Food environments Flashcards

1
Q

what is the effect called priming?

A

when you give a bit of information related to the decision you want the person to do.
ie: bread, juice, millk, so_p
vs towel, shower, shampoo, so_p

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2
Q

what are the innate factors (3 + 1 ish) that shape our food choices?

A
  • genetics
  • psychology
  • brain
  • ie innate preference to sweetness even as a baby/as a fetus! (fetal programming)
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3
Q

monogenic vs polygenic contribution to obesity
- what type of obesity + characs

A

MONOGENIC:
- early onset, severe obesity: only 1 gene mutation is enough to cause obesity
- high genetic contribution, rare, high penetrance, no environmental influence
POLYGENIC:
- common obesity (99.9% of cases)
- modest genetic contribution, hundreds of variants in/near many genes, each variant has a small effect, low penetrance, environment is a key determinant

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4
Q

what is a score that is used to check obesity?

A

genome-wise polygenic score
- score from 0 to 100 based on your genome that was analyzed
- higher score = more genes can cause obesity –> increased risk for extreme obesity, bariatric surgery, coronary disease, heart failure, mortality

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5
Q

main effect of genes is on what organ?

A

on brain! brain = main organ involved in eating behavior control!

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6
Q

what are the 3 components of brain that influence behavior control?

A
  1. HOMEOSTATIC: physiological hunger, ie regulation of blood glu, hormones released in GI tract
  2. REWARD:
    - dopamine = causes us to eat/like food
  3. COGNITIVE:
    - high orders of brain, rationality, thinking
    - ie craving cookie but apple in backpack
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7
Q

obesity has skyrocketed since the _______ all around the world
- why?

A

1980s
- genetics; more susceptible to mutations ish
BUT MOSTLY; food environment has changed!
- increased fast foods close to work and to home, increase fast foods (vs no increase in supermarkets), fast foods closer to high poverty than for lower poverty

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8
Q

what does food systems contain (3)

A
  1. food supply chain: everything that happens before food arrives to retail points
  2. food environments
  3. consumer behaviour: what you do with the food
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9
Q

what are food environments?
- 3 components?

A
  • physical, economic, political and socio-cultural context in which consumers engage with the wider food system to acquire, prepare and consume food.
  • basically type of food we have around us and how we act around them
  • physical, personal determinants and social,cultural & political norms
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10
Q

what is the obesogenic food environment?
- examples

A

when said factors (physical, personal determinants and social norms) make ultra-processed, highly palatable, unhealthy foods, ubiquitous, easily accessible, and cheap –> makes unhealthy food the easiest choice
- increased density of fast food, convenience store, in-store presence of unhealthy food
- decreased density of supermarkets, in-store present of healthy foods

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11
Q

how does the food environment impact eating behavior? (4)

A
  1. quality of food
  2. determining food preferences (innate but also what you are exposed to as a child)
  3. food cues and advertising (exposure)
  4. taking advantage of biological & socioeconomical vulnerabilities
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12
Q

what are 3 characteristics of quality of food in obesogenic environment?
- consequence?

A
  • palatability (tastes really good)
  • ultra-processed foods
  • high in nutrients of concern (added sugar, salt, sat fat)
  • increased E intake + worsening of healthy outcomes
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13
Q

explain the NOVA food classification

A

UNPROCESSED/minimally processed foods
- did not undergo processing or minimal proceessing like fractioning, grinding, pasteurization
- ie legumes, vegs, fruits, starchy roots, eggs, chicken, milk
PROCESSED CULINARY INGREDIENTS:
- obtains from minimally processed foos and used to season & cook culinary dishes.
- ie salt, sugar, veg oils, butter
PROCESSED FOODS:
- unprocessed or minimally processed or processed with culinary ingredients. necessarily industrialized
- bottle vegs or meat in salt, fruits in syrup, bread, cheeses, purees, pastes
ULTRA-PROCESSED FOODS:
- derived from foods or parts of foods bring added cosmetic food additives not used in culinary/kitchen
- breast milk substitue, cookies, ice cream, ready-to eat meals, nuggest, dugary drinks

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14
Q

Kevin Hall study:
- ultraprocessed vs unprocessed foods
- results?

A
  • even if matched in calories and you can eat as much as you want, people with ultraprocessed foods tend to eat more bc more palatable foods and gained weight VS unprocessed foods –> lost weight
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15
Q

what are 2 components of obesogenic env that can influence determining food preferences?

A
  • household presence of snack foods (cookies, chocolate, ice cream) determines consumption of them, more so than genetics –> go into adulthood with same habits
  • memory of consuming fast-food promote enhanced attitudes and preference towards those foods –> recalling good things can drive future eating behaviour
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16
Q

what is the cued overeating model?

A
  • a set of physiological and psychological responses to food cues, that elicit food intake
  • ie food smells good –> homeostatic response, production of saliva + advertisement + thinking of food –> culminate in you wanting to eat
17
Q

what are internal (2 categories) and external (2 categories) of food cues –> act at level of ________

A

act at level of BRAIN!
INTERNAL
- biological: genetic makeup, homeostatic state (ie go grocery shopping hungry), gut microbiome, weight status
- psychological: motivation to lose weight, cognitive regulation, personality traits
EXTERNAL:
- environmental: food availability, stressor exposure
- cue-specific: caloric content, level of processing

18
Q

what are the 2 networks that act on brain for food cues?

