International Journal of Public Health

, Volume 61, Issue 9, pp 1049–1057 | Cite as

Television food advertising to children in Slovenia: analyses using a large 12-month advertising dataset

  • Živa Korošec
  • Igor PravstEmail author
Original Article



The marketing of energy-dense foods is recognised as a probable causal factor in children’s overweight and obesity. To stimulate policymakers to start using nutrient profiling to restrict food marketing, a harmonised model was recently proposed by the WHO. Our objective is to evaluate the television advertising of foods in Slovenia using the above-mentioned model.


An analysis is performed using a representative dataset of 93,902 food-related advertisements broadcast in Slovenia in year 2013. The advertisements are linked to specific foods, which are then subject to categorisation according to the WHO and UK nutrient profile model.


Advertising of chocolate and confectionery represented 37 % of food-related advertising in all viewing times, and 77 % in children’s (4–9 years) viewing hours. During these hours, 96 % of the food advertisements did not pass the criteria for permitted advertising according to the WHO profile model.


Evidence from Slovenia shows that, in the absence of efficient regulatory marketing restrictions, television advertising of food to children is almost exclusively linked to energy-dense foods. Minor modifications of the proposed WHO nutrient profile model are suggested.


Food advertising Nutrient profile Regulation Children Television Marketing 



The authors would like to thank AGB Nielsen (Slovenia) and Mr Boštjan Kušnjerek for support in access to and analyses of the advertising data. We also acknowledge the help of food science and technology students (University of Ljubljana, Slovenia) in the data collection, and Murray Bales for providing assistance with the language. The authors would also like to acknowledge that Igor Pravst has led/participated in various other research projects in the area of nutrition/public health/food technology, which were (co)funded by the Slovenian Research Agency, Ministry of Health of the Republic of Slovenia, the Ministry of Agriculture, Forestry and Food of the Republic of Slovenia, and in case of specific applied research projects also by food businesses.

Compliance with ethical standards


This study was funded by the Slovenian Research Agency (Research programme P3-0395: Nutrition and Public Health). The funding organisation had no role in the design, analysis or writing of this article.

Conflict of interest

The authors declare that they have no other potential conflicts of interest.

Ethical approval

This article does not contain any studies with human participants performed by any of the authors.

Supplementary material

38_2016_896_MOESM1_ESM.docx (34 kb)
Supplementary material 1 (DOCX 34 kb)


