Use of fat-modified food products to change dietary fat intake of young people.

Ellison, R. Curtis; Goldberg, Robert J.; Witschi, Jelia C.; Capper, Ann L.; Puleo, Elaine; Stare, Fredrick J.

doi:10.2105/ajph.80.11.1374

Cited by 17 publications

(8 citation statements)

References 6 publications

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“…While While people may be aware of nutritional information and advice, this knowledge is rarely put into practice (Croll, Nuemark-Sztainer & Story, 2001;Young, 2002). Substitutive behavior, that is, exchanging foods perceived to be detrimental to health for soperceived healthy alternatives (Chakravorty, 1996;Ellison et al, 1990;Stok, de Vet, de Ridder, & de Wit, 2012;Strecher, 1986) Previous research in consumer decision-making, attitude formation, and change (Eagly & Chaiken, 1993;Peter, Olson & Grunert, 1999;Solomon, Bamossy, Askegaard & Hogg, 2006) demonstrates that the impact of nutrition information is affected in the first instance by consumers' baseline nutrition knowledge. It is this knowledge that is antecedent to the way in Many studies distinguish between two components of knowledge, namely subjective and objective knowledge.…”

Section: Literature Review the Significance Of Healthy Eating Communimentioning

confidence: 99%

“…Such ambiguous or misleading information may also encourage consumers to engage in flawed substitutive behavior. Substitutive behavior, that is, exchanging foods perceived to be detrimental to health for so‐perceived healthy alternatives (Chakravorty, ; Ellison et al., ; Stok, de Vet, de Ridder, & de Wit, ; Strecher, ), can have a positive health effect. However, this will depend on what is substituted, and what is used as a substitute (Spiteri‐Cornish, ; Wansink, ), as flawed nutrition information or misleading advice from nonexpert sources can lead to unhealthy substitutions.…”

Section: Literature Reviewmentioning

confidence: 99%

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The Impact of Consumer Confusion on Nutrition Literacy and Subsequent Dietary Behavior

Cornish

Moraes

2015

Psychology and Marketing

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This paper examines the impact of consumer confusion on nutrition knowledge, literacy, and dietary behavior. While previous research largely focuses on understanding why consumers might not respond to healthy eating communications, this paper seeks to uncover the various behavioral responses to such campaigns, particularly those that contravene health communication objectives. Using an interpretive methodology, findings suggest that most participants do respond to health communications by striving to eat healthily, but inadequate nutrition information derived from unreliable sources, flawed baseline nutrition knowledge, and poor nutrition literacy hinder participants' efforts. Inconsistent, incomplete, and contradictory information leaves many participants feeling confused about how to implement healthy eating habits. Further, a lack of ability to differentiate between credible and unreliable sources of nutrition information means that many participants blame their confusion on policy-makers, and express frustration and cynicism towards vague and often contradictory communications. This, in turn, increases participants' reliance on food adverts, product labels, and other commercial sources of ambiguous yet appealing information. The paper's theoretical contribution includes a consumer confusion framework for healthy eating, and policy implications highlight that health campaigns seeking to increase consumer awareness of healthy eating are not enough. Policymakers must become the most credible sources of information about healthy eating, and distinguish themselves from competing and unreliable sources of nutrition information.Keywords: Nutrition Knowledge; Nutrition Literacy; Consumer Confusion. The Impact of Consumer Confusion on Nutrition Literacy and Subsequent Dietary BehaviorThe aim of this research is to explore whether consumer confusion regarding healthy eating and nutrition information has a negative impact on nutrition knowledge and literacy, as well as on dietary behaviors. Healthy eating can be defined as the eating behaviors that enable a person to achieve "a state of complete physical, mental, and social wellbeing, and not merely the absence of disease or infirmity" (World Health Organization [WHO], 2007). The best health outcomes are associated with balanced dietary patterns that boast high intakes of fruits, vegetables and grains, not just eating or avoiding a single food (Nestle, 2007;Wansink, 2007). Nutrition literacy is essential to healthy eating: it can be seen as the end result of many pushes and pulls, and a response to multiple forces that create an overall nutrition environment (Blaylock, Smallwood, Kassel, Variyam & Aldrich, 1999). One such pull is the rise of healthy eating communications, and social marketing campaigns devised by policy-makers who seek to encourage healthier dietary habits among consumers. Indeed, the dramatic rise in obesity over the past decade (Finkelstein et al., 2012;Stevens et al., 2012) has prompted academic discourse to assist the development of interv...

