Post on 23-Jan-2017
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Critical evaluation of slimming related foods / meals available in
British supermarkets
Student number: 2159134h
Submission date: August 10th 2015
Supervisor: Professor Christine Edwards
The research project is submitted in partial fulfilment of the requirements for the
degree of MSc in Human Nutrition with specialization in Public Health Nutrition
Word count:6193
Key words: Slimming foods, ready meals, Special K challenge, fruit yogurt
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This is to certify that the work reported in this dissertation is all my own work unless
otherwise stated
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Table of contents
1.Abstract ............................................................................................................................................ 4
2.Introduction ..................................................................................................................................... 5
Background.................................................................................................................................................... 5
Ready meals................................................................................................................................................... 5
Yogurts .......................................................................................................................................................... 6
Special K and weight loss, is there a link? .................................................................................................... 7
Aims .............................................................................................................................................................. 8
3. Methods ........................................................................................................................................... 8
Selection of supermarkets chains .................................................................................................................. 8
Data collections ............................................................................................................................................. 8
Nutritional data collection ............................................................................................................................. 9
Statistical analysis ....................................................................................................................................... 10
4. Results ........................................................................................................................................... 10
Ready meals................................................................................................................................................. 10
Strawberry and raspberry yogurts ................................................................................................................ 17
Special K VS Kellogg’s ............................................................................................................................... 20
5.Discussion ....................................................................................................................................... 22
Initial overview of the findings ................................................................................................................... 22
Nutritional information ................................................................................................................................ 23
Ready meals................................................................................................................................................. 23
Strawberry/raspberry yogurts ...................................................................................................................... 25
Special K challenge ..................................................................................................................................... 26
Food price .................................................................................................................................................... 27
Limitations ................................................................................................................................................... 27
Future study ................................................................................................................................................. 28
6. Conclusion..................................................................................................................................... 28
7. Acknowledgements....................................................................................................................... 28
8. References ..................................................................................................................................... 29
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Abstract
Introduction: Over 70% adults in UK and US will be overweight by 2020. Public pay more
attention to their diet and over 80% people, especially women, have concerns over their weight in
UK. Many supermarkets launch slimming version of products in order to meet the consumers’
demand.
Aims: Compare slimming- related foods/products available in 6 supermarket with their non-
slimming version (their nutrition content, portion size and price), including strawberry/raspberry
yogurts and ready meals. Kellogg’s VS special K were compared to assess Special K challenge
program proposed by Kellogg’s
Methods: Recipes and nutritional data collected from either supermarket website or manufacture
websites. Price was obtained from ‘mypsupermarket.com’. The statistics analysis was performed
either by MINITAB version 17 or Microsoft Excel.
Results: For yogurts, significant difference for protein (P<0.05), calcium (p<0.05) and calorie
(p<0.05). For ready meals, there is not significant difference in prices. Some recipes have
significant difference in certain nutrients between slimming and non-slimming version. Salt content
are high and maybe associated with obesity, but not all significant.
Conclusions: As for special K challenge, it is healthy lifestyle that responsible for potential weight
loss rather than special K products. Cornflake product is healthier and cost-effective option,
considering their lower sugar content. The calcium and protein in raspberry and strawberry yogurt
contribute to weight loss. In terms of ready meals, portion size along with energy density have an
effect on weight loss. For other nutrient, not all were statistical significant.
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Introduction
Background
Obesity is one of the fastest growing epidemic in the 21st century. The prevalence of obesity
increases across all age group. According to the data, over 1,46 billion adults globally were
overweight in 2008 and over 70% of adults in United Kingdom and United States will be
overweight by 2020 (Finucane et al., 2011). 11 million more UK adults will be obese by 2030
(Wang et al., 2011) Being overweight and obese increase the risk of developing diseases such as
type 2 diabetes, coronary heart disease (CHD) and some types of cancer. There has been over 10%
increase in number of obese or overweight (from 52.4% to 62.6%) in the past 2 decades in Scotland.
The cost of treating obesity to NHS Scotland could reach 3 billion pounds in 2030. (The Scottish
government, 2014)
Ready meals
Research from Mintel (2014) suggested that 55% of British people (equivalent to 29 million) made
their effort to lose weight in the past years. There were only 5% of women and 17% men have
claimed that they have no concern about their weight. Ready meals have been defined as pre-
prepared main courses that can be reheated in the container, without further ingredients and
requiring minimal preparation. (Remnant and Adams, 2015) In UK, consumers spent £2.6bn on
ready meals each year, which was twice as much as France as and six times more than Spain.
(Manchester University, 2014) Over 70% of UK house hold consumed ready meals. Food Standard
Agency (2003). Among those consumers, 28% use them consumer more than once a week. The
number has risen to over 40% according to more recent data (Mahon, Vowan & McCarthy, 2006).
The shift in dietary pattern to faster and convenient manner seems to be inevitable, especially in
such a fast-moving society. Hence, consumption of ready meals is likely to be responsible for the
rise in obesity (WHO, 2003; Moneiro, 2010).
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However, the nutritional content of ready meals has attracted negative publicity. A study from
Glasgow University described current ready meal from major UK supermarkets as ‘Nutritionally
chaotic’. (Celnik et al., 2012) A cross-sectional study published in the British Medical Journal has
investigated popular main meals recipes from UK cookery books and over 100 own-brand ready
meals from 3 supermarkets. Results indicated none of them were fully complied with WHO
recommendation. (Howard et al., 2012) Ready meals have more or less undergone some industrial
processing to ensure its hygiene or to enhance palatability, texture or flavor, such as preservatives,
which may lead to loss of some nutrient, such as protein (Alkerwi et al., 2015) In addition,
consumers who regularly consume ready meals usually fail to consumer enough fruits and
vegetables. (O’Donnellet; 2008; Rosenheck, 2008; Burns et al., 2002). In order to meet the need for
weight management, some companies have marketed the product clearly stated, for example ‘Now
slim food range’ and ‘slim noodles’, or implied its association with weight management, such as
Waitrose ‘Lovelife calorie controlled’, Tesco ‘healthy living’ and Iceland ‘slimming world’.
