Sixty Percent of Foods Advertised in Grocery Store Flyers are Not In-line with Canada’s Food Guide

Publication: Canadian Journal of Dietetic Practice and Research
11 January 2022

Abstract

Purpose: To evaluate foods advertised in discount and premium grocery flyers for their alignment with Canada’s 2007 Food Guide (CFG) and assess if alignment differed by food category, season, page location, and price.
Methods: Weekly flyers (n = 192) were collected from discount and premium grocery chains from each of 4 seasons. Health Canada’s Surveillance Tool was used to assess food items as in-line or not in-line with CFG.
Results: Of 35 576 food items, 39.7% were in-line with CFG. There were no differences in proportions of foods not in-line in discount versus premium flyers (60.9% and 60.0%, respectively). Other Foods and Meat & Alternatives were advertised most (28.0% and 26.3%, respectively; P < 0.001). Milk & Alternatives were the least advertised food group (10.3%). Vegetables & Fruit (19.6%), Grains (21.6%), Milk & Alternatives (20.6%), and Meat & Alternatives (20.2%) were promoted least in Fall (P < 0.001). A higher proportion of foods advertised on middle pages were not in-line (61.0%) compared with front (56.6%) and back (58.8%) pages (P < 0.001). Not in-line foods were more expensive ($3.49, IQR = $2.82) than in-line foods ($3.28, IQR = $2.81; P < 0.001).
Conclusions: While there was no difference in healthfulness of foods advertised in discount versus premium flyers, grocers advertised more foods not in-line with CFG. Government policies to improve the food environment should consider grocery flyers.

Résumé

Objectif. Évaluer la conformité des aliments annoncés dans les circulaires d’épiceries au rabais et haut de gamme aux recommandations du Guide alimentaire canadien (GAC) de 2007, et déterminer si la conformité varie selon la catégorie d’aliments, la saison, l’emplacement dans la circulaire et le prix.
Méthodes. Des circulaires hebdomadaires (n = 192) ont été recueillies auprès de chaînes d’épiceries au rabais et haut de gamme au cours des 4 saisons. L’outil de surveillance de Santé Canada a été utilisé pour déterminer si les aliments sont conformes ou non aux recommandations du GAC.
Résultats. Sur 35 576 aliments, 39,7 % étaient conformes aux recommandations du GAC. Il n’y avait aucune différence quant aux proportions d’aliments non conformes aux recommandations entre les circulaires d’épiceries au rabais et celles d’épiceries haut de gamme (60,9 % et 60,0 %, respectivement). Les groupes alimentaires Autres aliments et Viandes et substituts étaient les plus annoncés (28,0 % et 26,3 %, respectivement; P < 0,001). Le groupe Lait et substituts était le moins publicisé (10,3 %). Les groupes Légumes et fruits (19,6 %), Produits céréaliers (21,6 %), Lait et substituts (20,6 %) et Viandes et substituts (20,2 %) étaient les moins promus à l’automne (P < 0,001). Une plus grande proportion d’aliments annoncés dans les pages centrales n’étaient pas conformes (61,0 %) comparativement à ceux présentés à la première (56,6 %) et à la dernière page (58,8 %) (P < 0,001). Les aliments non conformes étaient plus chers (3,49 $, EI = 2,82 $) que les aliments recommandés (3,28 $, EI = 2,81 $; P < 0,001).
Conclusions. Bien qu’il n’y ait aucune différence entre les aliments annoncés dans les circulaires d’épiceries au rabais vs haut de gamme, les épiciers annonçaient plus d’aliments non conformes aux recommandations du GAC. Les politiques gouvernementales visant à améliorer l’environnement alimentaire devraient tenir compte des circulaires d’épicerie.

Get full access to this article

View all available purchase options and get full access to this article.

