The moderating role of food cue sensitivity in the behavioral response of children to their neighborhood food environment: a cross-sectional studyReportar como inadecuado

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International Journal of Behavioral Nutrition and Physical Activity

, 14:86

First Online: 05 July 2017Received: 08 November 2016Accepted: 18 June 2017


BackgroundNeighborhood food cues have been inconsistently related to residents’ health, possibly due to variations in residents’ sensitivity to such cues. This study sought to investigate the degree to which children’s predisposition to eat upon exposure to food environment and food cues external eating, could explain differences in strength of associations between their food consumption and the type of food outlets and marketing strategies present in their neighborhood.

MethodsData were obtained from 616 6–12 y.o. children recruited into a population-based cross-sectional study in which food consumption was measured through a 24-h food recall and responsiveness to food cues measured using the external eating scale. The proportion of food retailers within 3 km of residence considered as -healthful- was calculated using a Geographical Information System. Neighborhood exposure to food marketing strategies displays, discount frequency, variety, and price for vegetables and soft drinks were derived from a geocoded digital marketing database. Adjusted mixed models with spatial covariance tested interaction effects of food environment indicators and external eating on food consumption.

ResultsIn children with higher external eating scores, healthful food consumption was more positively related to vegetable displays, and more negatively to the display and variety of soft drinks. No interactions were observed for unhealthful food consumption and no main effects of food environment indicators were found on food consumption.

ConclusionsChildren differ in their responsiveness to marketing-related visual food cues on the basis of their external eating phenotype. Strategies aiming to increase the promotion of healthful relative to unhealthful food products in stores may be particularly beneficial for children identified as being more responsive to food cues.

KeywordsFood environment Food marketing External eating Children Food consumption AbbreviationsCADCanadian dollars

FDAFood and Drug Administration

FSAForward sortation areas

mRFEImodified retail food environment index

SICStandard Industry classification

SKUStock keeping unit

UPCUniversal product code

Electronic supplementary materialThe online version of this article doi:10.1186-s12966-017-0540-9 contains supplementary material, which is available to authorized users.

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Autor: Catherine Paquet - Luc de Montigny - Alice Labban - David Buckeridge - Yu Ma - Narendra Arora - Laurette Dubé


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