When we reach for a food delivery app, we're probably not thinking about making healthy choices

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Photo by Ambitious Studio* | Rick Barrett on Unsplash
Photo by Ambitious Studio* | Rick Barrett on Unsplash

People ordering takeaway food are mostly thinking about what's going to taste good and not cost too much, according to international researchers who say the healthiness of a meal is less likely to be a big deciding factor. The researchers surveyed just over 1000 adults in England about their food choices, with over one in four ordering takeaway at least once a week. They say younger people and people with obesity were more likely to order takeaway more often, and while about two in three participants were aware of UK legislation mandating calorie labelling on their meals, more than three in four didn't notice those labels when it was time to order. The researchers say calorie labelling is having a minimal impact on healthy food choices, with most people who do notice the labels still unlikely to opt for something healthier.

Media release

From: BMJ Group

Taste and price, not calories, key drivers for online takeaway orders, survey suggests

These orders tend to be favoured by younger adults and those living with obesity
Limited impact of calorie labelling calls for extra strategies to promote healthier food choices

Taste and price, rather than calorie content, seem to be the key considerations for those ordering takeaways online, despite calorie labelling legislation designed to help consumers make healthier food choices, suggests an analysis of survey responses, published in the open access journal BMJ Nutrition Prevention & Health.

These orders tend to be favoured by younger people and those living with obesity, the responses indicate. And the limited impact of calorie labelling, despite relatively high awareness of the regulations, suggests that additional strategies are needed, say the researchers.

Takeaways are usually lower in nutritional content than home cooked meals. And their frequent consumption is linked to a less healthy diet, overall, and higher energy intake, note the researchers.

But it’s still not clear which factors might be driving these purchases and how interventions, such as calorie labelling, which was mandated in England in 2022 for food businesses with more than 250 employees, might help to promote healthier food choices, they add.

To find out, they drew on the responses of a consumer behaviour panel of 1040 adult takeaway consumers in England to a survey assessing their knowledge and awareness of calorie labelling legislation and the principal factors driving their food choices.

The survey covered: takeaway frequency; knowledge of recommended calorie content of a meal; awareness of calorie labelling; noticing calorie labels and their perceived impact; ranking of drivers of takeaway and home-cooked meal choices by healthiness, price, taste, preparation/delivery time, portion size, and low carbon footprint; and ranking of additional strategies—higher prices for less healthy items, smaller portions, exercise-based calorie labels, traffic light labels, and provision of healthier alternatives.

Around two thirds (68%) of respondents were women; over half were aged between 35 and 55. More than half were overweight (35%) or living with obesity (28%).

Around 1 in 4 (27%) respondents reported ordering a takeaway at least weekly. A further 41% had takeaways every 2 to 4 weeks, and around a third (32%) less than once a month.

Analysis of the responses showed that the under 35s were more than twice as likely to order them at least weekly as older age groups. Those who were living with obesity were also twice as likely to have weekly takeaways as those of healthy weight or who were underweight.

Respondents tended to overestimate the recommended calorie content of a meal. The average estimate was 747 kcal—about 25% higher than the recommended 600 kcal—which just 15% correctly identified. Women were twice as likely to identify the correct, or lower than recommended, calorie content of a meal as men.

Almost two thirds (63%) of respondents were aware of the calorie labelling legislation, although this was more likely among the highest socioeconomic group. But most (77%) didn’t notice any calorie information during their most recent online takeaway purchase.

Of those who did (235), nearly three quarters (71%) said it didn’t affect their food choices and almost two thirds (63%) reported no impact on their drink choices; 2–3% reported ordering higher calorie content food and drink.

Taste was the most important consideration for takeaways, followed by price, delivery time, and portion size. For home-cooked meals, taste and price were also the principal drivers, followed by portion size, preparation time, and convenience.

Healthiness was a more important consideration for home-cooked meals: more than half (56%) of the respondents scored this as (very) important compared with 22% for takeaways. Low carbon footprint was the least relevant driver for both meal types.

Women were 51% more likely than men to consider healthiness (very) important for a takeaway while those aged 65 or older were 4 times as likely to do so.

Around half of respondents agreed or strongly agreed that traffic light labels and healthy alternatives would encourage healthier choices, while around a third (30%) backed higher prices, exercise-based calorie labels, and smaller portions.

This is an observational study, and as such, can’t establish cause. And the researchers acknowledge that under 35s and men were underrepresented, while those reporting behaviour changes prompted by calorie labelling were too few to be representative.

“Our findings highlight the complexity of efforts to improve the healthiness of takeaway foods….Calorie labelling was widely unnoticed and influenced only a minority of choices,” they point out.

“More real-world evaluations are needed from different contexts and populations to understand motivations of takeaway consumption and the effectiveness of calorie labels in this setting, including in conjunction with other interventions,” they suggest.

“While calorie labelling may affect only a minority, it can be part of a broader strategy to address obesity and poor diets. However, its potential to improve diets without exacerbating existing health inequities remains uncertain,” they conclude.

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Research BMJ Group, Web page The URL will go live after the embargo ends
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conference:
BMJ Nutrition Prevention & Health
Research:Paper
Organisation/s: London School of Hygiene & Tropical Medicine, UK
Funder: OAT and LC were funded via UK Medical Research Council Fellowship MR/P021999/1; TC is funded by the National Institute for Health and Care Research (NIHR) School for Public Health Research (SPHR) (Grant Reference Number NIHR 204000). The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.
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