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The Impact of Policy and Food Environment on Food Purchase and Dietary Behavior

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutritional Policies and Education for Health Promotion".

Deadline for manuscript submissions: closed (31 January 2023) | Viewed by 44332

Special Issue Editor

Brown School, Washington University, Campus Box 1196, One Brookings Drive, St. Louis, MO 63130, USA
Interests: applications of artificial intelligence and big data analytics in public health; environmental and policy influences on dietary behavior, physical activity, and obesity; social and economic determinants of health
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Healthy eating is a key health promotion and disease prevention strategy. Worldwide, malnutrition remains a leading risk factor for morbidity and mortality. Preliminary evidence reveals the potential of public policies (healthy food subsidy, soda or fat tax, sugar-sweetened beverage labels, chain restaurant menu labeling, school competitive food laws, to name a few) and modifications of the local food or built environment in nudging people towards a healthier diet. Those interventions are highly scalable, address a large population, and are often cost-effective relative to personalized, small-scale, intensive clinical trials. On the other hand, not all policies or food environments are born equal. Different policies and food environments affect people’s food purchasing and dietary patterns differently (including the direction and magnitude of the effects, their cost–benefit portfolio, and unintended consequences). Moreover, even the same policy and food environment may exert differential impacts on population subgroups, which either reduces or reinforces health disparities and social inequities. This Special Issue calls for studies that assess the impact of policy and food environment on food/beverage purchase and dietary behavior worldwide. Both policy and food environment are broadly defined, including but not limited to public policies at the national, state, or local levels; and both physical (e.g., built) and nonphysical (e.g., price) environments. Both original studies (e.g., empirical analyses, modeling studies) and review articles (e.g., systematic reviews and meta-analyses) will be considered. The overarching goal of this Special Issue is to create a critical mass that substantiates the scientific evidence on the role of policy and food environment in influencing people’s food purchase and consumption patterns, which may shed light on future population-level interventions that promote a healthy diet and reduce social inequity.

Dr. Ruopeng An
Guest Editor

Manuscript Submission Information

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Keywords

  • policy
  • environment
  • food purchase
  • food consumption
  • diet

Published Papers (15 papers)

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Editorial

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2 pages, 188 KiB  
Editorial
Healthy Diet Promotion through Evidence-Informed Policies
by Ruopeng An and Chen Chen
Nutrients 2023, 15(11), 2514; https://0-doi-org.brum.beds.ac.uk/10.3390/nu15112514 - 29 May 2023
Viewed by 864
Abstract
The Special Issue entitled “The Impact of Policy and Food Environment on Food Purchase and Dietary Behavior” comprises 13 articles that collectively provide valuable insights into the complex interplay between policy, food environment, and individual food purchase and consumption [...] Full article

