- Open Access
Food marketing in recreational sport settings in Canada: a cross-sectional audit in different policy environments using the Food and beverage Marketing Assessment Tool for Settings (FoodMATS)
© The Author(s). 2018
Received: 27 November 2017
Accepted: 10 April 2018
Published: 31 May 2018
Children’s recreational sport settings typically sell energy dense, low nutrient products; however, it is unknown whether the same types of food and beverages are also marketed in these settings. Understanding food marketing in sports settings is important because the food industry often uses the promotion of physical activity to justify their products. This study aimed to document the ‘exposure’ and ‘power’ of food marketing present in public recreation facilities in Canada and assess differences between provinces with and without voluntary provincial nutrition guidelines for recreation facilities.
Food marketing was measured in 51 sites using the Food and beverage Marketing Assessment Tool for Settings (FoodMATS). The frequency and repetition (‘exposure’) of food marketing and the presence of select marketing techniques, including child-targeted, sports-related, size, and healthfulness (‘power’), were assessed. Differences in ‘exposure’ and ‘power’ characteristics between sites in three guideline provinces (n = 34) and a non-guideline province (n = 17) were assessed using Pearson’s Chi squared tests of homogeneity and Mann-Whitney U tests.
Ninety-eight percent of sites had food marketing present. The frequency of food marketing per site did not differ between guideline and non-guideline provinces (median = 29; p = 0.576). Sites from guideline provinces had a significantly lower proportion of food marketing occasions that were “Least Healthy” (47.9%) than sites from the non-guideline province (73.5%; p < 0.001). Use of child-targeted and sports-related food marketing techniques was significantly higher in sites from guideline provinces (9.5% and 10.9%, respectively), than in the non-guideline province (1.9% and 4.5% respectively; p values < 0.001). It was more common in the non-guideline province to use child-targeted and sports-related techniques to promote “Least Healthy” items (100.0% and 68.4%, respectively), compared to the guideline provinces (59.3% and 52.0%, respectively).
Recreation facilities are a source of children’s exposure to unhealthy food marketing. Having voluntary provincial nutrition guidelines that recommend provision of healthier foods was not related to the frequency of food marketing in recreation facilities but was associated with less frequent marketing of unhealthy foods. Policy makers should provide explicit food marketing regulations that complement provincial nutrition guidelines to fulfill their ethical responsibility to protect children and the settings where children spend time.
Increased prevalence of childhood obesity is believed to be the product of “small, cumulative environmental changes that have altered children’s physical activity and dietary patterns” (p.e1) . By providing opportunities to be active, recreation and sport facilities may be ideal sites to support childhood obesity prevention. Recreation and sport facilities, defined as public or private community centres that offer opportunities for physical activity and programming for children and adults at a fee, have a mandate to promote health and wellbeing . However, this mandate may be undermined by the unhealthy foods they offer  which are commonly deep fried foods, hot dogs, and sugary snacks and drinks . In a systematic review by Nelson et al. , no difference in children’s weights was found between those who participated in extracurricular physical activity and those who did not, in spite of the former being more physically active than the latter. Increased availability, marketing and consumption of fast foods and soft drinks in sport settings may have contributed to this weight discrepancy .
Food and beverage marketing (henceforth food marketing) in recreation and sport facilities may influence food attitudes, preferences and behaviors. A scoping review of the relationship between watching sports and population health concluded that sport spectating may increase unhealthy eating behaviours from exposure to unhealthy food sponsorship . Unhealthy food marketing that uses sport or physical activity appeals is concerning due to its associated impacts on product likeability and nutritional quality. In a cross-sectional study of 10–14 year olds who participated in sports at a local club in Australia, over two-thirds could recall at least one food and beverage company sponsor of their club and 59% “liked to return the favour to these sponsors by buying their products” (p.4) . Furthermore, both adults and children may experience a ‘halo effect’ when food is marketed with physical activity themes, leading to more positive reactions and perceptions of product healthfulness .
