scholarly journals How healthy and processed are food and drinks promoted in supermarket sales flyers? a cross-sectional study in the Netherlands

2021 ◽  
pp. 1-20
Author(s):  
Audrey A. Hendriksen ◽  
Romy C. L. Jansen ◽  
S. Coosje Dijkstra ◽  
Marlijn Huitink ◽  
Jacob C. Seidell ◽  
...  

ABSTRACT Objective To investigate to what extent promotions in Dutch supermarket sales flyers contribute to a healthy diet and whether there are differences between supermarket types. Design A cross-sectional study investigating promotions on food and beverages (n=7825) in supermarket sales flyers from thirteen Dutch supermarket chains (8-week period), including ten traditional, two discount and one organic supermarket chain(s). Promoted products were categorized by food group (e.g. dairy); contribution to a healthy diet (yes/no); degree of processing (e.g. ultra-processed), promotion type (advertised only, temporary reduction in price or volume-based promotions), and percentage discount of price promotions. Differences between supermarket chains in types of price promotions, the degree of healthiness and processing of products were investigated. Results In total, 70.7% of all promoted products in supermarket sales flyers did not contribute to a healthy diet and 56.6% was ultra-processed. The average discount on less healthy products (28.7%) was similar to that of healthy products (28.9%). Less healthy products were more frequently promoted via volume-based promotions than healthy products (37.6% vs. 25.4%, p<0.001). Discount supermarket chains promoted less healthy (80.3%) and ultra-processed (65.1%) products more often than traditional supermarket chains (respectively 69.6% and 56.6%). Conclusions The majority of promoted products via supermarkets sales flyers do not contribute to a healthy diet. As promotions are an important determinant of food purchasing decisions, supermarkets do not support healthy choices. Future studies should identify barriers that withhold supermarket chains from promoting more healthy foods in supermarket sales flyers.

Author(s):  
Lily Grigsby-Duffy ◽  
Sally Schultz ◽  
Liliana Orellana ◽  
Ella Robinson ◽  
Adrian J. Cameron ◽  
...  

Supermarket environments can strongly influence purchasing decisions. Price promotions are recognised as a particularly persuasive tactic, but the healthiness of price promotions in prominent in-store locations is understudied. This study compared the prevalence and magnitude of price promotions on healthy and unhealthy food and beverages (foods) displayed at prominent in-store locations within Australian supermarkets, including analyses by supermarket group and area-level socio-economic position. A cross-sectional in-store audit of price promotions on foods at key display areas was undertaken in 104 randomly selected stores from major Australian supermarket groups (Woolworths, Coles, Aldi and independents) in Victoria, Australia. Of the display space dedicated to foods with price promotions, three of the four supermarket groups had a greater proportion of display space devoted to unhealthy (compared to healthy) foods at each promotional location measured (end of aisles: 66%; island bins: 53%; checkouts: 88%). Aldi offered very few price promotions. Few measures varied by area-level socio-economic position. This study demonstrated that price promotions at prominent in-store locations in Australian supermarkets favoured unhealthy foods. Marketing of this nature is likely to encourage the purchase of unhealthy foods, highlighting the need for retailers and policy-makers to consider addressing in-store pricing and placement strategies to encourage healthier food environments.


2015 ◽  
Vol 18 (15) ◽  
pp. 2786-2793 ◽  
Author(s):  
James Wright ◽  
Erin Kamp ◽  
Martin White ◽  
Jean Adams ◽  
Sarah Sowden

AbstractObjectiveTo investigate the display of food at non-food store checkouts; and to classify foods by type and nutrient content, presence of price promotions and whether food was at child height.DesignCross-sectional survey of checkout displays at non-food stores. Foods were classified as ‘less healthy’ or healthier using the UK Food Standards Agency’s Nutrient Profile Model. Written price promotions were recorded. Child height was defined as the sight line of an 11-year-old approximated from UK growth charts.SettingA large indoor shopping mall, Gateshead, UK, February–March 2014.SubjectsTwo hundred and five out of 219 non-food stores in the shopping mall directory which were open for trading.ResultsThirty-two (15·6 %) of 205 non-food stores displayed food at the checkout. All displayed less healthy foods, and fourteen (43·8 %) had healthier foods. Overall, 5911 checkout foods were identified. Of these, 4763 (80·6 %) were ‘less healthy’. No fruits, vegetables, nuts or seeds were found. Of 4763 less healthy foods displayed, 195 (4·1 %) were subject to price promotions, compared with twelve of 1148 (1·0 %) healthier foods (χ2(df=1)=25·4, P<0·0001). There was no difference in the proportion of less healthy (95·1 %) and healthier (96·2 %) foods displayed at child height.ConclusionsAlmost one-sixth of non-food stores displayed checkout food, the majority of which was ‘less healthy’ and displayed at child height. Less healthy food was more likely to be subject to a written price promotion than healthier food. Further research into the drivers and consequences of checkout food in non-food stores is needed. Public health regulation may be warranted.


