽

A Varga ◽

E Sarkadi Nagy ◽

...

Keyword(s):

Public Health ◽

Health Communication ◽

Energy Content ◽

Adult Population ◽

Food Choices ◽

Development Project ◽

Economic Effects ◽

Health Product ◽

The Law ◽

The Impact

Abstract Many countries apply fiscal policies to promote healthy diets to reduce the risk factors of NCDs. In 2011, a public health product tax (PHPT) was introduced in Hungary, taxing non-staple food products that carry proven health risks when consumed. The objectives of PHPT were to promote healthier eating habits by increasing the availability of healthy choices; to encourage reformulation; and to increase revenues for public health. With the purpose of evaluating the social and economic effects of PHPT, impact assessments (IAs) were conducted in 2012, 2014, and in 2018. The IA in 2018 was conducted within the framework of an EU-cofunded development project. To measure the awareness of the population on the law; to assess the population's attitude towards PHPT; to map the consumption patterns and to examine the major factors influencing food choices were fundamental parts of the IAs. We aim to present the findings of the latest IA and compare them to the results of the previous studies. Population surveys with questionnaires including the same questions were applied in the three assessments, hence changes during the 6 years could be detected. A sample of the adult population was involved in form of personal interviews in each IA. Based on the results, the awareness of PHPT was less (66%) in 2018 than in 2012 (72%). The adult population's consumption of the taxed products increased in all categories between 2012 and 2018 (except for salty condiments). Sociodemographic factors and awareness of the law correlated with the consumption of certain PHPT products. Taste was the primary determinant of food choice both in 2012 and 2018. The role of the price and the energy content in food choices were decreased significantly by 2018. A higher proportion of people identified the aims of PHPT correctly and agreed with them in 2018. The results draw attention to the importance of further interventions and the need of targeted health communication. Key messages The impact of the PHPT should continue to be monitored and evaluated. To achieve the aims of PHPT in the long term, it is needed to use more effective health communication, furthermore harmonized intersectoral actions should be also implied to promote healthy diet.

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What Is the Impact of Prior Authorization on the Incidence of Pediatric Tonsillectomy?

Otolaryngology ◽

10.1177/0194599820969631 ◽

2020 ◽

pp. 019459982096963

Author(s):

Vanessa F. Torrecillas ◽

Kaden Neuberger ◽

Alexander Ramirez ◽

Paul Krakovitz ◽

Jeremy D. Meier

Keyword(s):

Elective Surgery ◽

Lag Time ◽

Cross Sectional Study ◽

Health Claims ◽

Third Party ◽

Prior Authorization ◽

Cross Sectional ◽

Before And After ◽

The Mean ◽

The Impact

Objective Third-party payers advocate for prior authorization (PA) to reduce overutilization of health care resources. The impact of PA in elective surgery is understudied, especially in cases where evidence-based clinical practice guidelines define operative candidacy. The objective of this study is to investigate the impact of PA on the incidence of pediatric tonsillectomy. Study Design Cross-sectional study. Setting Health claims database from a third-party payer. Methods Any pediatric patient who had evaluation for tonsillectomy from 2016 to 2019 was eligible for inclusion. A time series analysis was used to evaluate the change in incidence of tonsillectomy before and after PA. Lag time from consultation to surgery before and after PA was compared with segmented regression. Results A total of 10,047 tonsillectomy claims met inclusion and exclusion criteria. Female patients made up 51% of claims, and the mean age was 7.9 years. Just 1.5% of claims were denied after PA implementation. There was no change in the incidence of tonsillectomy for all plan types ( P = .1). Increased lag time from consultation to surgery was noted immediately after PA implementation by 2.38 days (95% CI, 0.23-4.54; P = .030); otherwise, there was no significant change over time ( P = .98). Conclusion A modest number of tonsillectomy claims were denied approval after implementation of PA. The value of PA for pediatric tonsillectomy is questionable, as it did not result in decreased incidence of tonsillectomy in this cohort.