Portion size is a concept that has been used differently in different settings, including food
manufactures, regulatory agencies and consumers, hence consumer’s food intake and perceived
satiety might be influenced by portion size. (Ueland et al., 2009). It is considered one of the
environmental determinants of energy intake. Evidence emerging that portion size of foods has
increased over the past 3 decades. When it comes to energy intake control and subsequent obesity,
effort has been made to physiological and biological events occurring after ingestion of food,
however the role of behavior control has often been neglected. (Benton, 2015). Evidence suggested
that reduced portion size and energy density independently result in significant decrease in energy
intake over 2 day (P<0.0001). 10 % decreased in energy intake resulted from 25% reduction in
portion size. (Rolls, Roe and Meengs, 2006)
Yogurts
Yogurt is an important source of calcium, energy and other micronutrients. It is a large contributor
to protein intake in western world (Astrup, 2014; Bendtsen et al., 2013) Data from Framingham
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Heart Study Offspring Cohort found 3 servings per day of total dairy consumption have been
associated with 0,1 kg smaller annual weight gain (p=0.04) and less WC gain (p=0.05), compared
with those who consuming <1 serving per day. These effects have not been observed in other dairy
products. (Wang et al., 2014) Yogurt consumption has also been linked with better diet quality and
metabolic profiles in American population (Wang et al., 2013). However, a randomized controlled
trial (RCT) found that dairy and calcium-rich diet was not linked with greater weight loss than
control group, however there was an rise in plasma PYY concentration , which enhanced the
satisfaction and reduced dietary fat intake during energy restriction period (Jones et al., 2013)
Special K and weight loss, is there a link?
Breakfast cereal is one of the most common food in western diet. It is an important source of
various vitamin and minerals, such as B vitamins and Iron. (William, 2014) There is few breakfast
cereal product claiming to contribute to weight loss, except Kellogg’s special K range. They have
launched a campaign known as special K challenge, which is a ‘simple and scientifically-proven
way to help you kick-start a healthier life style’, according to their website. It has also been pointed
out that 6 pounds weight loss can be achieved in 14 days if participants consume cereal or other
special K products for breakfast and lunch, plus a regular dinner’ and ’ Drop a jeans size in 2
weeks’. (Kellogg’s, 2012). The challenge consists 5 steps. First of all, calculate the BMI to find out
if you are eligible for the challenge. The challenge is suitable for whose BMI over 25. Secondly,
replace breakfast with a 45 g serving of special K products, and then replace either lunch or dinner
with another serving. Next, to consume a third balanced meal of your choices. Then, replace the
snacks with healthier options such as fruits & vegetables. Finally, include regular exercise in daily
routine.
Controlling food choices, along with decisions of whether and amount to eat, are important to
prevent or treat weight gain and obesity. (Mela, 2001) There are a number of product that associated
or implied its effect on weight management in British supermarkets. Therefore, question may arise
as what are the benefit of slimming foods compared with non-slimming version? What makes the
difference? Do I have to pay more to achieve the effect? There is a lack of study in comparing
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slimming foods with their corresponding non-slimming version. The study is intended to provide a
general guidance to the consumer who looks for weight loss and difficult with choices between two
versions. Three types of food as example (strawberry/raspberry yogurt, ready meals and Kellogg’s
flake products)
Aims
The purposes of this study include
Comparing slimming version of ready meals on the supermarket shelf with their corresponding
non-slimming version, in terms of their nutrition content, portion size and cost.
Comparing fat free or 0% fat, low fat and standard (neither fat free nor low fat) fruit yogurt using
raspberry/strawberry yogurt as an example.
Assessment of Kellogg’s special K challenge. This will be done by comparing special K products
with corresponding Kellogg’s products, therefore justify whether it is the special K products or
the healthy lifestyle that contribute to its weight loss effect.
2. Methods
Selection of supermarkets chains
The sourcing of the products were carried out in 6 British supermarkets chains (Iceland, ASDA,
Tesco, Morrison, Sainsbury’s as well as Waitrose), because they account for over 60% of market
share in UK (Statista, 2015). The reason why the Co-op is not included in the study is because the
online shopping is not available therefore information regarding nutrition and portion size is not
accessible. The reason why Aldi and Lidl are not included is because they are headquartered in
Germany, the regulation regarding nutritional information may be slightly different.
Data collections
Information regarding overall food categories were obtained through the ‘mysupermarket.com’,
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which enable searching the stock list and availability of certain foods/products for each supermarkets,
however it does not provide any nutritional information and portion size. Information regarding
portion sizes (1 serving) and nutrition information were either obtained from supermarket website or
manufacture site. All the nutritional information in this study was based on 1 serving or 1 portion as
the manufactures states on the package, since it reflects individual level daily intake, rather than use
100g per product. For product without mentioning the portion size or per serving, they were
considered as 1 portion or serving size.
Nutritional data collection
In terms of yogurts, they are grouped into ‘fat free or 0% fat’, ‘low fat’ and ‘standard’. The raspberry
and strawberry yogurt were chosen was because they are representative flavor that appears in almost
every yogurt brand. The reason to exclude the plain yogurt was because people are unlikely to
consume plain yogurt along, instead they usually served with dried fruit & nut or breakfast cereals,
the natural set yogurts are generally used for cooking. The calorie content vary greatly.
‘Strawberry yogurt’ and ‘raspberry yogurts’ were used in the search from 6 supermarket websites.
The type of yogurt are judged by looking at the product name. The Greek style were included.
For ready meals, range names that directly associated with slimming, were searched There are 3,
‘Slimming world’, ‘love life calorie controlled’ and weightwatchers. ‘Slimming world’ is exclusive
to Iceland and ‘lovelife calorie controlled’ for Waitrose. ‘Weightwatchers’, on the other hand, appear
in different supermarkets. The recipes from 3 ranges that associated with sliming were listed. The
corresponding non-slimming versions were searched from each of the six supermarkets’ website.
There are several ranges that are implied with healthy eating, including ASDA ‘Good & counted’,
Tesco ‘healthy living’ and Morrison ‘NuMe’ etc. will be categorized into slimming range to analyses.