2013 ◽  
Vol 27 (2) ◽  
pp. 7-13 ◽  
Author(s):  
Kirt Areis E. Delovino ◽  
Ray U. Casile ◽  
Frederick Y. Hawson

Objective:    To describe the vocal acoustic measures of nonsmoking Filipino young adults without voice complaints at a private tertiary hospital in Quezon City; to determine if our baseline values are distributed normally and comparable to data in similar studies done abroad; and to recommend normative voice parameters which may be used as baseline data in our institution and for comparison in future studies. Methods: Design:  Cross-sectional study Setting: Private tertiary hospital Participants: A total of 70 subjects were recruited at random. Results: Values extracted for f0, Jitter %, Jitter dB, Shimmer %, Shimmer dB and NHR showed normal distribution of results. The average vocal acoustic values found in the present study for male voices producing the vowel /a/ were fo = 130.6 ± 13.65Hz, jitter = 0.0.46 % ± 0.184, jitter dB: 37.62dB ± 16.664, shimmer %= 0.23%, shimmer dB=0.23 ± 0.67 and NHR = 0.13 ± 0.010. The average values found for female voices, producing the vowel /a/ were fo = 218.38 ± 26.192Hz, jitter = 0.87% ± 0.61, jitter dB: 34.82 ± 22.5, shimmer %= 2.72 ± 1.07 shimmer dB=0.23db ± 0.67 and NHR = 0.12dB ± 0.016. Values retrieved from this study show similar trends with other papers abroad. Conclusions: Voice acoustic systems are composed of different recording criteria, recording instrumentations and algorithms which primarily cause the differences in the results obtained in various studies, thus precluding a single normalization. Following international recommendations for individual normalization per institution, we have obtained our own values. Our data was comparable to the results of other international studies. However further investigation is recommended in areas where possibilities of interdialectic variation may produce an effect on the outcome of the study. Keywords: vocal acoustic measures, computerized speech lab, normative voice parameters


2021 ◽  
Vol 31 (2) ◽  
Author(s):  
Rita de Cássia Costa da Silva ◽  
Maykon Anderson Pires de Novais ◽  
Paola Zucchi

Abstract The text addresses the representativeness in health councils in Brazil, based on guidelines proposed by the National Health Council. This study aimed to verify the adequacy of the councils to the criteria described in Resolution 453/2012, which demonstrate the representativeness of the segments that make up the collective. A descriptive cross-sectional study was conducted during May and June 2017. The study population was composed of health councils registered in the Health Councils Monitoring System, with public access and available on the Internet. The results obtained were organized considering the geographical distribution of the councils. The regions with the highest rates of non-compliance with the parity criterion were identified. It has been demonstrated that the guidelines for reformulating the councils are aligned with the notion of representativeness, but they are not a guarantee for the effectiveness of the representation. Future studies may deepen the analyses on representativeness in health councils in Brazil, and identify which mechanisms are adopted by entities to ensure the effectiveness of representation, as well as whether representation is renewed. It is recommended that the rules ordering the functioning of councils be permanently updated to promote social participation in health.


2020 ◽  
Author(s):  
Naoko Hatta ◽  
Yuki Tada ◽  
Tadasu Furushou ◽  
Misao Kato ◽  
Rieko Kanehara ◽  
...  

