Advertisement

Influence of Placement of a Nutrition Logo on Cafeteria Menu Items on Lunchtime Food Choices at Dutch Work Sites

      Abstract

      This study investigated the effectiveness of labeling foods with the Choices nutrition logo on influencing cafeteria menu selection and the behavioral determinants of menu choices in work site cafeterias in the Netherlands. A cluster randomized controlled trial was conducted. Intervention cafeterias (n=13), where the Choices logo was used to promote healthier eating for a 3-week period, were compared with control cafeterias (n=12), which offered the same menu without the logo. Sales data were collected daily for 9 weeks, from March to May 2009. In addition, employees from one intervention and one control company completed an online questionnaire at baseline and after the intervention (n=368) in which the behavioral determinants of food choice (ie, attitude, self-efficacy, and intention) and logo use were measured. Generalized estimating equation analyses, χ2 tests, t tests and linear regression analyses were performed. No nutritionally meaningful intervention effects were found in the sales of sandwiches, soups, snacks, fruit, and salads. Also, no significant differences in behavioral determinants were found. “Intention to eat healthier” and “paying attention to product information” were positively associated with self-reported consumption of foods with the Choices logo at lunch. The intervention did not have a significant effect on employees' lunchtime food choices. Labeling healthy choices might be useful for health-conscious employees in the volitional phase of behavior change. Further research should focus on the possible health benefits of menu reformulation in the catering sector.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of the Academy of Nutrition and Dietetics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. Global Strategy on Diet, Physical Activity and Health.
        World Health Organization, Geneva, Switzerland2004
        • Blanck H.M.
        • Yaroch A.L.
        • Atienza A.A.
        • Yi S.L.
        • Zhang J.
        • Masse L.C.
        Factors influencing lunchtime food choices among working Americans.
        Health Educ Behav. 2009; 36: 289-301
        • Engbers L.H.
        • van Poppel M.N.
        • Chin A.P.M.J.
        • van Mechelen W.
        Worksite health promotion programs with environmental changes: A systematic review.
        Am J Prev Med. 2005; 29: 61-70
        • Lachat C.
        • Roberfroid D.
        • Huybregts L.
        • Van Camp J.
        • Kolsteren P.
        Incorporating the catering sector in nutrition policies of WHO European Region: Is there a good recipe?.
        Public Health Nutr. 2009; 12: 316-324
        • Lupton J.R.
        • Balentine D.A.
        • Black R.M.
        • Hildwine R.
        • Ivens B.J.
        • Kennedy E.T.
        • Packard P.T.
        • Sperber B.R.
        • Steffen D.
        • Story M.
        The Smart Choices front-of-package nutrition labeling program: Rationale and development of the nutrition criteria.
        Am J Clin Nutr. 2010; 91: 1078S-1089S
        • Katz D.L.
        • Njike V.Y.
        • Faridi Z.
        • Rhee L.Q.
        • Reeves R.S.
        • Jenkins D.J.
        • Ayoob K.T.
        The stratification of foods on the basis of overall nutritional quality: The overall nutritional quality index.
        Am J Health Promot. 2009; 24: 133-143
        • Smart Choices Program
        Helping guide smart food and beverage choices.
        (Smart Choices Web site) (Accessed November 17, 2010)
        • Vyth E.L.
        • Steenhuis I.H.
        • Mallant S.F.
        • Mol Z.L.
        • Brug J.
        • Temminghoff M.
        • Feunekes G.I.
        • Jansen L.
        • Verhagen H.
        • Seidell J.C.
        A front-of-pack nutrition logo: A quantitative and qualitative process evaluation in the Netherlands.
        J Health Commun. 2009; 14: 631-645
        • Holdsworth M.
        • Haslam C.
        A review of point-of-choice nutrition labeling schemes in the workplace, public eating places and universities.
        J Hum Nutr Diet. 1998; 11: 423-445
        • Steenhuis I.
        • van Assema P.
        • Reubsaet A.
        • Kok G.
        Process evaluation of two environmental nutrition programmes and an educational nutrition programme conducted at supermarkets and worksite cafeterias in the Netherlands.
        J Hum Nutr Diet. 2004; 17: 107-115
        • Engbers L.H.
        • van Poppel M.N.
        • Chin A.P.M.
        • van Mechelen W.
        The effects of a controlled worksite environmental intervention on determinants of dietary behavior and self-reported fruit, vegetable and fat intake.
        BMC Public Health. 2006; 6: 253
        • Glanz K.
        • Hoelscher D.
        Increasing fruit and vegetable intake by changing environments, policy and pricing: Restaurant-based research, strategies, and recommendations.
        Prev Med. 2004; 39: S88-S93
        • Holdsworth M.
        • Raymond N.T.
        • Haslam C.