The description from website were skimmed through to ensure the main ingredients were not different
among products. In order to achieve statistical significance, product with 5 different packs, including
at least 2 slimming and 2 non-slimming version, were included in the study.
The variety range of products for special K were obtained from its UK official website
(http://www.specialk.co.uk/en_gb/flakes.html), because there is a slight difference in the product
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range among different countries. The corresponding products are coming from the Kellogg’s
websites. The price of the foods were obtained from the mysupermarkets.com, since it included
prices from different retailers. The highest price appears on the mysupermarket.com for this product
will be used. The purpose of this is to avoid any effect of promotions that could lead to a variation
in price per serving, although the magnitude is negligible.
Statistical analysis
Statistical analysis are performed in Minitab (version 17). In terms of the statistical methods, the
dataset needs to be tested for its normality first, then types of statistic tests was applied depending on
its normality and groups of datasets. The methods include in this study can be MannWitney test,
Kruskal Waillis test or standard student t-tests. The justification of the statistical method applied
will be provided under ‘Result’ section in each case. The other statistical calculation was performed
by Microsoft excel 2013.
Results
Ready meals
Overall 27 recipes and 207 packs of ready meals were identified. The whole list will be found in
separate document. In order to achieve statistical significance, a recipe appear at least 5 times with
at least 2 slimming version and 2 non-slimming version were included in the analysis. Therefore 10
recipes and 129 packs were examined after selection and ingredient list check, including Chicken
tikka masala with rice, chicken curry with rice, chicken hotpot, beef hotpot, beef lasagne, spaghetti
bolognese, sweet sour chicken with rice, chicken curry, spaghetti & meatballs, tomato & basil pasta.
The whole list will be found in the separate document.
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Figure 1: Comparison of calorie contents between slimming-version and non-slimming version of 10 ready meals; * p<0.05; ** p<0.01
Figure 1 shows the comparisons of calorie contents of 10 ready meals recipes. The white bar
represent for the slimming version, whereas grey bars are non-slimming version. Mann-Whitney
test were performed, since the data was not normally distributed and 2 items in each group. The
result indicate that a significant difference of calorie contents in 4 out 10 recipes, chicken tikka
masala (p<0.01), Chicken curry with rice (p<0.05), beef lasagna (p<0.05) as well as green Thai
curry with rice (p<0.05).
Figure 2: Comparison of carbohydrate contents between slimming-version and non-slimming version of 10 ready meals Note: * p<0.05;** p<0.01; X
value that over or below the limit range
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Figure 2 shows the difference in carbohydrate contents of slimming version and non-slimming
version of the 10 ready meals. The white bar represent for the slimming version, whereas blue bars
are non-slimming version. The Mann-Whitney test was performed, because data was not normally
distributed. In several recipes, the slimming version had less carbohydrate statistically significant in
Chicken tikka masala with rice (p<0.01), chicken curry with rice (p<0.05).
Figure 3: Comparison of sugar contents between slimming-version and non-slimming version of 10 ready meals Note: * p<0.05;** p<0.01; X: value
below or above the limit range
Figure 3 shows the difference in sugar content of examine ready meals. In general, there was no
difference in the sugar content between slimming and non-slimming version. Only 2 out 10 meals
are statistically significant, Chicken tikka masala with rice (p<0.01) and sweet & sour chicken with
rice (p<0.05). Sainsbury’s spaghetti Bolognese (430g) had higher sugar content in the non-
slimming version.
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Figure 4: Comparison of fat contents between slimming-version and non-slimming version of 10 ready meals Note: * p<0.05;** p<0.01
Figure 4 shows the differences in fat content of the ready meals examined. Generally, the non-
slimming version of ready meals had higher fat content than the corresponding slimming version,
but only three out 10 recipes had significantly more fat in the standard version- chicken tikka
masala with rice (p<0.01), chicken curry with rice (p<0.05), Beef lasagne (p<0.05) and Green Thai
Chicken Curry (p<0.05)
Figure 5: Comparison of saturated fat contents between slimming-version and non-slimming version of 10 ready meals Note: * p<0.05;** p<0.01; X
value below or above the limit range
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In terms of saturated fat, -chicken tikka masala with rice (p<0.01), chicken hotpot (p<0.05), beef
lasagne (p<0.01) and spaghetti and meatballs (p<0.05) had higher saturated fat content in the
standard, compared with slimming versions Tesco big night in chicken tikka masala with rice from
had extremely high saturated content.
Figure 6: Comparison of fiber contents between slimming-version and non-slimming version of 10 ready meals Note: * p<0.05; X value that beyond
the limit range
It may be thought that slimming versions of meals would contain more fibre to reduce the energy
density of the ready meals. Figure 6 shows the comparisons of fiber contents between slimming-
version and non-slimming version of 10 ready meals. There was no difference in fiber content,
except for in sweet and sour chicken with rice (p<0.05) where there was more fiber in the non-
slimming versions.
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Figure 7: Comparison of protein contents between slimming-version and non-slimming version of 10 ready meals Note: * p<0.05;
When comparison was made of protein contents between slimming-version and non-slimming
version of 10 ready meals, Two out of 10 were statistically significant- chicken tikka masala with
rice (p<0.01) and chicken hotpot (p<0.05). Green Thai chicken curry with rice has higher protein in
the non-slimming versions
Figure 8: Comparison of salt contents between slimming-version and non-slimming version of 10 ready meals Note: * p<0.05; X value below or
above the limit range
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Figure 8 shows the comparison of salt contents between slimming version and non-slimming
version of 10 ready meals. Two out of 10 recipes have significant difference in salt content-
Chicken tikka masala with rice (p<0.05) and beef lasagne (p<0.05). Iceland meal for one minced
beef hotpot have 3.4g salt for one serving, which is half of daily allowance. This is due to the large
portion size (500g).