Research

Jump to: Editorial

11 pages, 296 KiB  
Article
Connecting the Dots between Barriers to W.I.C. Access and Adult and Child Food Insecurity: A Survey of Missouri Residents
by Tyler L. Frank, Jason Jabbari, Stephen Roll, Dan Ferris, Takeshi Terada, Amanda Gilbert and Laura McDermott
Nutrients 2023, 15(11), 2496; https://0-doi-org.brum.beds.ac.uk/10.3390/nu15112496 - 27 May 2023
Viewed by 1575
Abstract
Background. Previous research has explored the impact of W.I.C. on recipients’ health, but less is known about the connection between barriers to W.I.C. access and health outcomes. We fill in a gap in the literature by studying the relationship between barriers to Special [...] Read more.
Background. Previous research has explored the impact of W.I.C. on recipients’ health, but less is known about the connection between barriers to W.I.C. access and health outcomes. We fill in a gap in the literature by studying the relationship between barriers to Special Supplemental Nutrition Program for Women, Infants, and Children (W.I.C.) access and adult and child food insecurity. Methods. After survey administration, we analyzed a cross-sectional sample of 2244 residents in Missouri who have used W.I.C. or lived in a household with a W.I.C. recipient in the past three years. We ran logistic regression models to understand the relationships among barriers to W.I.C. utilization, adult food insecurity, and child food insecurity. Results. Having special dietary needs (for adults), lacking access to technology, encountering inconvenient clinic hours of operation, and experiencing difficulties taking off work were associated with increased adult food insecurity. Difficulties finding WIC-approved items in the store, technological barriers, inconvenient clinic hours, difficulties taking off work, and finding childcare were associated with increased child food insecurity. Conclusion. Barriers to accessing and utilizing W.I.C. are associated with adult and child food insecurity. However, current policies suggest promising approaches to curbing these barriers. Full article
13 pages, 242 KiB  
Article
Local Measures to Curb Dollar Store Growth: A Policy Scan
by Julia McCarthy, Darya Minovi and Chelsea R. Singleton
Nutrients 2022, 14(15), 3092; https://0-doi-org.brum.beds.ac.uk/10.3390/nu14153092 - 28 Jul 2022
Cited by 7 | Viewed by 2310
Abstract
In recent years, advocates have expressed concern about the exponential growth of dollar stores in low-income communities, given their limited stock of healthy foods, and several municipalities in the U.S. have passed novel policies to curb the proliferation of these stores. The purpose [...] Read more.
In recent years, advocates have expressed concern about the exponential growth of dollar stores in low-income communities, given their limited stock of healthy foods, and several municipalities in the U.S. have passed novel policies to curb the proliferation of these stores. The purpose of this scan is to create a legal database to inform future healthy retail policies and programs. Legal mapping methods were used to identify local policies aimed at moderating dollar store proliferation. A search yielded 25 policies that met the inclusion criteria, all enacted between 2018 and 2020. Recent policies aiming to slow local dollar store growth were mostly passed in low-income communities of color. All identified policies were passed in either the Midwest or South. The majority of municipalities that passed the policies had populations where more than half of residents identified as non-Hispanic Black or Hispanic and where the poverty rate was greater than the national average. Twelve (48%) municipalities imposed temporary moratoria halting new dollar stores from opening, and ten (40%) banned new construction within a specified distance of an existing dollar store. Key themes identified from analysis of policies’ purpose statements included increasing healthy food availability, diversifying local businesses, and improving community safety. These findings may be useful to leaders in other communities seeking to potentially moderate the impact of dollar stores on community health, as well as researchers and policy makers seeking to evaluate the efficacy of existing policies. Full article
14 pages, 1322 KiB  
Article
Food Security Challenges and Resilience during the COVID-19 Pandemic: Corner Store Communities in Washington, D.C.
by Melissa Hawkins, Maulie Clermont, Deborah Wells, Marvena Alston, Robin McClave and Anastasia Snelling
Nutrients 2022, 14(15), 3028; https://0-doi-org.brum.beds.ac.uk/10.3390/nu14153028 - 23 Jul 2022
Cited by 1 | Viewed by 2169
Abstract
