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Availability of healthier vs. less healthy food and food choice: an online experiment.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Marteau, Theresa M 

Abstract

BACKGROUND: Our environments shape our behaviour, but little research has addressed whether healthier cues have a similar impact to less healthy ones. This online study examined the impact on food choices of the number of (i) healthier and (ii) less healthy snack foods available, and possible moderation by cognitive load and socioeconomic status. METHODS: UK adults (n = 1509) were randomly allocated to one of six groups (two cognitive load x three availability conditions). Participants memorised a 7-digit number (7777777: low cognitive load; 8529713: high cognitive load). While remembering this number, participants chose the food they would most like to eat from: (a) two healthier and two less healthy foods, (b) six healthier and two less healthy foods, or (c) two healthier and six less healthy foods. RESULTS: Compared to being offered two healthier and two less healthy options, the odds of choosing a healthier option were twice as high (Odds Ratio (OR): 2.0, 95%CI: 1.6, 2.6) with four additional healthier options, while the odds of choosing a less healthy option were four times higher (OR: 4.3, 95%CI: 3.1, 6.0) with four additional less healthy options. There were no significant main effects or interactions with cognitive load or socioeconomic status. CONCLUSIONS: This study provides a novel test of the impact of healthier vs. less healthy food cues on food choice, suggesting that less healthy food cues have a larger effect than healthier ones. Consequently, removing less healthy as opposed to adding healthier food options could have greater impact on healthier choices. Studies are now needed in which choices are made between physically-present foods.

Description

Keywords

Availability, Cognitive load, Food, Healthiness, Socioeconomic status, Adolescent, Adult, Aged, Aged, 80 and over, Choice Behavior, Cognition, Diet, Healthy, Female, Food Preferences, Food Supply, Humans, Internet, Male, Middle Aged, Snacks, Social Class, United Kingdom, Young Adult

Journal Title

BMC Public Health

Conference Name

Journal ISSN

1471-2458
1471-2458

Volume Title

18

Publisher

Springer Science and Business Media LLC
Sponsorship
Department of Health (PRP number 107001)
Wellcome Trust (106679/Z/14/Z)
Wellcome Research Fellowship in Society and Ethics [106679/Z/14/Z] Department of Health Policy Research Programme (Policy Research Unit in Behaviour and Health [PR-UN-0409-10109]).