Restricting unhealthy food and beverage sport sponsorship and improving healthy food availability in recreation and sport facilities have been ranked as some of the most important and feasible interventions to promote children’s health . In this regard, several Canadian provinces [Alberta (AB), British Columbia (BC), Nova Scotia (NS)] have introduced voluntary nutrition guidelines to encourage healthier food provision in recreation facilities [10–12]. Guidelines introduced in 2015 in NS, Canada discouraged unhealthy food promotion, sponsorship, and marketing . Taking a different approach, guidelines in AB, Canada, revised in 2012, recommended marketing healthier foods through competitive pricing and placement . Guidelines in the Canadian province of BC, revised in 2014, did not mention food marketing . Even without specific food marketing recommendations, food marketing environments may improve in parallel with improved food provision as guidelines are implemented in recreation facilities. Once a new food product introduced into a recreation facility, marketing may be used to increase consumers’ “recognition, appeal and/or consumption”  (p.9) of the product through pricing, placement, or promotion . Thus, we aimed to investigate the difference in food marketing environments between provinces with and without provincial nutrition guidelines.
Describing the nature and extent of food marketing in sport settings is a current gap in the literature . The limited available research focuses on the prevalence of sport sponsorship  or testing the impact of experimental food marketing techniques in recreation facilities on food choices [16, 17]. It is necessary to understand the breadth, intensity, and characteristics of food marketing in recreation facilities to inform healthy food policy and reduce children’s exposure to unhealthy food marketing. Marketing policies that reduce ‘exposure’ to and ‘power’ of food and beverage marketing are recommended by the WHO  and could reduce the impact of unhealthy food marketing on children’s eating behaviors.
To fill the gap in the literature regarding food marketing in recreation facilities, this study aimed to document the food and beverage marketing in public recreation and sport facilities in Canada and assess differences in food marketing environments between facilities from provinces with voluntary nutrition guidelines and facilities from a province with no guidelines. This type of investigation is valuable as it may reveal how well current nutrition guidelines designed to enhance healthy food provision also protect (or do not protect) children from unhealthy food marketing. We aimed to explore the ‘exposure’ (frequency, repetition) to and ‘power’ (healthfulness, child-targeting, sports-related, size) of food marketing in public recreation facilities. We hypothesized that recreation facilities in provinces with voluntary nutrition guidelines would have less unhealthy food marketing (related to a difference in food provision) but did not have any other a priori hypotheses for other outcomes assessed due to limited research that currently exists on this topic.
Setting and participants
This study was part of a larger Eat Play Live (EPL) research project evaluating the impact of voluntary provincial nutrition guidelines on recreation and sport facility food environments including food availability, marketing, and policy in Canada. Public recreation facilities in three provinces with existing provincial nutrition guidelines for recreation facilities (BC , AB , and NS ) and one province without provincial nutrition guidelines [Ontario (ON)] were included in the current study. Eligible facilities were those that provided food services through vending or concession (such as a canteen, snack bar, café, or restaurant), had not made major changes to their food environment since 2010, were willing and able to make changes to their food environment, and had year-round sport programming.
Facilities were recruited for EPL between August 2015 and April 2016 by provincial parks and recreation organizations and the EPL team. A buffer of 150 km (adjusted by provinces if appropriate in regards to geography and budget) was used to identify a subsample of facilities near universities (n = 286) that were followed-up by telephone. Only 216 facilities were eligible to participate and 49 facilities (22.7%) agreed to participate. Of the remaining, 141 did not respond to the invitation; 11 refused without reason; 15 refused due to insufficient staff capacity (n = 11), uninterested in research (n = 2), risk of being a control site (n = 1), worried about competition (n = 1). Non-response greatly varied by province (ON 25%; BC 36%; AB 63%; NS 92%). Two facilities had two separate buildings which we treated as individual sites for a total of 51 sites where food and beverage marketing was measured. Thirty-four sites were from the three guideline provinces; 17 sites were from the one non-guideline province. A sample size of 43 was required for the EPL project to detect a medium to large effect (d = 0.8) in unhealthy food and beverage availability in vending machines between two groups with α =0.05. See methods for post hoc power analyses of the sample size to detect change in marketing scores.
the frequency of food and beverage marketing in sports areas, food areas (concessions), and other areas (entrance, hallways, parking lot),
the product, brand, or food retailer marketed,
whether the marketing occasion targeted children,
whether the marketing occasion was related to sports, and
the physical size of the marketing occasion.
One marketing occasion was defined as one advertisement, promotion, or message (e.g. one sign), that is intended to increase the “recognition, appeal and/or consumption” of a food or beverage products, brands, or retailer  (p.9). Marketing occasions that were not physical signage (e.g. product placement and pricing promotions) were counted but were not assessed for targeting children, being related to sports, or their size as that would usually require reviewing product packaging which was beyond the scope of this study.
