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Published in: Current Obesity Reports 1/2016

01-03-2016 | Psychological Issues (M Hetherington and V Drapeau, Section Editors)

Impact of Perceived Healthiness of Food on Food Choices and Intake

Authors: Véronique Provencher, Raphaëlle Jacob

Published in: Current Obesity Reports | Issue 1/2016

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Abstract

Healthy eating is an important determinant of health, but adherence to dietary guidelines remains a public health concern. Identifying factors that impact dietary habits is therefore important to facilitate healthy eating. One widely used strategy to help consumers make healthier food choices is nutrition information, such as labeling and claims. Despite the intention of these strategies to improve decision making, they can also be misunderstood or misinterpreted by consumers. The aim of this review is to explore food perceptions by examining how cognitive factors influence perceived healthiness of food, and the impact of perceived healthiness of food on food choices and intake. Overall findings of this review suggest that cognitive factors, such as type of food and branding, significantly contribute to judgmental bias and have an impact on perceived healthiness while not consistently or systematically influencing choice and intake.
Literature
1.
go back to reference Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002;13(1):3–9.CrossRefPubMed Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002;13(1):3–9.CrossRefPubMed
2.
go back to reference Schulze MB, Hu FB. Dietary patterns and risk of hypertension, type 2 diabetes mellitus, and coronary heart disease. Curr Atheroscler Rep. 2002;4(6):462–7.CrossRefPubMed Schulze MB, Hu FB. Dietary patterns and risk of hypertension, type 2 diabetes mellitus, and coronary heart disease. Curr Atheroscler Rep. 2002;4(6):462–7.CrossRefPubMed
3.
go back to reference Bush M, Kirkpatrick S. Setting dietary guidance: the Canadian experience. J Am Diet Assoc. 2003;103(12 Suppl 2):S22–7.CrossRefPubMed Bush M, Kirkpatrick S. Setting dietary guidance: the Canadian experience. J Am Diet Assoc. 2003;103(12 Suppl 2):S22–7.CrossRefPubMed
4.
go back to reference Krebs-Smith SM, Kris-Etherton P. How does MyPyramid compare to other population-based recommendations for controlling chronic disease? J Am Diet Assoc. 2007;107(5):830–7.CrossRefPubMed Krebs-Smith SM, Kris-Etherton P. How does MyPyramid compare to other population-based recommendations for controlling chronic disease? J Am Diet Assoc. 2007;107(5):830–7.CrossRefPubMed
5.
go back to reference Bush MA, Martineau C, Pronk JA, et al. Eating well with Canada’s food guide: “a tool for the times”. Can J Diet Pract Res. 2007;68(2):92–6.CrossRefPubMed Bush MA, Martineau C, Pronk JA, et al. Eating well with Canada’s food guide: “a tool for the times”. Can J Diet Pract Res. 2007;68(2):92–6.CrossRefPubMed
6.
go back to reference McCullough ML, Willett WC. Evaluating adherence to recommended diets in adults: the Alternate Healthy Eating Index. Public Health Nutr. 2006;9(1A):152–7.CrossRefPubMed McCullough ML, Willett WC. Evaluating adherence to recommended diets in adults: the Alternate Healthy Eating Index. Public Health Nutr. 2006;9(1A):152–7.CrossRefPubMed
7.
go back to reference Fung TT, Pan A, Hou T, et al. Long-term change in diet quality is associated with body weight change in men and women. J Nutr. 2015;145(8):1850–6.CrossRefPubMed Fung TT, Pan A, Hou T, et al. Long-term change in diet quality is associated with body weight change in men and women. J Nutr. 2015;145(8):1850–6.CrossRefPubMed
8.
go back to reference Garriguet D, Nutrition: findings from the Canadian Community Health Survey—overview of Canadians’ eating habits (2004), Statistics Canada. 2006, Ministry of Industry: Ottawa, ON. p. 1–47. Garriguet D, Nutrition: findings from the Canadian Community Health Survey—overview of Canadians’ eating habits (2004), Statistics Canada. 2006, Ministry of Industry: Ottawa, ON. p. 1–47.
