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Effect of restricted retail merchandising of discretionary food and beverages on population diet: post-trial follow-up of a pragmatic randomised controlled trial.

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Τίτλος: Effect of restricted retail merchandising of discretionary food and beverages on population diet: post-trial follow-up of a pragmatic randomised controlled trial.
Συγγραφείς: McMahon E; Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, Tiwi, NT, 0810, Australia.; Department of Nutrition Dietetics and Food, Monash University, Level 1 264 Ferntree Gully Rd, Notting Hill, VIC, 3168, Australia., Dickie S; Department of Nutrition Dietetics and Food, Monash University, Level 1 264 Ferntree Gully Rd, Notting Hill, VIC, 3168, Australia., De Silva K; Arnhem Land Progress Aboriginal Corporation, 70 O'Sullivan Cct, East Arm, NT, 0828, Australia., Ferguson M; School of Public Health, Faculty of Medicine, The University of Queensland, Level 4, Herston, QLD, 4006, Australia.; Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, Tiwi, NT, 0810, Australia.; Department of Nutrition Dietetics and Food, Monash University, Level 1 264 Ferntree Gully Rd, Notting Hill, VIC, 3168, Australia., Chatfield MD; School of Public Health, Faculty of Medicine, The University of Queensland, Level 4, Herston, QLD, 4006, Australia.; Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, Tiwi, NT, 0810, Australia., Miles E; Community First Development, 1/67 Townshend St, Phillip, ACT, 2606, Australia.; Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, Tiwi, NT, 0810, Australia., Gunther A; Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, Tiwi, NT, 0810, Australia., Wycherley T; Alliance for Research in Exercise, Nutrition and Activity, University of South Australia, Adelaide, SA, Australia.; Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, Tiwi, NT, 0810, Australia., Minaker L; School of Planning, University of Waterloo, Waterloo, ON, Canada., Peeters A; Institute for Health Transformation, Deakin University, Geelong, VIC, Australia., Mah CL; Faculty of Health, Dalhousie University, Halifax, NS, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada., Chappell E; School of Public Health, Faculty of Medicine, The University of Queensland, Level 4, Herston, QLD, 4006, Australia.; Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, Tiwi, NT, 0810, Australia., Brimblecombe J; Department of Nutrition Dietetics and Food, Monash University, Level 1 264 Ferntree Gully Rd, Notting Hill, VIC, 3168, Australia.; Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, Tiwi, NT, 0810, Australia.; School of Public Health, Faculty of Medicine, The University of Queensland, Level 4, Herston, QLD, 4006, Australia.
Πηγή: The Lancet regional health. Western Pacific [Lancet Reg Health West Pac] 2025 Aug 25; Vol. 62, pp. 101673. Date of Electronic Publication: 2025 Aug 25 (Print Publication: 2025).
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Elsevier Ltd Country of Publication: England NLM ID: 101774968 Publication Model: eCollection Cited Medium: Internet ISSN: 2666-6065 (Electronic) Linking ISSN: 26666065 NLM ISO Abbreviation: Lancet Reg Health West Pac Subsets: PubMed not MEDLINE
Imprint Name(s): Original Publication: [London] : Elsevier Ltd., [2020]-
Περίληψη: Background: Healthy Stores 2020 tested a co-designed strategy restricting retailer merchandising of unhealthy foods in a community-level pragmatic, partially randomised, parallel group trial in 20 remote Australian Aboriginal and Torres Strait Islander community stores. We aimed to evaluate the impact of Healthy Stores 2020 on free sugar sales 24-weeks post-trial.
