Evidence map›Paper›PMID 28416041›Full record

ArticlePublic health nutrition2017

Child-targeted fast-food television advertising exposure is linked with fast-food intake among pre-school children.

Madeline A Dalton, Meghan R Longacre, Keith M Drake, Lauren P Cleveland, Jennifer L Harris, Kristy Hendricks, Linda J Titus

Open access · bronzeAbstract read
In one paragraph

Article in Public health nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
8.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. School-Based Nutrition Programs in the Eastern Mediterranean Region: A Systematic Review.International journal of environmental research and public health · 2023
    Pooled it
  3. Measurement of screen time among young children aged 0-6 years: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
    Pooled it
  4. Article
  5. Review
  6. From preschool to policy: A scoping review of recommended interventions for a systems approach to improve dietary intake in early childhood.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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  15. The Founder: Dispositional Greed, Showbiz, and the Commercial Determinants of Health.International journal of environmental research and public health · 2023
    Article
  16. Review
  17. Article
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Madeline A Dalton1Department of Pediatrics,Hood Center for Children and Families,Geisel School of Medicine at Dartmouth, One Medical Center Drive,HB 7465,Lebanon,NH 03756,USA.
Meghan R Longacre1Department of Pediatrics,Hood Center for Children and Families,Geisel School of Medicine at Dartmouth, One Medical Center Drive,HB 7465,Lebanon,NH 03756,USA.
Keith M Drake2The Dartmouth Institute for Health Policy and Clinical Practice,Geisel School of Medicine at Dartmouth,Lebanon,NH,USA.
Lauren P Cleveland1Department of Pediatrics,Hood Center for Children and Families,Geisel School of Medicine at Dartmouth, One Medical Center Drive,HB 7465,Lebanon,NH 03756,USA.
Jennifer L Harris5Rudd Center for Food Policy and Obesity,University of Connecticut,Hartford,CT,USA.
Kristy Hendricks1Department of Pediatrics,Hood Center for Children and Families,Geisel School of Medicine at Dartmouth, One Medical Center Drive,HB 7465,Lebanon,NH 03756,USA.
Linda J Titus1Department of Pediatrics,Hood Center for Children and Families,Geisel School of Medicine at Dartmouth, One Medical Center Drive,HB 7465,Lebanon,NH 03756,USA.
Center for Children · USDartmouth College · USDartmouth Institute for Health Policy and Clinical Practice · USUniversity of Connecticut · US

Funding

Impact of Food Marketing and Cross-Promotions on Preschoolers' Dietary IntakeR01HD071021 · NICHD · DARTMOUTH COLLEGE · PI DALTON, MADELINE A., LONGACRE, MEGHAN R · 2012 to 2016
$3.1M
NICHD NIH HHS R01 HD071021
6 · The paper itself

Abstract

objectiveTo determine whether exposure to child-targeted fast-food (FF) television (TV) advertising is associated with children's FF intake in a non-experimental setting.

designCross-sectional survey conducted April-December 2013. Parents reported their pre-school child's TV viewing time, channels watched and past-week FF consumption. Responses were combined with a list of FF commercials (ads) aired on children's TV channels during the same period to calculate children's exposure to child-targeted TV ads for the following chain FF restaurants: McDonald's, Subway and Wendy's (MSW).

settingPaediatric and Women, Infants, and Children (WIC) clinics in New Hampshire, USA. SUBJECTS: Parents (n 548) with a child of pre-school age.

resultsChildren's mean age was 4·4 years; 43·2 % ate MSW in the past week. Among the 40·8 % exposed to MSW ads, 23·3 % had low, 34·2 % moderate and 42·5 % high exposure. McDonald's accounted for over 70 % of children's MSW ad exposure and consumption. Children's MSW consumption was significantly associated with their ad exposure, but not overall TV viewing time. After adjusting for demographics, socio-economic status and other screen time, moderate MSW ad exposure was associated with a 31 % (95 % CI 1·12, 1·53) increase and high MSW ad exposure with a 26 % (95 % CI 1·13, 1·41) increase in the likelihood of consuming MSW in the past week. Further adjustment for parent FF consumption did not change the findings substantially.

conclusionsExposure to child-targeted FF TV advertising is positively associated with FF consumption among children of pre-school age, highlighting the vulnerability of young children to persuasive advertising and supporting recommendations to limit child-directed FF marketing.

Indexed as

AdvertisingFast FoodsTelevisionChild BehaviorChild, PreschoolCross-Sectional StudiesEatingFemaleFood AssistanceHumansMaleNew HampshireParentsRestaurantsSocioeconomic FactorsChildrenFast-food advertisingFast-food consumptionTelevision

Identifiers

PMID28416041
PMCPMC5758305
OpenAlexW2605729785

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.