Professor Monique Raats
Professor and Director of the Food, Consumer Behaviour and Health Research Centre
Qualifications: MSc (Wageningen), PhD (Reading)
Phone: Work: 01483 68 9431
Room no: 12 AC 04
I previously worked at the Institute of Food Research, Health Education Authority and University of Oxford. My expertise is in the area of public health and behavioural nutrition research, gained on a variety of projects. My research is wide ranging both in terms of topics covered (e.g. food choice, policy development, food safety) and methodologies used (e.g. qualitative, quantitative, stakeholder consultation). I have also been involved in the evaluation of health promotion programmes and developing tools for use in nutrition education.
Since my arrival in 2000, I have played an instrumental role in the success of the University of Surrey’s Food, Consumer Behaviour and Health Research Centre, securing over £4.8M of research funding, of which over £3M as PI. With a start-up investment of £250K in 2000, the centre has brought over £6.4M into the University of Surrey.
To date I have published 81 refereed papers, numerous non-refereed publications including 16 book chapters and have edited two books:
- Raats MM, de Groot CPGM, van Staveren WA (Eds.) (2008) Food for the ageing population.Woodhead Publishing Limited, Cambridge, UK.
- Shepherd R, Raats M (Eds.) (2006) The Psychology of Food Choice. CABI Publishing, Wallingford, UK.
In 2011 I joined the UK's Scientific Advisory Committee on Nutrition (SACN) and in 2012 I also became a member of the SACN's Subgroup on Maternal and Child Nutrition (SMCN).
I am one of the founding members, member of the Board of Directors (2001-2006) and was secretary (2004-2006) of the International Society of Behavioral Nutrition and Physical Activity. The society was set up to combine interests in diet and physical activity; and to stimulate, promote and advocate innovative research and policy in the area. The society now plays an important role in fostering excellence in research in this field through its annual meetings and journal called the International Journal of Behavioral Nutrition and Physical Activity.
In 1997 I joined the Health Education Authority to provide technical and research support to a feasibility project on the development a national point of purchase healthy eating labelling scheme. Ten years later I returned to these national level policy discussions when my team and I were invited to provide research methodological advice to the market research agency and expert group tasked with overseeing the evaluation of signpost nutrition labelling schemes, commissioned by the Food Standards Agency. This work was complemented with a leadership role in the FLABEL consortium that carried out further EU-level research. Our work on framing the differences between labels in terms of directiveness was central to the design of all the FLABEL studies. Currently we are developing the UK’s first pilot randomised control trial to enhance the use of front of pack nutrition labelling. I was also a member of the International Scientific Committee for the Choices programme, a world-wide initiative that is introducing a simple front-of-pack stamp on food products that have passed an evaluation against a set of qualifying criteria based on international dietary guidelines.
Key publications include:
- Hodgkins C, Barnett J, Wasowicz-Kirylo G, Stysko-Kunkowska M, Gulcan Y, Kustepeli Y, Akgungor S, Chryssochoidis G , Fernández-Celemin L, Storcksdieck S, Gibbs M, Raats M (2012) Understanding how consumers categorise nutritional labels; a consumer derived typology for front-of-pack nutrition labelling. Appetite 59(3), 806–817.
- Raats MM, Dean M, Hodgkins C, Timotijevic L, Berger I, Peacock M (2012) Researching consumers and nutrition labelling on food packaging. Report prepared for the Food and Agriculture Organization of the United Nations (FAO).
- Hodgkins C, Raats MM, Egan MB, Fragodt A, Buttriss J, McKevith B (2010) Optimising food composition data flow within the UK Food Supply Chain and to external stakeholders. Journal of Food Composition and Analysis 23(7), 749-752.
- Storcksdieck S, Fernández-Celemín L, Larrañaga A, Egger S, Wills JM, Hodgkins C, Raats MM (2010) Penetration of nutrition information on food labels across the EU-27 plus Turkey. European Journal of Clinical Nutrition 64(12):1379-85.
- Malam S, Clegg S, Kirwan S, McGinigal S, Raats M, Shepherd R, Barnett J, Senior V, Hodgkins C, Dean M (2009) Comprehension and use of UK nutrition signpost labelling schemes. London: Food Standards Agency. [http://webarchive.nationalarchives.gov.uk/20120206100416/http://food.gov.uk/multimedia/pdfs/pmpreport.pdf]
- BMRB Social Research & University of Surrey (2008) Comprehension and use of UK nutrition signpost labelling schemes: Scientific Rationale and Design. London: Food Standards Agency. [http://webarchive.nationalarchives.gov.uk/20120206100416/http://food.gov.uk/multimedia/pdfs/quantrationale.pdf]
Maternal and child behavioural nutrition
My interest in this area dates back to when I wrote the report describing one of the first national campaigns in the world highlighting the importance of folic acid in relation to pregnancy for the Health Education Authority. The development of this campaign was underpinned by an in-depth knowledge of lay perspectives. My more recent work has focussed on decision-making relating to infant and child feeding practices, including the development of policy.
Key publications include:
- Brands B, Egan B, Györei E, López-Robles JC, Gage H, Campoy C, Decsi T, Koletzko B, Raats MM (2012) Effects of diet on children’s mental state and performance – a qualitative study of perceptions, attitudes and beliefs of parents in four European countries. Appetite 58(2), 739-46.
- Gage H, Erdal E, Saigal P, Qiao Y, Williams P, Raats MM (2012) Recognition and management of overweight and obese children: a questionnaire survey of General Practitioners and parents in England. Journal of Paediatrics and Child Health 48(2), 146-52.
- Gage H, Raats M, Williams P, Egan MB, Jakobik V, Laitinen K, Martin-Bautista E, Schmid M, von Rosen-von Hoewel J, Campoy C, Decsi T, Morgan J, and Koletzko B (2011) Developmental origins of health and disease: the views of first time mothers in five European countries on the importance of nutritional influences in the first year of life. American Journal of Clinical Nutrition 94(6):2018S-24S.
- Gage H, von Rosen-von Hoewel J, Laitinen K, Jakobik V, Martin-Bautista E, Schmid MA, Egan B, Morgan J, Williams P, Decsi T, Campoy C, Koletzko B, Raats MM (in press) Health effects of infant feeding: Information for parents in leaflets and magazines in five European countries. Public Understanding of Science.
- Gage H, Williams P, Von Rosen-Von Hoewel J, Laitinen K, Jakobik V, Martin-Bautista E, Schmid M, Egan B, Morgan J, Decsi T, Campoy C, Koletzko B, Raats M (2012) Influences on infant feeding decisions of first time mothers in five European countries. European Journal of Clinical Nutrition 66(8), 914-919.
- Martin-Bautista E, Gage H, von Rosen-von Hoewel J, Jakobik V, Laitinen K, Schmid M, Morgan J, Williams P, Decsi T, Campoy C, Koletzko B, Raats MM (2010) Lifetime health outcomes of breast feeding: A comparison of the policy documents of five European countries. Public Health Nutrition 13(10):1653-62.
- Raats MM, Thorpe L, Hurren C, Elliott K (1998) Changing Preconceptions. Volume 2. The HEA Folic Acid Campaign 1995-1998. Research Report. London: Health Education Authority. (www.nice.org.uk/nicemedia/documents/changprecon_vol2.pdf)
Understanding the processes through which research is translated into policy and practice
Building on my interests in nutrition policy (e.g. food labelling, folic acid, dietary guidelines) my team and I embarked on a programme of research that seeks to better understand the interplay between nutrition science and society. We have conducted mixed methods studies on the role that Scientific Advisory Bodies play; as they can be considered “boundary organisations” working at the interface between science, policy and society. Our research provides an explanation for the varying nutrition recommendations across Europe. Our work also included taking a critical stance with regard to one of the most commonly adopted nutrition policy tools, namely food-based dietary guidelines.
Key publications include:
- Brown KA, Timotijevic L, Barnett J, Ruprich J, Řehůřková I, Hermoso M, Frost-Anderson L, Lillegard ITL, Fernández-Celemín L, Larrañaga A, Srnić-Lončarević A, Raats MM (2011) Stakeholders’ beliefs on consumer involvement in the development of dietary guidelines: A qualitative study in six European countries. European Journal of Clinical Nutrition 65, 872–874.
- Brown KA, Hermoso M, Timotijevic L, Barnett J, Lillegaard LTL, Řehůřková i, Larrañaga A, Srnić-Lončarević A, Frost Andersen L, Ruprich J, Fernández-Celemín L, Raats MM (in press) Consumer involvement in dietary guideline development: opinions from stakeholders across Europe. Public Health Nutrition
- Brown KA, Timotijevic L, Barnett J, Shepherd R, Lähteenmäki L, Raats MM (2011) A review of consumer awareness, understanding and use of food based dietary guidelines. British Journal of Nutrition 106(1), 15-26.
