Supermarkets: Fruit and veg at the entrance and no sweets at checkouts prompts healthier choices

Laying out supermarkets so that fruit and vegetables are found at the entrance and removing confectionery items from near checkouts can prompt healthier purchases.

This is the conclusion of a study undertaken by researchers led from the University of Southampton in tandem with the supermarket chain Iceland Foods Ltd. 

Based on their findings, the team said that the UK Government’s plan to ban the prominent placement of junk food in stores could improve the nation’s diets.

Laying out supermarkets so that fruit and vegetables are found at the entrance (as pictured) and removing confectionery items from near checkouts can prompt healthier purchases

In trials, researchers found that fruit and vegetable sales increased by an average of 6,170 portions per week after three months under the new layout and 9,820 after six months — while weekly confectionery sales fell by 1,575 items after six months

In trials, researchers found that fruit and vegetable sales increased by an average of 6,170 portions per week after three months under the new layout and 9,820 after six months — while weekly confectionery sales fell by 1,575 items after six months

HOW MUCH SUGAR IS TOO MUCH?

The amount of sugar a person should eat in a day depends on how old they are.

Children aged four to six years old should be limited to a maximum of 19g per day.

Seven to 10-year-olds should have no more than 24g, and children aged 11 and over should have 30g or less. 

Meanwhile the NHS recommends adults have no more than 30g of free sugars a day.

Popular snacks contain a surprising amount of sugar and even a single can of Coca Cola (35g of sugar) or one Mars bar (33g) contains more than the maximum amount of sugar a child should have over a whole day.  

A bowl of Frosties contains 24g of sugar, meaning a 10-year-old who has Frosties for breakfast has probably reached their limit for the day before they even leave the house.  

Children who eat too much sugar risk damaging their teeth, putting on fat and becoming overweight, and getting type 2 diabetes which increases the risk of heart disease and cancer.

Source: NHS 

The study was conducted by public health nutrition researcher Christina Vogel of the University of Southampton and colleagues.

‘Altering the layouts of supermarkets could help people make healthier food choices and shift population diet towards the government’s dietary recommendations,’ Dr Vogel explained.

‘The findings of our study suggest that a healthier store layout could lead to nearly 10,000 extra portions of fruit and vegetables and approximately 1,500 fewer portions of confectionery being sold on a weekly basis in each store.’ 

In the study, the layout of three Iceland stores in England was reconfigured to include an expanded fruit and vegetable section at each store’s entrance.

Confectionery items were removed from checkouts and nearby shelves and replaced with water, sugar-free gum or non-food items such as cleansing wipes, deodorant, hand wash, lip balm, painkillers, tissues, toothpaste and soap.

The team monitored store sales during the six-month trial of the new layout and also tracked the purchases and dietary patterns of 62 regular customers — all of whom were women aged between 18–45 who belonged to Iceland’s loyalty card program.

The researchers compared the results from the three participating stores with three more that had similar sales levels, customer profiles and were located in areas with similar levels of socioeconomic deprivation but which maintained the normal layout. 

The results of the trials revealed that the simple changes to each store’s presentation resulted in a decrease in confectionery sales and an increase in fruit and vegetable purchases across the store.

In fact, the team found that fruit and vegetable sales increased by an average of 6,170 portions per week after three months under the new layout and 9,820 after six months — while weekly confectionery sales fell by 1,575 items after six months.  

The team also found that the changes were associated with greater household purchases of fruit and vegetables and better individual dietary choices. 

Among the sample of loyalty card users tracked, the percentage making fruit and vegetable purchases were found to increase by 1.7 per cent over the study period — however, a corresponding decrease in confectionery sales was not seen.

‘These results provide novel evidence to suggest that the intended UK government ban on prominent placement of unhealthy foods across retail outlets could be beneficial for population diet,’ added paper author and epidemiologist Janis Baird.

‘Effects may be further enhanced if requirements for a produce section near supermarket entrances were incorporated into the regulation.’

Confectionery items (like those pictured) were removed from checkouts and nearby shelves and replaced with water, sugar-free gum or non-food items such as cleansing wipes, deodorant, hand wash, lip balm, painkillers, tissues, toothpaste and soap

Confectionery items (like those pictured) were removed from checkouts and nearby shelves and replaced with water, sugar-free gum or non-food items such as cleansing wipes, deodorant, hand wash, lip balm, painkillers, tissues, toothpaste and soap

‘We have been pleased to support this long-term study and the evaluation of how product placement in supermarkets can affect the diets of our customers,’ said Iceland’s head of format development, Matt Downes.

‘We know that childhood obesity is a growing issue and the retail industry has its part to play in tackling this.

‘We hope that the outcomes of the study provide insights for the wider retail industry and policy makers about the impact of store merchandising on purchasing decisions,’ he concluded.

The team said that their study is more comprehensive than previous research into the health benefits of different placement strategies, which tended to only focus on single locations (like checkouts) or placed healthy and unhealthy food together.

In contrast, the researchers were able to explore the impact of broader changes aimed to reduce consumer exposure to calorie opportunities.

The full findings of the study were published in the journal PLoS Medicine. 

OBESITY: ADULTS WITH A BMI OVER 30 ARE SEEN AS OBESE

Obesity is defined as an adult having a BMI of 30 or over.

A healthy person’s BMI – calculated by dividing weight in kg by height in metres, and the answer by the height again – is between 18.5 and 24.9. 

Among children, obesity is defined as being in the 95th percentile.

Percentiles compare youngsters to others their same age. 

For example, if a three-month-old is in the 40th percentile for weight, that means that 40 per cent of three-month-olds weigh the same or less than that baby.

Around 58 per cent of women and 68 per cent of men in the UK are overweight or obese. 

The condition costs the NHS around £6.1billion, out of its approximate £124.7 billion budget, every year.

This is due to obesity increasing a person’s risk of a number of life-threatening conditions.

Such conditions include type 2 diabetes, which can cause kidney disease, blindness and even limb amputations.

Research suggests that at least one in six hospital beds in the UK are taken up by a diabetes patient.

Obesity also raises the risk of heart disease, which kills 315,000 people every year in the UK – making it the number one cause of death.

Carrying dangerous amounts of weight has also been linked to 12 different cancers. 

This includes breast, which affects one in eight women at some point in their lives.

Among children, research suggests that 70 per cent of obese youngsters have high blood pressure or raised cholesterol, which puts them at risk of heart disease.

Obese children are also significantly more likely to become obese adults. 

And if children are overweight, their obesity in adulthood is often more severe.  

As many as one in five children start school in the UK being overweight or obese, which rises to one in three by the time they turn 10.  

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