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The compliance of French purchasing behaviors with a healthy and sustainable diet: a 1-yr follow-up of regular customers in hypermarkets

Published online by Cambridge University Press:  04 August 2021

Anthony Fardet Open the ORCID record for Anthony Fardet [Opens in a new window] ,
Marion Desquilbet  and
Edmond Rock
Anthony Fardet*
Affiliation:
Université Clermont Auvergne, INRAE, UNH, Unité de Nutrition Humaine, CRNH Auvergne, F-63000Clermont-Ferrand, France
Marion Desquilbet
Affiliation:
Toulouse School of Economics, INRAE, University of Toulouse Capitole, 21 allée de Brienne, 31015Toulouse cedex 6, France
Edmond Rock
Affiliation:
Université Clermont Auvergne, INRAE, UNH, Unité de Nutrition Humaine, CRNH Auvergne, F-63000Clermont-Ferrand, France
*
Author for correspondence: Anthony Fardet, E-mail: [email protected]
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Abstract

In France, hypermarkets are the main shopping sites for food products. Therefore, the food-purchasing profiles of their regular customers may be a relevant indicator of the sustainability and health potentials of consumed diets. Knowing this information can be a step to address the issue of global health. The main objective of this study was to assess the sustainability and health potential of food-purchasing behaviors among regular adult customers, with or without children, of a leading French retailer. Secondarily, the cost of a sustainable food shopping cart was evaluated as regards the regular one, as calculated in this study. Purchasing receipts corresponding to 38,168 different food products were collected during one consecutive month for each four seasons in 2019 to assess compliance with a newly developed holistic indicator of food system sustainability, i.e., the 3V rule, recommending food consumption to be ‘Vegetal’/plant-based (≈15% animal calories/day), ‘Vrai’/real (max. 15% ultra-processed food calories/day, UPF) and ‘Varié’/varied. Participants were 708 regular buyers (aged ≥18 with different socio-economic profiles, with and without children) in 122 French hypermarkets. The plant rule was based on the animal and plant origin of food ingredients, including mixed products; the ‘real’ rule was evaluated with the Siga score according to the degree of processing to identify UPFs. The varied rule was defined based on a combination of food ‘categories × families’. The effect of children and season on the purchased animal and UPF calories and on the variety index was also evaluated. Multivariate and decision tree analyses were applied to compare consumers for their 3V rule profile similarities and differences, and to look for impacts of the presence or absence of children. Customers' purchases were far from the 3V rule, with a median of 41% animal and 61% UPF calories and a median variety index of 25% (compared to the consumer with the highest index set to 100%). There was no difference in purchased animal and UPF percentages neither according to seasons nor the presence of children. However, the presence of children was associated with a higher variety index (+33%, P < 0.05). Finally, the more the consumers purchased varied, the less they purchased UPFs. Compared to the average food basket, a 3V-based basket would cost 4.6% less. To make this basket accessible to everyone and to orientate consumer's purchasing behaviors toward more sustainable and healthier products, and hence food systems, hypermarkets should promote healthy eating and reassess their food offerings.

Keywords

Animal productsfood choicesfood diversityhypermarketssustainabilityultra-processed foods
Type
Research Paper
Information
Renewable Agriculture and Food Systems , Volume 37 , Issue 1 , February 2022 , pp. 49 - 59
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Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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References

ANSES (2017) Étude Individuelle Nationale des Consommations Alimentaires 3 (INCA 3). Maison-Alfort, France.Google Scholar
Askari, M, Heshmati, J, Shahinfar, H, Tripathi, N and Daneshzad, E (2020) Ultra-processed food and the risk of overweight and obesity: a systematic review and meta-analysis of observational studies. International Journal of Obesity 44, 2080–2091.CrossRefGoogle ScholarPubMed