- Jensen BB, Lähteenmäki L, Grunert KG, Brown KA, Timotijevic L, Barnett J, Shepherd R, Raats MM. (2012) Changing micronutrient intake through (voluntary) behaviour change – the case of folate. Appetite 58(3), 1014–1022.
- Timotijevic L, Raats MM, Barnett J, Brown K, Shepherd R, Fernández Celemín L, Dömölki L, Ruprich J, Dhonukshe-Rutten RAM, Sonne AM, Hermoso M., Koletzko B, Frost-Andersen L, Timmer A (2010) From micronutrient recommendations to policy: consumer issues and stakeholder involvement. European Journal of Clinical Nutrition 64, S31-S37.
- Timotijevic L, Barnett J, Raats MM (2011) Engagement, representativeness and legitimacy in the development of food and nutrition policy. Food Policy 36(4), 490-498.
- Timotijevic L, Raats MM, Barnett J, Brown K, Shepherd R, Fernández-Celemín L, Dömölki L, Ruprich J, Dhonukshe-Rutten RA, Sonne AM, Hermoso M, Koletzko B, Frost-Andersen L (2011) The process of setting micronutrient recommendations: A cross-European comparison of Scientific Advisory Bodies (SAB) for nutrition. Public Health Nutrition 14(4), 716–728.
- Timotijevic L, Brown KA, Lähteenmäki L, de Wit L, Sonne A-M, Ruprich J, Řehůřková I, Jeruszka-Bielak M, Sicinska E, Jensen BB, Brito Garcia N, Guzzon A, Raats MM (in press) Developing public health nutrition policy based on micronutrient DRVs: a framework for considering the evidence. Critical Reviews in Food Science and Nutrition
Behavioural nutrition of older people
My research in this area has sought to address the gap in knowledge with regard to the impact food has on older people’s quality of life. In the context of the Food in Later Life project, we brought together a multi-disciplinary team from nine research centres in eight European countries. There are relatively few studies with qualitative datasets of the size and scope which we collected. Upon my suggestion the team also developed and validated a new “satisfaction with food-related life” measure. Project results were fed though to those preparing the Advisory Committee on the Microbiological Safety of Food report on the increased incidence of listeriosis in the UK (see www.food.gov.uk/multimedia/pdfs/committee/acmsflisteria.pdf).
Key publications include:
- Dean MS, Grunert KG, Raats MM, Nielsen NA, Lumbers M, Food in Later Life Project Team (2008) The impact of personal resources and their goal relevance on satisfaction with food related life among the elderly. Appetite 50(2-3):308-15.
- Dean MS, Raats MM, Grunert KG, Lumbers M, Food in Later Life Project Team (2009) Factors influencing eating a varied diet in old age. Public Health Nutrition 12(12), 2421-2427.
- Grunert KG, Dean MS, Raats MM, Nielsen NA, Lumbers M, Food in Later Life Project Team (2007) A measure of satisfaction with food-related life. Appetite 49(2), 486-493.
- Kozłowska K, Szczecińska A, Roszkowski W, Brzozowska A, Alfonso C, Fjellstrom C, Morais C, Nielsen NA, Pfau C, Saba A, Sidenvall B, Turrini A, Raats MM, Lumbers M, Food in Later Life Project Team (2008) Patterns of healthy lifestyle and positive health attitudes in older Europeans – The Food in Later Life Project. Journal of Nutrition, Health and Aging 12(10), 728-733.
- Lundkvist P, Fjellström C, Sidenvall B, Lumbers M, Raats M, Food in Later life Team (2010) Management of healthy eating in everyday life among senior Europeans. Appetite 55(3), 616-22.
- Mattsson Sydner Y, Sidenvall B, Fjellström C, Raats MM, Lumbers M, Food in Later Life Project Team (2007) Diet, eating and household work – a life course perspective of senior Europeans. Food, Culture and Society 10(3), 367-387.
- Raats MM, de Groot CPGM, van Staveren WA (Eds.) (2008) Food for the ageing population. Woodhead Publishing Limited, Cambridge, UK.
As Principal Investigator
2012-16: Role of health-related CLaims and sYMBOLs in consumer behaviour (CLYMBOL) (EU FP7)
2012-15: Front of pack food Labelling: Impact on Consumer Choice (FLICC) (MRC)
2011: Cool snacks: snack concept-test among adolescents (Aarhus School of Business)
2010-14: PLANT food supplements: Levels of Intake, Benefit and Risk Assessment (Plantlibra) (EU FP7)
2010-13: FOOD RISk Communication: Perceptions and communication of food risks/benefits across Europe: development of effective communication strategies (FoodRisC) (EU FP7)
2010-12: Portion information on food and drink packaging (EUFIC)
2010-12: Good Days and Bad Days, an investigation of the habits of shoppers when they do or don’t buy healthy foods (Safefood)
2008-12: Food Labelling to Advance Better Education for Life (FLABEL) (EU FP7)
2008-09: Evaluation of the comprehension and use of UK nutrition signpost labelling scheme (FSA)
2007-12: Harmonising nutrient recommendations across Europe with special focus on vulnerable groups and consumer understanding (EURRECA) (EU FP6)
2007-08: Café - Changes Around Food Experience (impact of reduced contact with food on social engagement and wellbeing of older women) (ESRC)
2006-07: Follow-up work on Food in Later Life project (Aarhus School of Business)
2005-10: EARly Nutrition programming- long term follow up of Efficacy and Safety Trials and integrated epidemiological, genetic, animal, consumer and economic research (EARNEST) (EU FP6)
2005-09: EUROpean Food Information Resource Network (EuroFIR) (EU FP6)
2002-04: Involving low income consumers in policy making: Developing consultation methods and improving participation levels (FSA)
2002-04: Evaluation of UK food hygiene and safety training (FSA)
2002-03: An assessment of issues pertinent to the future development of the Composition of Foods (FSA)
As Co-Principal Investigator
2005-09: DIet, Obesity and GENES (DioGenes) (EU FP6)
2003-05L Choosing foods, eating meals: sustaining independence and quality of life in older people (Food in Later Life) (EU FP5)
2012-14: EURO-DISH (Determinants, Intake, Status, Health) Study on the need for food and health research infrastructures in Europe (EU FP7)
2011-14: Towards INclusive research PROgramming for sustainable FOOD innovations (Inprofood) (EU FP7)
2009-10: Understanding the dietary patterns and food choice reasoning of food allergic consumers (FSA)
2008-13: The Effect of Diet on the Mental Performance of Children (NUTRIMENTHE) (EU FP7)
2005-10: Exploiting bioactivity of European cereal GRAINs for improved nutrition and HEALTH benefits (HEALTHGRAIN) (EU FP7)
2005-08: Integration of social and natural sciences to develop improved tools for assessing and managing food chain risks affecting the rural economy (RELU)
2005-06: Investigation of the phytoestrogen intake of a group of post menopausal women previously diagnosed with breast cancer (FSA)
2004-05: Getting food safety and food hygiene messages into schools (FSA)
2003-05: The development of interventions to improve the diet of girls and young women from populations at risk of low birth weight (FSA)
2003-05: CONsumer Decision-making on Organic Products (CONDOR) (EU FP5)
2002-02: Diet Trials (BBC)
- 'Health professionals', expert patients' and dieters' beliefs and attitudes about obesity'. Journal of Human Nutrition and Dietetics, 26 (6), pp. 612-616.doi: 10.1111/jhn.12085
- 'Healthful grocery shopping. Perceptions and barriers'. Appetite, 70, pp. 119-126. . (2013)
- 'Nutritional risk of European elderly'. NATURE PUBLISHING GROUP EUROPEAN JOURNAL OF CLINICAL NUTRITION, 67 (11), pp. 1215-1219. . (2013)
- 'Experience and acceptability of diets of varying protein content and glycemic index in an obese cohort: Results from the Diogenes trial'. European Journal of Clinical Nutrition, 67 (9), pp. 990-995.doi: 10.1038/ejcn.2013.99
- 'Health effects of infant feeding: Information for parents in leaflets and magazines in five European countries'. Sage Public Understanding of Science, 22 (3), pp. 365-379. . (2013)
- 'Health professionals’, expert patients’ and dieters’ beliefs and attitudes about obesity'. Wiley / The British Dietetic Association Ltd. Journal of Human Nutrition and Dietetics, doi: 10.1111/jhn.12085
[ Status: Accepted ]Full text is available at: http://epubs.surrey.ac.uk/764010/
Background: Research has suggested that patients and treatment providers hold different beliefs and models of obesity. This could impact consistency and quality of interventions for weight management. This study investigated the attitudes and beliefs of health professionals, commercial weight management advisors (expert patients) and overweight and obese dieters, towards obesity. Methods: Data were collected using a self-administered questionnaire from 287 health professionals, 85 expert patients and 116 dieters. Respondents gave their views on obesity causation and consequences, and the most efficacious means to manage obesity. Demographic data and self-reported height and weight were also collected. Factor analysis, ANOVA and t-tests were used to analyse the data. Results: Health professionals, expert patients and dieters held similar models of obesity, identifying the same causes (lifestyle causes), consequences (medical consequences) and treatments (currentrecommended options) of obesity/overweight. Conclusion: This study indicated broad similarity between beliefs and attitudes of those involved in obesity treatment and those they aim to treat than previously suggested. The concordance of beliefs between patients and treatment providers is an encouraging finding and may have important implications for public health strategies in this area.