Figure 9: Comparison of portion sizes between slimming-version and non-slimming version of 10 ready meals Note: * p<0.05;
Figure 9 shows the comparisons of portion size between slimming-version and non-slimming
version of 10 ready meals. There was no difference in portion size, except for chicken tikka masala
with rice (p<0.05) and beef hotpot (p<0.05)
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Figure 10: Comparison of prices between slimming-version and non-slimming version of 10 ready meals
Figure 10 shows the comparisons of price between slimming-version and non-slimming version of
10 ready meals. There was no significant difference between 2 groups. Slimming versions of Green
Thai chicken curry with rice and Tomato thai basil pasta are clearly cheaper than non-slimming
version
Strawberry and raspberry yogurts
Overall 76 strawberry and raspberry yogurts, including 21 fat free, 19 low fat and 36 standard non-
slim version were included in this study. The list of items will be found in the separated folder. The
reason plain yogurts were not studied is because public are unlikely to consume the plain yogurt
alone, instead they tend to consumer along with cereals and other foods, the calorie content of
which vary substantially. For fruit yogurts, strawberry or raspberry flavor appears most frequently
across all the brands, therefore used for analysis.
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Figure 11: Comparison of fat, saturated fat and fiber contents among fat free, low fat and normal raspberry/ strawberry yogurts
Note: * p<0.05; ** p<0.01 among three groups; X value that beyond the limit range
Figure 11 shows the comparison of fat, saturated fat, salt and fibre content of 3 groups of yogurt.
Kruskal Wallis were performed because there are 3 groups of data and not normally distributed.
Results indicate that there is a statistical significance in fat content in fat free VS normal and low fat
VS normal, both (p<0.05). Similar association were found for saturated fatty acid, fat free VS
normal (p<0.05) and low fat VS normal (p<0.05). There is a great variation in fat content for
standard yogurt. Some far free yogurts have higher fiber content than normal range, for example
Shape 0% fat strawberry yogurt 4*120g, Lancashire farm fat free bio strawberry yogurt 450g
(150g) and Morrison NuMe Fat free strawberry yogurt, one from low fat group (Stapleton Farm
Low Fat Raspberry Yogurt 150g)
Figure 12: Comparison of calorie, carbohydrates, sugar and protein contents among fat free, low fat and normal raspberry/ strawberry yogurts Note: X value
that beyond the limit range; * significant compared with normal p<0.05; ** p<0.05 among three groups; Fat free, low fat, normal (left to right)
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Figure 12 shows the comparison of calorie, carbohydrate, sugar and protein content of 3 groups.
There is a clear increasing trend for the calorie content (fat free VS low fat VS normal), whereas a
decreasing trend were observed from the protein groups in the same order. They are all statistically
significant among 3 groups across the 4 nutrients (p<0.05). There is significant difference between
low fat calorie and normal calorie, fat free calorie and normal calorie. There is significant difference
in fat free carbohydrate and standard carbohydrate (p<0.05), fat free sugar and standard sugar
(p<0.05), low fat protein and standard protein (p<0.05), low fat protein and standard protein
(p<0.05). There are two products from Arla have higher protein content, because these products are
designed for exercise recovery, protein is essential in terms of repairing tissues and muscles.
Figure 13: Comparison of calcium content among fat free, low fat and normal raspberry/ strawberry yogurts Note: X stands for value that beyond the limit
range; * significant compared with normal p<0.05; ** p<0.05 among three groups
Figure 13 shows difference in calcium content across 3 groups. According to result from Kruskal
wallis test, there is significant difference among 3 groups (p<0.05).Mann-Whitney test suggest both
fat free and low fat have significant difference comparing with standard one (p<0.05). Calin +
strawberry yogurt have an almost double the calcium content (400g per serving) compared with the
rest of group. This is consistent with nutritional claim on front of pack- ‘Yogurt enriched with
vitamin D and calcium, for strong bones’.
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Special K VS Kellogg’s
Figure 14: Comparison of nutrients among special K, Kellogg's bran flakes and cornflakes (per serving)
Figure 14 shows the comparison of nutrients per serving among special K original, Kellogg’s bran
flakes and Kellogg’s cornflakes. The result suggested Kellogg’s bran flakes have highest sugar,
fiber and protein contents. Kellogg’s cornflakes has higher carbohydrate and salt for 1 serving.
For saturated content, there is not much difference among three groups.
Figure 15: Comparison of nutrients among special K with added ingredients, original and Kellogg's cornflakes (per serving)
0.5 0.1
24.0
5.1
1.42.7
0.30.6 0.2
20
64.5
3.3
0.30.3 0.1
25
2.40.9
2.10.38
0
5
10
15
20
25
30
Fat Saturated fat Carbohydrates Sugars Fibre Protein Salt
Comparison of nutrients among special K, Kellogg's bran flakes and
cornflakes (per serving)
Special K Original Kellogg's bran flakes Kellogg’s corn flakes
Gram
1 0.3
24.4
6.5
1.42.6
0.30.5 0.1
24
5.1
1.42.7
0.30.3 0.1
25
2.40.9
2.10.38
0
5
10
15
20
25
30
Fat Saturated fat Carbohydrates Sugars Fibre Protein Salt
Comparison of nutrients of among special K with added ingredients,
special K original and Kellogg's cornfleks (per serving)
Special K with added ingredients Special K original Kellogg's cornflakes
Gram
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Figure 15 shows the comparison of nutrients per serving among special K original, special K with
added ingredients and Kellogg’s cornflakes. The result suggested special K with added ingredients
has double amount of fat, saturated fat and sugars than Kellogg’s cornflakes, all of which are linked
with obesity and cardiovascular disease, whereas Kellogg’s cornflakes product has highest amount
of carbohydrate and salt. In addition, special K products have slightly higher protein and fiber
content.
Figure 16: Calories of special K original, special K with added ingredients, Kellogg's bran flakes and Kellogg's cornflakes (per serving).
Figure 16 shows the comparison of calorie content across 4 ranges of product per serving. The
result show special K with added ingredients has highest calorie content for one serving, whereas
Kellogg’s bran flakes has lowest. The special K original has same calorie content per serving with
Kellogg’s corn flakes.
