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.

journal_name

Prev Med

journal_title

Preventive medicine

authors

Seymour JD,Yaroch AL,Serdula M,Blanck HM,Khan LK

doi

10.1016/j.ypmed.2004.04.002

subject

Has Abstract

pub_date

2004-09-01 00:00:00

pages

S108-36

eissn

0091-7435

issn

1096-0260

pii

S0091743504002002

journal_volume

39 Suppl 2

pub_type

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