The COVID-19 pandemic exacerbates the complexities of food inequity. As one of the social determinants of health, food insecurity significantly impacts overall health across the life course. Guided by the Getting to Equity Framework, this qualitative community-engaged participatory project examines the impact of [...] Read more.
The COVID-19 pandemic exacerbates the complexities of food inequity. As one of the social determinants of health, food insecurity significantly impacts overall health across the life course. Guided by the Getting to Equity Framework, this qualitative community-engaged participatory project examines the impact of the pandemic on food security among adults in Washington, D.C. Semi-structured interviews (n = 79) were conducted by trained community health workers between November 2020 and December 2021 at corner stores. Data analysis was performed using thematic network analysis in NVivo. Results are grouped into four key themes: (1) impact of the pandemic on food access, including expanded services and innovative solutions to meet needs; (2) coping and asset-based strategies at the individual and community level; (3) sources of information and support, and (4) impact of the pandemic on health and well-being. The importance of lived experience research in public health is increasingly recognized as an innovative approach that offers benefits through community engagement and empowerment. Full article
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15 pages, 2141 KiB  
Article
Children’s Community Nutrition Environment, Food and Drink Purchases and Consumption on Journeys between Home and School: A Wearable Camera Study
by Christina McKerchar, Ryan Gage, Moira Smith, Cameron Lacey, Gillian Abel, Cliona Ni Mhurchu and Louise Signal
Nutrients 2022, 14(10), 1995; https://0-doi-org.brum.beds.ac.uk/10.3390/nu14101995 - 10 May 2022
Cited by 3 | Viewed by 2043
Abstract
Children’s community nutrition environments are an important contributor to childhood obesity rates worldwide. This study aimed to measure the type of food outlets on children’s journeys to or from school, children’s food purchasing and consumption, and to determine differences by ethnicity and socioeconomic [...] Read more.
Children’s community nutrition environments are an important contributor to childhood obesity rates worldwide. This study aimed to measure the type of food outlets on children’s journeys to or from school, children’s food purchasing and consumption, and to determine differences by ethnicity and socioeconomic status. In this New Zealand study, we analysed photographic images of the journey to or from school from a sample of 147 children aged 11–13 years who wore an Autographer camera which recorded images every 7 s. A total of 444 journeys to or from school were included in the analysis. Camera images captured food outlets in 48% of journeys that had a component of active travel and 20% of journeys by vehicle. Children who used active travel modes had greater odds of exposure to unhealthy food outlets than children who used motorised modes; odds ratio 4.2 (95% CI 1.2–14.4). There were 82 instances of food purchases recorded, 84.1% of which were for discretionary foods. Of the 73 food and drink consumption occasions, 94.5% were for discretionary food or drink. Children on their journeys to or from school are frequently exposed to unhealthy food outlets. Policy interventions are recommended to limit the availability of unhealthy food outlets on school routes. Full article
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14 pages, 543 KiB  
Article
Consumer Understanding of the Australian Dietary Guidelines: Recommendations for Legumes and Whole Grains
by Gynette Reyneke, Jaimee Hughes and Sara Grafenauer
Nutrients 2022, 14(9), 1753; https://0-doi-org.brum.beds.ac.uk/10.3390/nu14091753 - 22 Apr 2022
Cited by 12 | Viewed by 3160
Abstract
Dietary guidelines provide evidence-based guidance for healthy individuals to improve dietary patterns, although they are most often based on individual foods or food groups. Legumes are a class of food included in current Australian Dietary Guidelines (ADG), mentioned in two of the five [...] Read more.
Dietary guidelines provide evidence-based guidance for healthy individuals to improve dietary patterns, although they are most often based on individual foods or food groups. Legumes are a class of food included in current Australian Dietary Guidelines (ADG), mentioned in two of the five food groups, as a vegetable and as an alternative to meat. Whole grain consumption is encouraged in ADG via the statement focused on cereal grains due to their health-promoting properties. Despite their prominence in guidelines, average legume and whole grain consumption in Australia remains lower than recommendations outlined in the ADG. This exploratory study aimed to understand consumer perspectives of wording utilised in dietary