- 'Scientific decision-making and stakeholder consultations: The case of salt recommendations'. Elsevier Social Science & Medicine, Full text is available at: http://epubs.surrey.ac.uk/762106/
Scientific Advisory Bodies (SABs) are seen as “boundary organisations” working at the interface between science, policy and society. Although their narrowly defined remit of risk assessment is anchored in notions of rationality, objectivity, and reason, in reality, their sources for developing recommendations are not limited to scientific evidence. There is a growing expectation to involve non-scientific sources of information in the formation of knowledge, including the expectation of stakeholder consultation in forming recommendations. Such a move towards “democratisation” of scientific processes of decision making within SABs has been described and often studied as “post-normal science” (PNS) (Funtowicz and Ravetz, 1993). In the current paper we examine the application of PNS in practice through a study of stakeholder consultations within the workings of the UK Scientific Advisory Committee for Nutrition (SACN). We use the theoretical insights from PNS-related studies to structure the analysis and examine the way in which PNS tenets resonate with the practices of SACN. We have selected a particular case of the SACN UK recommendations for salt as it is characterized by scientific controversy, uncertainty, vested interests and value conflict. We apply the tenets of PNS through documentary analysis of the SACN Salt Subgroup (SSG) consultation documents published in 2002/2003: the minutes of the 5 SACN SSG’s meetings which included summary of the SACN SSG’s stakeholder consultation and the SSG’s responses to the consultation. The analysis suggests that the SACN consultation can be construed as a process of managing sources of risk to its organisation. Thus, rather than being an evidence of post normal scientific practice, engagement became a mechanism for confirming the specific framing of science that is resonant with technocratic models of science holding authority over the facts. The implications for PNS theory are discussed. The work herein has been carried out within the EURRECA Network of Excellence (http://www.eurreca.org), financially supported by the Commission of the European Communities, Specific Research Technology and Development (RTD) Programme Quality of Life and Management of Living Resources within the sixth framework programme, contract no. 0136196. This does not necessarily reflect the Commission’s views or its future policy in this area. We would like to acknowledge the contribution made to editing of the article from Israel Berger, Uni
- 'Beyond Labelling: What Strategies Do Nut Allergic Individuals Employ to Make Food Choices? A Qualitative Study'. Public Library of Science PLoS ONE, 8 (1)Full text is available at: http://epubs.surrey.ac.uk/762883/
Objective: Food labelling is an important tool that assists people with peanut and tree nut allergies to avoid allergens. Nonetheless, other strategies are also developed and used in food choice decision making. In this paper, we examined the strategies that nut allergic individuals deploy to make safe food choices in addition to a reliance on food labelling. Methods: Three qualitative methods: an accompanied shop, in-depth semi-structured interviews, and the product choice reasoning task - were used with 32 patients that had a clinical history of reactions to peanuts and/or tree nuts consistent with IgE-mediated food allergy. Thematic analysis was applied to the transcribed data. Results: Three main strategies were identified that informed the risk assessments and food choice practices of nut allergic individuals. These pertained to: (1)qualities of product such as the product category or the country of origin, (2) past experience of consuming a food product, and (3) sensory appreciation of risk. Risk reasoning and risk management behaviours were often contingent on the context and other physiological and socio-psychological needs which often competed with risk considerations. Conclusions: Understanding and taking into account the complexity of strategies and the influences of contextual factors will allow healthcare practitioners, allergy nutritionists, and caregivers to advise and educate patients more effectively in choosing foods safely. Governmental bodies and policy makers could also benefit from an understanding of these food choice strategies when risk management policies are designed and developed. © 2013 Barnett et al.
- 'Development of a food compositional database for the estimation of dietary intake of phyto-oestrogens in a group of postmenopausal women previously treated for breast cancer and validation with urinary excretion'. Cambridge University Press British Journal of Nutrition, 109 (12), pp. 2261-2268.Full text is available at: http://epubs.surrey.ac.uk/764011/
The scientific literature contains evidence suggesting that women who have been treated for breast cancer may, as a result of their diagnosis, increase their phyto-oestrogen (PE) intake. In the present paper, we describe the creation of a dietary analysis database (based on Dietplan6) for the determination of dietary intakes of specific PE (daidzein, genistein, glycitein, formononetin, biochanin A, coumestrol, matairesinol and secoisolariciresinol), in a group of women previously diagnosed and treated for postmenopausal breast cancer. The design of the database, data evaluation criteria, literature data entry for 551 foods and primary analysis by LC-MS/MS of an additional thirty-four foods for which there were no published data are described. The dietary intake of 316 women previously treated for postmenopausal breast cancer informed the identification of potential food and beverage sources of PE and the bespoke dietary analysis database was created to, ultimately, quantify their PE intake. In order that PE exposure could be comprehensively described, fifty-four of the 316 subjects completed a 24 h urine collection, and their urinary excretion results allowed for the description of exposure to include those identified as 'equol producers'.
- 'Cognitive and weight-related correlates of flexible and rigid restrained eating behaviour'. Elsevier Eating Behaviors, 14 (1), pp. 69-72.Full text is available at: http://epubs.surrey.ac.uk/763131/
Objectives: Examine the association between components of restrained eating, cognitive performance and weight loss maintenance. Methods: 106 women, all members of a commercial slimming organisation for at least 6. months (mean ± SD: 15.7 ± 12.4 months), were studied who, having lost 10.1 ± 9.7 kg of their initial weight, were hoping to sustain their weight loss during the 6. month study. Dietary restraint subcomponents flexible and rigid restraint, as well as preoccupying cognitions with food, body-shape and diet were assessed using questionnaires. Attentional bias to food and shape-related stimuli was measured using a modified Stroop test. Working memory performance was assessed using the N-back test. These factors, and participant weight, were measured twice at 6. month intervals. Results: Rigid restraint was associated with attentional bias to food and shape-related stimuli (r = 0.43, p < 0.001 resp r = 0.49, p < 0.001) whereas flexible restraint correlated with impaired working memory (r = - 0.25, p < 0.05). In a multiple regression analyses, flexible restraint was associated with more weight lost and better weight loss maintenance, while rigid restraint was associated with less weight loss. Conclusions: Rigid restraint correlates with a range of preoccupying cognitions and attentional bias to food and shape-related stimuli. Flexible restraint, despite the impaired working memory performance, predicts better long-term weight loss. Explicitly encouraging flexible restraint may be important in preventing and treating obesity. © 2012 Elsevier Ltd.
- 'EURRECA- A framework for considering evidence in public health nutrition policy development'. Critical Reviews in Food Science and Nutrition,
[ Status: Accepted ]
- 'EURRECA/WHO workshop report: 'Deriving Micronutrient Recommendations: Updating Best Practices'.'. Karger Annals of Nutrition & Metabolism, Switzerland: 62 (1), pp. 63-67.doi: 10.1159/000345252Full text is available at: http://epubs.surrey.ac.uk/755808/
This paper describes the outcome of the workshop 'Deriving Micronutrient Recommendations: Updating Best Practices' which took place in Brussels in April 2012. The workshop was organised jointly by the European Micronutrient Recommendations Aligned (EURRECA) Network of Excellence and the World Health Organization (WHO) Regional Office for Europe. The delegates included, among others, representatives from nutrient recommendation setting bodies (NRSBs) across Europe. The current paper focuses on the gaps and needs of NRSBs as identified by the workshop participants: (i) practical tools and best practices to adapt dietary reference values, (ii) comparable nationally representative food consumption data (including updated and complete food composition databases), (iii) adequate financial resources and technical capacity, (iv) independence and transparency in expert selection, research conduct and communication of research results and (v) clear correspondence of terminology used at national levels.