Methods: Twenty stores were randomly assigned by a statistician using a single sequence of random assignments to the intervention group, in which a strategy restricted merchandising of unhealthy food (either six or seven strategy components), or to a control group of usual retail practice. The trial was done in partnership with an Indigenous organisation operating in remote Australia. In the post-trial period (24 weeks), immediately following the 25-week RCT, intervention stores (n = 10) continued the strategy but with no external implementation support, and control stores (n = 10) continued usual practice. The primary outcome was impact on purchases (weekly sales data) of free sugars from all foods and beverages (g/MJ) using mixed models. Secondary outcomes included total food and beverage dollars and gross profit (AUD$) and strategy implementation (number of strategies with full implementation assessed via photographic data collected). Trial registration, ACTRN12618001588280.
Findings: We observed a difference in sales of total free sugars to energy between the treatment and control groups post-trial (-4.6%, 95% CI -7.1, -1.9). Between group differences in total food and beverage and gross profit dollars were 7.0% (0.9, 13.5) and 11.4% (4.6, 18.6), respectively. Two intervention stores had full implementation of all strategy components and eight intervention stores had compliance with at least four of the seven strategy components at post-trial end.
Interpretation: A health-enabling retail intervention showed an effect on sugar reduction in the post-trial period without adversely impacting profit.
Funding: Australian National Health and Medical Research Council.
(© 2025 The Authors.)
Competing Interests: AP receives grant funding from the National Health and Medical Research Council, and has been a board director at VicHealth and Western Health in Australia. All other authors declare no competing interests.
References: Global Health. 2017 Jun 15;13(1):34. (PMID: 28619031)
Nutrients. 2022 Jan 11;14(2):. (PMID: 35057476)
Int J Behav Nutr Phys Act. 2023 Feb 17;20(1):20. (PMID: 36803988)
Public Health Nutr. 2017 Apr;20(5):761-764. (PMID: 28317493)
JAMA Pediatr. 2022 Jul 1;176(7):e221037. (PMID: 35499839)
Global Health. 2017 Sep 05;13(1):69. (PMID: 28870225)
Soc Sci Med. 2017 Mar;177:141-149. (PMID: 28161671)
Public Health Nutr. 2020 Feb;23(2):295-308. (PMID: 31455456)
Lancet Planet Health. 2020 Oct;4(10):e463-e473. (PMID: 33038320)
Int J Pediatr Obes. 2011 Oct;6(5-6):401-8. (PMID: 21838571)
Qual Health Res. 2012 Jun;22(6):777-87. (PMID: 22218266)
BMC Public Health. 2016 Jul 27;16:651. (PMID: 27465746)
JMIR Res Protoc. 2019 Mar 29;8(3):e12646. (PMID: 30924788)
Lancet. 2023 Apr 8;401(10383):1214-1228. (PMID: 36966783)
BMJ. 2009 Oct 06;339:b3985. (PMID: 19808754)
BMJ Open. 2019 Feb 27;9(2):e023630. (PMID: 30819702)
PLoS Med. 2016 Jul 05;13(7):e1002057. (PMID: 27379797)
Lancet. 2023 Apr 8;401(10383):1194-1213. (PMID: 36966782)
Contributed Indexing: Keywords: Food environment; Food retail; Indigenous health; Merchandising intervention; Nutrition; Remote stores
Entry Date(s): Date Created: 20250902 Date Completed: 20250915 Latest Revision: 20250915
Update Code: 20260130
PubMed Central ID: PMC12398775
DOI: 10.1016/j.lanwpc.2025.101673
PMID: 40896367
Βάση Δεδομένων: MEDLINE
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  Data: Effect of restricted retail merchandising of discretionary food and beverages on population diet: post-trial follow-up of a pragmatic randomised controlled trial.