119.5
113 113
107
100
102
104
106
108
110
112
114
116
118
120
122
Special K with added
ingredients
Special K Original Kellogg’s corn flakes Kellogg’s bran flakes
Calories of special K original, special K with added ingredients, Kellogg's
bran flakes and Kellogg's cornflakes (per serving)
Kcal
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Figure 17: Cost of special K original, special K with added ingredients, Kellogg's bran flakes and Kellogg's cornflakes (per serving)
Figure 17 shows the cost per serving for 4 ranges. Special K with added ingredients have the
highest cost for 1 serving, whereas Kellogg’s cornflakes product have lowest. Overall special K
products are more expensive for 1 serving compared with standard Kellogg’s cornflakes and bran
flakes.
Discussion
Initial overview of the findings
For ready meals, the present study tested difference in calorie, saturated fat, fat, carbohydrate,
sugar, salt, protein, fiber, cost and portion size between slimming and non-slimming version. For
yogurt, the study tested difference in calorie, saturated fat, fat, carbohydrate, sugar, salt, protein,
fiber, as well as calcium content among low fat, fat free or 0% fat and standard strawberry/raspberry
yogurt. In terms of breakfast cereals, study tested difference in calorie, saturated fat, fat,
carbohydrate, sugar, salt, protein, fiber, and cost across 4 ranges of products, special K with added
ingredient, special K original, Kellogg’s bran flakes and Kellogg’s corn flakes. All the data analysis
were based on 1 serving on the product. This section will give an explanation of result and
implication in nutrition science.
0.20
0.12
0.08
0.30
0.00
0.05
0.10
0.15
0.20
0.25
0.30
0.35
Special K Original Kellogg's bran flakes Kellogg’s corn flakes Special K with added
ingredients
Cost of special K original, special K with added ingredients,
Kellogg's bran flakes and Kellogg's cornflakes (per serving)Pounds
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Nutritional information
All the nutritional data in the study were obtained either from supermarket websites or
manufacturer’s websites, hence it is likely that difference between information provided and actual
products. The UK law allows 20% from the values variation in food packaging, to allow for
fluctuation in manufacturing process. (Cantelo et al., 2010)
Ready meals
Overall, slimming version of ready meals consistently provided lower calorie content, however not
all comparisons of slimming VS standard version were significantly different. This could be
explained by small sample size or possibly by wider range of values of meals with variation among
ingredients.
Protein is a macronutrient that may be play an important role in weight management, as protein is
associated with satiety (Westerterp-Plantenga et al., 2012), however there was no significant
difference between slimming and non-slimming version except for Chicken Tikka Masala with rice
and Chicken Hotpot (p<0.05). Sainsbury ‘taste the difference spaghetti Bolognese’, one pack
contained over 60g of protein compared with average, which was 28.1g per serving. This could due
to relative large portion size (400g) and specific ingredients, containing minced beef, cheese, milk
and all of them are protein rich food.
Fibre may play an important part for the slimming version of ready meals. Evidence suggested that
fibre could dilute energy content from energy-dense foods that contribute to obesity, therefore
energy intake reduced. (Smith and Tucker, 2011). In present study, only one out 10 recipes is
significant different in fibre content in present study. The result may be explained by small sample
size, but also different staples of the ready meals. Recent study suggested consumption of pilau rice
along with fat and protein containing curries as a part of a mixed meal have significantly lower GI
value than consume the pilau rice alone (George, Garcia and Edwards, 2015) The mechanisms of
low GI food to weight control may be explained by either enhance satiety, therefore reduced energy
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intake or increase the rate of carbohydrate metabolism, subsequently fat oxidation. (Brand-Millet et
al., 2002)
High salt content is another health issue that needs to be emphasized, even though there is limited
evidence suggesting its association with human. He et al., (2008) consumption of sugar-sweetened
soft drink result from high salt intake leads to obesity, even after adjusting cofounding (P<0.001).
Recent cohort study have confirmed the previous finding, high sodium intake has also been linked
with increased caloric intake, food consumption and worse eating habits after adjusting cofounding.
The biological mechanism salt and obesity in human is still unknown, however study in rats
suggested Slimming versions of ready meals have lower salt content, however only two out of 10
recipes were significantly different from the standard meal. The wider range of salt content may be
because of the manufacture process. Data from NHS suggest the average UK adults salt intake is
about 8.1g per day (NHS, 2015), which is higher than daily allowance intake 6g per day. In the
present study, slimming version of ready meals have generally less salt. The average salt content for
slimming version was around 1.5g per serving compared with 2 g for non-slimming version.
Moreover, it is food industry that should take responsibility to reformulate recipes in order to
provide ‘healthier’ choices.
One way that slimming meals could have lower calories is by having a smaller portion size. This may
affect intake and hunger levels. Diliberti et al., (2004) conducted a study in 180 adult customers to
compare the effects standard portion (248g) and large portion (377g) on energy intake. Portion size
had a significantly effect on intake of the meal (p<0.0001). Larger portion size was associated with
over 20% of meal intake. In our study, there is a significant difference in portion size of slimming
version and non-slimming version of ready meals. Generally, slimming versions possess smaller
portion size than non-slimming version, however owing to the smaller sample size in each group,
only 2 out of 10 were significant. Therefore, manufacture could shrink the portion size in order to
reduce total energy intake.
25
Energy density is defined as the amount of energy (or calorie) per gram of food (British Nutrition
Foundation, 2015), however in our study, we focus on 1 serving size or portion, which reflect status
of intake. The addition of water to the meal content may dilute the energy density, whereas fat or
sugar content will increase the energy density. The present study showed a difference in calorie
content, with slimming versions have lower calorie per serving compared with non-slimming
version, but not all of them were significant. This could be explained small sample size. Stubbs et
al., (2004) performed a study in 6 men. The study consists of 3 phases with 14 each days. The
subject were given diet with varying energy density (0.9 kcal/g, 1.3 or 1.8 kcal/g) with
macronutrient composition held constant. The result indicated that rising energy intake is
accompanied by the increase in energy density (2419 kcal, 3059 and 3865 kcal). Bell et al., (1998)
found energy density have an impact on total energy intake independent of macronutrient intake or
palatability without hunger or fullness.