- 'EURRECA-Evidence-Based Methodology for Deriving Micronutrient Recommendations'. TAYLOR & FRANCIS INC CRITICAL REVIEWS IN FOOD SCIENCE AND NUTRITION, 53 (10), pp. 999-1040. . (2013)
- 'EURRECA-Principles and Future for Deriving Micronutrient Recommendations'. Critical Reviews in Food Science and Nutrition, 53 (10), pp. 1135-1146. . (2013)
- 'EURRECA- A framework for considering evidence in public health nutrition policy development'. Taylor & Francis Critical Reviews in Food Science and Nutrition,
[ Status: Accepted ]
- 'Effects of nutrition label format and product assortment on the healthfulness of food choice'. Appetite, 71, pp. 63-74. . (2013)
- 'Consumer involvement in dietary guideline development: opinions from European stakeholders'. Cambridge University Press Public Health Nutrition, Full text is available at: http://epubs.surrey.ac.uk/732230/
Objective The involvement of consumers in the development of dietary guidelines has been promoted by national and international bodies. Yet, few best practice guidelines have been established to assist such involvement. Design Qualitative semi-structured interviews explored stakeholders’ beliefs about consumer involvement in dietary guideline development. Setting Interviews were conducted in six European countries: The Czech Republic, Germany, Norway, Serbia, Spain and the United Kingdom. Subjects Seventy-seven stakeholders were interviewed. Stakeholders were grouped as government, scientific advisory body, professional and academic, industry or non-government organisations. Response rate ranged from 45%-95%. Results Thematic analysis was conducted with the assistance of NVivo qualitative software (QSR International Pyt Ltd.). Analysis identified two main themes: type of consumer involvement and pros and cons of consumer involvement. Direct consumer involvement (e.g. consumer organisations), in the decision-making process was discussed as a facilitator to guideline communication towards the end of the process. Indirect consumer involvement (e.g. consumer research data), was considered at both the beginning and the end of the process. Cons to consumer involvement included the effect of vested interests on objectivity; consumer disinterest; complications in terms of time, finance and technical understanding. Pros related to increased credibility and trust in the process. Conclusions Stakeholders acknowledged benefits to consumer involvement during the development of dietary guidelines, but remained unclear on the advantage of direct contributions to the scientific content of guidelines. In the absence of established best practice, clarity on the type and reasons for consumer involvement would benefit all actors.
- 'Understanding how consumers categorise nutritional labels: A consumer derived typology for front-of-pack nutrition labelling.'. Elsevier Appetite, 59 (3), pp. 806-817.Full text is available at: http://epubs.surrey.ac.uk/763035/
Significant ongoing debate exists amongst stakeholders as to the best front-of-pack labelling approach and emerging evidence suggests that the plethora of schemes may cause confusion for the consumer. To gain a better understanding of the relevant psychological phenomena and consumer perspectives surrounding FoP labelling schemes and their optimal development a Multiple Sort Procedure study involving free sorting of a range of nutritional labels presented on cards was performed in four countries (n=60). The underlying structure of the qualitative data generated was explored using Multiple Scalogram Analysis. Elicitation of categorisations from consumers has the potential to provide a very important perspective in this arena and results demonstrated that the amount of information contained within a nutrition label has high salience for consumers, as does the health utility of the label although a dichotomy exists in the affective evaluation of the labels containing varying degrees of information aggregation. Classification of exiting front-of-pack labelling systems on a proposed dimension of 'directiveness' leads to a better understanding of why some schemes may be more effective than others in particular situations or for particular consumers. Based on this research an enhanced hypothetical front-of-pack labelling scheme which combines both directive and non-directive elements is proposed.
- 'Influences on infant feeding decisions of first-time mothers in five European countries'. Nature Publishing Group European Journal of Clinical Nutrition, 66 (8), pp. 914-919.doi: 10.1038/ejcn.2012.56
- 'Changing micronutrient intake through (voluntary) behaviour change. The case of folate.'. Elsevier Appetite, England: 58 (3), pp. 1014-1022.Full text is available at: http://epubs.surrey.ac.uk/663644/
The objective of this study was to relate behaviour change mechanisms to nutritionally relevant behaviour and demonstrate how the different mechanisms can affect attempts to change these behaviours. Folate was used as an example to illuminate the possibilities and challenges in inducing behaviour change. The behaviours affecting folate intake were recognised and categorised. Behaviour change mechanisms from "rational model of man", behavioural economics, health psychology and social psychology were identified and aligned against folate-related behaviours. The folate example demonstrated the complexity of mechanisms influencing possible behavioural changes, even though this only targets the intake of a single micronutrient. When considering possible options to promote folate intake, the feasibility of producing the desired outcome should be related to the mechanisms of required changes in behaviour and the possible alternatives that require no or only minor changes in behaviour. Dissecting the theories provides new approaches to food-related behaviour that will aid the development of batteries of policy options when targeting nutritional problems.
- 'Recognition and management of overweight and obese children: A questionnaire survey of general practitioners and parents in England.'. Wiley-Blackwell Journal of Paediatrics and Child Health, 48 (2), pp. 146-152. . (2012)
- 'Older women's reduced contact with food in the CAFE Study: choices, adaptations and dynamism'. Cambridge University Press Ageing and Society, . (2012)
- 'A qualitative interview study on effects of diet on children's mental state and performance. Evaluation of perceptions, attitudes and beliefs of parents in four European countries'. Elsevier Appetite, 58 (2), pp. 739-746. . (2012)
- 'An overview of consumer attitudes and beliefs about plant food supplements.'. Royal Society of Chemistry Food and Function, 2 (12), pp. 747-752.doi: 10.1039/c1fo10109aFull text is available at: http://epubs.surrey.ac.uk/69211/
The use of dietary supplements is increasing globally and this includes the use of plant food supplements (PFS). A variety of factors may be influencing this increased consumption including the increasing number of older people in society, mistrust in conventional medicine and the perception that natural is healthy. Consumer studies in this area are limited, with a focus on dietary supplements in general, and complicated by the use of certain plant food supplements as herbal medicines. Research indicates that higher use of dietary supplements has been associated with being female, being more educated, having a higher income, being white and being older, however the drivers for consumption of supplements are complex, being influenced by both demographic and health-related factors. The aim of this paper is to provide an overview of current knowledge about the users and the determinants of usage of plant food supplements. With growing consumption of these products, the need for effective risk-benefit assessment becomes ever more important and an insight into who uses these types of products and why is an important starting point for any future science-based decisions made by policy makers, PFS manufacturers and ultimately by consumers themselves.
- 'Application of the Theory of Planned Behaviour to weight control in an overweight cohort. Results from a pan-European dietary intervention trial (DiOGenes).'. Appetite, 58 (1), pp. 313-318. . (2011)
- 'Programming effect of breast-feeding in infant nutrition policy documents in Hungary | Az anyatejes táplálás hosszú távú hatásainak megjelenése a csecsemotáplálási irányelvekben Magyarországon'. Akadémiai Kiadó Orvosi Hetilap, 152 (41), pp. 1641-1647. . (2011)
- 'Using 'may contain' labelling to inform food choice: a qualitative study of nut allergic consumers'. BIOMED CENTRAL LTD BMC PUBLIC HEALTH, 11 Article number 734 Full text is available at: http://epubs.surrey.ac.uk/7906/
Background: Precautionary ‘may contain’ warnings are used to indicate possible allergen contamination. Neither food safety nor foods labelling legislation address this issue. The aim of this study is to understand how peanut and nut allergic adults interpret ‘may contain’ labelling and how they use this information when purchasing food. Methods: Qualitative methods were used to explore both behaviour and attitudes. The behaviour and ‘thinking aloud’ of 32 participants were recorded during their normal food shop. A semi-structured interview also explored participants’ views about 13 potentially problematic packaged foods. Transcribed data from these tasks were analysed to explore the interpretation of ‘may contain’ labelling and how this influenced food choice decisions. Results: Peanut and nut allergic individuals adopt a complex range of responses and strategies to interpret ‘may contain’ labelling. Many claimed such labelling was not credible or desirable; many ignored it whilst some found it helpful and avoided products with all such labelling. Interpretation and consequent decisions were not only based on the detail of the labelling but also on external factors such as the nature of the product, the perceived trustworthiness of the producer and on the previous experience of the nut allergic individual. Conclusions: ’May contain’ labelling was interpreted in the light of judgements about the product, producer and previous personal experience. It is vital that these interpretation strategies are taken into account by those responsible for labelling itself and for the provision of advice to nut allergic individuals. Suggestions to improve labelling and advice to the allergic individual are considered.