References

1
Dubowitz T, Ghosh-Dastidar M, Cohen DA, Beckman R, Steiner ED, Hunter GP, et al. Diet and perceptions change with supermarket introduction in a food desert, but not because of supermarket use. Health Aff. 2015;34:1858–68. Available from: https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2015.0667.
2
Lee H. The role of local food availability in explaining obesity risk among young school-aged children. Soc Sci Med. 2012;74:1193–203.
3
Walker RE, Keane CR, and Burke JG. Disparities and access to healthy food in the United States: a review of food deserts literature. Health Place. 2010;16:876–84.
4
Rundle A, Neckerman KM, Freeman L, Lovasi GS, Purciel M, Quinn J, et al. Neighborhood food environment and walkability predict obesity in New York City. Environ Health Perspect. 2009;117:442–7.
5
Gloria CT and Steinhardt MA. Texas nutrition environment assessment of retail food stores (TxNEA-S): development and evaluation. Public Health Nutr. 2010;13(11):1764–72.
6
Pearce J, Hiscock R, Blakely T, and Witten K. The contextual effects of neighbourhood access to supermarkets and convenience stores on individual fruit and vegetable consumption. J Epidemiol Community Health. 2008;62(3):198–201.
7
Cobb LK, Appel LJ, Franco M, Jones-Smith JC, Nur A, and Anderson CAM. The relationship of the local food environment with obesity: a systematic review of methods, study quality, and results. Obesity. 2015;23(7):1331–44.
8
Block JP, Christakis NA, O’Malley AJ, and Subramanian SV. Proximity to food establishments and body mass index in the Framingham heart study offspring cohort over 30 years. Am J Epidemiol. 2011;174(10):1108–14.
9
Courtemanche C and Carden A. Supersizing supercenters? The impact of Walmart Supercenters on body mass index and obesity. J Urban Econ. 2011;69(2):165–81.
10
Powell LM, Kumanyika SK, Isgor Z, Rimkus L, Zenk SN, and Chaloupka FJ. Price promotions for food and beverage products in a nationwide sample of food stores. Prev Med. 2016;86:106–13.
11
Camden A, Levy J, Bassil K, Vanderlinden L, Barnett OW, Minaker LM, et al. A census of midsize to large supermarkets in Toronto: a cross-sectional analysis of the consumer nutrition environment. J Nutr Educ Behav. 2018;50(6):573–81.
12
Ellickson PB and Misra S. Supermarket pricing strategies. Mark Sci. 2008;27:811–28. Available from: https://www.jstor.org/stable/40057128.
13
Bolton RN and Shankar V. An empirically derived taxonomy of retailer pricing and promotion strategies. J Retail. 2003;79:213–24.
14
Lal R and Rao R. Supermarket competition: the case of every day low pricing. Mark Sci. 1997;16:60–80. Available from: https://www.jstor.org/stable/184130.
15
Brea-Solís H, Casadesus-Masanell R, and Grifell-Tatjé E. Business model evaluation: Quantifying Walmart’s sources of advantage. Strateg Entrepreneurship J. 2015;9:12–33.
16
Dalhousie University. Canada’s food price report; 2021 [cited 28 Jan 2021]. Available from: https://www.dal.ca/sites/agri-food/research/canada-s-food-price-report-2021.html.
17
Charlebois S, Chamberlain S, and Herian A. Pre-shopping habits and consumer vulnerability in food retailing. J Food Res. 2018;7:24–35.
18
Ravensbergen EAH, Waterlander WE, Kroeze W, and Steenhuis IHM. Healthy or unhealthy on sale? A cross-sectional study on the proportion of healthy and unhealthy foods promoted through flyer advertising by supermarkets in the Netherlands. BMC Public Health. 2015;15:470–9.
19
Martin-Biggers J, Yorkin M, Aljallad C, Ciecierski C, Akhabue I, McKinley J, et al. What foods are US supermarkets promoting? A content analysis of supermarket sales circulars. Appetite. 2013;62;160–5.
20
Jahns L, Payne CR, Whigham LD, Johnson LK, Scheett A, Hoverson BS, et al. Foods advertised in US weekly supermarket sales circulars over one year: a content analysis. Nutr J. 2014;13:95–102.
21
Samuel L, Basch CH, Ethan D, Hammond R, and Chiazzese K. An analysis of sodium, total fat and saturated fat contents of packaged food products advertised in Bronx-based supermarket circulars. J Community Health. 2014;39:775–82.
22
Ethan D, Samuel L, and Basch CH. An analysis of Bronx-based online grocery store circulars for nutritional content of food and beverage products. J Community Health. 2013;38:521–8.
23
Charlton EL, Kähkönen LA, Sacks G, and Cameron AJ. Supermarkets and unhealthy food marketing: an international comparison of the content of supermarket catalogues/circulars. Prev Med. 2015;81:168–73.
24
25
Statista. Leading supermarket and grocery chain companies in Canada in 2018, based on number of units; 2019 [cited 21 Apr 2020]. Available from: https://www.statista.com/statistics/881815/supermarket-and-grocery-chain-units-canada/.
26
Government of Canada. Reference Amounts - Information within the Nutrition Facts Table - Food - Canadian Food Inspection Agency [cited 21 Apr 2020]. Available from: http://www.inspection.gc.ca/food/labelling/food-labelling-for-industry/nutrition-labelling/information-within-the-nutrition-facts-table/eng/1389198568400/1389198597278?chap=5.
27
Government of Canada. Canadian Nutrient File search engine; 2018 [cited 21 Apr 2020]. Available from: https://food-nutrition.canada.ca/cnf-fce/index-eng.jsp.