  1. Adams J, Tyrrell R, Adamson AJ, White M (2012) Effect of restrictions on television food advertising to children on exposure to advertisements for ‘less healthy’ foods: repeat cross-sectional study. PLoS One 7(2):e31578. doi: 10.1371/journal.pone.0031578 CrossRefPubMedPubMedCentralGoogle Scholar
  2. Birkimer JC, Brown JH (1979) Back to basics: percentage agreement measures are adequate, but there are easier ways. J Appl Behav Anal 12(4):535–543CrossRefPubMedPubMedCentralGoogle Scholar
  3. Boing A, Subramanian SV (2015) The influence of area-level education on body mass index, waist circumference and obesity according to gender. Int J Public Health 60(6):727–736. doi: 10.1007/s00038-015-0721-8 CrossRefPubMedGoogle Scholar
  4. Boyland EJ, Halford JCG (2013) Television advertising and branding. Effects on eating behaviour and food preferences in children. Appetite 62:236–241. doi: 10.1016/j.appet.2012.01.032 CrossRefPubMedGoogle Scholar
  5. Boyland EJ, Harrold JA, Kirkham TC, Halford JCG (2011) The extent of food advertising to children on UK television in 2008. Int J Pediatr Obes 6(5–6):455–461. doi: 10.3109/17477166.2011.608801 CrossRefPubMedGoogle Scholar
  6. Boyland EJ, Kavanagh-Safran M, Halford JC (2015) Exposure to ‘healthy’ fast food meal bundles in television advertisements promotes liking for fast food but not healthier choices in children. Br J Nutr 113(6):1012–1018. doi: 10.1017/s0007114515000082 CrossRefPubMedGoogle Scholar
  7. Cairns G, Angus K, Hastings G, Caraher M (2013) Systematic reviews of the evidence on the nature, extent and effects of food marketing to children. A retrospective summary. Appetite 62:209–215. doi: 10.1016/j.appet.2012.04.017 CrossRefPubMedGoogle Scholar
  8. Caroli M, Argentieri L, Cardone M, Masi A (2004) Role of television in childhood obesity prevention. Int J Obes Relat Metab Disord 28(Suppl 3):S104–S108. doi: 10.1038/sj.ijo.0802802 CrossRefPubMedGoogle Scholar
  9. Carson V, Faulkner G, Sabiston CM, Tremblay MS, Leatherdale ST (2015) Patterns of movement behaviors and their association with overweight and obesity in youth. Int J Public Health 60(5):551–559. doi: 10.1007/s00038-015-0685-8 CrossRefPubMedGoogle Scholar
  10. Ciccone MM, Scicchitano P, Cortese F et al (2014) Endothelial function in obese and overweight patients: the role of olive oil, fish and nuts. Int J Diabetes Clin Res 1(1). Accessed 12 Sept 2016
  11. Crespo CJ, Smit E, Troiano RP, Bartlett SJ, Macera CA, Andersen RE (2001) Television watching, energy intake, and obesity in US children: results from the third National Health and Nutrition Examination Survey, 1988–1994. Arch Pediatr Adolesc Med 155(3):360–365CrossRefPubMedGoogle Scholar
  12. DH (2011) Nutrient profiling technical guidance. In: Department of health. Accessed 12 Sept 2016
  13. Elsey JW, Harris JL (2016) Trends in food and beverage television brand appearances viewed by children and adolescents from 2009 to 2014 in the USA. Public Health Nutr 19(11):1928–1933. doi: 10.1017/S1368980015003274 CrossRefPubMedGoogle Scholar
  14. Erzen N, Rayner M, Pravst I (2015) A comparative evaluation of the use of a food composition database and nutrition declarations for nutrient profiling. J Food Nutr Res 54(2):93–100Google Scholar
  15. FRFMC (2010) Code of responsible food marketing communication to children In: Forum of responsible food marketing communication. Accessed 12 Sept 2016
  16. Gabrijelčič Blenkuš M (2005) Nutritional guidelines for preparing meals in kindergartens and schools. (In Slovenian: Smernice zdravega prehranjevanja v vzgojno – izobraževalnih ustanovah). Ministrstvo zazdravje. Accessed 12 Sept 2016
  17. Galcheva SV, Iotova VM, Stratev VK (2008) Television food advertising directed towards Bulgarian children. Arch Dis Child 93(10):857–861. doi: 10.1136/adc.2007.134437 CrossRefPubMedGoogle Scholar
  18. Gortmaker SL, Must A, Sobol AM, Peterson K, Colditz GA, Dietz WH (1996) Television viewing as a cause of increasing obesity among children in the United States, 1986–1990. Arch Pediatr Adolesc Med 150(4):356–362CrossRefPubMedGoogle Scholar