- 'Problems in identifying predictors and correlates of weight loss and maintenance: Implications for weight control therapies based on behaviour change'. Wiley-Blackwell Obesity Reviews, 12 (9), pp. 688-708. . (2011)
- 'Developmental origins of health and disease: the views of first-time mothers in 5 European countries on the importance of nutritional influences in the first year of life.'. American Society for Nutrition American Journal of Clinical Nutrition, 94 (6S), pp. 2018S-2024S. . (2011)
- 'The role of self-identity, past behaviour and their interaction in predicting intention to purchase fresh and processed organic food'. Wiley-Blackwell Journal of Applied Social Psychology, 42 (3), pp. 669-688. . (2011)
- 'How do peanut and nut-allergic consumers use information on the packaging to avoid allergens?'. John Wiley and Sons Allergy, Denmark: 66 (7), pp. 969-978. . (2011)
- 'Engagement, representativeness and legitimacy in the development of food and nutrition policy'. Elsevier Food Policy, 36 (4), pp. 490-498.Full text is available at: http://epubs.surrey.ac.uk/27635/
In a policy environment that contains structures to enable public engagement, the validity of expressions of public opinion and concern are in part legitimated through constructions of their representativeness. The current paper examined the ways in which various organisations involved in food and nutrition policy development negotiated the legitimacy of their inclusion in policy processes through claims about who they represented and how, with a specific focus upon older people (aged 60+) as an example of the “hard to reach”. This study is set in the context of theoretical considerations around the forms of representativeness that have been identified in the literature. A thematic analysis of 52 interviews with organisations and stakeholders active in the area of food and nutrition policy in England, UK explores these competing modalities of representation and how they are used both to claim legitimacy for self and to discount the claims of others. Different scripts of representation are deployed by various stakeholders and there is evidence of the strategic and the simultaneous deployment of different representativeness claims. The notions of expert representativeness permeate other modalities of representativeness, suggesting that the dominant framework for food and nutrition policy development is based upon technocratic models of decision-making. This highlights the way in which public views can be distanced from the framing of policy questions.
- 'Development of strategies for effective communication of food risks and benefits across Europe: Design and conceptual framework of the FoodRisC project'. BIOMED CENTRAL LTD BMC PUBLIC HEALTH, 11 Article number 308 Full text is available at: http://epubs.surrey.ac.uk/7907/
Background: European consumers are faced with a myriad of food related risk and benefit information and it is regularly left up to the consumer to interpret these, often conflicting, pieces of information as a coherent message. This conflict is especially apparent in times of food crises and can have major public health implications. Scientific results and risk assessments cannot always be easily communicated into simple guidelines and advice that nonscientists like the public or the media can easily understand especially when there is conflicting, uncertain or complex information about a particular food or aspects thereof. The need for improved strategies and tools for communication about food risks and benefits is therefore paramount. The FoodRisC project ("Food Risk Communication - Perceptions and communication of food risks/benefits across Europe: development of effective communication strategies”) aims to address this issue. The FoodRisC project will examine consumer perceptions and investigate how people acquire and use information in food domains in order to develop targeted strategies for food communication across Europe. Methods/Design: This project consists of 6 research work packages which, using qualitative and quantitative methodologies, are focused on development of a framework for investigating food risk/benefit issues across Europe, exploration of the role of new and traditional media in food communication and testing of the framework in order to develop evidence based communication strategies and tools. The main outcome of the FoodRisC project will be a toolkit to enable coherent communication of food risk/benefit messages in Europe. The toolkit will integrate theoretical models and new measurement paradigms as well as building on social marketing approaches around consumer segmentation. Use of the toolkit and guides will assist policy makers, food authorities and other end users in developing common approaches to communicating coherent messages to consumers in Europe. Discussion: The FoodRisC project offers a unique approach to the investigation of food risk/benefit communication. The effective spread of food risk/benefit information will assist initiatives aimed at reducing the burden of food-related illness and disease, reducing the economic impact of food crises and ensuring that confidence in safe and nutritious food is fostered and maintained in Europe.
- 'Micronutrient recommendation stakeholders' beliefs on dietary guidelines: a qualitative study across six European countries/regions.'. Nature Publishing Group European Journal of Clinical Nutrition, 65 (7), pp. 872-874.doi: 10.1038/ejcn.2011.38Full text is available at: http://epubs.surrey.ac.uk/25587/
A range of stakeholders have been involved in the development and implementation of dietary guidelines (DG) across Europe. Seventy-seven semi-structured qualitative interviews explored stakeholders' beliefs of DG in six European countries/regions. A main theme, variation in the interpretation of the term dietary guideline, was identified using thematic analysis. Descriptions of DG varied across stakeholder groups and countries. Reference was made to both food-based and nutrient-based guidelines, including the terms food-based DG and food guides (for example, pyramids), nutrient recommendations, dietary recommendations, dietary reference values and guideline daily amounts. The terminology surrounding DG requires greater clarity. Until that time, stakeholders would benefit from increased awareness of potential misinterpretations and the implications of this on multi-stakeholder, multi-national policy development and implementation.European Journal of Clinical Nutrition advance online publication, 13 April 2011; doi:10.1038/ejcn.2011.38.
- 'The process of setting micronutrient recommendations: A cross-European comparison of nutrition-related scientific advisory bodies.'. Cambridge University Press Public Health Nutrition, 14 (4), pp. 716-728.Full text is available at: http://epubs.surrey.ac.uk/27634/
Objective To examine the workings of the nutrition-related scientific advisory bodies in Europe, paying particular attention to the internal and external contexts within which they operate. Design Desk research based on two data collection strategies: a questionnaire completed by key informants in the field of micronutrient recommendations and a case study that focused on mandatory folic acid (FA) fortification. Setting Questionnaire-based data were collected across thirty-five European countries. The FA fortification case study was conducted in the UK, Norway, Denmark, Germany, Spain, Czech Republic and Hungary. Results Varied bodies are responsible for setting micronutrient recommendations, each with different statutory and legal models of operation. Transparency is highest where there are standing scientific advisory committees (SAC). Where the standing SAC is created, the range of expertise and the terms of reference for the SAC are determined by the government. Where there is no dedicated SAC, the impetus for the development of micronutrient recommendations and the associated policies comes from interested specialists in the area. This is typically linked with an ad hoc selection of a problem area to consider, lack of openness and transparency in the decisions and over-reliance on international recommendations. Conclusions Even when there is consensus about the science behind micronutrient recommendations, there is a range of other influences that will affect decisions about the policy approaches to nutrition-related public health. This indicates the need to document the evidence that is drawn upon in the decisions about nutrition policy related to micronutrient intake.
- 'Compilation of food composition data sets: an analysis of user needs through the Use Case approach.'. Nature Publishing Group European Journal of Clinical Nutrition, England: 65 (6), pp. 757-760.doi: 10.1038/ejcn.2011.24Full text is available at: http://epubs.surrey.ac.uk/29715/
Background/Objectives:The objective of this study was to identify the common requirements of users involved in the compilation of food composition data sets with a view to informing the development of a common access system to food composition data, within the European Food Information Resource (EuroFIR) project.Subjects/Methods:A number of examples of food composition data set compilation have been examined using the Use Case approach, namely the compilation of a data set for a national nutrition survey, for a cross-national nutrition study and for a nutritional software programme.Results:The key user requirement identified from the compilation step analysed by the Use Case approach is the increased availability of and access to more detailed food composition data on a wider range of foods and nutrients.Conclusions:Food composition data serve a variety of purposes, and different user groups will often have both common needs and more individual or specific needs of their data sets. The development of Use Cases for specific processes effectively identifies the needs of users, highlighting any similarities and/or differences in those needs. The application of the Use Case approach to support the software development activities within EuroFIR will ensure that user needs are effectively identified and captured in a systematic and documented way.
- 'A review of consumer awareness, understanding and use of food-based dietary guidelines.'. Cambridge University Press British Journal of Nutrition, 106 (1), pp. 15-26.Full text is available at: http://epubs.surrey.ac.uk/25586/
Food-based dietary guidelines (FBDG) have primarily been designed for the consumer to encourage healthy, habitual food choices, decrease chronic disease risk and improve public health. However, minimal research has been conducted to evaluate whether FBDG are utilised by the public. The present review used a framework of three concepts, awareness, understanding and use, to summarise consumer evidence related to national FBDG and food guides. Searches of nine electronic databases, reference lists and Internet grey literature elicited 939 articles. Predetermined exclusion criteria selected twenty-eight studies for review. These consisted of qualitative, quantitative and mixed study designs, non-clinical participants, related to official FBDG for the general public, and involved measures of consumer awareness, understanding or use of FBDG. The three concepts of awareness, understanding and use were often discussed interchangeably. Nevertheless, a greater amount of evidence for consumer awareness and understanding was reported than consumer use of FBDG. The twenty-eight studies varied in terms of aim, design and method. Study quality also varied with raw qualitative data, and quantitative method details were often omitted. Thus, the reliability and validity of these review findings may be limited. Further research is required to evaluate the efficacy of FBDG as a public health promotion tool. If the purpose of FBDG is to evoke consumer behaviour change, then the framework of consumer awareness, understanding and use of FBDG may be useful to categorise consumer behaviour studies and complement the dietary survey and health outcome data in the process of FBDG evaluation and revision.