9.
go back to reference Health Canada, Food and Drugs Act., 2003: Ottawa, ON. Health Canada, Food and Drugs Act., 2003: Ottawa, ON.
10.
go back to reference Food and Drug Administration, Code of Federal Regulations, Title 21—Food and drugs, part 101—Food labeling, Department of Health and Human Services. 2008: Silver Spring, MD Food and Drug Administration, Code of Federal Regulations, Title 21—Food and drugs, part 101—Food labeling, Department of Health and Human Services. 2008: Silver Spring, MD
11.
go back to reference The European Parliament and the Council, Regulation (EC) No 1924/2006 on nutrition and health claims made on foods, 2006. The European Parliament and the Council, Regulation (EC) No 1924/2006 on nutrition and health claims made on foods, 2006.
13.
go back to reference Cowburn G, Stockley L. Consumer understanding and use of nutrition labelling: a systematic review. Public Health Nutr. 2005;8(1):21–8.CrossRefPubMed Cowburn G, Stockley L. Consumer understanding and use of nutrition labelling: a systematic review. Public Health Nutr. 2005;8(1):21–8.CrossRefPubMed
14.
go back to reference Patterson RE, Satia JA, Kristal AR, et al. Is there a consumer backlash against the diet and health message? J Am Diet Assoc. 2001;101(1):37–41.CrossRefPubMed Patterson RE, Satia JA, Kristal AR, et al. Is there a consumer backlash against the diet and health message? J Am Diet Assoc. 2001;101(1):37–41.CrossRefPubMed
15.
go back to reference Werle COC, Cuny C. The boomerang effect of mandatory sanitary messages to prevent obesity. Mark Lett. 2012;23(3):883–91.CrossRef Werle COC, Cuny C. The boomerang effect of mandatory sanitary messages to prevent obesity. Mark Lett. 2012;23(3):883–91.CrossRef
16.
go back to reference Contento IR, in Nutrition education: linking research, theory, and practice. 2011, Jones &Bartlett Publishers (chapter 2). p. 444. Contento IR, in Nutrition education: linking research, theory, and practice. 2011, Jones &Bartlett Publishers (chapter 2). p. 444.
17.
go back to reference Oakes ME, Slotterback CS. Judgements of food healthfulness: food name stereotypes in adults over age 25. Appetite. 2001;37(1):1–8.CrossRefPubMed Oakes ME, Slotterback CS. Judgements of food healthfulness: food name stereotypes in adults over age 25. Appetite. 2001;37(1):1–8.CrossRefPubMed
18.
go back to reference Carels RA, Konrad K, Harper J. Individual differences in food perceptions and calorie estimation: an examination of dieting status, weight, and gender. Appetite. 2007;49(2):450–8.CrossRefPubMed Carels RA, Konrad K, Harper J. Individual differences in food perceptions and calorie estimation: an examination of dieting status, weight, and gender. Appetite. 2007;49(2):450–8.CrossRefPubMed
19.
go back to reference Carels RA, Harper J, Konrad K. Qualitative perceptions and caloric estimations of healthy and unhealthy foods by behavioral weight loss participants. Appetite. 2006;46(2):199–206.CrossRefPubMed Carels RA, Harper J, Konrad K. Qualitative perceptions and caloric estimations of healthy and unhealthy foods by behavioral weight loss participants. Appetite. 2006;46(2):199–206.CrossRefPubMed
20.
go back to reference Chandon P, Wansink B. The biasing health halos of fast-food restaurant health claims: lower calorie estimates and higher side-dish consumption intentions. J Consum Res. 2007;34(3):301–14.CrossRef Chandon P, Wansink B. The biasing health halos of fast-food restaurant health claims: lower calorie estimates and higher side-dish consumption intentions. J Consum Res. 2007;34(3):301–14.CrossRef
21.