  19. Haley SM, Osberg JS (1989) Kappa coefficient calculation using multiple ratings per subject: a special communication. Phys Ther 69(11):970–974PubMedGoogle Scholar
  20. Helsedirektoratet (2013) Appendix 1 to draft regulations. Foods and beverages that are considered unhealthy under these Regulations In.—9005.pdf
  21. IJS (2010) OPKP—odprta platforma za klinično prehrano. In Accessed 12 Sept 2016
  22. Jenkin G, Wilson N, Hermanson N (2009) Identifying ‘unhealthy’ food advertising on television: a case study applying the UK Nutrient Profile model. Public Health Nutr 12(05):614–623. doi: 10.1017/S1368980008003029 CrossRefPubMedGoogle Scholar
  23. Keller SK, Schulz PJ (2011) Distorted food pyramid in kids programmes: a content analysis of television advertising watched in Switzerland. Eur J Public Health 21(3):300–305. doi: 10.1093/eurpub/ckq065 CrossRefPubMedGoogle Scholar
  24. Keller KL et al (2012) The impact of food branding on children’s eating behavior and obesity. Physiol Behav 106(3):379–386. doi: 10.1016/j.physbeh.2012.03.011 CrossRefPubMedGoogle Scholar
  25. Kelly B, Chapman K (2007) Food references and marketing to children in Australian magazines: a content analysis. Health Promot Int 22(4):284–291. doi: 10.1093/heapro/dam026 CrossRefPubMedGoogle Scholar
  26. Kelly B, Smith B, King L, Flood V, Bauman A (2007) Television food advertising to children: the extent and nature of exposure. Public Health Nutr 10(11):1234–1240. doi: 10.1017/S1368980007687126 CrossRefPubMedGoogle Scholar
  27. Kelly B et al (2010) Television food advertising to children: a global perspective. Am J Public Health 100(9):1730–1736. doi: 10.2105/ajph.2009.179267 CrossRefPubMedPubMedCentralGoogle Scholar
  28. Korosec Z, Pravst I (2014) Assessing the average sodium content of prepacked foods with nutrition declarations: the importance of sales data. Nutrients 6(9):3501–3515. doi: 10.3390/nu6093501 CrossRefPubMedPubMedCentralGoogle Scholar
  29. Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33(1):159–174CrossRefPubMedGoogle Scholar
  30. Machado-Rodrigues AM et al (2015) Metabolic risk and television time in adolescent females. Int J Public Health 60(2):157–165. doi: 10.1007/s00038-014-0625-z CrossRefPubMedGoogle Scholar
  31. Mardon J, Thiel E, Laniau M, Sijtsema S, Zimmermann K, Barjolle D (2015) Motives underlying food consumption in the Western Balkans: consumers’ profiles and public health strategies. Int J Public Health 60(5):517–526. doi: 10.1007/s00038-015-0684-9 CrossRefPubMedGoogle Scholar
  32. McAllister EJ et al (2009) Ten putative contributors to the obesity epidemic. Crit Rev Food Sci Nutr 49(10):868–913. doi: 10.1080/10408390903372599 CrossRefPubMedPubMedCentralGoogle Scholar
  33. McHiza ZJ, Temple NJ, Steyn NP, Abrahams Z, Clayford M (2013) Content analysis of television food advertisements aimed at adults and children in South Africa. Public Health Nutr 16(12):2213–2220. doi: 10.1017/s136898001300205x CrossRefPubMedGoogle Scholar
  34. Neville L, Thomas M, Bauman A (2005) Food advertising on Australian television: the extent of children’s exposure. Health Promot Int 20(2):105–112. doi: 10.1093/heapro/dah601 CrossRefPubMedGoogle Scholar
  35. Olafsdottir S et al (2014) Young children’s screen habits are associated with consumption of sweetened beverages independently of parental norms. Int J Public Health 59(1):67–75. doi: 10.1007/s00038-013-0473-2 CrossRefPubMedGoogle Scholar
  36. Powell LM, Szczypka G, Chaloupka FJ (2007) Exposure to food advertising on television among US children. Arch Pediatr Adolesc Med 161(6):553–560. doi: 10.1001/archpedi.161.6.553 CrossRefPubMedGoogle Scholar
  37. Powell LM, Schermbeck RM, Szczypka G, Chaloupka FJ, Braunschweig CL (2011) Trends in the nutritional content of television food advertisements seen by children in the United States: analyses by age, food categories, and companies. Arch Pediatr Adolesc Med 165(12):1078–1086. doi: 10.1001/archpediatrics.2011.131 CrossRefPubMedPubMedCentralGoogle Scholar
