Evidence map›Paper›PMID 36710005›Full record

ArticlePublic health nutrition2023

Content analysis of on-package formula labelling in Great Britain: use of marketing messages on infant, follow-on, growing-up and specialist formula.

Rana Conway, Sara Esser, Andrew Steptoe, Andrea D Smith, Clare Llewellyn

Abstract read
In one paragraph

Article in Public health nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Rana ConwayResearch Department of Behavioural Science and Health, University College London, Gower Street, London, WC1E 6BT, UK.ORCID 0000-0003-0955-7107
Sara EsserResearch Department of Behavioural Science and Health, University College London, Gower Street, London, WC1E 6BT, UK.
Andrew SteptoeResearch Department of Behavioural Science and Health, University College London, Gower Street, London, WC1E 6BT, UK.
Andrea D SmithResearch Department of Behavioural Science and Health, University College London, Gower Street, London, WC1E 6BT, UK.
Clare LlewellynResearch Department of Behavioural Science and Health, University College London, Gower Street, London, WC1E 6BT, UK.

Funding

Medical Research Council MC_UU_00006/5Medical Research Council MR/T002700/1
6 · The paper itself

Abstract

objectiveTo explore on-package formula messaging with reference to legislation and government-issued guidance in Great Britain (GB).

designFormula products were identified, pictures of all sides of packs collated and on-package text and images were coded. Compliance with both GB legislation and guidance issued by the Department of Health and Social Care (DHSC) was assessed.

settingAll formula packs that were available for sale over the counter in GB between April and October 2020.

participantsFormula packs (

resultsIn total, 41 % of formula packs included nutrition claims, and 18 % included health claims that may be considered non-permitted, according to DHSC guidance. Additionally, 72 % of products showed images considered 'non-permitted'. Breast Milk Substitute (BMS) legislation states infant and follow-on formula packs should be clearly distinguishable but does not provide criteria to assess similarity. Based on DHSC guidance, 72 % of infant and follow-on formula packs were categorised as showing a high degree of similarity. Marketing practices not covered by current legislation were widespread, such as 94 % of infant formula packs including advertisements for follow-on or growing-up formula.

conclusionsText and images considered non-permitted according to DHSC guidance for implementing BMS legislation were widespread on formula products available in GB. As terms such as 'similarity' are not defined in BMS legislation, it was unclear if breaches had occurred. Findings support the WHO call for loopholes in domestic legislation to be closed as a matter of urgency.

Indexed as

MarketingMilk SubstitutesBreast FeedingFemaleHumansInfantInfant FormulaUnited KingdomBMSChild nutritionInfant formulaLabellingMarketingPolicy

Identifiers

PMID36710005
PMCPMC10427444

What OpenQuestion holds

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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.