go back to reference Provencher V, Polivy J, Herman CP. Perceived healthiness of food. If it’s healthy, you can eat more! Appetite. 2009;52(2):340–4.CrossRefPubMed Provencher V, Polivy J, Herman CP. Perceived healthiness of food. If it’s healthy, you can eat more! Appetite. 2009;52(2):340–4.CrossRefPubMed
22.
go back to reference Spence M, Livingstone MB, Hollywood LE, et al. A qualitative study of psychological, social and behavioral barriers to appropriate food portion size control. Int J Behav Nutr Phys Act. 2013;10:92.CrossRefPubMedPubMedCentral Spence M, Livingstone MB, Hollywood LE, et al. A qualitative study of psychological, social and behavioral barriers to appropriate food portion size control. Int J Behav Nutr Phys Act. 2013;10:92.CrossRefPubMedPubMedCentral
23.
go back to reference Kahneman D. Thinking, fast and slow. 1st ed. New York: Farrar, Straus and Giroux; 2011. Kahneman D. Thinking, fast and slow. 1st ed. New York: Farrar, Straus and Giroux; 2011.
24.
go back to reference Nisbett R, Ross L. Human inference: strategies and shortcomings of social judgment. Englewood Cliffs: Prentice-Hall, Inc.; 1980. Nisbett R, Ross L. Human inference: strategies and shortcomings of social judgment. Englewood Cliffs: Prentice-Hall, Inc.; 1980.
25.
go back to reference Kahneman D, Tversky A. Prospect theory: an analysis of decision under risk. Econometrica. 1979;47(2):263–91.CrossRef Kahneman D, Tversky A. Prospect theory: an analysis of decision under risk. Econometrica. 1979;47(2):263–91.CrossRef
26.
27.
go back to reference Herman CP, Polivy J. Norm-violation, norm-adherence, and overeating. Coll Antropol. 2007;31(1):55–62.PubMed Herman CP, Polivy J. Norm-violation, norm-adherence, and overeating. Coll Antropol. 2007;31(1):55–62.PubMed
28.
go back to reference Herman CP, Polivy J. Restrained eating. In: Stunkard A, editor. Obesity. Philadelphia: W.B. Saunders; 1980. p. 208–25. Herman CP, Polivy J. Restrained eating. In: Stunkard A, editor. Obesity. Philadelphia: W.B. Saunders; 1980. p. 208–25.
30.
go back to reference Oakes ME. Stereotypical thinking about foods and perceived capacity to promote weight gain. Appetite. 2005;44(3):317–24.CrossRefPubMed Oakes ME. Stereotypical thinking about foods and perceived capacity to promote weight gain. Appetite. 2005;44(3):317–24.CrossRefPubMed
31.
go back to reference Oakes ME. Filling yet fattening: stereotypical beliefs about the weight gain potential and satiation of foods. Appetite. 2006;46(2):224–33.CrossRefPubMed Oakes ME. Filling yet fattening: stereotypical beliefs about the weight gain potential and satiation of foods. Appetite. 2006;46(2):224–33.CrossRefPubMed
32.
go back to reference Chernev A, Gal D. Categorization effects in value judgments: averaging bias in evaluating combinations of vices and virtues. J Mark Res. 2010;47(4):738–47.CrossRef Chernev A, Gal D. Categorization effects in value judgments: averaging bias in evaluating combinations of vices and virtues. J Mark Res. 2010;47(4):738–47.CrossRef
33.
