Abstract

BackgroundThis study aims to examine the effects of the request and purchase of Television (TV) advertised foods on children’s dietary intake, overweight and obesity in China.MethodsData from 1417 children (aged 6–17 years) in the 2011 China Health and Nutrition Survey were analysed. The request and purchase of TV advertised foods were assessed through the frequency of children’s requests to purchase TV advertised foods and the frequency of parents’ purchases of these advertised foods, as well as the frequency of children’s purchases of TV advertised foods. The height and weight of children were measured. Logistic regression models were used to identify the associations between the request and purchase of TV advertised foods and overweight/obesity of children.ResultsThe request and purchase of TV advertised foods were positively associated with children’s dietary intake of energy, protein, fat and carbohydrates. After adjusting for potential confounding factors, children’s request and purchase of TV advertised foods and parent’s purchase of TV advertised foods were positively associated with children’s overweight/obesity: odds ratio (OR) and 95% confidence interval (CI) for overweight/obesity were: 1.46 (1.01–2.11) for children purchasing advertised foods ≥1 time/week, 1.59 (1.15–2.18) for parents purchasing advertised foods for their children ≥1 time/week and 1.39 (1.00–1.95) for children requesting advertised foods ≥1 time/week.ConclusionsThe request and purchase of TV advertised foods are associated with children’s dietary intake. Moreover, the request and purchase of TV advertised foods can increase the risk of overweight and obesity of children. Health education involving children’s request and purchase of TV advertised foods and parents’ purchase of TV advertised foods should be considered in China.

Highlights

  • This study aims to examine the effects of the request and purchase of Television (TV) advertised foods on children’s dietary intake, overweight and obesity in China

  • 63.1% lived in rural areas

  • When adjusting for age, gender and intake of energy, children who requested advertised foods ≥1 time/week (OR = 1.54; 95% confidence interval (CI) 1.11–2.13) or purchased advertised foods ≥1 time/week (OR = 1.50; 95% CI 1.05–2.16) were more likely to become overweight and obese than children who requested advertised foods < 1 time/week or purchased advertised foods < 1 time/week; and children whose parents purchased advertised foods for them ≥1 time/week had a higher risk of overweight and obesity (OR = 1.70; 95% CI 1.25–2.32) than children whose parents purchase advertised foods for them < 1 time/week

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Summary

Introduction

This study aims to examine the effects of the request and purchase of Television (TV) advertised foods on children’s dietary intake, overweight and obesity in China. Over 340 million children and adolescents aged 5–19 years were overweight or obese in 2016 [1]. Powell et al found that more than 95% of food and beverage TV ads seen on children’s programming were for products high in saturated fat, trans fat, sugar, and sodium [4]. This finding is similar to that of Rodd’s research [5]

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