Classification of Marketing Occasions by Healthfulness 
Unprocessed foods and beverages with no added fat, sugar or salt
Foods and beverages with some added fat, sugar, or salt
Processed energy-dense, nutrient-poor items with high levels of fat, sugar, or salt
Grocery stores, farmers’ markets Sandwich outlets, smoothie outlets, salad bars
Sit-down restaurants, cafeterias, coffee outlets, prepared grocery stores, supplement stores
Pizza, burger, taco, fried chicken, Asian, and ice cream outlets, pubs, lounges, alcohol stores
All nutrition education or healthy eating promotion
The FoodMATS was previously validated by assessing correlations with recreation facility sponsorship and advertising dollars, and whether FoodMATS scores predict unhealthy food and beverage sales . During pilot testing the FoodMATS demonstrated very good to excellent inter-rater reliability (κ = 0.88–1.00, p < 0.001; ICC = 0.97, p < 0.001) .
Detailed methods on EPL and the FoodMATS have been previously reported .
We also assessed post hoc whether food marketing was related to the types of foods available for customers to purchase (as opposed to any alternative such as the food marketing was related to sponsorship or funding provided to the site by an outside organization) by identifying “in house” products, brands, and retailers. Products and brands were considered “in house” if they were sold in vending machines or concessions within the site the marketing was found. Food retailers were considered “in house” if they sold food or beverages within the site. Audits conducted at concessions and in vending machines and product sales reports collected for the EPL study were used to check whether a product or brand was sold onsite. Names of concessions recorded in the FoodMATS were used to determine if the marketed food retailer was onsite. The classification was completed by a trained graduate research assistant and checked by RJLP. This type of classification may be important to understand how food marketing is influenced across different operational areas in the facility, which may require different interventions if an association is found. For example, if most marketing is for foods and beverages available onsite then food service operators may be the target of interventions. On the other hand, if there is marketing from outside retailers or for products/brands not sold within the facility, then an intervention may need to target management or financial departments that contract out advertising space.
FoodMATS data were entered, cleaned, and scored in Microsoft Excel 2013. Statistical analysis was completed wiht Statistical Package for the Social Sciences Version 23 (SPSS Inc., Chicago, IL, USA) was used with p<0.05 indicating statistical significance. Medians and interquartile ranges were used to describe the frequency and repetition of marketing, and FoodMATS scores. The prevalence of powerful features (healthfulness, child-targeted, sports-related, size) was described using proportions. Crosstabs were used to assess whether marketing occasions that used child-targeted and sports-related marketing techniques differed by healthfulness.
Differences between guideline and non-guideline provinces were assessed using Pearson’s Chi squared tests of homogeneity. Ordinal variables were collapsed into dichotomous groups to improve stability. Healthfulness was grouped into “Most Healthy”/“Less Healthy” versus “Least Healthy” as the latter are recommended to be restricted or not available in recreation facilities [10–12]. Size was grouped into small/medium versus large. Effect sizes are reported as Phi coefficients interpreted as 0.1 for small effects, 0.3 for medium effects, and 0.5 for large effects .
Due to unequal variances and non-normality, Mann-Whitney U tests were used to test differences between guideline and non-guideline provinces for food marketing frequency, repetition, and FoodMATS scores. Post hoc power analyses with G*Power (v3.1) revealed that our sample size would have 73% chance of detecting a large effect (D = 0.80, t = 2.01, α = 0.05) when using Mann-Whitney tests to compare mean ranks between two groups, and assuming two-tailed normal distribution with α = 0.05; but would be insufficient to detect medium (D = 0.50, α =0.36) or small (D = 0.2, α =0.099) effect sizes.
Characteristics of guideline and non-guideline sites
Number and proportion of sports areas with food marketing present (n = 188)
Proportion of sports areas with food marketing present (%)
Proportion of sports areas with food marketing present (%)
Proportion of sports areas with food marketing present (%)
All sports areas
Rock climbing walls
Other sport areasa
Food marketing was present in all but one site (n = 50, 98.0%), located in a guideline province. Most sites had food marketing in their food (concession) area(s) (n = 41 out of 43 sites with concessions, 95.3%), sports area(s) (n = 35 out of 50 sites with sports areas, 70.0%), and other area(s) (n = 46 out of 51 sites, 90.2%). Presence of food marketing differed between sport area types, ranging from 2.6% of gymnasiums to 81.3% of arenas having food marketing (Table 2). No single use courts, cycling studios, climbing areas, or other areas contained food marketing (Table 2).
