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Current Nutrition Reports

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Open Access 01-12-2019 | Cardiovascular Disease (JHY Wu, Section Editor)

A Systematic Review of the Effect of Retail Food Environment Interventions on Diet and Health with a Focus on the Enabling Role of Public Policies

Authors: Catherine L. Mah, Gabriella Luongo, Rebecca Hasdell, Nathan G. A. Taylor, Brian K. Lo

Published in: Current Nutrition Reports | Issue 4/2019

Abstract

Purpose of Review

Update the state of evidence on the effectiveness of retail food environment interventions in influencing diet and explore the underlying role of public policy, through a systematic review of population-level interventions to promote health in the retail food environment, including community and consumer environments. Diet-related outcomes included purchasing, dietary intakes, diet quality, and health including weight. We coded studies for enabling public policy levers underpinning the intervention, using two widely used conceptual frameworks.

Recent Findings

Of 86 articles (1974–2018), the majority (58 articles, 67%) showed at least one positive effect on diet. Thirteen articles (15%) discussed natural experiments, 27 articles (31%) used a design involving comparison groups including 23 articles (27%) specifically describing randomized controlled trials, and 46 (53%) were quasi-experimental (cross-sectional) evaluations. Across the “4Ps” of marketing (product, promotion, placement, and price), promotion comprised the greatest proportion of intervention strategies, especially in earlier literature (pre-2008). Few studies combined geographic access interventions with 4P strategies, and few used robust dietary intake assessments. Behavior change communication remains an intervention mainstay, but recent work has also incorporated environmental and social planning, and fiscal strategies. More recent interventions were multi-component.

Summary

The retail food environment intervention literature continues to grow and has become more robust overall, with clearer evidence of the effect of interventions on diet-related outcomes, including consumer purchasing, dietary intakes, and health. There is still much scope for development in the field. Attention to enabling public policy could help to strengthen intervention implementation and evaluation in the retail food environment.

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Title: A Systematic Review of the Effect of Retail Food Environment Interventions on Diet and Health with a Focus on the Enabling Role of Public Policies
Authors: Catherine L. Mah
Gabriella Luongo
Rebecca Hasdell
Nathan G. A. Taylor
Brian K. Lo
Publication date: 01-12-2019
Publisher: Springer US
Published in: Current Nutrition Reports / Issue 4/2019
Electronic ISSN: 2161-3311
DOI: https://doi.org/10.1007/s13668-019-00295-z

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