Strawberry/raspberry yogurts
Fat free or 0% fat on the label of yogurts does not necessary mean there is virtually no fat at all.
According to European Union (2015), foods claimed to be fat-free should contain no more than 0.5
g of fat per 100g or 100 ml of the product. Solid products with no more than 3 g of fat per 100g or1.5
g per 100 ml for liquids can be claimed as ‘low fat’. Clear significant difference in fat content among
three groups were observed, with standard version have highest fat content, however evidence has
linked high dairy fat intake to less central obesity. Cohort study involving 1782 middle-aged men (40
to 60 years) with 12 years follow-up, they found an inverse association between intake of dairy fat
and lower risk of central obesity after adjusting cofounding factors.(Holmberg and thelin, 2013)
Yogurt is main source of calcium that has been linked with weight management. In the present study,
significant difference in calcium content among fat free, low fat and standard version were observed ;
with fat free yogurts have higher average calcium content whereas standard yogurts have lower
content, but not all products display calcium content, therefore analysis was based on information
available. Earlier RCT found increase dietary calcium significantly accelerate the weight and fat loss
in 32 obese adults. (Zemel et al., 2004) More recent Korean National Health and Nutrition
26
Examination Surveys (KNHANES) 2007-2009 suggested calcium in dairy products may be
contribute to its weight loss, which could be explained by increase fecal fat loss and rate of fat
oxidation after calcium/dairy supplementation. Lee et al., (2014) On the other hand, it favors reducing
energy intake and facilitating the appetite control. (Tremblay and Gilbert, 2011) Moreover, deficiency
in dietary calcium intake has been associated with an increased risk of overweight or obese, according
to a cross-sectional study with 6 year follow-up. Chapur et al., (2009)
Beside calcium and fatty acid, yogurts are also source of protein. Data from out study showed a
significant difference in protein content, with fat free yogurt have higher concentration. The
association between fat free and potential effect on slimming may be explained by increased diet of
thermogenesis and therefore increased energy expenditure (Murphy et al., 2013). Another potential
mechanism can be dairy protein enhance satiety by hormone secretion. Weigle et al., (2005) found
15% increase in energy from dietary protein leads to a sustained decreased in caloric intake with
constant carbohydrate intake. This effect is mediated by leptin sensitivity and therefore significant
weight loss (p<0.05). In present study, we found a significant higher protein in fat free and low fat
yogurt compared with standard. Therefore it is likely that protein contribute to its slimming function.
Fat free yogurt should be recommended, considering its high calcium content may be contribute to
help weight loss.
Special K challenge
In order to be eligible for the Special K challenge, participants needs to be BMI over 25. However,
evidences suggest that BMI is not an accurate approach to measure the obesity. Cross-sectional study
has tested the validity of BMI-based prediction equation and impedance-based prediction equation
for body fat percentage in 5 European countries. They found classification of obesity were incorrectly
performed in 8% of all men and 7% of all women by using standard BMI method (Deurenberg et al.,
2001)
Sugar is one of the determinant of obesity. In a systematic review and meta-analysis, author concluded
that among free living subjects with ad libitum diets, intake of free sugar is a leading cause of weight
gain. Bran products have highest sugar content compare with the rest 3 groups, However special K
27
products have almost double the sugar content compared with Kellogg’s cornflakes, (average 6.5
g/serving VS 2.4 g/serving Kellogg’s corn flakes). Bran flakes have even higher sugar content
(6g/serving) compared with special K, but it has almost 3 times more fiber content (4.5g/serving VS
1.4g/ serving). Intake of fiber and wholegrain have been associated with reduced risk of obesity,
overweight and waist –to-hip ratio and effect of fiber and effect of fiber on satiety and appetite have
been proposed as major mechanism. (Smith and Tucker, 2011)
Food price
Price is another factor that affect food choices and therefore weight outcome. Andreyeva et al., (2010)
found rise in food price could make consumers switch their choice to processed, calorie-dense foods.
In the present study, comparison between special K and Kellogg’s product, it is clear that Kellogg’s
corn flakes are ‘healthier’ choice compared with bran flakes and special K, due to its lower sugar
content, however, there is no significant difference between slimming and non-slimming version of
ready meals. From the finance perspective, slimming version of ready meals should be recommended,
because of its lower energy density and smaller portion size. From government point of view, Powell
and Chaloupk (2009) pricing intervention could have a measurable effect on Americans’ weight
outcome, but unlikely to achieve significant change in obesity.
Limitations of the study
To the best of our knowledge, this is the first study that critically evaluates the slimming products
with their non-slim version, however there are still some limitations. Firstly, due to the limited time
span, the search may not be comprehensive. Secondly, product will be launched regularly which study
cannot be included. Thirdly, narrow range of foods were investigated therefore result may not be
generalized into a larger context. Finally, all the data were based on the supermarkets or
manufacturing website, there is a likelihood the variation in terms of information provided or
displayed, especially for products made nutrition claims, it is difficult to justify if the contents comply
with the claim without experiments.
28
Future study
Future study can perform a focus group that investigate consumer’s perception to the slimming
version of the food. Next, intervention study can be performed in free living subjects. Then, in
terms of ready meals, wider range of products needs to be examined, maybe group them into
different cuisines to investigate if cuisine type would have an impact on the final outcome.
Conclusion
In light of these analysis, ready meals are still considered as ‘nutritional imbalance’, due to its high
salt and fat content, although slimming versions may have better nutrition profile. Smaller portion
size is recommended to reduce total energy intake. As for special K challenge, it is healthy lifestyle
that responsible for potential weight loss rather than special K products. Cornflake products are
better choices when it comes to weight loss compared with special K products and bran flake
products, all of which have higher sugar content. Fat free yogurts, especially fortified with calcium
and vitamin D, are recommended for the slimming purpose.
Acknowledgements
I would like to thanks my parents for their financial and psychological support throughout the year.
I would like to take this opportunity to give my great appreciation to my supervisor, Professor
Christine Edwards, for her guidance and support throughout the dissertation. Also, I would like to
give my appreciation to Dr. Ada Garcia for her support during the research proposal period and
whole specialization period.
