The Influence of Unhealthy Food and Beverage Marketing Through Social Media and Advergaming on Diet-related Outcomes in Children-A Systematic Review

Overview

Journal Obes Rev

Specialty Endocrinology

Date 2022 Mar 18

PMID 35301815

Authors

Catherine M Mc Carthy

Ralph de Vries

Joreintje D Mackenbach

Affiliations

Soon will be listed here.

Abstract

Children are increasingly exposed to food and beverage marketing, but little is known about the specific effects of marketing through media most used by children. This study aims to systematically review the influence of unhealthy food and beverage marketing through social media and advergaming on diet-related outcomes in children. Seven databases were systematically searched for English peer-reviewed quantitative and qualitative scientific studies on the effects of marketing of unhealthy products through social media or advergaming on a range of diet-related outcomes in children. Risk of bias was assessed with tools specific for the different study designs. Twenty-six studies were included, of which 20 examined the effect of food and beverage marketing through advergaming and six through social media. Most studies had a high risk of bias. The results suggested that unhealthy food and beverage marketing through social media and advergaming has a significant effect on pester behaviors, food choice, and food intake of children. The studies demonstrate that unhealthy food and beverage marketing through media popular with children significantly impacts different diet-related outcomes. Combined with existing evidence on this effect in other settings, this review provides clear evidence of the need for policies targeting screen-based marketing.

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References

Folkvord F, Anschutz D, Buijzen M, Valkenburg P . The effect of playing advergames that promote energy-dense snacks or fruit on actual food intake among children. Am J Clin Nutr. 2012; 97(2):239-45. DOI: 10.3945/ajcn.112.047126. View

Lwin M, Malik S, Ridwan H, Au C . Media exposure and parental mediation on fast-food consumption among children in metropolitan and suburban Indonesia. Asia Pac J Clin Nutr. 2017; 26(5):899-905. DOI: 10.6133/apjcn.122016.04. View

Boyland E, Thivel D, Mazur A, Ring-Dimitriou S, Frelut M, Weghuber D . Digital Food Marketing to Young People: A Substantial Public Health Challenge. Ann Nutr Metab. 2020; 76(1):6-9. DOI: 10.1159/000506413. View

Lapierre M, Fleming-Milici F, Rozendaal E, McAlister A, Castonguay J . The Effect of Advertising on Children and Adolescents. Pediatrics. 2017; 140(Suppl 2):S152-S156. DOI: 10.1542/peds.2016-1758V. View

Page M, McKenzie J, Bossuyt P, Boutron I, Hoffmann T, Mulrow C . The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. PLoS Med. 2021; 18(3):e1003583. PMC: 8007028. DOI: 10.1371/journal.pmed.1003583. View

Qutteina Y, De Backer C, Smits T . Media food marketing and eating outcomes among pre-adolescents and adolescents: A systematic review and meta-analysis. Obes Rev. 2019; 20(12):1708-1719. DOI: 10.1111/obr.12929. View

Folkvord F, Anschutz D, Nederkoorn C, Westerik H, Buijzen M . Impulsivity, "advergames," and food intake. Pediatrics. 2014; 133(6):1007-12. DOI: 10.1542/peds.2013-3384. View

Sterne J, Savovic J, Page M, Elbers R, Blencowe N, Boutron I . RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ. 2019; 366:l4898. DOI: 10.1136/bmj.l4898. View

Smith R, Kelly B, Yeatman H, Moore C, Baur L, King L . Advertising Placement in Digital Game Design Influences Children's Choices of Advertised Snacks: A Randomized Trial. J Acad Nutr Diet. 2020; 120(3):404-413. DOI: 10.1016/j.jand.2019.07.017. View

10.

Swinburn B, Sacks G, Hall K, McPherson K, Finegood D, Moodie M . The global obesity pandemic: shaped by global drivers and local environments. Lancet. 2011; 378(9793):804-14. DOI: 10.1016/S0140-6736(11)60813-1. View

11.

Gerritsen S, Sing F, Lin K, Martino F, Backholer K, Culpin A . The Timing, Nature and Extent of Social Media Marketing by Unhealthy Food and Drinks Brands During the COVID-19 Pandemic in New Zealand. Front Nutr. 2021; 8:645349. PMC: 7973089. DOI: 10.3389/fnut.2021.645349. View

12.

Sadeghirad B, Duhaney T, Motaghipisheh S, Campbell N, Johnston B . Influence of unhealthy food and beverage marketing on children's dietary intake and preference: a systematic review and meta-analysis of randomized trials. Obes Rev. 2016; 17(10):945-59. DOI: 10.1111/obr.12445. View

13.

Norman J, Kelly B, McMahon A, Boyland E, Chapman K, King L . Remember Me? Exposure to Unfamiliar Food Brands in Television Advertising and Online Advergames Drives Children's Brand Recognition, Attitudes, and Desire to Eat Foods: A Secondary Analysis from a Crossover Experimental-Control Study with.... J Acad Nutr Diet. 2019; 120(1):120-129. DOI: 10.1016/j.jand.2019.05.006. View

14.

De Jans S, Spielvogel I, Naderer B, Hudders L . Digital food marketing to children: How an influencer's lifestyle can stimulate healthy food choices among children. Appetite. 2021; 162:105182. DOI: 10.1016/j.appet.2021.105182. View

15.

Kelly B, Bosward R, Freeman B . Australian Children's Exposure to, and Engagement With, Web-Based Marketing of Food and Drink Brands: Cross-sectional Observational Study. J Med Internet Res. 2021; 23(7):e28144. PMC: 8314155. DOI: 10.2196/28144. View

16.

Signal L, Stanley J, Smith M, Barr M, Chambers T, Zhou J . Children's everyday exposure to food marketing: an objective analysis using wearable cameras. Int J Behav Nutr Phys Act. 2017; 14(1):137. PMC: 5632829. DOI: 10.1186/s12966-017-0570-3. View

17.

Folkvord F, Anschutz D, Wiers R, Buijzen M . The role of attentional bias in the effect of food advertising on actual food intake among children. Appetite. 2014; 84:251-8. DOI: 10.1016/j.appet.2014.10.016. View

18.

Kickbusch I, Allen L, Franz C . The commercial determinants of health. Lancet Glob Health. 2016; 4(12):e895-e896. DOI: 10.1016/S2214-109X(16)30217-0. View

19.

Russell S, Croker H, Viner R . The effect of screen advertising on children's dietary intake: A systematic review and meta-analysis. Obes Rev. 2018; 20(4):554-568. PMC: 6446725. DOI: 10.1111/obr.12812. View

20.

Kucharczuk A, Oliver T, Dowdell E . Social media's influence on adolescents' food choices: A mixed studies systematic literature review. Appetite. 2021; 168:105765. DOI: 10.1016/j.appet.2021.105765. View