guidelines specifically focused on legumes and whole grains. Based on the analysis, there was a significant preference for the statement “each day, consume at least one serve of legumes either as a serve of vegetables or as an alternative to meat” (p < 0.05), which provides a specific frequency and quantification for legume consumption. For whole grain, the significantly preferred statement was “choose whole grain products over refined grains/white flour products whenever you can” indicating a less prescriptive option. Effective messaging in guidelines could consider greater specificity regarding frequency, quantity and quality of foods recommended. This exploratory study suggests an improvement in the adoption and consumption of legumes and whole grains in the Australian diet may be better facilitated through consumer-tested messaging. Full article
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10 pages, 266 KiB  
Article
The Impact of Sugar-Sweetened Beverage Taxes by Household Income: A Multi-City Comparison of Nielsen Purchasing Data
by Abigail R. Barker, Stephanie Mazzucca and Ruopeng An
Nutrients 2022, 14(5), 922; https://0-doi-org.brum.beds.ac.uk/10.3390/nu14050922 - 22 Feb 2022
Cited by 5 | Viewed by 2949
Abstract
Due to the role that sugar-sweetened beverages (SSBs) play in the obesity epidemic, SSB taxes have been enacted in the United States in the California cities of Albany, Berkeley, Oakland, and San Francisco, as well as in Boulder, Philadelphia, and Seattle. We pooled [...] Read more.
Due to the role that sugar-sweetened beverages (SSBs) play in the obesity epidemic, SSB taxes have been enacted in the United States in the California cities of Albany, Berkeley, Oakland, and San Francisco, as well as in Boulder, Philadelphia, and Seattle. We pooled five years of Nielsen Consumer Panel and Retail Scanner Data (2014–18) to examine purchasing behaviors in and around these cities that have instituted SSB taxes. We included households that were either subject to the tax during the study period or were in surrounding areas within the same state. The goal was to test for the differential impact of SSB taxes by income level and type of tax. Multivariate analyses of beverage purchases found that (1) there is a dose–response relationship with the size of the SSB tax; (2) the Philadelphia tax, which is the only one that includes low-calorie beverages, is associated with greater reductions in SSB purchases and an increase in bottled water purchase; and (3) approximately 72% of the tax is passed through to consumers, but this does not vary by income level of the household. Few income-related effects were detected. Overall, our findings suggest that the Philadelphia model may be the most effective at encouraging healthy habits in beverage choice. Full article
10 pages, 922 KiB  
Article
A College Fast-Food Environment and Student Food and Beverage Choices: Developing an Integrated Database to Examine Food and Beverage Purchasing Choices among College Students
by Elizabeth F. Racine, Rachel Schorno, Shafie Gholizadeh, Morium Barakat Bably, Faizeh Hatami, Casey Stephens, Wlodek Zadrozny, Lisa Schulkind and Rajib Paul
Nutrients 2022, 14(4), 900; https://0-doi-org.brum.beds.ac.uk/10.3390/nu14040900 - 21 Feb 2022
Cited by 4 | Viewed by 6692
Abstract
Universities typically offer residential students a variety of fast-food dining options as part of the student meal plan. When residential students make fast-food purchases on campus there is a digital record of the transaction which can be used to study food purchasing behavior. [...] Read more.
Universities typically offer residential students a variety of fast-food dining options as part of the student meal plan. When residential students make fast-food purchases on campus there is a digital record of the transaction which can be used to study food purchasing behavior. This study examines the association between student demographic, economic, and behavioral factors and the healthfulness of student fast-food purchases. The 3781 fast-food items sold at the University of North Carolina at Charlotte from fall 2016 to spring 2019 were given a Fast-Food Health Score. Each student participating in the university meal plan was given a Student Average Fast-Food Health Score; calculated by averaging the Fast-Food Health Scores associated with each food and beverage item the student purchased at a fast-food vendor, concession stand, or convenience store over a semester. This analysis included 14,367 students who generated 1,593,235 transactions valued at $10,757,110. Multivariate analyses were used to examine demographic, economic, and behavioral factors associated with Student Average Fast-Food Health Scores. Being of a low income, spending more money on fast-food items, and having a lower GPA were associated with lower Student Average Fast-Food Health Scores. Future research utilizing institutional food transaction data to study healthy food choices is warranted. Full article