29
References
Alkerwi A., Crichton G., Hébert J. Consumption of ready-made meals and increased risk of obesity
British Journal of Nutrition, 113 (2) (2015), pp. 270–277
Astrup A. Yogurt and dairy product consumption to prevent cardiometabolic diseases:
epidemiologic and experimental studies. Am J Clin Nutr 2014; 99(suppl):1235S–42S
Ball K, McNaughton SA, Le HN, Gold L, Ni Mhurchu C, Abbott G, Pollard C, Crawford D,
Influence of price discounts and skill-building strategies on purchase and consumption of healthy
food and beverages: outcomes of the Supermarket Healthy Eating for Life randomized controlled
trial Am J Clin Nutr. 2015 May; 101(5):1055-64
Benton D., (2015) Portion Size: What We Know and What We Need to Know, Crit Rev Food Sci
Nutr. 2015 Jun 7; 55(7): 988–1004
Bell EA, Castellanos VH, Pelman CL, et al. Energy density of foods affects energy intake in
normal-weight women. Am J Clin Nutr. 1998; 67:412– 420
Brand-Miller JC, Holt SH, Pawlak DB, McMillan J. Glycemic index and obesity. Am J Clin
Nutr 2002; 76:281S-285S
Bray GA, Popkin BM. Dietary sugar and body weight: have we reached a crisis in the epidemic of
obesity and diabetes? Health be damned! Pour on the sugar. Diabetes Care. 2014; 37(4):950–956
British Nutrition Foundation (2015), what is energy density, available at
http://www.nutrition.org.uk/healthyliving/fuller/what-is-energy-density.html, Last accessed
27/07/2015
Brunstrom J.M. The control of meal size in human subjects: A role for expected satiety, expected
30
satiation and premeal planning. Proc. Nutr. Soc. 2011; 70:155–161
Burns C, Jackson M, Gibbons C, et al. (2002) Foods prepared outside the home: association with
selected nutrients and body mass index in adult Australians. Public Health Nutr 5, 441–448.
Cantelo G (2010), Update on nutrition labelling tolerances, available at:
www.lacors.gov.uk/lacors/ContentDetails.aspx?id=24490, Last accessed 27.07.15
Celnik, D., Gillespie, L., and Lean, M.E.J. (2012) Time-scarcity, readymeals, ill-health and the
obesity epidemic. Trends in Food Science & Technology, 27 (1). pp. 4-11
Chaput JP, Leblanc C, Perusse L, et al. (2009) Risk factors for adult overweight and obesity in the
Quebec Family Study: have we been barking up the wrong tree? Obesity 17, 1964–1970
Deurenberg-Yap M, Chew SK, Lin VF et al. Relationships between indices of obesity and its co-
morbidities in multi-ethnic Singapore. Int J Obes Relat Metab Disord 2001; 25: 1554–62
Diliberti N, Bordi PL, Conklin MT, Roe LS, Rolls BJ. Increased portion size leads to increased
energy intake in a restaurant meal. Obes Res. 2004; 12:562–568
El-Abbadi NH, Dao MC, Meydani SN (2014) Yogurt: role in healthy and active aging. Am J Clin
Nutr 99:1263S–1270S
Ello-Martin JA, Ledikwe JH, and Rolls BJ: The influence of food portion size and energy density
on energy intake: implications for weight management. Am J Clin Nutr 2005, 82(sSuppl):S236-
S241
Fianucane MM, Stevens GA and Cowan MJ (2011), for the Global Burden of Metabolic Risk
Factors of Chronic Diseases Collaborating Group (Body Mass Index), National, regional, and
global trends in body-mass index since 1980: systematic analysis of health examination surveys and
31
epidemiological studies with 960 country-years and 9·1 million participants Lancet, 377, pp. 557–
567
Finkelstein EA, Strombotne KL, Zhen C, Epstein LH. Food prices and obesity: a review. Adv Nutr
2014; 5:818–821
French SA. Pricing effects on food choices,J Nutr 2003; 133: 841S–843S
Fonseca-Alaniz MH, Brito LC, Borges-Silva CN et al. High dietary sodium content increases white
adipose tissue mass and plasma leptin in rats. Obesity 2007;15: 2200–2208
George R, Garcia AL, Edwards CA, Glycaemic responses of staple South Asian foods alone and
combined with curried chicken as a mixed meal, J Hum Nutr Diet. 2015 Jun; 28(3):283-91
He F.J., Marrero N.M., MacGregor G.A., Salt intake is related to soft drink consumption in children
and adolescents: a link to obesity? Hypertension, 51 (2008), pp. 629–634
Holmberg, S.; Thelin, A. High dairy fat intake related to less central obesity: a male cohort study
with 12 years’ follow-up. Scand. J. Prim. Health 2013, 31, 89−94
Howard S., Adams J. & White M. (2012) Nutritional content of supermarket ready meals and
recipes by television chefs in the United Kingdom: cross sectional study. British Medical
Journal 345, e7607
Jones KW, Eller LK, Parnell JA, et al. Effect of a dairy- and calcium-rich diet on weight loss and
appetite during energy restriction in overweight and obese adults: a randomized trial. Eur J Clin
Nutr. 2013; 67:371–376
32
Kadooka Y, Sato M, Imaizumi K, Ogawa A, Ikuyama K, Akai Yet al. Regulation of abdominal
adiposity by probiotics (Lactobacillus gasseri SBT2055) in adults with obese tendencies in a
randomized controlled trial. Eur J Clin Nutr 2010; 64: 636–643
Kellogg’s special K (2012),’Get perfect with the special K challenge’, available at
http://www.specialkalarabi.com/en/index.php, last accessed 28/07/2015
Kratz M, Baars T, Guyenet S, The relationship between high-fat dairy consumption and obesity,
cardiovascular, and metabolic disease, Eur J Nutr. 2013 Feb; 52(1):1-24
Lappalainen R. Difficulties in trying to eat healthier: descriptive analysis of perceived barriers for
healthy eating. Eur J Clin Nutr1997; 51: S36–S40
Lee HJ, Cho JI, Lee HS, Kim CI, Cho E (2014) Intakes of dairy products and calcium and obesity
in Korean adults: Korean national health and nutrition examination surveys (KNHANES) 2007–
2009.
