Healthier diets for all? A systematic review and meta-analysis examining socioeconomic equity of the effect of increasing availability of healthier foods on food choice and energy intake.

Langfield, Tess, Marty, Lucile, Inns, Maisie, Jones, Andrew and Robinson, Eric ORCID: 0000-0003-3586-5533 (2023) Healthier diets for all? A systematic review and meta-analysis examining socioeconomic equity of the effect of increasing availability of healthier foods on food choice and energy intake. Obesity reviews : an official journal of the International Association for the Study of Obesity, 24 (6). e13565-e13565.

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Official URL: http://dx.doi.org/10.1111/obr.13565

Abstract

Widespread availability of unhealthy food and drink products may contribute to socioeconomic patterning in obesity. Therefore, increasing the availability of healthier foods may be one approach to reducing obesity without widening existing inequalities. This systematic review and meta-analysis examined the impact of increasing the availability of healthier food and drink on consumer behavior among individuals with higher and lower socioeconomic position (SEP). Eligible studies were required to use experimental designs to compare conditions of higher vs lower availability of healthier vs less healthy options on food choice-related outcomes and measure SEP. Thirteen eligible studies were included. Odds of choosing a healthy item were higher when availability was increased for higher (OR = 5.0, 95% CI: 3.3, 7.7) and lower (OR = 4.9, CI: 3.0, 8.0) SEP. Increased availability of healthier foods was also associated with a decrease in energy content of selections for higher (-131 kcal; CI: -76, -187) and lower (-109 kcal; CI: -73, -147) SEP. There was no SEP moderation. Increasing the relative availability of healthier foods may be an equitable and effective approach to improve population-level diet and address obesity, though more research is required testing this in real-world environments.

Item Type:	Article
Uncontrolled Keywords:	consumer behavior, food environment, SES, socioeconomic position
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health
Depositing User:	Symplectic Admin
Date Deposited:	31 Mar 2023 08:13
Last Modified:	12 May 2023 03:48
DOI:	10.1111/obr.13565
Open Access URL:	https://doi.org/10.1111/obr.13565
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3169376