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HalfordBoyland TV Advertising Effects Copenhagen

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    Television Food Advertising toChildren:

    Effects on Eating Behaviour

    Jason C.G. Halford & Emma J. Boyland

    Biopsychology Research Group

    Liverpool Obesity Research Network (LORN)

    www.liv.ac.uk/obesity

    WHAT IS FOOD ADVERTISING?

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    A food advertisement can be defined as...

    ...a commercial ad featuring a food, beverage, or nutritionalsupplement that is meant to be ingested directly or have its flavoursextracted by chewing (e.g. gum) (Abbatangelo-Gray et al., 2008).

    ...a part of branding activity, with a brand being defined as a name,term, sign, symbol, design, or a combination of these, that identifiesthe goods or services of one seller or group of sellers anddifferentiates them from those of the competition (Chang & Liu,2009).

    ...part of overall marketing activity which is dominated by televisionadvertising but also includes internet advertising and advergaming,programme and event sponsorship, mobile phone advertising, viraladvertising, and printed advertisements.

    TV FOOD ADVERTISING TO CHILDREN

    What is being spent?

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    Food advertising is a multi-million dollar

    industry

    For every US $1 the WHO spends on trying to improve thenutrition of the worlds population, US $500 is spent by thefood industry on promoting processed foods.

    Big Spenders on TV Advertising in UK (2003)

    Nielsen Media Research quoted in The Times (UK) Feb 7,2004.

    TV FOOD ADVERTISING TO CHILDREN

    What foods are being advertised?

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    Advertised foods are not consistent with

    with dietary recommendations

    Current picture extent and nature of foodadvertising on UK TV in 200814 most popular commercialchannels chosen:

    ITV

    Channel Four

    Five

    Nickelodeon

    Cartoon Network

    Jetix CiTV

    4 Music (formerly The Hits)

    Smash Hits

    MTV

    Sky One

    Sky Sports 1

    E4

    Boomerang

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    Study Design For each channel:

    One weekday and one weekend day every month

    06:00 to 22:00 hours

    Specified peak and non-peak childrens viewing times (BARB citedin Ofcom, 2003).

    Each advert coded according to pre-defined criteria (Kelly et al.,2007):

    Advert product type e.g. food/drink; clothing; financial

    Each FOOD advert coded further:

    Core foods e.g. bread; low sugar/high fibre breakfast cereals Non-core foods e.g. chocolate/confectionery; fast food

    Miscellaneous e.g. tea/coffee; supermarkets

    Use of a promotional character (brand equity/licensed character)

    Categorising the foodsCore foods

    Bread (inc. rice, pasta, noodles)

    Low sugar and high fibre breakfastcereals

    Fruit and fruit products (no added sugar)

    Vegetables and vegetable products (noadded sugar)

    Low fat/reduced fat milk, yoghurt,

    cheese, meat and meat alternatives(not crumbed or battered)

    Core foods combined (inc frozen mealsand sandwiches if less than 10g fatper serving)

    Baby foods (excl. milk formulae)

    Bottled water

    Non-core foods

    High sugar/low fibre breakfast cereals

    Crumbed/battered meat and meatalternatives

    Cakes and biscuits

    Snack foods (e.g. crisps, cereal bars)

    Fruit juice and fruit drinks, frozen/friedpotato products

    Full cream milk, yoghurt, dairydesserts, cheese, ice cream,chocolate and confectionery

    Fast food restaurants,

    High sugar/fat/salt spreads

    Sugar sweetened drinks and alcohol

    Miscellaneous = vitamins and supplements, tea and coffee, supermarkets advertisingcore foods/non-core foods/non-specified e.g. for non food items or not clearly core or

    non-core, baby and toddler milk formulae.

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    Proportion of ads for food

    Types of foods advertised

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    Categories of foods advertised*** ***

    ***

    *** p < 0.001

    Examples of inter-channel variationITV Cartoon Network

    Sky Sports One Nickelodeon

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    Differences between peak and non-peak

    childrens viewing periods

    ***

    *** p < 0.001

    Persuasive appeals used in food advertsaimed at children

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    TV FOOD ADVERTISING TO CHILDREN

    Evidence for a link with childhood obesity?

    Levels of unhealthy food advertising

    correlate with prevalence of overweight

    Lobstein & Dibb, 2005

    The prevalence ofoverweight amongschool-age children

    correlatedsignificantly with thenumber of adverts forsweet or fatty foodsper 20 hours ofchildrens televisionbroadcast.