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- 'The nutritional requirements of infants. Towards EU alignment of reference values: the EURRECA network'. WILEY-BLACKWELL MATERNAL AND CHILD NUTRITION, 6, pp. 55-83. . (2010)
- 'European micronutrient recommendations aligned: a general framework developed by EURRECA'. NATURE PUBLISHING GROUP EUROPEAN JOURNAL OF CLINICAL NUTRITION, 64, pp. S2-S10.doi: 10.1038/ejcn.2010.55
- 'From micronutrient recommendations to policy: consumer and stakeholder involvement'. NATURE PUBLISHING GROUP EUROPEAN JOURNAL OF CLINICAL NUTRITION, 64, pp. S31-S37.doi: 10.1038/ejcn.2010.58
- 'Food safety knowledge and behaviours of children (5-7 years)'. SAGE PUBLICATIONS LTD HEALTH EDUCATION JOURNAL, 69 (1), pp. 21-30. . (2010)
- 'The Informal Networks in Food Procurement by Older People-A Cross European Comparison'. Springer Ageing International, 35 (4), pp. 253-275. . (2010)
- 'Lifetime health outcomes of breast-feeding: a comparison of the policy documents of five European countries'. CAMBRIDGE UNIV PRESS PUBLIC HEALTH NUTRITION, 13 (10), pp. 1653-1662. . (2010)
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- 'Penetration of nutrition information on food labels across the EU-27 plus Turkey'. NATURE PUBLISHING GROUP EUROPEAN JOURNAL OF CLINICAL NUTRITION, 64 (12), pp. 1379-1385. . (2010)
- 'Management of healthy eating in everyday life among senior Europeans'. Appetite, . (2010)
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- 'User-centred food composition data-analysis of user needs through the Use Case approach'. ELSEVIER SCI LTD FOOD CHEMISTRY, 113 (3), pp. 804-807. . (2009)
- 'Patterns of healthy lifestyle and positive health attitudes in older Europeans'. SERDI EDITIONS/SPRINGER J NUTR HEALTH AGING, 12 (10), pp. 728-733.doi: 10.1007/BF03028621
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- 'Food hygiene education in UK secondary schools: A nationwide survey of teachers' views'. SAGE PUBLICATIONS LTD HEALTH EDUCATION JOURNAL, 67 (2), pp. 110-120. . (2008)
- 'The impact of personal resources and their goal relevance on satisfaction with food-related life among the elderly'. ACADEMIC PRESS LTD ELSEVIER SCIENCE LTD APPETITE, 50 (2-3), pp. 308-315. . (2008)
- 'How we will produce the evidence-based EURRECA toolkit to support nutrition and food policy'. DR DIETRICH STEINKOPFF VERLAG EUROPEAN JOURNAL OF NUTRITION, 47, pp. 2-16. . (2008)
- 'Current micronutrient recommendations in Europe: towards understanding their differences and similarities'. DR DIETRICH STEINKOPFF VERLAG EUROPEAN JOURNAL OF NUTRITION, 47, pp. 17-40. . (2008)
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- 'The importance of harmonizing food composition data across Europe'. NATURE PUBLISHING GROUP EUROPEAN JOURNAL OF CLINICAL NUTRITION, 61 (7), pp. 813-821. . (2007)
- 'Consumer perceptions of healthy cereal products and production methods'. ACADEMIC PRESS LTD ELSEVIER SCIENCE LTD JOURNAL OF CEREAL SCIENCE, 46 (3), pp. 188-196. . (2007)
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- 'Factors influencing the choice and perceptions of yoghurts among old people living in Warsaw'. Polish Journal of Food and Nutrition Sciences, 57 (1), pp. 115-124. . (2007)
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- 'Food patterns among Polish older people'. Polish Journal of Environmental Studies, 15 (2a), pp. 885-894. . (2006)
- 'Perception of convenience food by older people living in Warsaw (on the example of vegetable soups)'. Polish Journal of Food and Nutrition Sciences, 15/56 (2), pp. 227-233. . (2006)
- 'BMI and obesity incidence in relation to food patterns among Polish older people'. Polish Journal of Environmental Studies, Naleczow, Poland: 15 (2a), pp. 877-884. . (2006)
- 'Food hygiene knowledge and self-reported behaviours of UK school children (4-14 years)'. EMERALD GROUP PUBLISHING LIMITED BRITISH FOOD JOURNAL, 108 (9), pp. 706-720. . (2006)
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- 'BMI and obesity incidence in relation to food patterns among Polish older people'. Polish Journal of Environmental Studies, 15 (2a), pp. 877-884.Full text is available at: http://epubs.surrey.ac.uk/202025/
BMI differentiation and obesity incidence in relation to food patterns of Polish older people were analysed. The research included 422 people aged 65+ years. 21 food patterns were separated by the factor analysis. On the basis of the self-reported body mass and height, the BMI and percentages of overweight or obese people were calculated. The increase of the BMI and overweight and obesity incidence for both sexes was unequivocally connected with eating rye. The increase of the BMI and overweight and obesity incidence depended among women on consuming pork raeat and alcoholic beverages. For men the increase in eating dairy products was connected with the overweight incidence increase. The role of fruit and vegetables needs to be explained in further studies.
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- 'ASSOCIATION BETWEEN DIET AND MENTAL PERFORMANCE OF CHILDREN: VIEWS OF PARENTS AND TEACHERS IN FOUR EUROPEAN COUNTRIES'. KARGER ANNALS OF NUTRITION AND METABOLISM, 63, pp. 1862-1862. . (2013)
- 'ASSOCIATION BETWEEN DIET AND PHYSICAL AND MENTAL DEVELOPMENT OF CHILDREN: VIEWS OF PARENTS AND TEACHERS IN FOUR EUROPEAN COUNTRIES'. KARGER ANNALS OF NUTRITION AND METABOLISM, 63, pp. 1863-1863. . (2013)
- 'HEALTH-RELATED QUALITY OF LIFE AND FOOD VARIETY OF EUROPEAN ELDERLY'. KARGER ANNALS OF NUTRITION AND METABOLISM, 63, pp. 521-521. . (2013)
- 'FACTORS AFFECTING FOOD CHOICES OF PARENTS OF CHILDREN AGED 4-10 YEARS IN FOUR EUROPEAN COUNTRIES'. KARGER ANNALS OF NUTRITION AND METABOLISM, 63, pp. 1862-1862. . (2013)
- 'VIEWS OF PARENTS IN FOUR EUROPEAN COUNTRIES ABOUT THE EFFECT OF FOOD ON THE MENTAL PERFORMANCE OF PRIMARY SCHOOL CHILDREN'. KARGER ANNALS OF NUTRITION AND METABOLISM, 63, pp. 1132-1132. . (2013)
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- 'Healthy grocery shopping: perceptions and barriers'. Cambridge Journals Online Proceedings of the Nutrition Society, 71 (OCE2) . (2012)
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- 'The Challenge Of Using Information On Food Packaging To Avoid Peanut And Nut Allergens'. MOSBY-ELSEVIER Journal of Allergy and Clinical Immunology, San Francisco, CA: American-Academy-of-Allergy-Asthma-and-Immunology Annual Meeting 127 (2), pp. AB112-AB112. . (2011)
- 'Dietary restraint and weight loss maintenance in members of a commercial weight loss organisation'. Cambridge Journals Online Proceedings of the Nutrition Society, 70 (OCE6) . (2011)
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- 'Changes in lifestyle habits and behaviours are associated with weight loss maintenance in members of a commercial weight loss organisation'. Cambridge Journals Online Proceedings of the Nutrition Society, 70 (OCE6) . (2011)
- 'Diet and mental performance of children: A questionnaire survey of parents in four European countries.'. Annals of Nutrition and Metabolism: European journal of nutrition, metabolic diseases and dietetics, Madrid, Spain: 11th European Nutrition Conference (FENS) 58, pp. 29-29. . (2011)
- 'Effect of food on learning: views of parents in four European countries'. Annals of Nutrition and Metabolism: European journal of nutrition, metabolic diseases and dietetics, Madrid, Spain: 11th European Nutrition Conference (FENS) 58, pp. 137-138. . (2011)
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- 'Consumer preference for and use of portion information on food and drink packaging: a Pan-European Study'. Annals of Nutrition and Metabolism: European journal of nutrition, metabolic diseases and dietetics, Madrid, Spain: 11th European Nutrition Conference (FENS) 58, pp. 204-204. . (2011)
- 'Health-behaviour-policy epistemological framework for the decision making of policy makers relevant to micronutrient recommendations'. OXFORD UNIV PRESS EUROPEAN JOURNAL OF PUBLIC HEALTH, 3rd Joint (EUPHA and ASPHER) European Public Health Conference 20, pp. 125-125. . (2010)
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- 'THE EFFECT OF DIET ON CHILDREN'S MENTAL PERFORMANCE - A QUALITATIVE STUDY OF PERCEPTIONS, ATTITUDES AND BELIEFS OF PARENTS IN FOUR EUROPEAN COUNTRIES'. LIPPINCOTT WILLIAMS & WILKINS JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, Istanbul, Turkey: European Society for Paediatric Gastroenterology, Hepatology, and Nutrition Annual Meeting 50, pp. E189-E189. . (2010)