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  Data: <searchLink fieldCode="AU" term="%22McMahon+E%22">McMahon E</searchLink>; Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, Tiwi, NT, 0810, Australia.; Department of Nutrition Dietetics and Food, Monash University, Level 1 264 Ferntree Gully Rd, Notting Hill, VIC, 3168, Australia.<br /><searchLink fieldCode="AU" term="%22Dickie+S%22">Dickie S</searchLink>; Department of Nutrition Dietetics and Food, Monash University, Level 1 264 Ferntree Gully Rd, Notting Hill, VIC, 3168, Australia.<br /><searchLink fieldCode="AU" term="%22De+Silva+K%22">De Silva K</searchLink>; Arnhem Land Progress Aboriginal Corporation, 70 O'Sullivan Cct, East Arm, NT, 0828, Australia.<br /><searchLink fieldCode="AU" term="%22Ferguson+M%22">Ferguson M</searchLink>; School of Public Health, Faculty of Medicine, The University of Queensland, Level 4, Herston, QLD, 4006, Australia.; Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, Tiwi, NT, 0810, Australia.; Department of Nutrition Dietetics and Food, Monash University, Level 1 264 Ferntree Gully Rd, Notting Hill, VIC, 3168, Australia.<br /><searchLink fieldCode="AU" term="%22Chatfield+MD%22">Chatfield MD</searchLink>; School of Public Health, Faculty of Medicine, The University of Queensland, Level 4, Herston, QLD, 4006, Australia.; Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, Tiwi, NT, 0810, Australia.<br /><searchLink fieldCode="AU" term="%22Miles+E%22">Miles E</searchLink>; Community First Development, 1/67 Townshend St, Phillip, ACT, 2606, Australia.; Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, Tiwi, NT, 0810, Australia.<br /><searchLink fieldCode="AU" term="%22Gunther+A%22">Gunther A</searchLink>; Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, Tiwi, NT, 0810, Australia.<br /><searchLink fieldCode="AU" term="%22Wycherley+T%22">Wycherley T</searchLink>; Alliance for Research in Exercise, Nutrition and Activity, University of South Australia, Adelaide, SA, Australia.; Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, Tiwi, NT, 0810, Australia.<br /><searchLink fieldCode="AU" term="%22Minaker+L%22">Minaker L</searchLink>; School of Planning, University of Waterloo, Waterloo, ON, Canada.<br /><searchLink fieldCode="AU" term="%22Peeters+A%22">Peeters A</searchLink>; Institute for Health Transformation, Deakin University, Geelong, VIC, Australia.<br /><searchLink fieldCode="AU" term="%22Mah+CL%22">Mah CL</searchLink>; Faculty of Health, Dalhousie University, Halifax, NS, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.<br /><searchLink fieldCode="AU" term="%22Chappell+E%22">Chappell E</searchLink>; School of Public Health, Faculty of Medicine, The University of Queensland, Level 4, Herston, QLD, 4006, Australia.; Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, Tiwi, NT, 0810, Australia.<br /><searchLink fieldCode="AU" term="%22Brimblecombe+J%22">Brimblecombe J</searchLink>; Department of Nutrition Dietetics and Food, Monash University, Level 1 264 Ferntree Gully Rd, Notting Hill, VIC, 3168, Australia.; Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, Tiwi, NT, 0810, Australia.; School of Public Health, Faculty of Medicine, The University of Queensland, Level 4, Herston, QLD, 4006, Australia.
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  Data: Background: Healthy Stores 2020 tested a co-designed strategy restricting retailer merchandising of unhealthy foods in a community-level pragmatic, partially randomised, parallel group trial in 20 remote Australian Aboriginal and Torres Strait Islander community stores. We aimed to evaluate the impact of Healthy Stores 2020 on free sugar sales 24-weeks post-trial.<br />Methods: Twenty stores were randomly assigned by a statistician using a single sequence of random assignments to the intervention group, in which a strategy restricted merchandising of unhealthy food (either six or seven strategy components), or to a control group of usual retail practice. The trial was done in partnership with an Indigenous organisation operating in remote Australia. In the post-trial period (24 weeks), immediately following the 25-week RCT, intervention stores (n = 10) continued the strategy but with no external implementation support, and control stores (n = 10) continued usual practice. The primary outcome was impact on purchases (weekly sales data) of free sugars from all foods and beverages (g/MJ) using mixed models. Secondary outcomes included total food and beverage dollars and gross profit (AUD$) and strategy implementation (number of strategies with full implementation assessed via photographic data collected). Trial registration, ACTRN12618001588280.<br />Findings: We observed a difference in sales of total free sugars to energy between the treatment and control groups post-trial (-4.6%, 95% CI -7.1, -1.9). Between group differences in total food and beverage and gross profit dollars were 7.0% (0.9, 13.5) and 11.4% (4.6, 18.6), respectively. Two intervention stores had full implementation of all strategy components and eight intervention stores had compliance with at least four of the seven strategy components at post-trial end.<br />Interpretation: A health-enabling retail intervention showed an effect on sugar reduction in the post-trial period without adversely impacting profit.<br />Funding: Australian National Health and Medical Research Council.<br /> (© 2025 The Authors.)