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Improving Understanding about Social Influences on Food Choices in College Students: A Pilot Study

Global Journal of Health Science ◽

10.5539/gjhs.v9n4p1 ◽

2016 ◽

Vol 9 (4) ◽

pp. 1 ◽

Cited By ~ 2

Author(s):

Corey H. Basch ◽

Michele Grodner ◽

Lindsay Prewitt

Keyword(s):

College Students ◽

Pilot Study ◽

Response Rate ◽

Social Influences ◽

Food Choices ◽

Personal Health ◽

Purchasing Decisions ◽

Healthy Choice ◽

Health Course ◽

The Impact

<p>The impact of social influences on food choices in college settings is of great importance because students are vulnerable to new forming identities at this time. The purpose of this pilot study is to determine the degree to which social influences impact food choices in a sample of college students. A 22-item survey instrument was created to determine the extent to which students have experienced being influenced by others when making food related purchasing decisions. A total of 257 out of a 323 students invited (80% response rate) in 11 sections of a personal health course responded to the survey. The overwhelming majority of respondents were reportedly comfortable ordering whatever they wanted when in the presence of their friends (n=249; 97%). Students were more likely to feel pressure to make a healthy choice than an unhealthy choice if everyone else was (45.1% vs. 31.5%), but fewer felt this way when asked specifically if their friends were ordering (28.4% vs. 21%). Social influences surrounding food choices are a topic that has gained momentum recently, however more research needs to be conducted to determine the reasons why social influences affect certain college students especially in comparing healthy versus unhealthy food choices.</p>

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Exploring the Consistency of Adults’ Food Choice motives with Sustainable Diet Components: a Qualitative Study

10.21203/rs.2.22237/v1 ◽

2020 ◽

Author(s):

Arezoo Haghighian Roudsari ◽

Abouali Vedadhir ◽

Maryam Shokouhi ◽

Ali Milani Bonab

Keyword(s):

Qualitative Study ◽

Data Gathering ◽

Food Choices ◽

Sustainable Food ◽

Food And Agriculture ◽

Health And Nutrition ◽

Sustainable Diet ◽

Food And Nutrition ◽

The Individual ◽

The Impact

Abstract Background Todays, due to the impact of human food choices on increasing greenhouse gas emissions, water consumption and environmental degradation, there is a new thinking about changing the pattern of food production and consumption, including sustainable food and nutrition system related to consumption. This study aimed to explore the dimensions of a sustainable diet among the determinants of people's food choices. Methods This qualitative study was carried out using an in-depth interview with 33 individuals aged 30-64 years old living in different areas of Tehran. Data gathering, data analysis and theoretical conceptualization were performed simultaneously and from the beginning of the research, and for managing and organizing the data, the MAXQDA 10 software was used. Results In this paper, the findings are categorized according to the key components of a sustainable diet in five themes: "Health and Nutrition", "Food and Agriculture Security", "Environment and Ecosystems", "Markets, food trade and production chains", "social, cultural, and policy factors" were categorized. Meanwhile, the components of the "Health and Nutrition" domain had the highest contribution and the components of the two domains "food and agriculture" and "environment and ecosystems" had the lowest role among the statements of the participants in this study. Conclusion considering to the low importance of the dimensions of a sustainable diet in food choices of the community, promoting the individual awareness of sustainable diet components, clarifying the importance of food choices in creating environmental impacts and leading the national macro policies in the field food and nutrition toward sustainable diet goals are essential.

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Considerations for the design and conduct of human gut microbiota intervention studies relating to foods

European Journal of Nutrition ◽

10.1007/s00394-020-02232-1 ◽

2020 ◽

Vol 59 (8) ◽

pp. 3347-3368

Author(s):

J. R. Swann ◽

M. Rajilic-Stojanovic ◽

A. Salonen ◽

O. Sakwinska ◽

C. Gill ◽

...

Keyword(s):

Gut Microbiota ◽

Intestinal Microbiota ◽

Intervention Studies ◽

Health Claims ◽

Host Responses ◽

Human Gut ◽

Eligibility Criteria ◽

Functional Changes ◽

Human Gut Microbiota ◽

The Impact

AbstractWith the growing appreciation for the influence of the intestinal microbiota on human health, there is increasing motivation to design and refine interventions to promote favorable shifts in the microbiota and their interactions with the host. Technological advances have improved our understanding and ability to measure this indigenous population and the impact of such interventions. However, the rapid growth and evolution of the field, as well as the diversity of methods used, parameters measured and populations studied, make it difficult to interpret the significance of the findings and translate their outcomes to the wider population. This can prevent comparisons across studies and hinder the drawing of appropriate conclusions. This review outlines considerations to facilitate the design, implementation and interpretation of human gut microbiota intervention studies relating to foods based upon our current understanding of the intestinal microbiota, its functionality and interactions with the human host. This includes parameters associated with study design, eligibility criteria, statistical considerations, characterization of products and the measurement of compliance. Methodologies and markers to assess compositional and functional changes in the microbiota, following interventions are discussed in addition to approaches to assess changes in microbiota–host interactions and host responses. Last, EU legislative aspects in relation to foods and health claims are presented. While it is appreciated that the field of gastrointestinal microbiology is rapidly evolving, such guidance will assist in the design and interpretation of human gut microbiota interventional studies relating to foods.

