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Cited by 254Nutrition, Health and Food BehaviorConsumer Attitudes and Food LabelingNutritional Studies and Diet

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

SEYMOUR, J·2004·Preventive Medicine
DOI 10.1016/j.ypmed.2004.04.002
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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.

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Authors
SEYMOUR, J.
Affiliations
Centers for Disease Control and Prevention (US)
Corresponding author
SEYMOUR, J
Venue
Preventive Medicine
Publisher
Elsevier BV
Published
2004-09
Volume
39
Pages
108-136
ISSN
0091-7435 (ISSN-L)
DOI
10.1016/j.ypmed.2004.04.002
OpenAlex
W1983835795
Cited by
254
References
63
Citations by year
2026: 1 · 2025: 1 · 2024: 5 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 9 · 2019: 8 · 2018: 9 · 2017: 9 · 2016: 13 · 2015: 20 · 2014: 18 · 2013: 23 · 2012: 32
FWCI
6.30
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Preventive Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Consumer Attitudes and Food Labeling
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Keywords
food choice, food availability, food access, food pricing, food labeling, workplace interventions, university intervention, grocery stores, restaurants, dietary habits
MeSH terms
Adult, Commerce, Feeding Behavior, Food Services, Fruit, Health Promotion, Humans, United States, Vegetables, Food Industry

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