Impact of nutrition environmental interventions on point-of-purchase behavior in adults: A review

Jennifer D. Seymour, Amy Lazarus Yaroch, Mary Serdula, Heidi Michels Blanck, Laura Kettel Khan

Research output: Contribution to journalArticle

166 Citations (Scopus)

Abstract

Background. Nutrition interventions targeted to individuals are unlikely to significantly shift US dietary patterns as a whole. Environmental and policy interventions are more promising for shifting these patterns. We review interventions that influenced the environment through food availability, access, pricing, or information at the point-of-purchase in worksites, universities, grocery stores, and restaurants. Methods. Thirty-eight nutrition environmental intervention studies in adult populations, published between 1970 and June 2003, were reviewed and evaluated on quality of intervention design, methods, and description (e.g., sample size, randomization). No policy interventions that met inclusion criteria were found. Results. Many interventions were not thoroughly evaluated or lacked important evaluation information. Direct comparison of studies across settings was not possible, but available data suggest that worksite and university interventions have the most potential for success. Interventions in grocery stores appear to be the least effective. The dual concerns of health and taste of foods promoted were rarely considered. Sustainability of environmental change was never addressed. Conclusions. Interventions in "limited access" sites (i.e., where few other choices were available) had the greatest effect on food choices. Research is needed using consistent methods, better assessment tools, and longer durations; targeting diverse populations; and examining sustainability. Future interventions should influence access and availability, policies, and macroenvironments.

Original languageEnglish (US)
Pages (from-to)108-136
Number of pages29
JournalPreventive Medicine
Volume39
Issue numberSUPPL. 2
DOIs
StatePublished - Sep 2004

Fingerprint

Food
Workplace
Environmental Policy
Restaurants
Random Allocation
Sample Size
Population
Costs and Cost Analysis
Health
Research

Keywords

  • Environment
  • Grocery store
  • Nutrition
  • Policy
  • Restaurant
  • University
  • Worksite

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Seymour, J. D., Lazarus Yaroch, A., Serdula, M., Blanck, H. M., & Khan, L. K. (2004). Impact of nutrition environmental interventions on point-of-purchase behavior in adults: A review. Preventive Medicine, 39(SUPPL. 2), 108-136. https://doi.org/10.1016/j.ypmed.2004.04.002

Impact of nutrition environmental interventions on point-of-purchase behavior in adults : A review. / Seymour, Jennifer D.; Lazarus Yaroch, Amy; Serdula, Mary; Blanck, Heidi Michels; Khan, Laura Kettel.

In: Preventive Medicine, Vol. 39, No. SUPPL. 2, 09.2004, p. 108-136.

Research output: Contribution to journalArticle

Seymour, JD, Lazarus Yaroch, A, Serdula, M, Blanck, HM & Khan, LK 2004, 'Impact of nutrition environmental interventions on point-of-purchase behavior in adults: A review', Preventive Medicine, vol. 39, no. SUPPL. 2, pp. 108-136. https://doi.org/10.1016/j.ypmed.2004.04.002
Seymour, Jennifer D. ; Lazarus Yaroch, Amy ; Serdula, Mary ; Blanck, Heidi Michels ; Khan, Laura Kettel. / Impact of nutrition environmental interventions on point-of-purchase behavior in adults : A review. In: Preventive Medicine. 2004 ; Vol. 39, No. SUPPL. 2. pp. 108-136.
@article{70338f357f2c434188d8b0bee239d695,
title = "Impact of nutrition environmental interventions on point-of-purchase behavior in adults: A review",
abstract = "Background. Nutrition interventions targeted to individuals are unlikely to significantly shift US dietary patterns as a whole. Environmental and policy interventions are more promising for shifting these patterns. We review interventions that influenced the environment through food availability, access, pricing, or information at the point-of-purchase in worksites, universities, grocery stores, and restaurants. Methods. Thirty-eight nutrition environmental intervention studies in adult populations, published between 1970 and June 2003, were reviewed and evaluated on quality of intervention design, methods, and description (e.g., sample size, randomization). No policy interventions that met inclusion criteria were found. Results. Many interventions were not thoroughly evaluated or lacked important evaluation information. Direct comparison of studies across settings was not possible, but available data suggest that worksite and university interventions have the most potential for success. Interventions in grocery stores appear to be the least effective. The dual concerns of health and taste of foods promoted were rarely considered. Sustainability of environmental change was never addressed. Conclusions. Interventions in {"}limited access{"} sites (i.e., where few other choices were available) had the greatest effect on food choices. Research is needed using consistent methods, better assessment tools, and longer durations; targeting diverse populations; and examining sustainability. Future interventions should influence access and availability, policies, and macroenvironments.",
keywords = "Environment, Grocery store, Nutrition, Policy, Restaurant, University, Worksite",
author = "Seymour, {Jennifer D.} and {Lazarus Yaroch}, Amy and Mary Serdula and Blanck, {Heidi Michels} and Khan, {Laura Kettel}",
year = "2004",
month = "9",
doi = "10.1016/j.ypmed.2004.04.002",
language = "English (US)",
volume = "39",
pages = "108--136",
journal = "Preventive Medicine",
issn = "0091-7435",
publisher = "Academic Press Inc.",
number = "SUPPL. 2",