28
Health Canada. The Development and Use of a Surveillance Tool: The Classification of Foods in the Canadian Nutrient File According to Eating Well with Canada’s Food Guide; 2014 [cited 21 Apr 2020]. Available from: http://publications.gc.ca/collections/collection_2014/sc-hc/H164-158-2-2014-eng.pdf.
29
Health Canada. Eating well with Canada’s Food Guide: A resource for educators and communicators; 2011 [cited 21 Apr 2020]. Available from: https://archive.org/details/eating-well-resource-educators-communicators/mode/2up.
30
Richardson JT. The analysis of 2 x 1 and 2 x 2 contingency tables: an historical review. Stat Methods Med Res. 1994;3(2):107–33.
31
Burton S, Lichtenstein DR, and Netemeyer RG. Exposure to sales flyers and increased purchases in retail supermarkets. J Advert Res. 1999;39:7–14.
32
Gijsbrechts E, Campo K, and Goossens T. The impact of store flyers on store traffic and store sales: a geo-marketing approach. J Retail. 2003;79:1–16.
33
Martínez E and Montaner T. The effect of consumer’s psychographic variables upon deal-proneness. J Retail Consum Serv. 2006;13:157–68.
34
Wi CI, St. Sauver JL, Jacobson DJ, Pendegraft RS, Lahr BD, Ryu E, et al. Ethnicity, socioeconomic status, and health disparities in a mixed rural-urban US community - Olmsted County, Minnesota. Mayo Clin Proc. 2016;91:612–22.
35
Carlsson AC, Li X, Holzmann MJ, Wandell P, Gasevic D, Sundquist J, et al. Neighbourhood socioeconomic status and coronary heart disease in individuals between 40 and 50 years. Heart. 2016;102:775–82.
36
Stringhini S, Zaninotto P, Kumari M, Kivimaki G, and Batty D. Lifecourse socioeconomic status and type 2 diabetes: the role of chronic inflammation in the English Longitudinal Study of Ageing. Sci Rep. 2016;6:24780.
37
Brennan-Olsen SL, Williams LJ, Holloway KL, Hosking SM, Stuart AL, Dobbins AG, et al. Small area-level socioeconomic status and all-cause mortality within 10 years in a population-based cohort of women: data from the Geelong Osteoporosis Study. Prev Med Rep. 2015;2:505–11.
38
Signorello LB, Cohen SS, Williams DR, Munro HM, Hargreaves MK, and Blot WJ. Socioeconomic status, race, and mortality: a prospective cohort study. Am J Public Health. 2014;104: 98–107.
39
Seabrook JA and Avison WR. Socioeconomic status and cumulative disadvantage processes across the life course: Implications for health outcomes. Can Rev Sociol. 2012;49:50–68.
40
Walters R and Jamil M. Measuring cross-category specials purchasing: theory, empirical results, and implications. J Mark Focus Manag. 2002;5:25–42.
41
Carlson A and Frazão E. Food costs, diet quality and energy balance in the United States. Physiol Behav. 2014;134:20–31.
42
Moubarac JC, Martins AP, Claro RM, Levy RB, Cannon G, and Monteiro CA. Consumption of ultra processed foods and likely impact on human health. Evidence from Canada. Public Health Nutr. 2012;16:2240–8.
43
Jessri M, Nishi SK, and L’Abbe MR. Assessing the nutritional quality of diets of Canadian adults using the 2014 Health Canada surveillance tool tier system. Nutrients. 2014;7:10447–68.
44
Tugault-Lafleur CN, Black JL, and Barr SI. Examining school-day dietary intakes among Canadian children. Appl Physiol Nutr Metab. 2017;9:1–9.
45
Food and Agriculture Organization of the United Nations. Food-based dietary guidelines – Brazil; 2020 [cited 21 Apr 2020]. Available from: http://www.fao.org/nutrition/education/food-based-dietary-guidelines/regions/countries/brazil/en/.
46
Health Canada. Canada’s Dietary Guidelines; 2019 [cited 21 Apr 2020]. Available from: https://food-guide.canada.ca/en/healthy-eating-recommendations/limit-highly-processed-foods/.
47
Ontario Ministry of Agriculture, Food and Rural Affairs. Foodland Ontario; 2021 [cited 2 Feb 2021]. Available from: https://www.ontario.ca/foodland/page/why-buy-local.
48
British Columbia Ministry of Agriculture, Food and Fisheries. Buy BC; 2021 [cited 2 Feb 2021]. Available from: https://buybc.gov.bc.ca/about-buy-bc/learn-about-buy-bc
49
Darmon N and Drewnowski A. Contribution of food prices and diet cost to socioeconomic disparities in diet quality and health: a systematic review and analysis. Nutr Rev. 2014;73:643–60.
50
Rao M, Afshin A, Singh G, and Mozaffarian D. Do healthier foods and diet patterns cost more than less healthy options? A systematic review and meta-analysis. BMJ Open. 2013;3:e004277.
51
Morris MA, Hulme C, Clarke GP, Edwards KL, and Cade JE. What is the cost of a healthy diet? Using diet data from the UK women’s cohort study. J Epidemiol Community Health. 2014;68:1043–49.
52
Snowdon C. Institute of Economic Affairs. Cheap as chips: Is a healthy diet affordable? [cited 21 Apr 2020]. Available from: https://iea.org.uk/publications/cheap-as-chips-is-a-healthy-diet-affordable/.
53
Abramovitch SL, Reddigan JI, Hamadeh MJ, Jamnik VK, Rowan CP, and Kuk JL. Underestimating a serving size may lead to increased food consumption when using Canada’s Food Guide. Appl Physiol Nutr Metab. 2012;37:923–30.
54
Health Canada. Working with grocers to support healthy eating; 2013 [cited 21 Apr 2020]. Available from: www.hc-sc.gc.ca/fn-an/nutrition/pol/index-eng.php.