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    Zimmerman & Bell (2010)

    Commercial viewing is a predictor of

    childrens obesity

    Model 1,a b (95%CI)

    Model 2,b b (95%CI)

    Model 3,c b (95%CI)

    Television viewing in 1997, h/d

    Commercial 0.11**(0.00, 0.21) 0.11**(0.00, 0.21) 0.10**(0.00, 0.21)

    Noncommercial 0.03 (0.07, 0.14) 0.03 (0.08, 0.13) 0.04 (0.07, 0.14)

    Television viewing in 2002, h/d

    Commercial 0.06 (0.04, 0.16) 0.06 (0.04, 0.16) 0.06 (0.04, 0.17)

    Noncommercial 0.00 (0.10, 0.11) 0.01 (0.10, 0.11) 0.00 (0.10, 0.11)

    Physical activity in 1997, min/d

    None (Ref)

    130 0.06 (0.34, 0.22)

    > 30 0.01 (0.21, 0.23)

    Physical activity in 2002, min/d

    None (Ref)130 0.19 (0.43, 0.05)

    > 30 0.02 (0.18, 0.21)Eating in front of the television in2002 0.03 (0.04, 0.10)

    Adjusted R2 0.07 0.07 0.07

    Further evidence commercial TV viewing

    and diet

    Children & adolescents who watched the most TV were significantlymore likely to be higher consumers of foods most commonly advertisedon TV (Utter et al., 2006)

    Childrens exposure to food advertising was significantly related totheir consumption of advertised brands and energy-dense product

    categories (Buijzen et al., 2008)

    1 in 7 up to 1 in 3 obese children in the US may not have been obese inthe absence of advertising of unhealthy foods on TV (Veerman et al.,2009)

    Exposure to ads for healthy foods was positively associated withreported fruit & vegetable intake (Klepp et al., 2007)

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    TV FOOD ADVERTISING TO CHILDREN

    Experimental studies

    Our studies at the University of Liverpool food advertising and actual intake

    Condition One

    10 food adverts +cartoon

    Condition Two

    10 non-food adverts +cartoon

    Advert recall/recognition test

    Ad libitum Food Intake Measured

    Height and weight measured at final visit

    Low Fat High Fat Low Fat High Fat Low Energy

    Savoury Savoury Sweet Sweet Density

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    Key findings: Halford et al., 2004 Appetite

    All childrenincreased intake ofSW and HFSAV foodsafter food ads

    OW and OB childrenrecognised more foodthan toy ads, andmore food ads thanNW children.

    Recognition of foodads correlated withamount eaten afterthose ads.

    Food advert exposureproduced a significantincrease in food intake in 5-7year old children.

    No effects of weight statusbut +ve correlation betweenBMI s.d. score and amounteaten after food ads.

    Recognition of food ads wasalso related to BMI.

    Key findings:Halford, Boyland et al., 2007 Appetite

    NW OW/OB

    Non Food Ads Food ads

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    Key findings:

    Halford, Boyland et al., 2008 Public HealthNutrition

    Food advert exposureincreased intake in allchildren

    However, the increasedwas greater in the obesechildren (155%) and theoverweight children (101%)than the NW children

    (89%).

    The effects on adverts and celebrity on the intakeof branded and unbranded crisp/chip potato snacks

    Aim

    To study the effects of exposureto:

    1.toy advert,

    2.general food advert,

    3.celebrity endorsed brandedfood product ad (crisp)

    4.clip of same celebrity in usual

    non-advert context (match ofthe day football highlights)

    on choice between brandedand unbranded product(actually the same crisps).

    209 children, 9-14 y (mean11.11.3y). Between subjectsdesign.

    Results

    1. No overall difference in total intake betweenconditions. All children ate significantly moreof the branded crisps (36.1g v 18.7g;p

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    Exposure to either the advert or the celebrity endorserexaggerated brand choice

    Significant main effect of crisp brand (p

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    Our studies at the University of Liverpool

    effects on food preferences and choice Leeds Food Preference Measure (LFPM)

    Adapted Food Preference Measure (AFPM)

    Leeds Forced Choice Test (LFCT)

    A B

    A B

    Key findings:Halford, Boyland et al., 2008 Int J PediatricObesity

    Following FA exposure NW children chose more food items(both branded and unbranded) than after non-food adverts.

    OW/OB children showed greater preference for branded foods

    than the NW children per se, but did not increase the numberof items chosen after FA.

    In OW/OB children only, there was a significant and positiverelationship between food ad recall and the total number offoods chosen in the food condition.

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    Further evidence for advertising effects on

    food preference Children who had seen food adverts were more likely to choose

    the advertised food product

    Items advertised twice were chosen more often than itemsadvertised once (Borzekowski & Robinson, 2001)

    Children preferred the taste of food and drink items if they thoughtthey were from McDonalds (Robinson et al., 2007)

    Exposure to ad during cartoon was significantly associated withpreference for the advertised product (Chernin, 2008)

    Key findings:Boyland et al., (in preparation) All children selected more non-branded and branded items after FA

    compared to TA.

    Non branded (LFPM) Branded (AFPM)

    *** p < 0.001

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    No weight status differences

    NW and OW/OB children did not differ in their food preferences inthe control (toy ad) condition.

    NW and OW/OB children did not respond differently to foodadvertising exposure.

    Significant differences found between high and low viewers

    High TV viewers had a higher mean BMI SDS than the low TVviewers.

    The food preferences of high TV viewers were more affected byfood ad exposure than low TV viewers.

    In the FA condition, high TV viewing children selected a greaternumber of branded food items than: Non-branded items in the FA condition

    Branded items in the TA condition

    Branded items by low TV viewers in the TA condition.

    Key findings: Boyland et al., (in prep.)

    Thank you for your attention!

    Acknowledgements

    Dr Jo Harrold

    Professor Tim Kirkham

    LORN

    http://www.liv.ac.uk/obesity/