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19 pages, 2104 KiB  
Article
Exploring the Impact of Policies to Improve Geographic and Economic Access to Vegetables among Low-Income, Predominantly Latino Urban Residents: An Agent-Based Model
by Deborah Salvo, Pablo Lemoine, Kathryn M. Janda, Nalini Ranjit, Aida Nielsen and Alexandra van den Berg
Nutrients 2022, 14(3), 646; https://0-doi-org.brum.beds.ac.uk/10.3390/nu14030646 - 03 Feb 2022
Cited by 9 | Viewed by 2882
Abstract
Modifying the food environment of cities is a promising strategy for improving dietary behaviors, but using traditional empirical methods to test the effectiveness of these strategies remains challenging. We developed an agent-based model to simulate the food environment of Austin, Texas, USA, and [...] Read more.
Modifying the food environment of cities is a promising strategy for improving dietary behaviors, but using traditional empirical methods to test the effectiveness of these strategies remains challenging. We developed an agent-based model to simulate the food environment of Austin, Texas, USA, and to test the impact of different food access policies on vegetable consumption among low-income, predominantly Latino residents. The model was developed and calibrated using empirical data from the FRESH-Austin Study, a natural experiment. We simulated five policy scenarios: (1) business as usual; (2)–(4) expanding geographic and/or economic healthy food access via the Fresh for Less program (i.e., through farm stands, mobile markets, and healthy corner stores); and (5) expanding economic access to vegetables in supermarkets and small grocers. The model predicted that increasing geographic and/or economic access to healthy corner stores will not meaningfully improve vegetable intake, whilst implementing high discounts (>85%) on the cost of vegetables, or jointly increasing geographic and economic access to mobile markets or farm stands, will increase vegetable intake among low-income groups. Implementing discounts at supermarkets and small grocers is also predicted to be an effective policy for increasing vegetable consumption. This work highlights the utility of agent-based modeling for informing food access policies. Full article
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13 pages, 2223 KiB  
Article
Increased School Breakfast Participation from Policy and Program Innovation: The Community Eligibility Provision and Breakfast after the Bell
by Dan Ferris, Jason Jabbari, Yung Chun and J.S. Onésimo Sándoval
Nutrients 2022, 14(3), 511; https://0-doi-org.brum.beds.ac.uk/10.3390/nu14030511 - 25 Jan 2022
Cited by 4 | Viewed by 3115
Abstract
School meals provide significant access to food and nutrition for children and adolescents, particularly through universal free meal mechanisms. Alongside added nutritional meal requirements under the Healthy, Hunger-Free Kids Act (2010), schools can utilize meal program and policy mechanisms such as the Community [...] Read more.
School meals provide significant access to food and nutrition for children and adolescents, particularly through universal free meal mechanisms. Alongside added nutritional meal requirements under the Healthy, Hunger-Free Kids Act (2010), schools can utilize meal program and policy mechanisms such as the Community Eligibility Provision (CEP) and Breakfast after the Bell (BATB) to increase participation. This study examines longitudinal statewide school-level CEP and BATB adoption and estimates the impact on increased free and reduced-price (FRP) breakfast participation. We find that FRP breakfast participation increased for schools that utilize both CEP and BATB (14-percentage-point increase) and that CEP-participating schools are more likely to use BATB approaches such as breakfast in the classroom, grab-and-go carts, and second-chance breakfast. Additionally, using a conditional Difference-in-Differences (DiD) approach, we find that BATB adoption accounted for a 1.4-percentage-point increase in FRP school breakfasts served (p < 0.05). Study findings can inform policy and school official decision making around the policy and program mechanisms at their disposal to increase school meal participation and student nutrition. Full article
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12 pages, 259 KiB  
Article
Relationship between Prefecture-Level Yield of Not-for-Sale Fruits and Vegetables and Individual-Level Fruit and Vegetable Intake in Japan: A Cross-Sectional Study
by Daisuke Machida
Nutrients 2021, 13(11), 4072; https://0-doi-org.brum.beds.ac.uk/10.3390/nu13114072 - 14 Nov 2021