Information & Authors

Information

Published In

cover image Canadian Journal of Dietetic Practice and Research
Canadian Journal of Dietetic Practice and Research
Volume 83Number 2June 2022
Pages: 52 - 58
Editor: Naomi Cahill

History

Version of record online: 11 January 2022

Key Words

  1. grocery store
  2. supermarket
  3. flyers
  4. sales circulars
  5. retail food environment
  6. healthy food
  7. unhealthy food
  8. food marketing

Mots-clés

  1. Épicerie
  2. supermarché
  3. circulaires
  4. circulaires annonçant des soldes
  5. environnement alimentaire au détail
  6. aliment santé
  7. aliment mauvais pour la santé
  8. marketing alimentaire

Authors

Affiliations

Natalie A. Laframboise MScFN, RD
School of Food and Nutritional Sciences, Brescia University College, Western University, London, ON
Jamie A. Seabrook PhD
School of Food and Nutritional Sciences, Brescia University College, Western University, London, ON
Department of Paediatrics, Western University, London, ON
Department of Epidemiology and Biostatistics, Western University, London, ON
Children’s Health Research Institute, London, ON
Lawson Health Research Institute, London, ON
Human Environments Analysis Laboratory, London, ON
June I. Matthews PhD, PHEc, RD
School of Food and Nutritional Sciences, Brescia University College, Western University, London, ON
Paula D. N. Dworatzek PhD, PHEc, RD
School of Food and Nutritional Sciences, Brescia University College, Western University, London, ON
Schulich Interfaculty Program in Public Health, Schulich School of Medicine & Dentistry, Western University 1285 Western Road, London, ON N6G 1H2

Metrics & Citations

Metrics

Other Metrics

Citations

Cite As

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

There are no citations for this item

View Options

Login options

Check if you access through your login credentials or your institution to get full access on this article.

Subscribe

Click on the button below to subscribe to Canadian Journal of Dietetic Practice and Research

Purchase options

Purchase this article to get full access to it.

Restore your content access

Enter your email address to restore your content access:

Note: This functionality works only for purchases done as a guest. If you already have an account, log in to access the content to which you are entitled.

View options

PDF

View PDF

Full Text

View Full Text

Media

Media

Other

Tables

Share Options

Share

Share the article link

Share on social media