        Does the Heartbeat Award scheme in England result in change in dietary behavior in the workplace?.
        Health Promot Int. 2004; 19: 197-204
        • Steenhuis I.
        • Van Assema P.
        • Van Breukelen G.
        • Glanz K.
        • Kok G.
        • De Vries H.
        The impact of educational and environmental interventions in Dutch worksite cafeterias.
        Health Promot Int. 2004; 19: 335-343
        • Vyth E.L.
        • Steenhuis I.H.M.
        • Vlot J.A.
        • Wulp A.
        • Hogenes M.G.
        • Looije D.H.
        • Brug J.
        • Seidell J.C.
        Actual use of a front-of-pack nutrition logo in the supermarket: Consumers' motives in food choice.
        Public Health Nutr. 2010; 4: 1-8
        • Grunert K.G.
        • Wills J.M.
        A review of European research on consumer response to nutrition information on food labels.
        J Public Health. 2007; 15: 384-399
        • Ajzen I.
        The theory of planned behaviour.
        Organizational Behavior and Human Decision Processes. 1991; 50: 197-211
        • Fishbein M.A.I.
        Belief, Attitude, Intention and Behavior: An Introduction to Theory and Research.
        Addison-Wesley, Reading, MA1975
        • Roininen K.
        • Lahteenmaki L.
        • Tuorila H.
        Quantification of consumer attitudes to health and hedonic characteristics of foods.
        Appetite. 1999; 33: 71-88
        • Scholderer J.
        • Brunso K.
        • Bredahl L.
        • Grunert K.G.
        Cross-cultural validity of the food-related lifestyles instrument (FRL) within Western Europe.
        Appetite. 2004; 42: 197-211
        • Steptoe A.
        • Pollard T.M.
        • Wardle J.
        Development of a measure of the motives underlying the selection of food: the food choice questionnaire.
        Appetite. 1995; 25: 267-284
        • Graham J.W.
        Missing data analysis: Making it work in the real world.
        Annu Rev Psychol. 2009; 60: 549-576
        • Sterne J.A.
        • White I.R.
        • Carlin J.B.
        • Spratt M.
        • Royston P.
        • Kenward M.G.
        • Wood A.M.
        • Carpenter J.R.
        Multiple imputation for missing data in epidemiological and clinical research: Potential and pitfalls.
        BMJ. 2009; 338: b2393
        • Twisk J.W.
        • Kemper H.C.
        • Mellenbergh D.J.
        • van Mechelen W.
        Factors influencing tracking of cholesterol and high-density lipoprotein: The Amsterdam Growth and Health Study.
        Prev Med. 1996; 25: 355-364
        • Renner B.
        • Schwarzer R.
        Social-cognitive factors in health behavior change.
        in: Suls J. Wallston K.A. Social Psychological Foundations of Health and Illness. Blackwell, Oxford, UK2003
        • Prochaska J.O.
        • Velicer W.F.
        The transtheoretical model of health behavior change.
        Am J Health Promot. 1997; 12: 38-48
        • Brug J.
        • Oenema A.
        • Campbell M.
        Past, present, and future of computer-tailored nutrition education.
        Am J Clin Nutr. 2003; 77: 1028S-1034S
        • Millner W.R.
        • Rollnick S.
        Motivational Interviewing: Preparing People for Change.
        Guildford Press, New York, NY2002
        • Roos E.
        • Sarlio-Lahteenkorva S.
        • Lallukka T.
        Having lunch at a staff canteen is associated with recommended food habits.
        Public Health Nutr. 2004; 7: 53-61
        • Vyth E.L.
        • Steenhuis I.H.M.
        • Roodenburg A.J.C.
        • Brug J.
        • Seidell J.C.
        Front-of-pack nutrition label stimulates healthier product development: A quantitative analysis.
        Int J Behav Nutr Phys Act. 2010; 7: 65
        • Seymour J.D.
        • Yaroch A.L.
        • Serdula M.
        • Blanck H.M.
        • Khan L.K.
        Impact of nutrition environmental interventions on point-of-purchase behavior in adults: A review.
        Prev Med. 2004; 39: 108S-136S

      Biography

      E. L. Vyth is a PhD candidate, Department of Health Sciences and The EMGO Institute for Health Care Research, VU University, Amsterdam, the Netherlands

      Biography

      I. H. M. Steenhuis is an associate professor, Department of Health Sciences and The EMGO Institute for Health Care Research, VU University, Amsterdam, the Netherlands

      Biography

      A. J. C. Roodenburg is a senior researcher, Department of Health Sciences and The EMGO Institute for Health Care Research, VU University, Amsterdam, the Netherlands

      Biography

      J. Brug is a professor, Department of Health Sciences and The EMGO Institute for Health Care Research, VU University, Amsterdam, the Netherlands

      Biography

      M. W. Heymans is an assistant professor, Department of Health Sciences and the EMGO Institute for Health and Care Research, and Department of Epidemiology and Biostatistics, VU University, Amsterdam, the Netherlands

      Biography

      J. C. Seidell is a professor, Department of Health Sciences and the EMGO Institute for Health and Care Research, and Department of Epidemiology and Biostatistics, VU University, Amsterdam, the Netherlands