Number and proportion of food marketing occasions found in food, sports, and other area by type (n = 1740)
Food (concession) areas
Proportion of all food marketing in food areas (%)e
Proportion of all food marketing in sports areas (%)e
Proportion of all food marketing in other areas (%)e
Indoor walls/ floors
Signs/ displays/ table tents
Outdoor walls, windows, doors
Outdoor signs, furniture
Vending machines in spectator area
Vending machines in athlete area
Exposure to food and beverage marketing occasions for facility areas for guideline and non-guideline provinces (n = 1740)
All sites (n = 51)
Guideline sites (n = 34)
Non-guideline sites (n = 17)
Frequency of food marketing occasions (n)
p = 0.576
p = 0.447
p = 0.787
p = 0.389
Repetition of food marketing occasions (n)
p = 0.217
Products or brands were most frequently marketed, comprising 75.3% of all marketing occasions. The remaining food marketing occasions promoted food retailers (22.5%) or were nutrition education or general healthy eating promotions (2.2%), such as government, industry, or site developed posters that provided nutrition information or highlighted healthy food choices. Most products (97.1%) and brands (85.8%) marketed were “in house”, but only 12.7% of marketing occasions for food retailers were “in house”. Food retailers that did not sell food within the facility were promoted almost eight times more often than “in house” food retailers.
Power of food and beverage marketing occasions for guideline and non-guideline provinces (n = 1740)
All sites (n = 51)
Guideline sites (n = 34)
Non-guideline sites (n = 17)
n = 1740 (0)
n = 1212 (0)
n = 528 (0)
p < 0.001
n = 1377 (5)
n = 953 (4)
n = 424 (1)
p < 0.001
Targeted at children
n = 1377 (5)
n = 953 (4)
n = 424 (1)
p < 0.001
Related to sports
n = 1375 (6)
n = 952 (4)
n = 423 (2)
p = 0.001
There were statistically significant differences in the proportions of food marketing occasions that were “Least Healthy”, child-targeted, sports-related, and large size between sites in guideline and non-guideline provinces (Table 5).
Healthfulness of marketing
Overall, more than half of all food marketing occasions were considered “Least Healthy” (55.6%) (Table 5). There was a significantly greater proportion of “Least Healthy” food marketing occasions in the non-guideline province compared to the guideline province (X2 (1, N = 1740) =63.604, Phi coefficient = − 0.191, p < 0.001) (Table 5).
Child-targeted food marketing
Approximately, one in every 14 food marketing occasions (7.2%) was targeted at children (Table 5). There was a significantly greater proportion of child-targeted food marketing occasions in guideline provinces than in non-guideline provinces (X2 (1, N = 1377) =25.817, Phi coefficient = 0.137, p < 0.001) (Table 5).
Sports-related food marketing
Approximately 1 in every 11 food marketing occasions (8.9%) were sports-related (Table 5). There was a significantly greater proportion of sports-related food marketing occasions in guideline provinces than in the non-guideline province (X2 (1, N = 1377) =14.923, p < 0.001, Phi coefficient = 0.086) (Table 5).
Size of marketing
Almost half of all food marketing occasions were large and one-third were small (Table 5). There was a significantly greater proportion of large food marketing occasions in the guideline province than the non-guideline provinces (X2 (2, N = 1375) =11.718, Phi coefficient = 0.092, p = 0.003) (Table 5).
Overall, the median score was 43.3 (IQR 18.6, 71.0) with higher scores indicating greater exposure to food marketing, along with more powerfulfood marketing. There was no statistically significant difference in FoodMATS scores between guideline (median = 42.7, IQR 4.6, 70.1) and non-guideline provinces (median = 43.3, IQR 29.5, 71.5).
Food marketing, such as signs, posters, branding, pricing promotions, and product placement, was found to be present in almost all recreation facility sites with unhealthy products, brands, or retailers marketed on more than half of the occasions. Our study found mixed results in differences between sites in guideline and non-guideline provinces, differing by ‘power’ (healthfulness of food marketing, targeting children, using appeals of physical activity, and having large signs) but not by ‘exposure’ (frequency, and repetition) nor FoodMATS scores (the composite of ‘power’ and ‘exposure’).