Livingstone MBE, Pourshahidi LK. Portion size and obesity. Adv Nutr 2014;5:829–34
Manchester University (2014), the inconvenience truth… about convenience, available at
http://www.food.manchester.ac.uk/blogs/theinconvenienttruthaboutconvenience/, last accessed
05/08/2015
Mahon, D., et al. (2006). "The role of attitudes, subjective norm, perceived control and habit in the
consumption of ready meals and takeaways in Great Britain." Food Quality and Preference 17(6):
474-481
Market research world (2014), a slim down for the slimming foods market, available at:
http://www.marketresearchworld.net/content/view/1161/77/ last accessed at 28/07/2015
33
Mela DJ. Determinants of food choice: relationships with obesity and weight control. Obesity
Research 2001; 9(Suppl. 5): S249–55.
Mintel (2014), Dieting in 2014? You’re not alone- 29 million brits have tried to lose weight in the
last year, available at http://www.mintel.com/press-centre/social-and-lifestyle/dieting-in-2014-you-
are-not-alone, last accessed 28/07/2015
Monteiro CA, Levy RB, Claro RM, et al. (2010) A new classification of foods based on the extent
and purpose of their processing. Cad Saude Publica 26, 2039–2049
Celnik D., Gillespie L., Lean M.E.J., Time-scarcity, ready-meals, ill-health and the obesity
epidemic Trends in Food Science and Technology, 27 (2012), pp. 4–11
Navia B, Aparicio A, Perea JM, Pérez-Farinós N, Villar-Villalba C, Labrado E, Ortega RM.
Sodium intake may promote weight gain; results of the FANPE study in a representative sample of
the adult Spanish population. Nutr Hosp 2014; 29(6):1283–1289
NHS choice (2015), how much salt is good for me? Available at
http://www.nhs.uk/chq/pages/1138.aspx?CategoryID=51, last accessed 09/08/2015
O’Donnell SI, Hoerr SL, Mendoza JA, et al. (2008) Nutrient quality of fast food kids meals. Am J
Clin Nutr 88, 1388–1395
Powell LM, Chaloupka FJ. Food prices and obesity: evidence and policy implications for taxes and
subsidies. Milbank Q 2009;87: 229-257
Remnant, J. and J. Adams (2015). "The nutritional content and cost of supermarket ready-meals.
Cross-sectional analysis." Appetite 92: 36-42
34
Rolls BJ, Roe LS, Meengs JS: Reductions in portion size and energy density of foods are additive
and lead to sustained decreases in energy intake. Am J Clin Nutr 2006, 83:11-17
Rosenheck R (2008) Fast food consumption and increased caloric intake: a systematic review of a
trajectory towards weight gain and obesity risk. Obes Rev 9, 535–547
Smith C.E. and Tucker K.L. Health benefits of cereal fibre: a review of clinical trials Nutrition
Research Reviews, 24 (1) (2011), pp. 118–131
Statista (2015), Market share of grocery stores in Great Britain for the 12 weeks ending March 29,
2015, available at http://www.statista.com/statistics/279900/grocery-market-share-in-the-united-
kingdom-uk/, last accessed 08/08/2015
Stubbs RJ, Whybrow S. Energy density, diet composition and palatability: influences on overall
food energy intake in humans. Physiol Behav 2004; 81:755– 64
Tatiana Andreyeva, Michael Long, Kelly Brownell, The impact of food prices on consumption: a
systematic review of research on price elasticity of demand for food, American Journal of Public
Health, 100 (2) (2010), pp. 216–222
The Scottish Government (2014), Preventing Overweight and Obesity in Scotland, available at
http://www.gov.scot/Resource/Doc/302783/0094795.pdf, last accessed 28/07/2015
Tremblay A & Gilbert JA (2011) Human obesity: is insufficient calcium/dairy intake part of the
problem? Journal of the American College of Nutrition 30: 449S–53S
Ueland O, Cardello AV, Merrill EP, Lesher LL: Effect of portion size information on food intake. J
Am Diet Ass 2009, 109(1):124-127
35
Wang H, Livingston KA, Fox CS, Meigs JB, Jacques PF. Yogurt consumption is associated with
better diet quality and metabolic profile in American men and women. . Nutr Res 2013; 33: 18–26
Wang H, Troy LM, Rogers GT, Fox CS, McKeown NM, Meigs JB, Jacques PF. Longitudinal
association between dairy consumption and changes of body weight and waist circumference: the
Framingham Heart Study. Int J Obes (Lond) 2014; 38:299–305
Wang YC, McPherson K, Marsh T, Gortmaker SL, Brown M. Health and economic burden of the
projected obesity trends in the USA and the UK. Lancet. 2011; 378(9793):815-825
Weigle DS, Breen PA, Matthys CC, et al. A high-protein diet induces sustained reductions in
appetite, ad libitum caloric intake, and body weight despite compensatory changes in diurnal
plasma leptin and ghrelin concentrations. Am J Clin Nutr 2005; 82:41– 8
Williams PG. The benefits of breakfast cereal consumption: a systematic review of the evidence
base. Adv Nutr 2014; 5(5):636S–673S
World Health Organization (2003) Diet, Nutrition and the Prevention of Chronic Diseases. Report
of a Joint WHO/ FAO Expert Consultation. World Health Organization Technical Report Series no.
916, i-viii. pp. 1–149, backcover. Geneva: WHO.
Young LR, Nestle M: The contribution of expanding portion sizes to the US obesity epidemic. Am
J Public Health 2002, 92(2):246-249?
Young LR, Nestle M: Portion sizes and obesity: Responses of fast-food companies. J Public Health
Pol 2007, 28:238-248
Zuzanek, J., Beckers, T., & Peters, P. (1998). The ‘Harried Leisure Class@ Revisited: 596 Dutch
and Canadian Trends in the use of time from the 1970s to the 1980s. Leisure Studies, 597 17(1), 1-
19
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