Foresight: Tackling Obesities: Future Choices - Building the Obesity System Map

Vandenbroeck, Philippe; Goossens, Jo; Clemens, Marshall

doi:10.1037/e602972011-001

Cited by 168 publications

(194 citation statements)

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“…The only statistically significant results are noted in table 2. With regards to the risk of being overweight the combined effects of the predictor variables help to explain 16.2% of the variance using the Nagelkerke (pseudo) R Square value, a large amount of variance to be explained by such a relatively limited array of factors in the model when it is generally accepted that multiple factors contribute to weight (Vandenbroeck et al 2007). It is also evident that some of the estimated odds ratios show trends that were anticipated.…”

Section: Bmi As An Outcome Variablementioning

confidence: 88%

Assessing the obesogenic environment of North East England

Burgoine¹,

Alvanides²,

Lake³

2011

Health & Place

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The full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-prot purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details. Assessing the Obesogenic Environment of North East England AbstractThis study examines the influence of the environment (defined as 'walkability', food availability and deprivation), alongside individual factors, on body mass index (BMI) and fruit and vegetable consumption. The aim of this unique study was to objectively scrutinise the concept of the obesogenic environment in the North East of England.A set of theoretical obesogenic indices based on the availability of food to consume within and outside of the home, residential density, street connectivity and land use mix were created for North East England. A pooled sample of 893 individuals (aged 16+) over three years (2003, 2004, 2005) from the Health Survey for England (HSE)was isolated for further analysis and correlation with the obesogenic indices.Results suggest that few elements of both walkability and food availability are significantly associated with BMI and fruit and vegetable intake. Some methodological concerns are highlighted, such as the appropriateness of walkability calculations for rural areas. The study concludes by strongly recommending a multifaceted approach be taken when trying to tackle current levels of obesity.

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Section: Bmi As An Outcome Variablementioning

confidence: 88%

Assessing the obesogenic environment of North East England

Burgoine¹,

Alvanides²,

Lake³

2011

Health & Place

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“…Conclusions: The entire family OH eating experience needs to be considered when developing public health interventions and this research has highlighted key opportunities that caterers could employ to support healthier family OH food choices. Obesity is a complex, multifaceted public health problem in which the food environment plays a key role (1) . Out-ofhome (OH) eating is one aspect of the food environment that is becoming increasingly important in promoting overeating and excess energy intakes.…”

Section: Introductionmentioning

confidence: 99%

Parent and child perspectives on family out-of-home eating: a qualitative analysis

McGuffin

Price

McCaffrey

et al. 2014

Public Health Nutr.

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Objective: To (i) explore the factors influencing family out-of-home (OH) eating events and (ii) identify possible opportunities for food businesses to support families in making healthier OH choices. Design: Focus group discussions were conducted with parents (six to eight participants per group) and friendship pair discussions (informal interviews with two children who are friends) were conducted with children (5-12 years) throughout the island of Ireland. Both discussions were audio-recorded and analysed using a thematic content analysis. Setting: Eight focus groups and sixteen friendship pairs were conducted in Northern Ireland and sixteen focus groups and thirty-two friendship pairs were conducted in the Republic of Ireland. Subjects: Purposive sampling was used to recruit a sample of non-related parents and children that represented equal numbers of gender, age, socio-economic status and demographic backgrounds. Results:: The main, overarching theme was that families perceived OH eating to be a treat, while health was not currently a key priority for many parents and children. Children were reported to have most responsibility for their own food choice decisions in this environment, with taste and food neophobia having the greatest influences. Parents believed that if food businesses could meet parent and child priorities in addition to health influences, e.g. change cooking methods, and increase flexibility, then families would be more likely to patronise these establishments. Conclusions: The entire family OH eating experience needs to be considered when developing public health interventions and this research has highlighted key opportunities that caterers could employ to support healthier family OH food choices. Obesity is a complex, multifaceted public health problem in which the food environment plays a key role (1) . Out-ofhome (OH) eating is one aspect of the food environment that is becoming increasingly important in promoting overeating and excess energy intakes. The increasing trend in OH eating has been well documented in the USA (2,3) , but a lack of consistent data and definition of OH eating has hindered the identification of any clear trends for the UK and Republic of Ireland (ROI). In the UK, OH eating accounted for 11 % of total energy intakes in 2011 (4) but the definition of OH eating was not clear, with the exception of including school and work meals. In ROI, OH eating contributed 24 % to total energy intakes when restaurants, takeaways, shops and delicatessens were included (5) .In adults, OH eating has been associated with larger portion sizes (2,6,7) and higher energy intakes (2,(6)(7)(8)(9) but lower micronutrient (8) and fruit and vegetable intakes (6,9,10) . Similar findings have been found for children, suggesting that children who eat OH frequently have higher intakes of total energy, total fat, total carbohydrate, added sugars and sugar-sweetened beverages with lower intakes of fibre, milk, fruit and vegetables (11,12) . Fast-food establishments and restaurants were f...

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“…Food marketing is one of many intra-, inter-and environmental determinants which have the potential to affect dietary behaviours [5,100]. Bradford Hill notes that the absence of specificity is not sufficient to reject causality with one-to-one relationships not frequently observed [40].…”

Section: Experimental Studies Using Premium Offersmentioning

confidence: 99%

The Impact of Marketing and Advertising on Food Behaviours: Evaluating the Evidence for a Causal Relationship

et al. 2016

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The prevention of overweight in childhood is paramount to long term heart-health. Food marketing predominately promotes unhealthy products which if over-consumed will lead to overweight. International health expert calls for further restriction of children's exposure to food marketing remain relatively unheeded, with a lack of evidence showing a causal link between food marketing and children's dietary behaviours and obesity an oft cited reason for this policy inertia. This direct link is difficult to measure and quantify with a multiplicity of determinants contributing to dietary intake and the development of overweight. The Bradford Hill Criteria provide a credible framework by which epidemiological studies may be examined to consider whether a causal interpretation of an observed association is valid. This paper draws upon current evidence that examines the relationship between food marketing, across a range of different media, and children's food behaviours, and appraises these studies against Bradford Hill's causality framework. IntroductionCardiovascular disease (CVD) is largely preventable, yet, globally, it contributes to the greatest burden of premature mortality [1]. Modifiable, diet-related CVD risk factors include overweight and obesity and high consumption of saturated and trans fatty acids, refined carbohydrates and sodium [2,3]. Establishing healthy dietary behaviours and maintaining a healthy weight in childhood is paramount for maximising heart-health [4], however within our current food environment, this has never been more challenging.

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Foresight: Tackling Obesities: Future Choices - Building the Obesity System Map

Cited by 168 publications

References 0 publications

Assessing the obesogenic environment of North East England

Assessing the obesogenic environment of North East England

Parent and child perspectives on family out-of-home eating: a qualitative analysis

The Impact of Marketing and Advertising on Food Behaviours: Evaluating the Evidence for a Causal Relationship

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