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- 'EURRECA's General Framework to make the process of setting up micronutrient recommendations explicit and transparent'. Cambridge Journals Online Proceedings of the Nutrition Society, 69 (OCE1) . (2010)
- 'Institutional contexts in which micronutrient reference values are developed across Europe'. Cambridge Journals Online Proceedings of the Nutrition Society, 69 (OCE1) . (2010)
- 'Assessment of consumer exposure to nutrition information on food labels: penetration study across the twenty-seven EU member states (EU-27) plus Turkey'. Cambridge Journals Online Proceedings of the Nutrition Society, 69 (OCE1) . (2010)
- 'Corporate tools for public policy: stakeholders views and beliefs about the use of nutrition and health claims on food products'. Cambridge Journals Online Proceedings of the Nutrition Society, 16/06/2010 69 (OCE5) . (2010)
- 'Investigation of weight-loss expectations and weight control in obesity'. Cambridge Journals Online Proceedings of the Nutrition Society, 69 (OCE1) . (2010)
- 'The role of consumers.'. Nestle Nutr Workshop Ser Pediatr Program, Switzerland: 66, pp. 161-171.doi: 10.1159/000318956
- 'The effect of diet on children's mental performance: a study of the attitudes, knowledge and perceptions of UK parents'. Cambridge Journals Online Proceedings of the Nutrition Society, 69 (OCE1) . (2010)
- 'Overweight and obesity in children: a comparison of the views of general practitioners and parents'. Cambridge Journals Online Proceedings of the Nutrition Society, 69 (OCE1) . (2010)
- 'Infant feeding intentions of new mothers in five European countries'. Cambridge Journals Online Proceedings of the Nutrition Society, 69 (OCE1) . (2010)
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- 'Obesity Related Programming Statements in Materials on Infant Feeding Aimed at Parents in Five European Countries'. SPRINGER EARLY NUTRITION PROGRAMMING AND HEALTH OUTCOMES IN LATER LIFE: OBESITY AND BEYOND, Budapest, HUNGARY: International Conference on Early Nutrition Programming and Health Outcomes in Later Life 646, pp. 175-181. . (2009)
- 'Obesity Related Programming Statements in Infant Feeding Policies in Five European Countries'. SPRINGER EARLY NUTRITION PROGRAMMING AND HEALTH OUTCOMES IN LATER LIFE: OBESITY AND BEYOND, Budapest, HUNGARY: International Conference on Early Nutrition Programming and Health Outcomes in Later Life 646, pp. 169-173. . (2009)
- 'Critical Incidents in food service: a gap analysis of providers’ and users’ experience of congregate meals in Europe'. Harrogate, UK: British Academy of Management . (2008)
- 'Food choice and phytoestrogen consumption in women previously treated for postmenopausal breast cancer'. BIOMED CENTRAL LTD BREAST CANCER RESEARCH, London, ENGLAND: Breast Cancer Research Meeting 10, pp. S47-S48.doi: 10.1186/bcr1976
- 'Healthcare professionals' and dieters' attitudes and perceptions of obesity'. Cambridge Journals Online Proceedings of the Nutrition Society, 67 (OCE7) . (2008)
- 'Teaching Food Hygiene in UK Primary Schools: A nationwide survey of teachers’ views'. Coleraine: 3rd International Consumer Sciences Conference . (2007)
- 'Food hygiene knowledge and self-reported behaviours of UK school children'. Coleraine: 3rd International Consumer Sciences Conference . (2007)
- 'Self-reported overweight and obesity in European elderly'. KARGER ANNALS OF NUTRITION AND METABOLISM, 51, pp. 240-240. . (2007)
- 'Weight control practices and behaviours in an overweight sample - results from the DiOGenes study'. KARGER ANNALS OF NUTRITION AND METABOLISM, 51, pp. 64-64. . (2007)
- 'Reflection of early nutrition programming in parental information of infant feeding: comparative analysis of five European countries'. ELSEVIER IRELAND LTD EARLY HUMAN DEVELOPMENT, 83, pp. S126-S126. . (2007)
- 'Fruit and vegetable variety of consumption by European seniors'. KARGER ANNALS OF NUTRITION AND METABOLISM, 51, pp. 73-74. . (2007)
- 'Nutrition programming statements in materials on infant feeding aimed at parents: comparison among five European countries'. CAMBRIDGE UNIV PRESS PROCEEDINGS OF THE NUTRITION SOCIETY, 66, pp. 23A-23A. . (2007)
- 'Representation of early nutritional programming in policy documents on infant nutrition: comparison of five European countries'. CAMBRIDGE UNIV PRESS PROCEEDINGS OF THE NUTRITION SOCIETY, 66, pp. 16A-16A. . (2007)
- 'A measure of satisfaction with food-related life'. Barcelona, Spain: First World Congress of Public Health Nutrition . (2006)
- 'Gendered ties and the role of food in older people’s lives'. Durban, South Africa: XVI ISA World Congress of Sociology . (2006)
- 'Diet, eating and household work - a life course perspective: findings from the Food in Later Life Project'. Boston, USA: 5th Annual Meeting of the International Society of Behavioural Nutrition and Physical Activity . (2006)
- 'Working toward a web-based pan-European access to on-line nutrient databases: UK nutrition researchers' needs and expectations.'. CAMBRIDGE UNIV PRESS PROCEEDINGS OF THE NUTRITION SOCIETY, 65, pp. 97A-97A. . (2006)
- 'Methods used for collecting and handling multilingual qualitative data in the Food in Later Life Project'. Proceedings of the Nutrition Society, 65, pp. 116A-116A. . (2006)
- 'The impact of ‘CookWell’ on assisting dietary change in Asian young women at risk of having low birth-weight babies: qualitative findings.'. Proceedings of the Nutrition Society, 64, pp. OCA/B-27A. . (2005)
- 'Older people and food: The impact of gender and living arrangements on food consumption across European societies'. GERONTOLOGICAL SOCIETY AMER GERONTOLOGIST, 45, pp. 529-529. . (2005)
- 'Reported fruit and vegetable intake of 50 children aged 11-13 in Dundee, Scotland'. CAMBRIDGE UNIV PRESS PROCEEDINGS OF THE NUTRITION SOCIETY, 64, pp. 27A-27A. . (2005)
- 'Consumer needs regarding dietetic products for pregnant and lactating women and for baby foods - Focus group meeting'. SPRINGER-VERLAG BERLIN EARLY NUTRITION AND ITS LATER CONSEQUENCES: NEW OPPORTUNITIES, Paris, FRANCE: Conference on Early Nutrition and Its Later Consequences 569, pp. 120-126. . (2005)
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- 'O.6.6. The role of food and meals in sustaining independence and quality of life in old age: An EU-funded project.'. Journal of Nutrition, Health & Aging, 8 (6) . (2004)
- 'Ograniczenia ekonomiczne a struktura spożycia produktów przez osoby w wieku podeszłym. Badania pilotowe. Projekt Senior Food-QOL.'. Żyw. Człow. Metab., T. 31 supl. . (2004)
- 'Consumer perceptions of risks associated with chemicals in foods'. Psychology: Proceedings of the British Psychological Society 11 (1) . (2003)
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- 'Attitudes, obligations and perceived control: predicting milk selection.'. Appetite, ENGLAND: 20 (3), pp. 239-241. . (1993)
- 'Processing and Acting upon Nutrition Labeling on Food: The State of Knowledge and New Directions for Transformative Consumer Research'. in Mick DG, Pettigrew S, Pechmann C, Ozanne JL (eds.) Transformative Consumer Research for Personal and Collective Well-Being
Florida, USA : Routledge Academic Article number 16 , pp. 333-351.Full text is available at: http://epubs.surrey.ac.uk/763277/
In this chapter, we will give a brief introduction to the current practice of nutrition labeling in the USA and the EU. We will then address the question of how nutrition labeling affects consumer behavior, reviewing extant research and proposing an agenda for future research. Our discussion will focus on the effects of nutrition labeling that occur via their impact on consumer behavior. Labeling may also have effects on the supply side: For example, as labeling makes certain nutritional properties of a product more visible, new product development and product reformulation may take place to create positive nutritional profiles. Such effects, while potentially very important from a public health perspective, will not be addressed in this chapter (see Moorman, 1998 and Moorman, Du & Mela, 2005 for investigation of such effects).