Baker, P, Machado, P, Santos, T, Sievert, K, Backholer, K, Hadjikakou, M, Russell, C, Huse, O, Bell, C, Scrinis, G, Worsley, A, Friel, S and Lawrence, M (2020) Ultra-processed foods and the nutrition transition: global, regional and national trends, food systems transformations and political economy drivers. Obesity Reviews 21, e13126.CrossRefGoogle ScholarPubMed
Benedetti, I, Laureti, T and Secondi, L (2018) Choosing a healthy and sustainable diet: a three-level approach for understanding the drivers of the Italians’ dietary regime over time. Appetite 123, 357–366.CrossRefGoogle ScholarPubMed
Benton, T, Bieg, C, Harwatt, H, Pudasaini, R and Wellesley, L (2021) Food System Impacts on Biodiversity Loss: Three Levers for Food System Transformation in Support of Nature Chatam House, UK.Google Scholar
Bonaccio, M, Bonanni, AE, Di Castelnuovo, A, De Lucia, F, Donati, MB, de Gaetano, G, Iacoviello, L and Moli-sani Project, I (2012) Low income is associated with poor adherence to a Mediterranean diet and a higher prevalence of obesity: cross-sectional results from the Moli-Sani study. BMJ Open 2, e001685.CrossRefGoogle Scholar
Bonnet, C, Bouamra-Mechemache, Z, Réquillart, V and Treich, N (2020) Viewpoint: regulating meat consumption to improve health, the environment and animal welfare. Food Policy 97, 101847.CrossRefGoogle Scholar
Botelho, AM, Camargo, AM, Dean, M and Fiates, GMR (2019) Effect of a health reminder on consumers’ selection of ultra-processed foods in a supermarket. Food Quality and Preference 71, 431–437.CrossRefGoogle Scholar
Botelho, AM, Milbratz de Camargo, A, Medeiros, KJ, Irmão, GB, Dean, M and Fiates, GMR (2020) Supermarket circulars promoting the sales of ‘healthy’ foods: analysis based on degree of processing. Nutrients 12, 2877.CrossRefGoogle ScholarPubMed
Chen, X, Zhang, Z, Yang, H, Qiu, P, Wang, H, Wang, F, Zhao, Q, Fang, J and Nie, J (2020) Consumption of ultra-processed foods and health outcomes: a systematic review of epidemiological studies. Nutrition Journal 19, 86.CrossRefGoogle ScholarPubMed
Costa, CS, Del-Ponte, B, Assunção, MCF and Santos, IS (2018) Consumption of ultra-processed foods and body fat during childhood and adolescence: a systematic review. Public Health Nutrition 21, 148–159.CrossRefGoogle ScholarPubMed
CREDOC and IRES (2014) Budgets de Référence ONPES: Étude Réalisée à la Demande de L'Observatoire National de la Pauvreté et de L'exclusion sociale (ONPES). Noisy-le-Grand, France.Google Scholar
Darmon, N and Drewnowski, A (2015) Contribution of food prices and diet cost to socioeconomic disparities in diet quality and health: a systematic review and analysis. Nutrition Reviews 73, 643–660.CrossRefGoogle ScholarPubMed
Davidou, S, Christodoulou, A, Fardet, A and Frank, K (2020) The holistico-reductionist Siga classification according to degree of food processing: an evaluation of ultra-processed foods in French supermarkets. Food & Function 11, 2026–2039.CrossRefGoogle ScholarPubMed
Delvallée, J (2019) Duration, frequency, reasons for purchases…Shopping scrutinized. LSA. Available at https://www.lsa-conso.fr/temps-frequence-motifs-d-achats-les-courses-passees-au-crible-etude,330781 (Accessed 3 March 2021).Google Scholar
Desquilbet, M, Maigné, E and Monier-Dilhan, S (2018) Organic food retailing and the conventionalisation debate. Ecological Economics 150, 194–203.CrossRefGoogle Scholar
Dubuisson, C, Lioret, S, Touvier, M, Dufour, A, Calamassi-Tran, G, Volatier, JL and Lafay, L (2009) Trends in food and nutritional intakes of French adults from 1999 to 2007: results from the INCA surveys. British Journal of Nutrition 103, 1035–1048.CrossRefGoogle ScholarPubMed
Dubuisson, C, Dufour, A, Carrillo, S, Drouillet-Pinard, P, Havard, S and Volatier J, L (2019) The Third French Individual and National Food Consumption (INCA3) survey 2014–2015: method, design and participation rate in the framework of a European harmonization process. Public Health Nutrition 22, 584–600.CrossRefGoogle ScholarPubMed
Elizabeth, L, Machado, P, Zinöcker, M, Baker, P and Lawrence, M (2020) Ultra-processed foods and health outcomes: a narrative review. Nutrients 12, 1955.CrossRefGoogle ScholarPubMed
Fanzo, J, Hunter, D, Borelli, T and Mattei, F (2013) Diversifying Food and Diets: Using Agricultural Diversity to Improve Nutrition and Health. London, UK: Routledge.CrossRefGoogle Scholar
FAO and WHO (2019) FAO-WHO Sustainable Healthy Diets: Guiding Principles. Rome, Italy.Google Scholar