34.•
go back to reference Forwood SE, Ahern A, Hollands GJ, et al. Underestimating calorie content when healthy foods are present: an averaging effect or a reference-dependent anchoring effect? PLoS One. 2013;8(8), e71475. This manuscript suggests that the negative calorie illusion is based on the use of a reference food to estimate calorie content of the tested food.CrossRefPubMedPubMedCentral Forwood SE, Ahern A, Hollands GJ, et al. Underestimating calorie content when healthy foods are present: an averaging effect or a reference-dependent anchoring effect? PLoS One. 2013;8(8), e71475. This manuscript suggests that the negative calorie illusion is based on the use of a reference food to estimate calorie content of the tested food.CrossRefPubMedPubMedCentral
35.•
go back to reference Sutterlin B, Siegrist M. Simply adding the word “fruit” makes sugar healthier: the misleading effect of symbolic information on the perceived healthiness of food. Appetite. 2015;95:252–61. This manuscript suggests that symbolic information on product labels, such as the name of an ingredient that symbolizes healthiness, can influence the perceived healthiness of food.CrossRefPubMed Sutterlin B, Siegrist M. Simply adding the word “fruit” makes sugar healthier: the misleading effect of symbolic information on the perceived healthiness of food. Appetite. 2015;95:252–61. This manuscript suggests that symbolic information on product labels, such as the name of an ingredient that symbolizes healthiness, can influence the perceived healthiness of food.CrossRefPubMed
36.
go back to reference Bell EA, Rolls BJ. Energy density of foods affects energy intake across multiple levels of fat content in lean and obese women. Am J Clin Nutr. 2001;73(6):1010–8.PubMed Bell EA, Rolls BJ. Energy density of foods affects energy intake across multiple levels of fat content in lean and obese women. Am J Clin Nutr. 2001;73(6):1010–8.PubMed
37.
go back to reference Cavanagh KV, Kruja B, Forestell CA. The effect of brand and caloric information on flavor perception and food consumption in restrained and unrestrained eaters. Appetite. 2014;82:1–7.CrossRefPubMed Cavanagh KV, Kruja B, Forestell CA. The effect of brand and caloric information on flavor perception and food consumption in restrained and unrestrained eaters. Appetite. 2014;82:1–7.CrossRefPubMed
38.•
go back to reference Cavanagh KV, Forestell CA. The effect of brand names on flavor perception and consumption in restrained and unrestrained eaters. Food Qual Prefer. 2013;28(2):505–9. This manuscript highlights the influence of brand information (i.e., healthy vs. unhealthy) on food sensory perception and intake and shows that restrained eaters are more influenced by brand names perceived as healthy.CrossRef Cavanagh KV, Forestell CA. The effect of brand names on flavor perception and consumption in restrained and unrestrained eaters. Food Qual Prefer. 2013;28(2):505–9. This manuscript highlights the influence of brand information (i.e., healthy vs. unhealthy) on food sensory perception and intake and shows that restrained eaters are more influenced by brand names perceived as healthy.CrossRef
39.
go back to reference Gravel K, Doucet E, Herman CP, et al. “Healthy,” “diet,” or “hedonic”. How nutrition claims affect food-related perceptions and intake? Appetite. 2012;59(3):877–84.CrossRefPubMed Gravel K, Doucet E, Herman CP, et al. “Healthy,” “diet,” or “hedonic”. How nutrition claims affect food-related perceptions and intake? Appetite. 2012;59(3):877–84.CrossRefPubMed
40.
go back to reference Carbonneau E, Perron J, Drapeau V, et al. Impact of nutritional labelling on 10-d energy intake, appetite perceptions and attitudes towards food. Br J Nutr, 2015: p. 1–10. Carbonneau E, Perron J, Drapeau V, et al. Impact of nutritional labelling on 10-d energy intake, appetite perceptions and attitudes towards food. Br J Nutr, 2015: p. 1–10.