It may be surprising that the FoodMATS scores did not differ between guideline types despite differences in ‘power’. This null result may be related to the fact that we could only use a non-parametric test to compare mean ranks. If actual values were assessed, findings may have shown a difference since the 25th percentile of FoodMATS score is almost 25 points (84.4%) lower in the guideline provinces than in the non-guideline province. Secondly, FoodMATS scores were calculated by assessing each component of ‘power’ individually rather than cumulatively. If ‘power’ was scored based on the cumulative presence of marketing techniques, the FoodMATS scores in the non-guideline province may have been higher since more marketing occasions that used child-targeted and sports-related techniques were for “Least Healthy” products, making it easier to see differences between guideline types. However, our approach of evaluating each component individually proposes the idea that the impact of food marketing on children’s food preferences and behaviours may remain unchanged if one marketing technique is replaced by another (e.g. replace sports-related food marketing occasions with child-targeted food marketing occasions).
The lack of difference in FoodMATS scores may highlight that there are multiple components to food marketing that need to be considered in policy interventions. Current provincial nutrition guidelines incompletely address food marketing by merely recommending what product should or should not marketed (i.e. healthy versus unhealthy food) which is only one component of marketing strategies. How foods and beverages are marketed (targeted to children, sports-related, and physical size, as well as potentially other characteristics not assessed in this study) should also be regulated in order to protect children from exposure to powerful food marketing. That being said, protecting children’s environments from all unhealthy food marketing would reduce children’s exposure to food marketing and thus make discussions regarding other powerful features redundant.
No previous research has evaluated food marketing in sports settings as comprehensively as this study. Carter et al.  identified 131 food and beverage companies that advertised on sports clubs’ websites in New Zealand. Although we did not measure the number of different marketers, we found that only a couple products, brands, and/or retailers were marketed repeatedly in a site. The findings from both Carter et al.  and this study suggest that there are several food industry actors involved in food marketing in recreation and sport facilities. Kelly et al.  found that sports club food sponsors in Australia most commonly provided jersey branding (53% of sponsors), official partnership (52%), recognition in club newsletters (29%), signs (28%), and onsite availability of sponsors’ product (24%). This project also found that signage was a common marketing channel and that most products marketed were available for purchase in the facility. However, the marketing techniques and channels captured by Kelly et al.  only overlap to a limited extent with the FoodMATS since Kelly et al.  only evaluated sponsorship and the FoodMATS broadly assessed food marketing within multiple areas of the facility including concessions and vending machines. The breadth of food marketing found in this study suggests that sponsorship may be only one of many strategies the food industry uses to market their product, brand, or retailer in sports settings.
The proportion of marketing occasions that were “Least Healthy” (55%) found in this study is similar to the proportion of food sponsors classified as unhealthy by Carter et al.  (using the New Zealand Food and Beverage Classification System) and Kelly et al.  (through expert consensus classification). These consistent findings suggest that food marketing environments in recreation and sport facilities are not health promoting.
The greater use of child-targeted marketing in the guideline province may reflect that the provincial guidelines tend to focus on improving children’s environments and may be related to efforts by sites from guideline provinces to move towards offering and promoting healthier options for children. It could also be explained by other factors that we did not assess including differences in the prevalence of onsite child programming or proximity of schools to the recreation facility.
The difference in sports-related marketing between guideline and non-guideline provinces is surprising because the prevalence of sports areas with food marketing was lower in the guideline provinces than in the non-guideline province, and the number of sports areas was similarly distributed in both groups. The study did find that food marketing was variable depending on the type of sport, consistent with previous research [21, 23]. Despite this, it is unclear whether differences in sport types between sites in guideline and non-guideline provinces explains the different prevalence of sports-related food marketing between guideline types.
Strengths and limitations
The results of this study must be interpreted cautiously due to its cross-sectional design and small, non-representative sample; yet, this is the largest known assessment of food marketing in recreation facilities in Canada. Unfortunately, our small sample size did not allow us to investigate whether differences in marketing environments existed in sites between guideline provinces in relation to their variable food marketing recommendations. Similarly, we had insufficient power to adjust for clustering effects within provinces resulting in confidence intervals narrower than if we could have adjusted for clustering. Despite its limitations, the FoodMATS is a theoretically grounded reliable validated tool that provides broad and detailed information on food marketing. Although it did not measure sponsorship specifically, it captured a breadth of marketing approaches the food industry uses in sport settings.
