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Abstract
Food advert exposure has been shown to influence calorie intake and food choice in 9–11 year olds. However, little is known about the
effect of food advertisements on feeding behaviour in younger children. Therefore, we conducted a study with 93 children aged 5–7 years,
28 of whom were over weight or obese. The children were exposed to 10 non-food adverts and 10 food adverts in a repeated measures
design. Their consumption of sweet and savoury, high and low fat snack foods, and fruit were measured following both sessions. Food
advert exposure produced a significant increase in total food intake in young children. The collection of recognition data was incomplete.
These data replicate previous findings in that exposure to food adverts increases food intake in all children, but recognition of food
adverts is related to body mass index (BMI). Beyond their effects on brand choice, exposure to food advertisements (commercials)
promotes over-consumption in younger children.
r 2007 Elsevier Ltd. All rights reserved.
0195-6663/$ - see front matter r 2007 Elsevier Ltd. All rights reserved.
doi:10.1016/j.appet.2006.12.003
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264 J.C.G. Halford et al. / Appetite 49 (2007) 263–267
Birch, 2006). However, the TV material shown to these fruit (green seedless grapes). In order to measure the food
children was devoid of any food cues. In the current study, consumption of each child, the food was weighed before
we decided to specifically examine the effect of food adverts presentation and the leftovers remaining were re-weighed
on intake and food preferences in a younger population. post-consumption.
We were interested in ascertaining if recent exposure to TV
food adverts had the same effect on subsequent total food Procedure
intake and food choice in younger children. We were also
interested to ascertain if any difference existed in the ability Two weeks before the study the children were asked if
to recognise food adverts between normal weight and they wished to take part in the study and consent forms
overweight/obese children at this age. were given to their parents. The study was a within-
It was hypothesised that (i) both exposure to food subjects, counterbalanced design and the children were
adverts and the child’s weight status would influence the tested on two occasions separated by 2 weeks. On each
amount of food consumed during this study, (ii) obese and occasion, the children were told that there would be some
overweight children would recognise more food-related adverts at the beginning of the cartoon. The same cartoon
adverts than their normal weight counterparts, (iii) an was used on both occasions. After the 10 min cartoon, the
increased ability to recognise food-related adverts would be tape was stopped. The children were then divided into
significantly associated with the amount consumed after groups of four or five and each child was presented with
food advert exposure. pre-weighed individual servings of the five foods on one
plate. They were instructed that they could eat as little or as
Methods much food as they liked and if they ran out of food the
experimenter offered them more. There was no time
Participants constraint, and once the children had finished eating, the
remaining uneaten food was re-weighed. The children were
Ninety-three young children (39 male, 54 female) aged then read a list of 20 advertisements, 10 of which they had
between 5 years 2 months and 7 years 9 months (mean age actually seen. The children were read out loud the brand
6 years 3 months) were recruited from a UK school to names in the 20 adverts and instructed to answer ‘yes’ if
participate in the study. Two groups were created; lean and they recognised it and ‘no’ if they did not. After the second
overweight/obese, based on BMI converted to a standard session, weight and height measurements were taken
deviation (s.d.) score using the revised 1990 reference individually.
standards (Cole, Freemans, & Preece, 1995). Sixty-five
children were lean (NW), 28 were overweight (n ¼ 13) or Analysis
obese (n ¼ 15) (OW). Although the mean standardised
BMI score was lower in 7 year olds (0.239) than in the 5 All intake data collected adhered to the assumptions for
and 6 year olds (0.610 and 0.704), this difference proved parametric data. Therefore analysis took the form of
insignificant. analysis of variance (ANOVA, and MANOVA where
appropriate) and t-tests. The total kcal intake in each
Materials condition was analysed as were the intakes of each of the
five foods. Flavour preference (sweet versus savoury, and
Television advertisements and advert recognition low versus high fat) was assessed by adding the kcal intake
Three videos were used: a cartoon, a collection of non- of the foods which fitted into each of those categories (high
food-related adverts, and a collection of food-related fat: crisps and chocolate, low fat: snack-a-jacks, jellies and
adverts. Advertisements, 10 in number, were recorded grapes, sweet: chocolate, jellies and grapes, savoury: crisps
from children’s and family programming and previously and snack-a-jacks). Post hoc comparisons used appropriate
used in Halford et al. (2004). Ability to recognise the repeated measures or independent sample t-tests. One way
adverts was assessed by identification of the product from a comparisons were used for predicted changes such as the
list which was read out to the children. The list of 20 effects of condition or weight status on food preference. All
consisted of products that were either shown in the other comparisons were two tailed. The same applied for
advertisements or not. A cartoon was shown after the post hoc correlations. All the analysis was completed using
adverts to simulate the normal context in which children SPSS v14 for pc (SPSS Inc., Chicago, USA).
see food advertisements.