Cited by 2 | Viewed by 1951
Abstract
This study investigated the relationship between prefecture-level yield of not-for-sale fruits and vegetables and individual-level fruit and vegetable intake in Japan. Data were drawn from the Japanese National Health and Nutrition Survey and National Crop Survey of 2016. Random intercept models were used [...] Read more.
This study investigated the relationship between prefecture-level yield of not-for-sale fruits and vegetables and individual-level fruit and vegetable intake in Japan. Data were drawn from the Japanese National Health and Nutrition Survey and National Crop Survey of 2016. Random intercept models were used for the analyses. Individual-level fruit and vegetable intake was used for the dependent variable, and prefecture-level yield of not-for-sale fruits and vegetables was used for the independent variable as a fixed effect. In addition, participants’ characteristics and health-related factors at the individual level were also put into independent variables as fixed effects. The prefectures were used as random intercepts. It was found that prefecture-level yield of not-for-sale fruits and vegetables was significantly related to individual-level fruit and vegetable intake (vegetable: B = 0.390, p < 0.001; fruit: B = 0.268, p = 0.003; fruits and vegetables: B = 0.357, p < 0.001). These relationships were also significant in the gender-specific analysis. Thus, the yield of not-for-sale fruits and vegetables might contribute to the intake of fruits and vegetables in Japan. Full article
22 pages, 356 KiB  
Article
The Impact of the National Nutrition Program 2017–2030 on People’s Food Purchases: A Revenue-Based Perspective
by Jianxiong Chen and Chung-Cheng Yang
Nutrients 2021, 13(9), 3030; https://0-doi-org.brum.beds.ac.uk/10.3390/nu13093030 - 30 Aug 2021
Cited by 7 | Viewed by 2308
Abstract
The General Office of the State Council of China promulgated the National Nutrition Program 2017–2030 in 2017 to guide the people to improve their food supply and nutritional intake. This study uses qualitative and quantitative information which are analyzed to estimate the change [...] Read more.
The General Office of the State Council of China promulgated the National Nutrition Program 2017–2030 in 2017 to guide the people to improve their food supply and nutritional intake. This study uses qualitative and quantitative information which are analyzed to estimate the change in people’s food purchases following the implementation of the National Nutrition Program 2017–2030, and puts forward measures that should be taken by the competent authorities and stakeholders. We use the translog revenue function of the food industry, and based on the data of listed companies of Chinese food enterprises from 2015 to 2020, and this study find that the National Nutrition Program 2017–2030 has had a positive impact on people’s food purchases, and the impact is more obvious in people’s food purchases from large food manufacturers. Finally, we also provide regulators with public policy implications, and provide food manufacturers with development suggestions. Full article
16 pages, 1125 KiB  
Article
Healthy Eating Index-2015 Scores Vary by Types of Food Outlets in the United States
by Magdalena Vinyard, Meghan Zimmer, Kirsten A. Herrick, Mary Story, Wenyen Juan and Jill Reedy
Nutrients 2021, 13(8), 2717; https://0-doi-org.brum.beds.ac.uk/10.3390/nu13082717 - 07 Aug 2021
Cited by 15 | Viewed by 4256
Abstract
Diet quality in the United States is improving over time but remains poor. Food outlets influence diet quality and represent the environments in which individuals make choices about food purchases and intake. The objective of this study was to use the Healthy Eating [...] Read more.
Diet quality in the United States is improving over time but remains poor. Food outlets influence diet quality and represent the environments in which individuals make choices about food purchases and intake. The objective of this study was to use the Healthy Eating Index-2015 (HEI-2015) to evaluate the quality of foods consumed from the four major outlets where food is obtained—stores, full-service restaurants, quick-services restaurants, and schools—and to assess changes over time. This cross-sectional study used 24 h dietary recall data from eight cycles (2003–2004 to 2017–2018) of the National Health and Nutrition Examination Survey (NHANES). Linear trend estimation was used to test for changes in HEI scores over time, and balanced repeated replicate weighted linear regression was used to test for differences in total and component scores between types of food outlets. Overall, Americans are not consuming a mix of foods from any major category of food outlet that aligns with dietary guidelines. The total score for schools (65/100 points) and stores (62/100 points) was significantly higher than full-service (51/100 points) and quick-service (39/100 points) restaurants (p < 0.0001). HEI scores significantly improved over time for schools (p < 0.001), including an increase in whole grains from less than 1 point in 2003–2004 to 7 out of 10 points in 2017–2018. In 2017–2018, schools received the maximum score for total fruits, whole fruits, and dairy. Continued research on strategies for improving the quality of foods consumed from restaurants and stores is warranted. Full article