41.
go back to reference Wansink B, Chandon P. Can “low-fat” nutrition labels lead to obesity? J Mark Res. 2006;43(4):605–17.CrossRef Wansink B, Chandon P. Can “low-fat” nutrition labels lead to obesity? J Mark Res. 2006;43(4):605–17.CrossRef
42.
go back to reference Schuldt JP, Hannahan M. When good deeds leave a bad taste. Negative inferences from ethical food claims. Appetite. 2013;62:76–83.CrossRefPubMed Schuldt JP, Hannahan M. When good deeds leave a bad taste. Negative inferences from ethical food claims. Appetite. 2013;62:76–83.CrossRefPubMed
43.•
go back to reference Girz L, Polivy J, Herman CP, et al. The effects of calorie information on food selection and intake. Int J Obes (Lond). 2012;36(10):1340–5. This manuscript examines the effect of calorie information (i.e., low vs. high in calories) on food choices (i.e., healthy vs. less healthy) and intake and shows that calorie labels have significant impact on food choices among restrained eaters.CrossRef Girz L, Polivy J, Herman CP, et al. The effects of calorie information on food selection and intake. Int J Obes (Lond). 2012;36(10):1340–5. This manuscript examines the effect of calorie information (i.e., low vs. high in calories) on food choices (i.e., healthy vs. less healthy) and intake and shows that calorie labels have significant impact on food choices among restrained eaters.CrossRef
44.
go back to reference Hodgkins CE, Raats MM, Fife-Schaw C, et al. Guiding healthier food choice: systematic comparison of four front-of-pack labelling systems and their effect on judgements of product healthiness. Br J Nutr. 2015;113(10):1652–63.CrossRefPubMed Hodgkins CE, Raats MM, Fife-Schaw C, et al. Guiding healthier food choice: systematic comparison of four front-of-pack labelling systems and their effect on judgements of product healthiness. Br J Nutr. 2015;113(10):1652–63.CrossRefPubMed
45.
go back to reference Kroese FM, Evers C, de Ridder DT. If it’s good it must be bad: the indirect effect of temptation strength on self-control through perceived unhealthiness. Eat Behav. 2013;14(4):522–4.CrossRefPubMed Kroese FM, Evers C, de Ridder DT. If it’s good it must be bad: the indirect effect of temptation strength on self-control through perceived unhealthiness. Eat Behav. 2013;14(4):522–4.CrossRefPubMed
46.
go back to reference Polivy J, Herman CP. Mental health and eating behaviours: a bi-directional relation. Can J Public Health. 2005;96 Suppl 3:S43–6. S9-53.PubMed Polivy J, Herman CP. Mental health and eating behaviours: a bi-directional relation. Can J Public Health. 2005;96 Suppl 3:S43–6. S9-53.PubMed
48.
go back to reference Gravel K, Deslauriers A, Watiez M, et al. Sensory-based nutrition pilot intervention for women. J Acad Nutr Diet. 2014;114(1):99–106.CrossRefPubMed Gravel K, Deslauriers A, Watiez M, et al. Sensory-based nutrition pilot intervention for women. J Acad Nutr Diet. 2014;114(1):99–106.CrossRefPubMed
50.
go back to reference Doucet E, Cameron J. Appetite control after weight loss: what is the role of bloodborne peptides? Appl Physiol Nutr Metab. 2007;32(3):523–32.CrossRefPubMed Doucet E, Cameron J. Appetite control after weight loss: what is the role of bloodborne peptides? Appl Physiol Nutr Metab. 2007;32(3):523–32.CrossRefPubMed
51.
go back to reference Buckland NJ, Finlayson G, Hetherington MM. Pre-exposure to diet-congruent food reduces energy intake in restrained dieting women. Eat Behav. 2013;14(3):249–54.CrossRefPubMed Buckland NJ, Finlayson G, Hetherington MM. Pre-exposure to diet-congruent food reduces energy intake in restrained dieting women. Eat Behav. 2013;14(3):249–54.CrossRefPubMed
Metadata
Title
Impact of Perceived Healthiness of Food on Food Choices and Intake
Authors
Véronique Provencher
Raphaëlle Jacob
Publication date
01-03-2016
Publisher
Springer US
Published in
Current Obesity Reports / Issue 1/2016
Electronic ISSN: 2162-4968
DOI
https://doi.org/10.1007/s13679-016-0192-0

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