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Section: Literature Review the Significance Of Healthy Eating Communimentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

The Impact of Consumer Confusion on Nutrition Literacy and Subsequent Dietary Behavior

Cornish

Moraes

2015

Psychology and Marketing

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“…These approaches generally improve nutrition intake by altering food services, preparation and choices in cafeterias and vending machines; offering promotional activities for healthy foods and beverages; enhancing nutrition content of classroom curricula; and informing and educating parents and teachers (35,55,56,64,82,95,100,125). Policies in accordance with CDC recommendations for school-based healthy eating programs have also been shown to be effective in improving health outcomes (131).…”

Section: Physical Environment/accessmentioning

confidence: 99%

“…Policies in accordance with CDC recommendations for school-based healthy eating programs have also been shown to be effective in improving health outcomes (131). School-based interventions report small but consistent improvements in student intake of fruits and vegetables (FV) (52,82,95,100), decreases in fat intake (35,55,125), and choices of healthier food options (59).…”

Section: Physical Environment/accessmentioning

confidence: 99%

SHAPING THE CONTEXT OF HEALTH: A Review of Environmental and Policy Approaches in the Prevention of Chronic Diseases

Brownson¹,

Haire‐Joshu

Luke

2006

Annu. Rev. Public Health

310

236

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Given the growing attention on how environmental and policy interventions can affect chronic disease burden, our objectives are to describe (a) effective and promising interventions to address tobacco use, physical activity, and healthy eating and (b) lessons learned from the literature and practice experience in applying environmental and policy approaches. A total of 17 interventions were reviewed, organized across 3 domains affecting the physical environment/access, economic environment, and communication environment. Many of these interventions are effective. Several lessons are important to consider, such as the need to start with environmental and policy approaches, intervene comprehensively and across multiple levels, make use of economic evaluations, make better use of existing analytic tools, understand the politics and local context, address health disparities, and conduct sound policy research.

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“…A combination of these should be most effective, however, because individuals can exert pressure on institutions and institutions can expand the options of individuals. For example, the feasibility study by Ellison,et al,32 in this issue provides encouraging evidence that major changes in the diets of boarding students can be made in a nonintrusive manner. Other notable institutional changes that immediately alter the diets of millions have been recent decisions by some of the fast food providers to fry their fish, chicken, and (soon) their potatoes in vegetable rather than animal fat.…”

Section: Assessment Of Dietary Practices and Development Of Interventmentioning

confidence: 99%

Challenges for public health nutrition in the 1990s.

Willett¹

1990

Am J Public Health

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A scientific approach to public health nutrition includes: collection of evidence regarding the relation of nutritional factors to health and disease; assessment of current dietary practices; development of strategies to modify diets in a manner deemed to be beneficial; and the evaluation of intervention strategies. This approach has been successful in eliminating several nutritional deficiencies that were once widespread. Despite these successes, nutritional factors remain as probable major determinants of the dominant health problems, particularly cardiovascular diseases and cancer, in the United States and other affluent countries. As we enter a new decade, a consideration of challenges facing those working to improve our nation's health through nutrition may be appropriate. The Scientific EvidenceEstablishing the relation between nutrition and chronic diseases such as cancer and cardiovascular diseases has been more elusive than for deficiency-related diseases such as pellagra and rickets. Unlike specific vitamin deficiencies, the common chronic diseases almost always have multiple causes, including interactions with genetic factors. Also, chronic diseases often have long latent periods, perhaps resulting from many years of continuous exposure, and occur with relatively low frequency even though the cumulative lifetime risk is high. Thus, it is a formidable challenge to obtain a high level of proof that a particular nutritional factor is a cause of disease.Several large, official reviews during the last 10 yearsl-3 have examined the relationship of diet and nutrition to health and disease. This information cannot be considered in detail in an editorial; however, several general comments can be made regarding coronary heart disease and cancer. Coronary Heart DiseaseDespite the prominence given to the relation between diet and coronary heart disease (CHD) during the last 40 years, direct evidence is disappointingly meager. Very few human studies, either case-control or cohort observational studies or intervention trials, have directly examined the relationships between dietary factors and cardiovascular disease. Almost all were seriously limited in size or by their method of dietary assessments.4 Only two consistent findings have emerged:* an inverse relation between energy intake and the risk of coronary heart disease (almost surely reflecting the protective effects of physical activity), and * a strong protective effect of moderate alcohol intake. Although the focus ofdietary recommendations is usually a reduction in saturated fat intake, no relation between saturated fat intake and risk of CHD was observed in the most informative prospective study to date.5 Even if such a relationship exists, the widely quoted ecological association found by Keys6 was probably fortuitously confounded, because the magnitude of the relationship between saturated fat intake and CHD rates was considerably stronger than expected on the basis of metabolic studies of diet and blood lipids and, in turn, epidemiologic studies of ser...

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Use of fat-modified food products to change dietary fat intake of young people.

Cited by 17 publications

References 6 publications

The Impact of Consumer Confusion on Nutrition Literacy and Subsequent Dietary Behavior

The Impact of Consumer Confusion on Nutrition Literacy and Subsequent Dietary Behavior

SHAPING THE CONTEXT OF HEALTH: A Review of Environmental and Policy Approaches in the Prevention of Chronic Diseases

Challenges for public health nutrition in the 1990s.

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