  38. Powell LM, Schermbeck RM, Chaloupka FJ (2013) Nutritional content of food and beverage products in television advertisements seen on children’s programming. Childhood obesity 9(6):524–531. doi: 10.1089/chi.2013.0072 (Print) CrossRefPubMedPubMedCentralGoogle Scholar
  39. Pravst I, Kusar A (2015) Consumers’ exposure to nutrition and health claims on pre-packed foods: use of sales weighting for assessing the food supply in Slovenia. Nutrients 7(11):9353–9368. doi: 10.3390/nu7115474 CrossRefPubMedPubMedCentralGoogle Scholar
  40. Rayner M, Scarborough P, Lobstein T (2009) The UK Ofcom Nutrient Profiling Model. In. Accessed 12 Sept 2016
  41. Rayner M, Mizdrak A, Logstrup S, Kestens M (2013) Reducing children’s exposure to marketing of foods and drinks that are high in fat, salt or sugar: what would be the best nutrient profile model? In: European Heart Network. Accessed 12 Sept 2016
  42. Robinson TN et al (1993) Does television viewing increase obesity and reduce physical activity? Cross-sectional and longitudinal analyses among adolescent girls. Pediatrics 91(2):273–280PubMedGoogle Scholar
  43. RS (2015) Resolution on national programme on nutrition and physical activity 2015–2025 (In Slovenian: Resolucija o nacionalnem programu o prehrani in telesni dejavnosti za zdravje 2015–2025). In. Accessed 12 Sept 2016
  44. RS (2016) Prehranske smernice za oblikovanje pravil ravnanja za zaščito otrok pred neprimernimi komercialnimi sporočili (In Slovenian). Accessed 12 Sept 2016
  45. Scarborough P et al (2013) How important is the choice of the nutrient profile model used to regulate broadcast advertising of foods to children [quest] a comparison using a targeted data set. Eur J Clin Nutr 67(8):815–820. doi: 10.1038/ejcn.2013.112 CrossRefPubMedPubMedCentralGoogle Scholar
  46. Scicchitano P, Cameli M, Maiello M et al (2014) Nutraceuticals and dyslipidaemia: beyond the common therapeutics. J Funct Foods 6:11–32CrossRefGoogle Scholar
  47. Scully P, Macken A, Leddin D, Cullen W, Dunne C, Gorman CO (2014) Food and beverage advertising during children’s television programming. Ir J Med Sci. doi: 10.1007/s11845-014-1088-1 PubMedGoogle Scholar
  48. Sedej K, Kotnik P, Avbelj S et al (2014) Decreased prevalence of hypercholesterolaemia and stabilisation of obesity trends in 5-year-old children: possible effects of changed public health policies. Eur J Endocrinol 170(2):293–300. doi: 10.1530/eje-13-0566 CrossRefPubMedGoogle Scholar
  49. Sim J, Wright CC (2005) The kappa statistic in reliability studies: use, interpretation, and sample size requirements. Phys Ther 85(3):257–268PubMedGoogle Scholar
  50. Tomori M, Rus-Makovec M (2000) Eating behavior, depression, and self-esteem in high school students. J Adolesc Health 26(5):361–367CrossRefPubMedGoogle Scholar
  51. TPH (2016) Peer nutrition program. In: Toronto public health. Accessed 5.5.2016
  52. UNICEF (2013) Child well-being in rich countries: A comparative overview. In: UNICEF Office of Research. Accessed 12 Sept 2016
  53. Watson WL, Johnston A, Hughes C, Chapman K (2014) Determining the ‘healthiness’ of foods marketed to children on television using the Food Standards Australia New Zealand nutrient profiling criteria. Nutr Diet 71(3):178–183. doi: 10.1111/1747-0080.12127 CrossRefGoogle Scholar
  54. WHO (2013a) Global Strategy on Diet, Physical Activity and Health: Childhood overweight and obesity. In. Accessed 12 Sept 2016
  55. WHO (2013b) Nutrition, physical activity and obesity: Slovenia. In: WHO. Accessed 5 May, 2016
  56. WHO (2013c) Slovenia physical activity factsheet. In: Accessed 5 May, 2016
  57. WHO (2015a) Guideline: Sugars intake for adults and children. In: Accessed 12 Sept 2016
  58. WHO (2015b) WHO Regional Office for Europe nutrient profile model. In: Accessed 12 Sept 2016
  59. WHO/FAO (2003) Diet, nutrition and prevention of chronic diseases: Report of a joint WHO/FAO expert consultation. In: Accessed 12 Sept 2016

Copyright information

© Swiss School of Public Health (SSPH+) 2016

Authors and Affiliations

  1. 1.Nutrition InstituteLjubljanaSlovenia

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