Implications & recommendations
To our knowledge, this is the first study to investigate the ‘exposure’ and ‘power’ of food marketing in sport settings, a place where children gather that should be free from unhealthy food marketing , and to examine differences in food marketing environments according to presence of regional voluntary nutrition guidelines. We found differences between what and how foods and beverages were marketed, but not in the frequency or repetition of marketing. Findings suggest that the presence of voluntary provincial nutrition guidelines that focus on what food provision rather than food marketing may be insufficient to impact the frequency of marketing but may influence the healthfulness of marketing. It is possible that provincial nutrition guidelines improve the foods available for sale onsite which impacts their marketing. However, nutrition guidelines for food provision can only be expected to go so far; a study of food promotions in public schools in Vancouver, Canada found that almost one-quarter of promotions were for “Choose Least” and “Not Recommended” foods and beverages  even though provincial school nutrition guidelines there discouraged unhealthy food marketing (e.g. posters, coupons, and branded equipment) .
The presence of unhealthy food marketing found in schools by Velazquez et al.  and in recreation facilities presented here despite the presence of nutrition guidelines suggests that it should not be assumed that healthy food provision policies will translate to healthier food promotion. On the other hand, it may also be shortsighted to assume that food provision policies will have no impact on food marketing within its applicable setting.
Although child-targeted marketing techniques were used infrequently, recreation and sport facilities still offer multiple exposures to unhealthy food marketing. Regardless of their power, children will likely still see such marketing and be impacted by it. Sport sponsorship is not inherently child-targeted, but a study of 5–12 year olds in New Zealand found that 76% of children can correctly match sponsors to their respective sport . Pettigrew et al.  also found that even when children mismatched sponsors with sports, 83% of children selected an unhealthy food brand for that sport, suggesting that children have a strong association of unhealthy food with sport. A photo-based project in New Zealand revealed that 83% of beverages 10–12 year olds associate with sport were not consistent with dietary guidelines .
The presence of unhealthy food marketing in almost all recreation facilities studied in Canada is worrisome from a population health perspective. Thousands of children, youth, and families use public recreation facilities in Canada [28, 29], thus the reach of food marketing is broad. Kelly et al.  estimated that Australian children may be exposed up to 64,000 person-hours of food and beverage sponsorships per week depending on the sport. It is not reasonable to expect recreation facilities that sell food to be free of food marketing (although food sponsorship may be unnecessary), but marketing environments could be improved to be less pervasive across recreation and sport facilities and be used to promote healthy products only. Marketing policies that reduce ‘exposure’ to and ‘power’ of food and beverage marketing are recommended by the WHO  and could reduce the impact of unhealthy food marketing on children’s eating behaviors. Institutions, such as recreation facilities, may consider generating food marketing restrictions to complement food provision policies s in order to more comprehensively promote healthy diets .
Future research should explore the relationships of food marketing in children’s sport settings with other environmental factors (food availability, food sales) and the impact of food marketing in sport settings on individual and population diet and health outcomes. Investigating the impact of food marketing according to FoodMATS scores may help to understand how to reduce the impact of food marketing by identifying ideal food marketing scores and generating strong, specific recommendations for policymakers to restrict unhealthy food marketing and sponsorship in children’s sport settings. Researchers should consider assessing differences in food marketing between sport types (hockey versus soccer), facility type (public versus private funding; single versus multi-sport), competition levels, and communities in which these facilities are located (high versus low income; urban versus rural).Such research may reveal whether certain populations are at greater risk of exposure to unhealthy food marketing environments. Understanding such differences could identify where to focus interventions to have the greatest population impact on diet, health, and childhood obesity.
It is argued that the food industry often overemphasizes the importance of physical activity deliberately [31, 32] to “[deflect] attention from its possible role in the obesity epidemic” (p.244) . The overwhelming presence of food marketing in recreation facilities may be evidence of one method used by the food industry to do so. Over half of food products, brands, and retailers marketed in public recreation facilities were “Least Healthy”. Although not common, child-targeted and sports-related features were occasionally present. Having provincial nutrition guidelines did not appear to impact the frequency or repetition of food marketing in recreation facilities, but was associated with less unhealthy food promotion, including the products marketed with child-targeted or sports-related techniques. As researchers and practitioners work to improve food environments in sport settings, targeting food marketing as an environmental factor appears important for supporting healthy eating.