Results
Foods and food intake measurement
The children were given the opportunity to select and eat Total food intake
from an assortment of foods. The foods offered were, low-
fat savoury (snack-a-jacks, cheese flavour), low-fat sweet A main effect of advert exposure on total kcal intake was
(haribo jelly sweets), high-fat sweet (chocolate buttons), found in the two-way mixed ANOVA (F(1,91) ¼ 20.273;
high-fat savoury (walker’s ready salted potato crisps), and po0.001). Total kcal intake was significantly higher after
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J.C.G. Halford et al. / Appetite 49 (2007) 263–267 265
exposure to food adverts (FA) than after the non-food of the various foods (F(1,91) ¼ 20.273; po0.001) (see
adverts (NA). There was no main effect of weight status on Table 1). The children’s level of intake of each food was
intake despite the fact that mean intake in the overweight also significantly associated with the type of food
and the obese children was higher in both experimental (F(4,88) ¼ 126.467; po0.001), and the effect of advert
conditions, nor was there any significant interaction with condition on the types of foods chosen by the children was
weight status (see Fig. 1). There was a significant positive near significant (F(4,88) ¼ 2.265; p ¼ 0.069). The same
correlation between BMI s.d. score and the amount eaten effects were found even if the mass of foods consumed
after exposure to the food adverts (r (93) ¼ 0.185, rather than their energy content were used in the analysis.
p ¼ 0.038 one tailed). With regard to energy intake, children consumed signifi-
cantly more calories from chocolate and jellies than from
Intake of individual foods crisps, significantly more calories from crisps than from
grapes, and significantly more calories from grapes than
The MANOVA (violation of sphericity) examining the from snack-a-jacks (all tests po0.001). Exposure to FA
effects of adverts and weight status on food choice significantly increased the kcal intake of haribo jellies
produced a main effect of advert on the kcal intake (t(92) ¼ 3.136; p ¼ 0.002) and snack-a-jacks (t(92) ¼ 5.336;
po0.001).
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Table 1
Shows the effects of advisement condition in the kcal intake of each food items in the normal weight children, the overweight and obese children and in all
the children
BMI s.d. score and the number of FA correctly recognised was very low in this study, especially in the control
(r(27) ¼ 0.503, p ¼ 0.007) but not the number of NA condition. It is difficult to find low fat savoury snack foods
correctly recognised. that children will consume a substantial amount of when
presented alongside sweet and/or high fat food items
Discussion (Halford et al., 2004). Moreover, while older children have
come across this particular food (and we have successfully
Exposure to the food advertisements produced signifi- used this item in other studies in older children), younger
cant and substantial increases in energy intake in the group children are probably not familiar with them. There are
as a whole. The increase in caloric intake was roughly of obvious limitations in using only four or five food items to
the same magnitude in the two weight status groups, 17% assess children’s habitual taste preferences and the effect of
(112 kcal) in the normal weight children and 14% (97 kcal) advert exposure on them.
in the obese and overweight children, and proves sig- There were no effects of weight status on food intake in
nificant in both. This replicates our previous findings in this study. Moreover, exposure to adverts produced similar
older children (Halford et al., 2004). As far as we are changes in consumption in both weight status groups.
aware, this is the first study to demonstrate that exposure Many far larger studies have failed to demonstrate clear
to advertisements increases food intake in children of this weight status based differences in young children’s habitual
age. Previously adverts have been shown to have an effect food intake (Rodriguez & Moreno, 2006). This study did
on young children’s subsequent attempts to influence not control for the socio-economic status of the children
grocery shopping toward foods advertised (Brody et al., involved. Nor did it examine any relationship between
1981), and to alter brand preference more immediately response to food adverts and the children’s habitual TV
after exposure (Borzekowski & Robinson, 2001). Despite viewing behaviour. The amount and type of TV program-
the fact that in younger children TV viewing may interfere ming watched, and the amount and the differing types of
with consumption (Francis & Birch, 2006), possibly due to advert exposure these children regularly received is
the suppressive effects of TV viewing on behaviour probably critical in determining their responsiveness to
(Klesges, Shelton, & Klesgas, 1993), the content of TV food advert exposure-induced increases in caloric intake.
can still have potent effects on eating behaviour. To conclude, these data clearly demonstrate that
In the control condition of our study, children showed a exposure to food adverts increases energy intake in young
distinct pattern of preference by consuming more sweet children regardless of their weight status. While the
foods than savoury. In terms of amount (i.e. grams), the greatest increase in calories came from the intake of sweet
food items the children consumed the most were grapes, foods, advert exposure significantly increased the intake of
followed by jellies, chocolate buttons, then the crisps and all study foods, with the exception of fruit. Critically, as
finally the low fat savoury snack. However, due to the none of the study foods were the brands shown in the
differing macronutrient contents and energy densities of adverts and were presented without any packaging, in this
these foods, the children consumed a far greater number of situation, advert exposure clearly produced effects on
calories from the chocolate buttons, the jellies and crisps children’s feeding behaviour ‘beyond-brand’, producing a
rather than from the grapes. Children consumed three net increase in consumption.
times the amount of sweet food items than the savoury
ones (even with the grapes removed from the analysis).
Acknowledgements
Savoury foods only contributed 15% to the total energy
intake. The children also ate near three times as much of
The authors would like to acknowledge Mrs. Lisa D.M.
the low fat foods as the high fat ones, mainly due to the
Richards–Halford for help with this manuscript and Dr.
consumption of grapes. In our previous study, older
Clare Lawton (Institute for Psychological Studies, Uni-
children showed greater preference for savoury items,
versity of Leeds) for extensive comments on the draft.
specifically high fat ones, but avoided the low fat savoury
item.
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