Evidence map›Paper›PMID 41217204›Full record

SynthesisNutrition reviews2026

Do the Drivers of Food Choice Differ Between Healthier and Less Healthy Foods? A Systematic Review of Reviews.

Bethany Parkes, Nia Morrish, Emma Frew, Laura Cornelsen, Richard Smith, Antonieta Medina-Lara

Abstract readSystematic Review
In one paragraph

Synthesis in Nutrition reviews, 2026. 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. 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.

Bethany ParkesDepartment of Public Health and Sports Science, University of Exeter, Exeter EX2 4TH, United Kingdom.ORCID 0000-0003-3523-5224
Nia MorrishDepartment of Public Health and Sports Science, University of Exeter, Exeter EX2 4TH, United Kingdom.
Emma FrewCentre for Economics of Obesity, Institute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, United Kingdom.
Laura CornelsenPopulation Health Innovation Lab, Department of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, London WC1H 9SH, United Kingdom.
Richard SmithDepartment of Public Health and Sports Science, University of Exeter, Exeter EX2 4TH, United Kingdom.
Antonieta Medina-LaraDepartment of Public Health and Sports Science, University of Exeter, Exeter EX2 4TH, United Kingdom.

Funding

National Institute for Health and Care ResearchSchool for Public Health Research
6 · The paper itself

Abstract

contextThis review is intended to fill gaps in reported literature reviews on food choices by performing a comprehensive overview of the similarities and differences in the drivers of more and less healthy food choices reported in published reviews.

objectiveWe sought to examine similarities and differences in drivers of healthier vs less healthy food choices in the reported literature on food choices. DATA SOURCES: Searches were conducted in the Ovid (APA PsycINFO, Embase, MEDLINE), Econlit, and Scopus databases. A systematic review of reviews was undertaken according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. DATA EXTRACTION: Reviews with samples of adults from high-income countries were eligible. Included reviews were appraised using the Critical Appraisal Skills Programme (CASP) checklist for systematic reviews, and the results were synthesized narratively. Original searches yielded 4887 results from which 102 full-text articles were screened. Updated searches in March 2024 led to a total of 59 included reviews. DATA ANALYSIS: Synthesized findings from included reviews were grouped into overarching categories of drivers and described narratively. Drivers of both less healthy and healthier food choices were income, availability, accessibility, social norms, health status, and the food environment. In contrast, some factors were reported primarily in relation to healthier or less healthy food. Being health conscious and motivated, having nutrition knowledge, and female gender were reported in relation to choices of healthier foods whereas price and/or affordability, stress, lack of time, and need for convenience were reported as drivers of choices of less healthy foods. The most common concern identified from the CASP checklist was a lack of quality appraisal among reviews.

conclusionsIn this review we identified differences between drivers of food choice for healthier and less healthy food, indicating a possibility for policy interventions to target inappropriate drivers if this difference is not recognized. Rather, interventions targeting increasing healthier (or decreasing less healthy) food consumption may be more effective when targeting those relevant drivers. SYSTEMATIC REVIEW REGISTRATION: PROSPERO registration No. CRD42022363956.

Indexed as

Choice BehaviorDiet, HealthyFood PreferencesAccess to Healthy FoodsHumansdriversfood choicereview

Identifiers

PMID41217204
PMCPMC13353532

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.