Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.
Obesity (Silver Spring). 2024 Jul;32(7):1290-1301. doi: 10.1002/oby.24058.
The objective of this study was to assess purchasing, intake, and weight after discounting fruits and vegetables (F&V) and noncaloric beverages in New York City supermarkets.
A 16-week randomized controlled trial was conducted with a 4-week baseline, an 8-week intervention with 50% discounts on F&V and noncaloric beverages, and a 4-week follow-up. Purchasing was tracked via loyalty cards, and intake was tracked via 24-h dietary recalls. Weights were measured at five in-person visits.
Data from 67 participants were analyzed (38 in the experimental group; 29 in the control group). F&V and noncaloric beverage weekly purchasing was greater in the experimental than the control group (mean difference [SD], $4.64 [$1.44], p < 0.0001; $0.53 [$0.39], p = 0.008) during intervention, with F&V purchasing remaining greater in the experimental versus control group during follow-up (p = 0.005). F&V intake was greater for the experimental than the control group during intervention (142 [105] g/day; p = 0.009) and follow-up (p = 0.001). Although no difference in noncaloric beverage consumption was observed between groups, there was lower alcohol intake in the experimental than the control group during follow-up (-85.8 [60.2] g/day; p = 0.004). The experimental group lost weight compared with the control group (-1.33 [0.92] kg; p = 0.006 intervention and p = 0.106 follow-up). No differences in nutrient composition or high energy-dense product consumption were found.
A 50% discount on F&V and noncaloric beverages promoted increased purchasing and intake of F&V and induced weight loss.
本研究旨在评估在纽约市超市对水果和蔬菜(F&V)及无热量饮料进行折扣后,其购买、摄入和体重的变化。
本研究采用 16 周随机对照试验,包括 4 周基线期、8 周干预期(F&V 和无热量饮料打 5 折)和 4 周随访期。通过会员卡跟踪购买情况,通过 24 小时膳食回顾跟踪摄入情况。在 5 次面对面访视中测量体重。
对 67 名参与者的数据进行了分析(实验组 38 名,对照组 29 名)。干预期间,实验组的 F&V 和无热量饮料每周购买量均大于对照组(平均差异 [SD],$4.64 [$1.44],p < 0.0001;$0.53 [$0.39],p = 0.008),且在随访期间,实验组的 F&V 购买量仍大于对照组(p = 0.005)。干预期间,实验组的 F&V 摄入量大于对照组(142 [105] g/天;p = 0.009),随访期间亦如此(p = 0.001)。虽然两组间无热量饮料的摄入量无差异,但实验组的酒精摄入量低于对照组(-85.8 [60.2] g/天;p = 0.004)。与对照组相比,实验组的体重下降(-1.33 [0.92] kg;p = 0.006 干预期和 p = 0.106 随访期)。两组间的营养成分或高能量密度产品的摄入无差异。
F&V 和无热量饮料 5 折促销可促进 F&V 的购买和摄入,诱导体重下降。