The authors would like to thank the EPL provincial coordinators, Dona Tomlin, Susan Caswell, and Sherry Jarvis, for their assistance with data collection.
EPL received specific funding from the Heart & Stroke Foundation of Canada. RP is supported by a Canadian Institute for Health Research (CIHR) Frederick Banting and Charles Best Canada Graduate Scholarship - Doctoral Award, and a Women and Children Health Research Initiative Graduate Studentship funded by the Stollery Children’s Hospital Foundation. VC is supported by a CIHR New Investigator Salary Award. SFLK was supported in part from a CIHR funded Canada Research Chair. LCM received salary support from the BC Children’s Hospital Research Institute.
Availability of data and materials
The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.
PJN, LCM, SFLK, and KDR contributed to the design of the project. RJLP developed the FoodMATS tool. RJLP collected the data with help from other EPL provincial coordinators (see acknowledgements). RLJP analyzed and interpreted data. RJLP developed the manuscript with critical editorial support from DLO, VC, LCM, KA, SFLK, PJN, and KDR. All authors read and approved the final manuscript.
R.P. is a registered dietitian and a PhD Candidate.
Ethics approval and consent to participate
Ethics approval was obtained for the EPL project at all participating universities (Universities of British Columbia, Victoria, Alberta, and Waterloo, and Dalhousie University).
The authors declare that they have no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- Brennan LK, Brownson RC, Orleans CT. Childhood obesity policy research and practice: evidence for policy and environmental strategies. Am J Prev Med. 2014;46:e1–16.View ArticlePubMedPubMed CentralGoogle Scholar
- Government of Alberta. Active Alberta 2011–2021. http://culture.alberta.ca/recreation/active-alberta/pdf/Active-Alberta-Policy.pdf. Accessed 24 Nov 2017.
- Olstad DL, Downs SM, Raine KD, Berry TR, McCargar LJ. Improving children’s nutrition environments: a survey of adoption and implementation of nutrition guidelines in recreational facilities. BMC Public Health. 2011;11:423.View ArticlePubMedPubMed CentralGoogle Scholar
- Naylor PJ, Bridgewater L, Purcell M, Ostry A, Wekken SV. Publically funded recreation facilities: obesogenic environments for children and families? Int J Environ Res Public Health. 2010;7:2208–21.View ArticlePubMedPubMed CentralGoogle Scholar
- Nelson TF, Stovitz SD, Thomas M, Lavoi NM, Bauer KW, Neumark-Sztainer D. Do youth sports prevent pediatric obesity? A systematic review and commentary. Curr Sports Med Rep. 2011;10:360–70.View ArticlePubMedPubMed CentralGoogle Scholar
- Inoue Y, Berg BK, Chelladurai P. Spectator sport and population health: a scoping study. J Sport Manage. 2015;29:705–25.View ArticleGoogle Scholar
- Kelly B, Baur LA, Bauman AE, King L, Chapman K, Smith BJ. “Food company sponsors are kind, generous and cool”: (mis)conceptions of junior sports players. Int J Behav Nutr Phys Act. 2011;8:95.View ArticlePubMedPubMed CentralGoogle Scholar
- Castonguay J. Sugar and sports age differences in children’s responses to a high sugar cereal advertisement portraying physical activities. Comm Res. 2015; https://doi.org/10.1177/0093650215587357.
