Use of advertising strategies to target children in sugar-sweetened beverages packaging in Mexico and the nutritional quality of those beverages

Pediatr Obes. 2021 Feb;16(2):e12710. doi: 10.1111/ijpo.12710. Epub 2020 Aug 11.

Abstract

Background: A product package can be a powerful marketing tool to persuade and attract consumers at the point-of-sale. Evidence shows that most advertised products have low nutritional quality. Currently, Mexico has incorporated advertising regulations on food and beverage packaging.

Objectives: To analyze the advertising strategies used to target children on packaging and to assess the nutritional quality of sugar-sweetened beverages available in the Mexican market.

Methods: Photographs of 2380 beverages available in retail stores in Mexico City from January to March 2017 were analyzed. Beverages were classified as displaying child-directed strategies or nondirected strategies. Nutrition quality was evaluated using the Pan American Health Organization nutrient profile model.

Results: The use of characters was the most frequent strategy among beverages with child-directed strategies (82.0%). The evaluation of nutrition quality found that 88.0% (P < .001) of sugar-sweetened beverages with child-directed strategies were excessive in free sugars and 56.9% (P < .001) contained other sweeteners. Beverages with more than two advertising strategies have the highest proportion of excessive free sugars (93.4%, 95% CI 82.8-98.6).

Conclusions: The use of characters and other visual strategies were frequently used in the packaging of sugar-sweetened beverages with child-directed strategies. In addition, these beverages are excessive in free sugars and contain a large number of products with other sweeteners.

Keywords: advertising; free sugars; nonsugar sweeteners; nutrient profile; sugar-sweetened beverages.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Child Health
  • Child Welfare
  • Cross-Sectional Studies
  • Dietary Sugars / analysis
  • Direct-to-Consumer Advertising / methods*
  • Direct-to-Consumer Advertising / statistics & numerical data
  • Food Packaging / methods*
  • Food Packaging / statistics & numerical data
  • Humans
  • Mexico
  • Nutritive Value*
  • Pediatric Obesity / economics
  • Pediatric Obesity / etiology
  • Pediatric Obesity / prevention & control
  • Pediatric Obesity / psychology
  • Sugar-Sweetened Beverages* / adverse effects
  • Sugar-Sweetened Beverages* / analysis
  • Sugar-Sweetened Beverages* / economics
  • Sugar-Sweetened Beverages* / statistics & numerical data

Substances

  • Dietary Sugars