Evidence map›Paper›PMID 33972379›Full record

ArticlePediatrics2021

Promotion of Meal Premiums in Child-Directed TV Advertising for Children's Fast-food Meals.

Jennifer A Emond, Hannah Utter, Alec Eschholz, Vincent Chang, Mark A Gottlieb, James D Sargent

Abstract read
In one paragraph

Article in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. The Founder: Dispositional Greed, Showbiz, and the Commercial Determinants of Health.International journal of environmental research and public health · 2023
    Article
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

6 authors.

Jennifer A EmondThe C. Everett Koop Institute, jennifer.a.emond@dartmouth.edu.
Hannah UtterDartmouth College, Hanover, New Hampshire; and.
Alec EschholzMedia and Health Behaviors Laboratory, Geisel School of Medicine.
Vincent ChangDartmouth College, Hanover, New Hampshire; and.
Mark A GottliebPublic Health Advocacy Institute at Northeastern University School of Law, Boston, Massachusetts.
James D SargentThe C. Everett Koop Institute.

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
Prospective impact of media use on sleep and obesity risk in preschoolersK01DK117971 · NIDDK · DARTMOUTH COLLEGE · PI EMOND, JENNIFER A. · 2018 to 2022
$735k
NCI NIH HHS P30 CA023108NIDDK NIH HHS K01 DK117971
6 · The paper itself

Abstract

backgroundFast-food intake is a modifiable obesity risk factor in early childhood, and child-directed fast-food marketing is common. Per self-regulatory guidelines regarding deception, premiums (ie, incentives or toy giveaways) in child-directed advertisements must be secondary to the advertised product.

methodsContent analyses were performed of all child-directed fast-food television (TV) advertisements aired on four national US children's TV networks, February 1, 2019, through January 31, 2020, to assess the emphasis of premiums relative to food. We quantified the percent of the audio transcript (word count) and visual airtime (seconds) that included premiums or food and the on-screen size of premiums relative to food in randomly selected frames from each advertisement.

resultsThere were 28 unique child-directed advertisements for children's fast-food meals in the study year; 27 advertisements were from one restaurant and accounted for nearly all (99.8%) of the total airtime for the 28 advertisements. Premiums were present in 27 of the 28 unique advertisements. On average, premiums (versus food) accounted for 53.0% (vs 16.0%) of words in the audio transcript and 59.2% (vs 54.3%) of the visual airtime per advertisement. In the random subset of frames that includes both premiums and food imagery, imagery of premiums accounted for 9.7% (95% CI: 6.4%-13.0%) of the on-screen area, whereas imagery of food accounted for 5.7% (95% CI: 4.4%-7.0%), an average ratio of 1.9:1 within each frame when excluding one large outlier.

conclusionsChild-directed fast-food TV advertisements emphasize premiums over food in violation of self-regulatory guidelines, counter to childhood obesity prevention efforts.

Indexed as

Fast FoodsTelevisionChild, PreschoolDirect-to-Consumer AdvertisingHumansUnited States

Identifiers

PMID33972379
PMCPMC8785689

What OpenQuestion holds

Textmetadata
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.