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Appetite
journal homepage: www.elsevier.com/locate/appet
Research review
a r t i c l e
i n f o
Article history:
Received 1 December 2011
Received in revised form 5 January 2012
Accepted 28 January 2012
Available online xxxx
Keywords:
Food adverts
Children
Marketing
Obesity
a b s t r a c t
Television provides one of the rst, and most intimate, experiences of commercial food promotion. Therefore, unsurprisingly, the effects of television advertising on childrens brand preferences are well established. However, its effect on actual food intake and the food choices in children of various weight
statuses has only recently been characterised. Despite regulation, children in the UK are exposed to considerable numbers of food adverts on television. These are predominantly for foods high in fat, salt and
sugar (HFSS), which are marketed to children using promotional characters and themes of fun. Such
adverts have been shown to cause signicant increases in intake, particularly in overweight and obese
children, and enhanced preference for high carbohydrate and high fat foods in children who consume
the greatest amounts of televisual media.
2012 Elsevier Ltd. All rights reserved.
Contents
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Links between television viewing and obesity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Television viewing and childrens food intake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The immediate impact of TV on food choice and consumption . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The longer term impact of TV on obesity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Television food advertising and branding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Nature and extent of food advertising to children on television . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Advertising impacts on childrens food preferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Advertising impacts on childrens food intake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Introduction
Television inuences the attitudes, behaviours, and values of
viewers, particularly children (Byrd-Bredbenner, 2002; Nash, Pine,
& Messer, 2009). Consequently, television viewing and the resulting exposure to food advertising (Hamilton-Ekeke & Thomas,
2007; St-Onge, Keller, & Heymseld, 2003) and branding (Jaeger,
2006; Just & Payne, 2009) have been proposed as important factors
in inuencing food choice decisions and therefore determining dietary health and obesity risk. Children are major targets for marketing by the food industry, given that they have both independent
spending power (current and future) and a signicant inuence
Corresponding author.
E-mail address: e.boyland@liv.ac.uk (E.J. Boyland).
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over family spending. The inuence of television, television advertising and branding on food preference and eating behaviour in
children is the focus of this review.
Links between television viewing and obesity
It has been argued that greater than 60% of overweight incidence amongst children and adolescents in the US could be attributed to television viewing (Gortmaker et al., 1996). Importantly, it
has even been shown that television viewing in childhood can
independently predict increased adult body mass index, suggesting
a causal link (Viner & Cole, 2005).
Crucially, the balance of literature suggests that the association
between television viewing and obesity remains signicant even
when potential confounding variables such as socioeconomic
0195-6663/$ - see front matter 2012 Elsevier Ltd. All rights reserved.
http://dx.doi.org/10.1016/j.appet.2012.01.032
Please cite this article in press as: Boyland, E. J., & Halford, J. C. G. Television advertising and branding: Effects on eating behaviour and food preferences in
children. Appetite (2012), http://dx.doi.org/10.1016/j.appet.2012.01.032
70
60
50
40
Peak
30
Non-peak
20
10
0
% of food ads
% core
% non-core
% misc
Fig. 1. The proportion of adverts that were for food, and the proportion of food
adverts specically that were for core, non-core and miscellaneous food items
between peak and non-peak childrens viewing times (from 2008 data reported in
Boyland et al., 2011b).
Please cite this article in press as: Boyland, E. J., & Halford, J. C. G. Television advertising and branding: Effects on eating behaviour and food preferences in
children. Appetite (2012), http://dx.doi.org/10.1016/j.appet.2012.01.032
shown but the brand logo and message (with strong associations to
the HFSS foods produced under that brand name) can still be
repeatedly reinforced.
Of the ten most frequently advertised food items, six were unhealthy items such as fast food, high sugar/low bre breakfast
cereals, chocolate/confectionery and snack foods (Boyland et al.,
2011b).
Similarly, numerous studies from around the globe have shown
that typically the majority of adverts broadcast are for unhealthy,
HFSS products (Batada, Seitz, Wootan, & Story, 2008; Batrinou &
Kanellou, 2009; Chapman, Nicholas, Banovic, & Supramaniam,
2006; Jenkin, Wilson, & Hermanson, 2009; Kelly et al., 2010). Overall, it is clear that the foods advertised reect a dietary pattern that
would be associated with increased risk of obesity and are not in
line with recommended nutritional guidelines (WHO, 2003).
The way in which these foods are advertised is also worthy of
note. A recent study in the British Journal of Nutrition (Adams,
Tyrrell, & White, 2011) found that in approximately a third of food
advertisements, an incidental food appeared alongside the item
that was the focal point of the advertisement (the primary food).