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11 pages, 289 KiB  
Article
Food Waste and Its Association with Diet Quality of Foods Purchased in South Florida
by Vanessa Mijares, Jair Alcivar and Cristina Palacios
Nutrients 2021, 13(8), 2535; https://0-doi-org.brum.beds.ac.uk/10.3390/nu13082535 - 24 Jul 2021
Cited by 8 | Viewed by 2734
Abstract
The objective of this study was to explore the associations between food waste and the diet quality of foods purchased and with grocery purchasing behaviors. This was a cross-sectional study among 109 primary household food providers conducting primary shopping. Participants were recruited outside [...] Read more.
The objective of this study was to explore the associations between food waste and the diet quality of foods purchased and with grocery purchasing behaviors. This was a cross-sectional study among 109 primary household food providers conducting primary shopping. Participants were recruited outside of local grocery stores and were asked to complete a survey assessing amounts of avoidable food waste and grocery purchasing behaviors. The diet quality of the foods purchased was assessed from grocery receipts using the Grocery Purchase Quality Index-2016 (GPQI-2016). Variables were associated using linear regression, analysis of covariance, and point biserial correlations. We found that fresh fruits (63%) and leafy greens (70%) were the foods that were the most wasted. The GPQI-2016 total score was significantly inversely associated with the total amount of food wasted (β  =  −0.63; 95% CI: −1.14,−0.12) after adjusting for important confounders. The reason “food past the date printed on the package” was directly correlated with food wasted (r = 0.40; p < 0.01) but inversely correlated with GPQI-2016 score (r = −0.21; p = 0.04). Food wasted, but not the GPQI-2016 score, was significantly higher among those who grocery shop 2–4 times per week compared to 1 time every 1–2 weeks (p = 0.02). In conclusion, food waste is inversely associated with diet quality and directly associated with grocery purchasing frequency. Full article
21 pages, 10546 KiB  
Article
Menu Engineering and Dietary Behavior Impact on Young Adults’ Kilocalorie Choice
by Christine Bergman, Yuan Tian, Andrew Moreo and Carola Raab
Nutrients 2021, 13(7), 2329; https://0-doi-org.brum.beds.ac.uk/10.3390/nu13072329 - 07 Jul 2021
Cited by 7 | Viewed by 3356
Abstract
The obesity pandemic is associated with increased consumption of restaurant food. Labeling of menus is an intervention used to provide consumers with kilocalorie (calorie) information in hopes of them making healthier food choices. This study evaluated the relationship between young adults’ calorie choices [...] Read more.
The obesity pandemic is associated with increased consumption of restaurant food. Labeling of menus is an intervention used to provide consumers with kilocalorie (calorie) information in hopes of them making healthier food choices. This study evaluated the relationship between young adults’ calorie choices on restaurant menus and menu design, dietary behaviors, and demographic characteristics. A 3 (fast-casual restaurants) × 4 (menu-designs based on menu engineering theories) between-subjects (n = 480, 18–24-year olds) experimental design was used. The relationship between the participants’ calorie choices (high versus low) and menu design, stage of change, gender, race, educational level and weight status was evaluated using logistic regression. All independent variables had at least one category that had greater odds (CI 95% ± 5%) of subjects choosing a lower calorie entree, except education level and race/ethnic group. Normal weight and overweight subjects had greater odds of choosing lower calorie entrees than those that were obese. In addition, subjects that had started to control their calorie intake for less than six months or had sustained this change for at least six months, had greater odds of choosing lower calorie entrees compared to others. Including a green symbol and calories on fast casual restaurant menus may influence some young adults to choose lower calorie entrees. Full article
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