Citation
Dunford, Elizabeth K.; Ng, Shu Wen; & Taillie, Lindsey Smith (2019). How Does the Healthfulness of the US Food Supply Compare to International Guidelines for Marketing to Children and Adolescents?. Maternal and Child Health Journal, 23(6), 768-776. PMCID: PMC6924567Abstract
Objectives: Food marketing to children is pervasive and linked to increased preference and intake of unhealthy foods. The World Health Organization (WHO) developed the only multi-country nutrient criteria, and Chile recently released the world's most comprehensive regulation to identify foods that should not be marketed to children. Our objective was to examine the proportion of US packaged food and beverage products eligible for marketing to children under the WHO Europe Nutrient Profile Model (NPM) and the 2019 Chilean regulation.Methods: Data for this study are from Label Insight's 2017 Open Access branded food database. Each product was assigned to one of 13 food categories, and nutritional content compared to both the NPM and Chilean criteria. The proportion of US products meeting criteria for marketing to children using both schemes was examined overall and by category. Agreement between the two criteria was examined using Cohen's Kappa.
Results: Of 17,740 US products, 21% were eligible to be marketed to children using the WHO criteria and 26% using the Chilean criteria. 'Egg and egg products' and 'Seafood' had the highest proportion of products eligible for marketing to children under both schemes. 'Confectionery' and 'Snack foods' had the lowest proportion eligible.
Conclusions: for practice The WHO NPM and Chilean criteria both restrict less healthy items from being marketed to children. Regulatory agencies in the US developing policies should consider the implementation of nutrient criteria to restrict the marketing of less healthy foods and beverages to children and adolescents.
URL
http://dx.doi.org/10.1007/s10995-018-02693-1Reference Type
Journal ArticleYear Published
2019Journal Title
Maternal and Child Health JournalAuthor(s)
Dunford, Elizabeth K.Ng, Shu Wen
Taillie, Lindsey Smith
PMCID
PMC6924567ORCiD
Taillie - 0000-0002-4555-2525Ng - 0000-0003-0582-110X
Dunford - 0000-0003-4505-3256