A
  • cue reactivity network: react to cues –> pleasure centers, release dopamine
  • cue-regulation network: regulates response to cue: in cortical/more intelligent part of brain –> works as a “break”
19
Q

what are the most important food cues?

A

food advertising!

20
Q

how does food advertising increase food intake? (3)

A
  1. creating social norm: is coca-cola makes very emotional ads
  2. cued overeating reactivity model –> study: if you show food first, then give them eating task, they will eat more
  3. digital media (social media) a new problematic
21
Q

what is the dual intervention model/thrifty gene hypothesis?

  • thus, the food environment attack our what?
A
  • behaviours are byproduct of biology and environment
  • before: promotion of leanness through evolution bc better for survival, hunting , faster than predators
  • now: promotion of fatness (better for survival) –> famine/prospective lack of food after agriculture started + protect against infectious disease (bc they can cause weight loss) + cold environments
  • attack our biological vulnerabilities!
22
Q

explain the main socioeconomic vulnerability we have? + 3 components

A

poverty as a cause of disease!
1. AVAILABILITY: density of McDonald’s, pizza hut, KFC were each linearly associated with increasing social deprivation/poverty –> decrease money = increase fast food stores
2. ACCESSIBILITY: unhealthy ultraprocessed foods are cheaper than fruits and vegs
3. FOOD INSECURITY PARADOX: ppl with chronic hunger develop obesity bc ultraprocessed foods are cheaper + last longer (than fresh food) + binge-eating in periods where lots of food

23
Q

what is the logic of public policy to address eating behavior? (2 ish)

A
  1. in ecological model of behaviour change, more predicted and observed benefit from TOP-DOWN approches (ie change policies, settings) at macro-level than from bottom up approches (ie at intrapersonal factors/individual levels)
    - however, both are needed!
  2. food policies should aim not just to make the healthy choice the easy choice, but the healthy choice the preferred choice
24
Q

what are 6 types of public policies to increase behaviour? + describe & examples

A

MANDATES:
- required policies for industries/individuals to protect against adverse effects of unhealthy substance
- ie complete ban of trans fat
RESTRICTIONS:
- designed to limit access to unhealthy substance
- ban selling sugar sweetened bevs in school
ECONOMIC INCENTIVES:
- aim to better align price incentives with health outcomes
- ie taxing of unhealthy foods
MARKETING LIMITS:
- trying to limit advertising of unhealthy substance
- ie banning of ads directed to children
INFORMATION PROVISION:
- provide public with important healthy info to encourage healthy behaviour and warn about danger of unhealthy substance
- ie educations campaign: performs the worse :(
ENVIRONMENTAL DEFAULTS
- nudging! more retail level interventions + front of package labels (also educative)

25
Q

define nudging.

A
  • adaptive designs of decision environment (choice architecture as ways to influence behavior and decision-making of groups/individuals
  • alter people’s behaviour in a predictable way without forbidding any option or significantly change their economic incentive
  • NOT forcing –> but making the preferred choice the easiest or the funnest to make
26
Q

what are the 5 types of nudging + describe

A

DEFAULTS: “healthy” option is the default –> ie default drink size for a trio is a S not a M
ORDER: ie buffet: present healthy foods before burgers and fries
ACCESSIBILITY/VISIBILITY: healthy options more visible: ie eye level shelf position, transparent containers, placed first on menus, placed near cash registers
HEALTHY SIGNALING: put green, yellow, red labels on foods OR show calorie content
HEDONIC ENHANCEMENT: sell the taste (bc taste and $ are the most important in decision) –> ie carrots with dressing low in vit C VS carrots VS twisted citus glazed carrots (sold more)

27
Q

why does the current labeling problems? (2)
solution?

A
  1. saliency: how things are placed in the supermarket –> ppl don’t turn food to see back label
  2. information overload:
    - takes time to understand
    - time constraints
    - vulnerable subgroups (lower education, vision)
  • solution: front of package labels
28
Q

FOPL objective?

A

provide rapid and salient nutrition overview that helps guide consumers in a heuristic-based manner, to improve their food choices

29
Q

what are the 3 types of FOPL?

A
  1. REDUCTIVE/NON-DIRECTIVE: put info from front to back but no interpretation (ie if consumer doesnt know what 410mg of sodium means = no use)
  2. NUTRIENT DIRECTIVE/INTERPRETATIVE: colors, excess or low fat, fat fat, sugars
  3. FOOD DIRECTIVE/INTERPRETATIVE: nutri-score or health star rating –> score of whole food (ABCDE)
30
Q

do FOPLs work?
- lab setting
- supermarket setting
- conclusion

A
  • effect in lab setting –> nutri-score had the highest effect
  • effect, but very small in supermarket context
    CLEAR EFFECT
  • identify healthy foods + in lab context, increase intention of actual purchase
    LACK OF EFFECT:
  • consumption in real context
  • knowledge translation?
31
Q

effect of warning labels?

A
  • reduction of total cals purchased by 16.4kcal/person/day
  • less products with high-in warning labels were made –> bc companies made smaller portions or change products to improve healthy to not have to put the warning