Fardet, A and Rock, E (2018) Reductionist nutrition research has meaning only within the framework of holistic thinking. Advances in Nutrition 9, 655–670.CrossRefGoogle Scholar
Fardet, A and Rock, E (2020a) How to protect both health and food system sustainability? A holistic ‘global health’-based approach via the 3V rule proposal. Public Health Nutrition 23, 3028–3044.CrossRefGoogle Scholar
Fardet, A and Rock, E (2020b) Ultra-processed foods and food system sustainability: what are the links? Sustainability 12, 6280.CrossRefGoogle Scholar
Fardet, A, Thivel, D, Gerbaud, L and Rock, E (2021) Sustainable and global health perspective of the dietary pattern of French population during the 1998–2015 period from INCA surveys. Sustainability 13, 7433.CrossRefGoogle Scholar
Féfération du Commerce et de la Distribution (2020) Economy, employment, taxation: employment in distribution. Available at http://www.fcd.fr/le-secteur/le-commerce-et-la-distribution/economie-et-emploi/ (Accessed 29 May 2021).Google Scholar
Fresco, LO, Bouwstra, RJ, de Jong, MCM, van der Poel, WHM, Scholten, MCT and Takken, W and The Global One Health task force of Wageningen University and Research Centre (2020) Global One Health—a new integrated approach. Global Health Challenges. J. Frenk. Washington, The Trilateral Commission, 67–121.Google Scholar
Gehring, J, Touvier, M, Baudry, J, Julia, C, Buscail, C, Srour, B, Hercberg, S, Péneau, S, Kesse-Guyot, E and Allès, B (2020) Consumption of ultra-processed foods by pesco-vegetarians, vegetarians, and vegans: associations with duration and age at diet initiation. Journal of Nutrition 151, 120–131.CrossRefGoogle Scholar
Gupta, S, Hawk, T, Aggarwal, A and Drewnowski, A (2019) Characterizing ultra-processed foods by energy density, nutrient density and cost. Frontiers in Nutrition 6, 70.CrossRefGoogle ScholarPubMed
Housden, M (2006) Marketing Research and Information. Oxford, UK: Elsevier Butterworth-Heinemann.Google Scholar
Johnston, JL, Fanzo J, C and Cogill, B (2014) Understanding sustainable diets: a descriptive analysis of the determinants and processes that influence diets and their impact on health, food security, and environmental sustainability. Advances in Nutrition 5, 418–429.CrossRefGoogle ScholarPubMed
Julia, C, Martinez, L, Alles, B, Touvier, M, Hercberg, S, Mejean, C and Kesse-Guyot, E (2018) Contribution of ultra-processed foods in the diet of adults from the French NutriNet-Sante study. Public Health Nutrition 21, 27–37.CrossRefGoogle ScholarPubMed
Lane, MM, Davis, JA, Beattie, S, Gómez-Donoso, C, Loughman, A, O'Neil, A, Jacka, F, Berk, M, Page, R, Marx, W and Rocks, T (2020) Ultraprocessed food and chronic noncommunicable diseases: a systematic review and meta-analysis of 43 observational studies. Obesity Reviews 22, e13146.Google ScholarPubMed
Leclerc, M (2020) Complete review of 2019 market shares. LSA. Available at https://www.lsa-conso.fr/bilan-complet-des-parts-de-marche-2019-carrefour-et-casino-grands-perdants,337501 (Accessed 29 May 2021).Google Scholar
Lioret, S, Dubuisson, C, Dufour, A, Touvier, M, Calamassi-Tran, G, Maire, B, Volatier, JL and Lafay, L (2010) Trends in food intake in French children from 1999 to 2007: results from the INCA (étude Individuelle Nationale des Consommations Alimentaires) dietary surveys. British Journal of Nutrition 103, 585–601.CrossRefGoogle ScholarPubMed
Luiten, CM, Steenhuis, IH, Eyles, H, Ni Mhurchu, C and Waterlander, WE (2016) Ultra-processed foods have the worst nutrient profile, yet they are the most available packaged products in a sample of New Zealand supermarkets. Public Health Nutrition 19, 530–538.CrossRefGoogle Scholar
Machado, PP, Claro, RM, Canella, DS, Sarti, FM and Levy, RB (2017) Price and convenience: the influence of supermarkets on consumption of ultra-processed foods and beverages in Brazil. Appetite 116, 381–388.CrossRefGoogle ScholarPubMed
Machin, L, Curutchet, MR, Gugliucci, V, Vitola, A, Otterbring, T, de Alcantara, M and Ares, G (2020) The habitual nature of food purchases at the supermarket: implications for policy making. Appetite 155, 104844.CrossRefGoogle ScholarPubMed
Mariotti, F (2019) Animal and plant protein sources and cardiometabolic health. Advances in Nutrition 10, S351–s366.CrossRefGoogle ScholarPubMed
Martins, CA, Machado, PP, Laura da Costa Louzada, M, Levy, RB and Monteiro, CA (2019) Parents' cooking skills confidence reduce children's consumption of ultra-processed foods. Appetite 144, 104452.CrossRefGoogle ScholarPubMed