- 'Food in Later Life Choosing foods, eating meals: sustaining independence and quality of life'. in Shepherd R, Raats MM (eds.) The Psychology of Food Choice CABI 3 . (2010)
- 'Infant feeding and the concept of early nutrition programming: a comparison of qualitative data from four European countries.'. in Koletzko B, Decsi T, Molnár D, Hunty de la A (eds.) Early Nutrition Programming and Health Outcomes in Later Life. Obesity and Beyond
The Netherlands : Springer Link (Netherlands) 646 Article number 21 , pp. 183-187.Full text is available at: http://epubs.surrey.ac.uk/763276/
The concept of early nutrition programming is appearing in policy documents, leaflets and magazine articles with different types of statements. However, the level of representation and influence of this concept is unknown in the area of infant nutrition. We established the degree of reflection and the impact of the concept of nutrition programming among the different government stakeholders of infant nutrition in four European countries. In each country, a list of stakeholders in the area of infant feeding was established and key persons responsible for the remit of infant nutrition were identified. We conducted standardised face-to-face or phone interviews from January 2006 to January 2007. The interview guide included questions about the concept of nutrition programming. All interviews were digitally recorded and qualitative data analysis was done using QRS NVivo V2. In total, we analyzed 17 interviews from government organizations in England (5 interviews), Germany (4 interviews), Hungary (3 interviews) and Spain (5 interviews). The concept of nutrition programming was recognized from 4/5 English and 3/4 German interviewees, whereby one organisation reflected the concept in their documents in both countries. In Hungary, 1/3 interviewees recognised the concept and reflected it in their documents. All interviewed Spanish governmental bodies (5/5) recognised the concept of nutrition programming and three of them reflected the concept in their documents. The concept of early nutrition programming was widely recognized among the key persons of government bodies in all four European countries. However, the concept was not necessarily represented in the produced documents.
- 'Older people, food and satisfaction with life'. in Raats MM, de Groot CPGM, van Staveren W (eds.) Food for the ageing population
Cambridge, UK : Woodhead Publishing Ltd 165 Article number 1 , pp. 3-19.Full text is available at: http://epubs.surrey.ac.uk/764007/
Dietary intake and nutritional status not only play a major role in the overall quality of health of older people but also have impact on their satisfaction with life (Sahyoun, 1999, Vailas et al., 1998). Silverman et al. (2002) argue that the type of food eaten and the social cultural context all make significant contributions to older people’s satisfaction with their quality of life. Investigating satisfaction with food-related life of older people has high significance for several reasons. Firstly, food and energy intake tend to decrease with ageing for a number of both physiological and practical reasons including reduced activity (immobility), reduced muscle tissue, a lower resting metabolic rate and smaller meals (Macintosch et al., 2000; Prinsley & Sandstead, 1990). This reduced energy intake, also known as “anorexia of aging”, is a potential health risk because, although food intake is reduced with age, the need for most nutrients does not decrease with age. Secondly, ageing affects the ability to taste and smell. Also seniors are less sensitive to all the basic tastes and particularly smells. Both the ability to detect tastes and smells and their intensity declines with age and it has been suggested (Rolls, 1999; Westenhoefer, 2005) that sensory losses accompanying aging may even be partly responsible for the reduced intake of foods (see chapter XXX). Further as people get older their living circumstances may alter. For example, as people retire their level of income may reduce and their social network may also diminish. As health fails, access to shops and amenities may become a problem. As people loose their living companions due to death of spouse or children leaving home, cooking arrangements may change. All these factors compound as people get older, affecting older people’s relationship with food and in turn their satisfaction with food-related life. By identifying which factors are important and what can be altered, it may be possible to increase older people’s satisfaction with food and in turn contribute to a better quality of life. This chapter looks at food related satisfaction with life of older people, identifying some of the determinants and barriers to satisfaction with food related quality of life, and discusses
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Scientific advisory body member for government
2012-present: Member of the SACN Subgroup on Maternal and Child Nutrition (SMCN)
2011-present: Member of the Scientific Advisory Committee on Nutrition (SACN)
2009-10: Member of an expert group for the Cross Government Obesity Unit on Sedentary Behaviour, Screen Time and Obesity
Scientific advisory body member for research projects
2012-present: Loughborough hydration project
2010-present: Steering Group member for safefood’s “Food Marketing and the preschool child” project
2009-10: External Advisory Group member for safefood’s (the North-South body, responsible for the promotion of food safety on the island of Ireland) Consumer Focused Reviews on Food Behaviour [www.safefood.eu]
2006-10: Member of the International Scientific Advisory Group of the ISAFRUIT Integrated Project [www.isafruit.org]
2003-04: Steering Group for Food Standards Agency-funded Food Choice Review project [www.food.gov.uk/science/research/researchinfo/nutritionresearch/foodacceptability/n09programme/n09projectlist/n09017]
Scientific advisory body member
2010-present: Member of the European Scientific Committee for the Choices programme, a world-wide initiative that is introducing a simple front-of-pack stamp on food products that have passed an evaluation against a set of qualifying criteria based on international dietary guidelines
2008-10: Member of the International Scientific Committee for the Choices programme, a world-wide initiative that is introducing a simple front-of-pack stamp on food products that have passed an evaluation against a set of qualifying criteria based on international dietary guidelines
2011-12: Researching consumers and nutrition labelling on food packaging (Food and Agriculture Organization of the United Nations (FAO) - Nature of consultancy: literature review and report writing
2007-08: National Lottery projects evaluation (new economics foundation) - Nature of consultancy: advice on research design [www.biglotteryfund.org.uk/wellbeing_evaluation_tools.pdf]
2002: Review of training delivered by West Surrey Health Promotion Service across the local health economy (NHS) - Nature of consultancy: project design, data collection, analysis and report writing
2003: Gloucestershire Food Vision: Developing a plan for an integrated food policy for the long term benefit of the people of Gloucestershire (Gloucestershire First) - Nature of consultancy: general project advice
2001: Evaluation of the 'Nation's Diet' Research Programme’ (ESRC) - Nature of consultancy: project design, data collection, analysis and report writing
Abstract Review Committee Chair for ISBNPA 2002 Annual Meeting
Abstract Review Committee Chair and Program Committee Joint-chair for ISBNPA 2003 Annual Meeting
Scientific Committee for 9th Karlsruhe Nutrition Congress, Karlsruhe, Germany, 10-12 October 2004
Abstract Review Committee and Program Committee Joint-chairs for ISBNPA 2004 Annual Meeting
Abstract Review Committee and Program Committee Joint-chairs for ISBNPA 2005 Annual Meeting
Scientific Committee for “Early Nutritional Programming and Health Outcome in Later Life: Obesity and Beyond”, Budapest, Hungary, 20-21 April 2007
Scientific Committee for “The Power of Programming, International Conference on Developmental Origins of Health and Disease”, Munich, 6-8 May 2010
PhD students currently and previously supervised as Principal supervisor
2008-present: Ilia Papachristou, University of Surrey, “Improving food-related quality of life for people with dementia through care management"
2008-present: Angelos Kassianos, University of Surrey, “Diet, psychological wellbeing and Quality of Life of men with prostate cancer”
2008-present: Charo Hodgkins, University of Surrey, “Food labelling and consumers”
2006-present: Kerry Brown, University of Surrey
PhD students currently and previously supervised as Co-supervisor
2011-present: Shelley Cummings, University of Surrey, “Advanced decision-making in the context of dementia”
2010-present: Aine Regan, University College Dublin, “Risk-benefit communication and food”
2009-present: Aida Halimic, University of Surrey, “Behavioural-economic food-related experiments in Saudi Arabia”
2008-11: Alain Allard, Queens University Belfast, “Towards a conceptual framework to evaluate consumers’ understanding of health claims” – completed successfully
2006-10: Kasia Chapman, University of Surrey, part-time, “How do people change their diet?” – completed successfully
2005-09: Joanna (Joe) Pope, University of Surrey, “Food Intolerance in Primary Care” – completed successfully