Abstract Background: Childhood motor skills are important not only for the physical and mental health of children, but also for the prevention of future lifestyle diseases. This study aimed to investigate how motor skills among first-grade children in Japan are associated with dietary and lifestyle habits, after adjustment for various confounding factors.Methods: First-grade children (aged 6-7 years) attending three public elementary schools in Tokyo, Japan (n=884), participated in this cross-sectional study. Homeroom teachers distributed self-administered questionnaires to parents and children. Questionnaires focused on lifestyle habits and required completion of a 1-day dietary record. Motor skills were measured by the New Physical Fitness Test (NPFT). Physique was calculated using Rohrer’s index formula: weight (kg) / height (cm) 3 × 107. Multiple regression analysis was used to investigate the association between NPFT score and determinant factors. We also examined the association between NPFT score and the amount of energy derived from a healthy diet versus snacks.Results: NPFT scores were significantly and positively correlated with involvement in exercise lessons (boys, β = 0.131, P = 0.006; girls, β = 0.121P = 0.012), total energy intake (boys, β = 0.096, P = 0.041; girls, β = 0.145, P = 0.003), and outside playtime in boys (β = 0.135), and negatively correlated with Rohrer’s index in girls (β = -0.097, P = 0.047). Moreover, the amount of energy derived from a healthy diet showed positive correlations with NPFT score (boys, β = 0.120, P = 0.011; girls, β = 0.137, P = 0.005).Conclusions: Children’s motor skills were associated with the Rohrer’s index, involvement in sports lessons, outside playtime, and total energy intake, particularly that derived from a healthy diet. These results suggest that a well-balanced diet including grains, vegetables, fish and meat, fruits, and milk, is important for improving children’s motor skills.


2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
C. Migneault-Bouchard ◽  
F.J.M. Boselie ◽  
M. Hugentobler ◽  
B.N. Landis ◽  
J. Frasnelli

BACKGROUND: Patients with anatomically unexplained, chronic nasal obstruction (CNO) that is refractory to medical treatment pose a challenge for clinicians. A surgical solution, addressing mechanical obstacles, is unsuited for these patients. CNO may result from disrupted airflow perception due to activation of the intranasal trigeminal system; therefore, aim of this study is to evaluate if intranasal trigeminal function of these CNO patients is decreased. METHODS: In this retrospective cross-sectional study, we compared 143 CNO patients and 58 healthy volunteers, between 18 to 80 years old. We assessed nasal patency by means of rhinomanometry (RM) and measured susceptibility of intranasal trigeminal system by the trigeminal lateralization task (TLT). RESULTS: TLT scores were significantly lower in CNO patients compared to controls (p less than 0.001), but RM scores were not different between groups. Accordingly, TLT allowed to identify CNO patients with an accuracy of the area under the curve (AUC) of 0.78, while the value for RM was at chance (AUC=0.47). CNO patients showed normal reaction to vasoconstrictive agents with significantly lower RM values after Xylomethazoline application. CONCLUSION: Results suggest that reported nasal obstruction in CNO patients without any obvious anatomical obstacle and resistant to medical treatment may be linked to decreased perception of nasal airflow rather than physical obstruction. In this sub-set of CNO patients, trigeminal testing more adequately reflects the reported obstruction than nasal resistance assessment does. In future studies, the relation of the trigeminal status and the subjective sensation of nasal obstruction needs to be addressed with validated patient rated outcome measures (PROMs).


2014 ◽  
Vol 27 (6) ◽  
pp. 665-675 ◽  
Author(s):  
Inaiana Marques Filizola Vaz ◽  
Ana Tereza Vaz de Souza Freitas ◽  
Maria do Rosário Gondim Peixoto ◽  
Sanzia Francisca Ferraz ◽  
Marta Izabel Valente Augusto Morais Campos

Objective:To evaluate the intake of energy and nutrients by individuals on hemodialysis, following especific recommendations for this population and according to Food Guide for the Brazilian Population.Methods: A cross-sectional study, 118 adult patients, considered stable from, ten dialysis centers in Goiânia, Goiás. Dietary intake was estimated by six 24-hour recalls, and classified as adequate or inadequate, according to specific recommendations for individuals undergoing dialysis and that recommended for a healthy diet. A descriptive analysis was performed.Results: Average dietary intake of 2022.40 ± 283.70 kcal/day; 31.18 kcal/kg/day; 55.03 ± 4.20% carbohydrate; 30.23 ± 3.71% lipid, 1.18 ± 0.23 g protein/kg/day. Important prevalences of inadequacy were observed for the intake of calories (39.0%), protein (39.0%) and other nutrients such as retinol (94.9%), saturated fat (87.3%), cholesterol (61,9%), iron (61.0%), potassium (60.2%) and zinc (45.0%). Patients had a low intake of fruit food group (1.22 ± 0.89 servings) and vegetables (1.76 ± 1.01 servings), dairy products (0.57 ± 0.43 servings) and high intake of food group of oils and fats (3.45 ± 0.95 servings), sugars and sweets (1.55 ± 0.77 servings).Conclusion: Observed food consumption imbalance, characterized by excess of oils and fats, especially saturated oils and cholesterol, sugars and sweets, parallel to low intake of fruits and vegetables and dairy products. A considerable percentage of patients did not intake the minimum recommended of calories, protein, retinol, iron, zinc and potassium.


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