}

TY - JOUR

T1 - Impact of nutrition environmental interventions on point-of-purchase behavior in adults

T2 - A review

AU - Seymour, Jennifer D.

AU - Lazarus Yaroch, Amy

AU - Serdula, Mary

AU - Blanck, Heidi Michels

AU - Khan, Laura Kettel

PY - 2004/9

Y1 - 2004/9

N2 - Background. Nutrition interventions targeted to individuals are unlikely to significantly shift US dietary patterns as a whole. Environmental and policy interventions are more promising for shifting these patterns. We review interventions that influenced the environment through food availability, access, pricing, or information at the point-of-purchase in worksites, universities, grocery stores, and restaurants. Methods. Thirty-eight nutrition environmental intervention studies in adult populations, published between 1970 and June 2003, were reviewed and evaluated on quality of intervention design, methods, and description (e.g., sample size, randomization). No policy interventions that met inclusion criteria were found. Results. Many interventions were not thoroughly evaluated or lacked important evaluation information. Direct comparison of studies across settings was not possible, but available data suggest that worksite and university interventions have the most potential for success. Interventions in grocery stores appear to be the least effective. The dual concerns of health and taste of foods promoted were rarely considered. Sustainability of environmental change was never addressed. Conclusions. Interventions in "limited access" sites (i.e., where few other choices were available) had the greatest effect on food choices. Research is needed using consistent methods, better assessment tools, and longer durations; targeting diverse populations; and examining sustainability. Future interventions should influence access and availability, policies, and macroenvironments.

AB - Background. Nutrition interventions targeted to individuals are unlikely to significantly shift US dietary patterns as a whole. Environmental and policy interventions are more promising for shifting these patterns. We review interventions that influenced the environment through food availability, access, pricing, or information at the point-of-purchase in worksites, universities, grocery stores, and restaurants. Methods. Thirty-eight nutrition environmental intervention studies in adult populations, published between 1970 and June 2003, were reviewed and evaluated on quality of intervention design, methods, and description (e.g., sample size, randomization). No policy interventions that met inclusion criteria were found. Results. Many interventions were not thoroughly evaluated or lacked important evaluation information. Direct comparison of studies across settings was not possible, but available data suggest that worksite and university interventions have the most potential for success. Interventions in grocery stores appear to be the least effective. The dual concerns of health and taste of foods promoted were rarely considered. Sustainability of environmental change was never addressed. Conclusions. Interventions in "limited access" sites (i.e., where few other choices were available) had the greatest effect on food choices. Research is needed using consistent methods, better assessment tools, and longer durations; targeting diverse populations; and examining sustainability. Future interventions should influence access and availability, policies, and macroenvironments.

KW - Environment

KW - Grocery store

KW - Nutrition

KW - Policy

KW - Restaurant

KW - University

KW - Worksite

UR - http://www.scopus.com/inward/record.url?scp=4143049066&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=4143049066&partnerID=8YFLogxK

U2 - 10.1016/j.ypmed.2004.04.002

DO - 10.1016/j.ypmed.2004.04.002

M3 - Article

C2 - 15313080

AN - SCOPUS:4143049066

VL - 39

SP - 108

EP - 136

JO - Preventive Medicine

JF - Preventive Medicine

SN - 0091-7435

IS - SUPPL. 2

ER -