- Kelly B, King L, Bauman AE, Baur LA, Macniven R, Chapman K, et al. Identifying important and feasible policies and actions for health at community sports clubs: a consensus-generating approach. J Sci Med Sport. 2014;17:61–6.View ArticlePubMedGoogle Scholar
- Government of British Columbia. Healthier choices in vending machines in BC public buildings. Victoria: Province of British Columbia; 2014.Google Scholar
- Alberta Health and Wellness. The Alberta nutrition guidelines for children and youth. Edmonton: Government of Alberta; 2010.Google Scholar
- Government of Nova Scotia. Healthy eating in recreation and sport settings guidelines. 2015.Google Scholar
- World Health Organization. A framework for implementing the set of recommendations on the marketing of foods and non-alcoholic beverages to children. 2012.Google Scholar
- Lee NR, Kotler P. Social marketing: influencing behaviors for good. Thousand Islands: Sage; 2011.Google Scholar
- Carter M-A, Edwards R, Signal L, Hoek J. Availability and marketing of food and beverages to children through sports settings: a systematic review. Public Health Nutr. 2012;15:1373–9.View ArticlePubMedGoogle Scholar
- Wolfenden L, Kingsland M, Rowland BC, Dodds P, Gillham K, Yoong SL, et al. Improving availability, promotion and purchase of fruit and vegetable and non sugar-sweetened drink products at community sporting clubs: a randomised trial. Int J Behav Nutr Phys Act. 2015;12:35.View ArticlePubMedPubMed CentralGoogle Scholar
- Olstad DL, Goonewardene LA, McCargar LJ, Raine KD. Choosing healthier foods in recreational sports settings: a mixed methods investigation of the impact of nudging and an economic incentive. Int J Behav Nutr Phys Act. 2014;11:6.View ArticlePubMedPubMed CentralGoogle Scholar
- World Health Organization: Set of recommendations on the marketing of foods and non-alcoholic beverages to children. 2010.Google Scholar
- Prowse RJL, Naylor P-J, Olstad DL, Carson V, Masse L, Storey K, et al. Reliability and validity of novel tool to comprehensively assess food and beverage marketing in recreational sport settings. Int J Behav Nutr Phys Act. 2018. https://doi.org/10.1186/s12966-018-0667-3.
- Cohen J. Statistical power analysis for the behavioral sciences. revised ed. New York: Academic Press; 1977.Google Scholar
- Carter MA, Signal L, Edwards R, Hoek J, Maher A. Food, fizzy, and football: promoting unhealthy food and beverages through sport - a New Zealand case study. BMC Public Health. 2013;13:126.View ArticlePubMedPubMed CentralGoogle Scholar
- Kelly B, Baur LA, Bauman AE, King L, Chapman K, Smith BJ. Food and drink sponsorship of children’s sport in Australia: who pays? Health Promt Int. 2010;26:188–95.View ArticleGoogle Scholar
- Kelly B, Bauman AE, Baur LA. Population estimates of Australian children’s exposure to food and beverage sponsorship of sports clubs. J Sci Med Sport. 2014;17:394–8.View ArticlePubMedGoogle Scholar
- Velazquez CE, Black JL, Ahmadi N. Food and beverage promotions in Vancouver schools: a study of the prevalence and characteristics of in-school advertising, messaging, and signage. Prev Med Rep. 2015;2:757–64.View ArticlePubMedPubMed CentralGoogle Scholar
- Government of British Columbia. Guidelines for food and beverage sales in B.C. schools. Victoria: Province of British Columbia; 2013.Google Scholar
- Pettigrew S, Rosenberg M, Ferguson R, Houghton S, Wood L. Game on: do children absorb sports sponsorship messages? Public Health Nutr. 2013;16:2197–204.View ArticlePubMedGoogle Scholar
- Smith M, Jenkin G, Signal L, McLean R. Consuming calories and creating cavities: beverages NZ children associate with sport. Appetite. 2014;81:209–17.View ArticlePubMedGoogle Scholar
- Randall Conrad and Associates, Roma M. ARPA’s infrastructure committee: operations survey summary report. Edmonton: Alberta Recreation and Parks Association; 2006.Google Scholar
- Naylor PJ, Wekken SV, Trill D, Kirbyson A. Facilitating healthier food environments in public recreation facilities: results of a pilot project in British Columbia, Canada. J Park Recreat Adm. 2010;28:37–58.Google Scholar
- Prowse R. Food marketing to children in Canada: a settings-based scoping review on exposure, power and impact. Health Promot Chronic Dis Prev Can. 2017;37:274–92.View ArticlePubMedGoogle Scholar
- Brownell KD, Warner KE. The perils of ignoring history: big tobacco played dirty and millions died. How similar is big food? Milbank Q. 2009;87:259–94.View ArticlePubMedPubMed CentralGoogle Scholar
- Kirk SFL, Penney TL, Freedhoff Y. Running away with the facts on food and fatness. Public Health Nutr. 2010;13:147–8.View ArticlePubMedGoogle Scholar
- Folta SC, Goldberg JP, Economos C, Bell R, Meltzer R. Food advertising targeted at school-age children: a content analysis. J Nutr Educ Behav. 2006;38:244–8.View ArticlePubMedGoogle Scholar