The most common food group represented among primary foods
was foods and drinks high in fat and/or sugar (41%, e.g. chocolate,
cakes, full-sugar carbonated soft drinks). Among incidental foods
the most frequently represented food group was fruit and vegetables, and these foods were signicantly less likely to be high in fat
and/or sugar. So where a wider food context was present in the advert, this context tended to be healthier than the branded foods
that were the focus of the advert. The authors concluded that this
may be perceived as reinforcing the idea of a balanced diet, or may
add an unjustied aura of healthiness to the advertised food
(Adams et al., 2011).
Advertisers also use particular persuasive techniques to appeal
to children and young people (such as the use of appeals, promotional characters, celebrity endorsement and giveaways) (Committee on Communications, 2006), and such techniques do affect the
popularity of the advert with children (Nash et al., 2009). Again,
despite regulatory control in the UK, the use of promotional characters and other techniques known to appeal to children is widespread amongst food advertising on popular commercial
channels (Boyland, Harrold, Kirkham, & Halford, 2012). Children
naturally focus their attention on techniques such as animation
and visual effects, and emotional appeals do distract children from
other aspects of adverts for example nutritional disclaimers or
product information (Wicks, Warren, Fosu, & Wicks, 2009).
Branding is critical to product choice, particularly for children
and young people; therefore the majority of child-oriented food
advertisements take a branding approach (Connor, 2006). Television advertising is thought to be very effective at building strong
brands (Heath, 2009). Of all commodities, food is one of the most
highly branded items, with over 80% of US grocery items being marketed under a brand (Story & French, 2004). This level of branding of
food products lends itself to major advertising campaigns, and food
manufacturers carry out advertising activity with the aim of building brand awareness and brand loyalty as it is believed that brand
preference precedes purchase behaviour (Story & French, 2004).
Children are critical targets for marketing and branding activity;
they have independent spending power but also exert considerable
inuence over family purchases. Food and drink purchases are the
categories over which children have particular inuence (Sndergaard & Edelenbos, 2007). In addition, children are also seen as
teenage and adult shoppers of the future so that any brand loyalty that is fostered at a young age may reward the food company
with a lifetime of sales, potentially worth $100,000 to a retailer
(Escalante de Cruz, Phillips, & Saunders, 2004).
There are numerous examples of food branding activity used to
appeal to children. Brand licensing is prevalent in childrens
Please cite this article in press as: Boyland, E. J., & Halford, J. C. G. Television advertising and branding: Effects on eating behaviour and food preferences in
children. Appetite (2012), http://dx.doi.org/10.1016/j.appet.2012.01.032
Fig. 2. Mean (SEM, indicated by the error bars) number of branded and non-branded items selected from a food preference measure in each condition according to
macronutrient category (from Boyland et al., 2011a). aP < .01, bP < .001, indicate a signicantly greater number of items selected by high television (TV) viewers compared
with low television viewers.
intake in all children (see Fig. 3). This nding was later replicated
in 57 year old children (Halford et al., 2007) (see Fig. 4). Interestingly, a further study demonstrated that not only did food
advertising exposure produce a substantial and signicant increase
in caloric intake (of high fat and/or sweet energy-dense snacks) in
all children, but also that this increase in intake was largest in the
obese children (Halford et al., 2008b). This suggests that overweight and obese children are more responsive to food promotion,
and that such promotion specically stimulated the intake of energy-dense snacks (Halford et al., 2008b). It is important to note
that the foods offered to children taking part in these studies were
not the same items that were represented in the food adverts they
were exposed to. Therefore the effect of food advertising is not limited to increasing intake of the particular item being advertised;
rather it is a beyond-brand effect stimulating the consumption of
all snack foods on offer.
However, advertisements for healthier food products have also
been shown to have an impact. Both Dixon, Scully, Wakeeld,
White, & Crawford (2007) and Beaudoin, Fernandez, Wall, & Farley
(2007) found that adverts for nutritious foods promoted positive
attitudes and beliefs concerning these foods. However, personality
traits may be a selective barrier to childrens responsiveness to
Fig. 3. The weight of food eaten after viewing advertisements by lean, overweight
and obese groups in the session with non-food ads (open columns) and in the
session with food ads (lled columns); mean values with SE bars; (from Halford
et al., 2004).
Please cite this article in press as: Boyland, E. J., & Halford, J. C. G. Television advertising and branding: Effects on eating behaviour and food preferences in
children. Appetite (2012), http://dx.doi.org/10.1016/j.appet.2012.01.032
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children. Appetite (2012), http://dx.doi.org/10.1016/j.appet.2012.01.032
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Please cite this article in press as: Boyland, E. J., & Halford, J. C. G. Television advertising and branding: Effects on eating behaviour and food preferences in
children. Appetite (2012), http://dx.doi.org/10.1016/j.appet.2012.01.032