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Influences on diet and physical activity choices of 11–13-year-olds in a school setting

Health Education Journal ◽

10.1177/0017896919826606 ◽

2019 ◽

Vol 78 (5) ◽

pp. 545-556 ◽

Cited By ~ 2

Author(s):

Camilla A McHugh ◽

Lindsey Anderson ◽

Jenny Lloyd ◽

Stuart Logan ◽

Katrina Wyatt

Keyword(s):

Physical Activity ◽

Focus Groups ◽

School Environment ◽

Food Choices ◽

Future Research ◽

Framework Analysis ◽

Future Health ◽

Diet And Physical Activity ◽

Activity Choices ◽

The Impact

Objective: This paper uses a qualitative approach to explore the factors that influence diet and physical activity choices of 11–13-year-olds with a particular focus on the impact of the school environment. Design: Qualitative focus groups. Setting: Three purposively sampled secondary schools in Devon, UK. Method: A total of 53 students, aged 11–13, took part in six focus groups. Thematic, framework analysis was used to analyse the data. Result: Four overarching themes emerged: (1) health now and in the future; (2) the role of others; (3) provision, temptation and addiction; and (4) boundaries, strategies and support. Participants demonstrated good knowledge of what constitutes a healthy lifestyle and its importance for future health, although it was not necessarily seen as a priority at this stage of life. Key influences on their choices were their peers and family, although participants also identified that the school environment influences the food choices they make while there. Conclusion: In this study, 11–13-year-olds identified that schools could do more to support them to make healthier food choices. However, future research needs to understand the constraints schools face in terms of food provision in order to highlight possible opportunities for intervention.

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Modelling the dietary impact of health-related claims on food labels in the UK

Proceedings of The Nutrition Society ◽

10.1017/s0029665120002748 ◽

2020 ◽

Vol 79 (OCE2) ◽

Author(s):

Asha Kaur ◽

Peter Scarborough ◽

Mike Rayner

Keyword(s):

Nutritional Quality ◽

Meta Analysis ◽

Saturated Fat ◽

Nutritional Composition ◽

Health Claims ◽

Baseline Scenario ◽

Health Related ◽

Mathematical Equations ◽

The Impact

AbstractHealth-related claims (HRCs) are statements found on food packets that convey the nutritional quality of a food (nutrition claims) and/or its impact on a health outcome (health claims). Foods carrying HRCs have a slightly improved nutritional profile than foods without HRCs, however, it's unclear whether this translates into dietary improvements. We conducted a modelling study to measure the effect of HRCs on diet. As HRCs are already present on foods it is assumed that any impact that they have upon diet are already in effect. We modelled the impact on food purchases of removing HRCs, by assuming that the sales boost they receive is neutralised. These results can be inverted to estimate the current dietary impact of HRCs. Using the Living Costs Food (LCF) survey data, we calculate the average purchases and nutrient intake per person, per day. The LCF data is divided into sales of products with HRCs and sales of products without HRCs through solving mathematical equations combining LCF sales data with odds ratios from a meta-analysis examining the impact of HRCs on choices and data from a survey of foods examining the prevalence of HRCs and the nutritional quality of foods that carry them so that the sum of the sales of products with HRCs and without HRCs is equal to the total sales of products. Similarly, mathematical equations are solved that combine nutritional composition data with the sales of foods carrying and not carrying HRCs. In the baseline scenario foods carrying HRCs made-up 37% of the total purchases, and contributed 29% (559kcal) of the total kcals purchased (1907kcal). When HRCs are removed from foods there is an average increase of 18kcal/d (95% Uncertainty Intervals [UI] -15, 52), + 2g/d increase in total fat (95% UI -1, 4) and saturated fat (95% UI 1, 3), smaller changes are seen for protein (+ 0.5g/d, 95% UI -1, 2), total sugar (+ 0.5g/d, 95% UI -4, 7) and carbohydrate (-0.5g/d, 95% UI -5, 7). There is reduction in the amount of fruit (-11g/d, 95% UI -34, 26) but an increase in vegetables (+ 6g/d, 95% UI -6, 19). These results should be interpreted with caution due to the large uncertainty intervals. When HRCs are removed, we see a small deterioration in the quality of the average diet. If we invert these findings we can assume HRCs currently have a positive, albeit small, impact on diet.

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