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  Data: AP receives grant funding from the National Health and Medical Research Council, and has been a board director at VicHealth and Western Health in Australia. All other authors declare no competing interests.
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  Data: Global Health. 2017 Jun 15;13(1):34. (PMID: <searchLink fieldCode="PM" term="%2228619031%22">28619031)</searchLink><br />Nutrients. 2022 Jan 11;14(2):. (PMID: <searchLink fieldCode="PM" term="%2235057476%22">35057476)</searchLink><br />Int J Behav Nutr Phys Act. 2023 Feb 17;20(1):20. (PMID: <searchLink fieldCode="PM" term="%2236803988%22">36803988)</searchLink><br />Public Health Nutr. 2017 Apr;20(5):761-764. (PMID: <searchLink fieldCode="PM" term="%2228317493%22">28317493)</searchLink><br />JAMA Pediatr. 2022 Jul 1;176(7):e221037. (PMID: <searchLink fieldCode="PM" term="%2235499839%22">35499839)</searchLink><br />Global Health. 2017 Sep 05;13(1):69. (PMID: <searchLink fieldCode="PM" term="%2228870225%22">28870225)</searchLink><br />Soc Sci Med. 2017 Mar;177:141-149. (PMID: <searchLink fieldCode="PM" term="%2228161671%22">28161671)</searchLink><br />Public Health Nutr. 2020 Feb;23(2):295-308. (PMID: <searchLink fieldCode="PM" term="%2231455456%22">31455456)</searchLink><br />Lancet Planet Health. 2020 Oct;4(10):e463-e473. (PMID: <searchLink fieldCode="PM" term="%2233038320%22">33038320)</searchLink><br />Int J Pediatr Obes. 2011 Oct;6(5-6):401-8. (PMID: <searchLink fieldCode="PM" term="%2221838571%22">21838571)</searchLink><br />Qual Health Res. 2012 Jun;22(6):777-87. (PMID: <searchLink fieldCode="PM" term="%2222218266%22">22218266)</searchLink><br />BMC Public Health. 2016 Jul 27;16:651. (PMID: <searchLink fieldCode="PM" term="%2227465746%22">27465746)</searchLink><br />JMIR Res Protoc. 2019 Mar 29;8(3):e12646. (PMID: <searchLink fieldCode="PM" term="%2230924788%22">30924788)</searchLink><br />Lancet. 2023 Apr 8;401(10383):1214-1228. (PMID: <searchLink fieldCode="PM" term="%2236966783%22">36966783)</searchLink><br />BMJ. 2009 Oct 06;339:b3985. (PMID: <searchLink fieldCode="PM" term="%2219808754%22">19808754)</searchLink><br />BMJ Open. 2019 Feb 27;9(2):e023630. (PMID: <searchLink fieldCode="PM" term="%2230819702%22">30819702)</searchLink><br />PLoS Med. 2016 Jul 05;13(7):e1002057. (PMID: <searchLink fieldCode="PM" term="%2227379797%22">27379797)</searchLink><br />Lancet. 2023 Apr 8;401(10383):1194-1213. (PMID: <searchLink fieldCode="PM" term="%2236966782%22">36966782)</searchLink>
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