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Impact of increasing the availability of healthier vs. less-healthy food on food selection: a randomised laboratory experiment

Title: Impact of increasing the availability of healthier vs. less-healthy food on food selection: a randomised laboratory experiment
Authors: Pechey, Rachel; Sexton, Olivia; Codling, Saphsa; Marteau, Theresa M.
Publisher Information: BioMed Central
Publication Year: 2021
Collection: Apollo - University of Cambridge Repository
Subject Terms: Research Article; Health behavior; health promotion and society; Absolute-and-relative availability; Food selection; Socioeconomic position; Health inequalities; Response inhibition; Food appeal
Description: Background: Environmental cues shape behaviour, but few studies compare the impact of targeting healthier vs. less-healthy cues. One online study suggested greater impact on selection from increasing the number of less-healthy (vs. healthier) snacks. The current study aimed to: (1) extend the previous study by using physically-present snacks for immediate consumption; (2) explore responsiveness by socio-economic position; (3) investigate possible mediators (response inhibition, food appeal) of any socio-economic differences in selection. Methods: In a between-subjects laboratory experiment UK adults (n = 417) were randomised according to their ID number (without blinding) to one of three ranges of options: Two healthier, two less-healthy [“Equal”] (n = 136); Six healthier, two less-healthy [“Increased Healthier”] (n = 143); Two healthier, six less-healthy [“Increased Less-Healthy”] (n = 138). Participants completed measures of response inhibition and food appeal, and selected a snack for immediate consumption from their allocated range. The primary outcome was selection of a healthier (over less-healthy) snack. Results: The odds of selecting a less-healthy snack were 2.9 times higher (95%CIs:1.7,5.1) in the Increased Less-Healthy condition compared to the Equal condition. The odds of selecting a healthier snack were 2.5 times higher (95%CIs:1.5,4.1) in the Increased Healthier (vs. Equal) condition. There was no significant difference in the size of these effects (− 0.2; 95%CIs:-1.1,0.7). Findings were inconclusive with regard to interactions by education, but the direction of effects was consistent with potentially larger impact of the Increased Healthier condition on selection for higher-educated participants, and potentially larger impact of the Increased Less-Healthy condition for less-educated participants. Conclusions: A greater impact from increasing the number of less-healthy (over healthier) foods was not replicated when selecting snacks for immediate consumption: both increased selections of ...
Document Type: article in journal/newspaper
File Description: application/pdf; application/zip; text/xml
Language: English
Relation: 10046; https://www.repository.cam.ac.uk/handle/1810/316931
DOI: 10.17863/CAM.64044
Availability: https://www.repository.cam.ac.uk/handle/1810/316931; https://doi.org/10.17863/CAM.64044
Rights: Attribution 4.0 International (CC BY 4.0) ; https://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.90C997DF
Database: BASE