Mendes dos Passos, C, Maia, EG, Levy, RB, Bortoletto Martins, AP and Claro, RM (2019) Association between the price of ultra-processed foods and obesity in Brazil. Nutrition, Metabolism and Cardiovascular Diseases 30, 589–598.CrossRefGoogle Scholar
Ministry of Health of Brazil, Primary Health Care Department (2014) Dietary guidelines for the Brazilian population. E. A. M. Editora Senac. São Paulo, Ministry of Health of Brazil, Secretariat of Health Care, Primary Health Care Department 80 pages. São Paulo, Brazil.Google Scholar
FAO, Monteiro, CA, Cannon, G, Lawrence, M, Louzada, MLDC and Machado, PP (2019) Ultra-processed Foods, Diet Quality, and Health Using the NOVA Classification System. Rome, Italy.Google Scholar
Monteiro C, A (2009) Nutrition and health. The issue is not food, nor nutrients, so much as processing. Public Health Nutrition 12, 729–731.CrossRefGoogle Scholar
Moran A, J, Khandpur, N, Polacsek, M and Rimm, EB (2019) What factors influence ultra-processed food purchases and consumption in households with children? A comparison between participants and non-participants in the Supplemental Nutrition Assistance Program (SNAP). Appetite 134, 1–8.CrossRefGoogle Scholar
Moubarac, J-C, Parra, DC, Cannon, G and Monteiro, CA (2014) Food classification systems based on food processing: significance and implications for policies and actions: a systematic literature review and assessment. Current Obesity Reports 3, 256–272.CrossRefGoogle ScholarPubMed
Pagliai, G, Dinu, M, Madarena M, P, Bonaccio, M, Iacoviello, L and Sofi, F (2020) Consumption of ultra-processed foods and health status: a systematic review and meta-analysis. British Journal of Nutrition 125, 308–318.CrossRefGoogle ScholarPubMed
PAHO and WHO (2019) Ultra-processed Food and Drink Products in Latin America: Sales, Sources, Nutrient Profiles, and Policy Implications. Washington, DC, USA.Google Scholar
Pan American Health Organization (2015) Ultra-processed Food and Drink Products in Latin America: Trends, Impact on Obesity, Policy Implications. Washington, DC, USA.Google Scholar
Rao, M, Afshin, A, Singh, G and Mozaffarian, D (2013) Do healthier foods and diet patterns cost more than less healthy options? A systematic review and meta-analysis. BMJ Open 3, e004277.CrossRefGoogle ScholarPubMed
Salomé, M, Arrazat, L, Wang, J, Dufour, A, Dubuisson, C, Volatier, JL, Huneau, JF and Mariotti, F (2021) Contrary to ultra-processed foods, the consumption of unprocessed or minimally processed foods is associated with favorable patterns of protein intake, diet quality and lower cardiometabolic risk in French adults (INCA3). European Journal of Nutrition. doi: 10.1007/s00394-021-02576-2CrossRefGoogle Scholar
Schösler, H and de Boer, J (2018) Towards more sustainable diets: insights from the food philosophies of ‘gourmets’ and their relevance for policy strategies. Appetite 127, 59–68.CrossRefGoogle ScholarPubMed
Seferidi, P, Scrinis, G, Huybrechts, I, Woods, J, Vineis, P and Millett, C (2020) The neglected environmental impacts of ultra-processed foods. The Lancet Planetary Health 4, e437–e438.CrossRefGoogle ScholarPubMed
Solberg S, L, Terragni, L and Granheim S, I (2016) Ultra-processed food purchases in Norway: a quantitative study on a representative sample of food retailers. Public Health Nutrition 19, 1990–2001.CrossRefGoogle Scholar
Swindale, A and Bilinsky, P (2006) Score de Diversité alimentaire des Ménages (SDAM) pour la mesure de l'accès alimentaire des ménages: Guide d'indicateurs—Version 2, USAIF. USAID, Washington, DC, USA.Google Scholar
Templin, T, Cravo Oliveira Hashiguchi, T, Thomson, B, Dieleman, J and Bendavid, E (2019) The overweight and obesity transition from the wealthy to the poor in low- and middle-income countries: a survey of household data from 103 countries. PLoS Medicine 16, e1002968.CrossRefGoogle Scholar
The High Level Panel of Experts on Food Security and Nutrition (2017) Nutrition and Food Systems. Rome, Italy: FAO.Google Scholar
Tilman, D and Clark, M (2014) Global diets link environmental sustainability and human health. Nature 515, 518–522.CrossRefGoogle ScholarPubMed
Vandevijvere, S, Pedroni, C, De Ridder, K and Castetbon, K (2020) The cost of diets according to their caloric share of ultraprocessed and minimally processed foods in Belgium. Nutrients 12, 2787.CrossRefGoogle ScholarPubMed
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