Oferta y publicidad de bebidas y alimentos con etiquetado frontal de advertencia en escuelas de Lima Metropolitana 2023

Mayra Meza-Hernández; Kiomi Yabiku-Soto; Francisco Diez-Canseco

doi:10.17843/rpmesp.2026.431.15249

Authors

Mayra Meza-Hernández CRONICAS Centro de Excelencia en Enfermedades Crónicas, Universidad Peruana Cayetano Heredia, Lima, Perú https://orcid.org/0000-0002-2061-0389
Kiomi Yabiku-Soto CRONICAS Centro de Excelencia en Enfermedades Crónicas, Universidad Peruana Cayetano Heredia, Lima, Perú https://orcid.org/0000-0001-9515-4587
Francisco Diez-Canseco CRONICAS Centro de Excelencia en Enfermedades Crónicas, Universidad Peruana Cayetano Heredia, Lima, Perú https://orcid.org/0000-0002-7611-8190

DOI:

https://doi.org/10.17843/rpmesp.2026.431.15249

Keywords:

Food Supply, Food Labeling, Food Publicity, Schools, Peru

Abstract

Objectives. To describe the availability and advertising of beverages and foods with front- of-package warning labels in kiosks and cafeterias and in school environments in public and private schools in Metropolitan Lima. Materials and methods. A cross-sectional study was conducted in 45 schools in Metropolitan Lima between March and May 2023. The availability and advertising of beverages and foods were observed in school kiosks during the school day and by street vendors located at school exits. Results. Fifty-seven school kiosks and cafeterias in 45 schools were analyzed. Processed and ultra-processed beverages and foods were observed in 96.5% of them, and at least one beverage or food with a front-of-package warning label (octagon) was observed in 89.5%. Street vendors were found in 41 schools, totaling 148 vendors. In 77.7% of the samples, processed and ultra-processed foods and beverages were observed, and in 48.6%, at least one food or beverage with an octagonal warning label was found. Advertising for processed and ultra-processed foods was observed in 57.9% of school kiosks and cafeterias and in 27.7% of street vendors. Conclusions. This demonstrates the exposure of schoolchildren to unhealthy food environments and the non-compliance with regulations prohibiting the sale of foods with octagonal warning labels both in and around schools. Strengthening information, awareness campaigns, and monitoring within the educational community is necessary to ensure the effectiveness of these policies in protecting the health of schoolchildren.

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References

Rivera JÁ, de Cossío TG, Pedraza LS, Aburto TC, Sánchez TG, Martorell R. Childhood and adolescent overweight and obesity in Latin America: a systematic review. Lancet Diabetes Endocrinol. 1 de abril de 2014;2(4):321–32. doi: 10.1016/S2213-8587(13)70173-6.

United Nations International Children’s Emergency Fund (UNICEF). Análisis del panorama del sobrepeso y obesidad infantil y adolescente en Perú [Internet]. 2023 jul. Disponible en: https://www.unicef.org/lac/informes/analisis-del-panorama-del-sobrepeso-y-obesidad-infantil-y-adolescente-en-peru.

Barbalho SM, Fontana LCS, Finalli EFR, Martuchi KA, Ferreira MC, Filho MEP, et al. Eating habits and presence of cardiovascular risks in children. Int J Adolesc Med Health. 2018;30(2). doi: 10.1515/ijamh-2016-0045/html.

Organización Panamericana de la Salud. Alimentos y bebidas ultraprocesados en América Latina: ventas, fuentes, perfiles de nutrientes e implicaciones. Washington D.C.: OPS; 2019.

Mallarino C, Gómez LF, González-Zapata L, Cadena Y, Parra DC. Advertising of ultra-processed foods and beverages: children as a vulnerable population. Rev Saúde Pública. 2013;47:1006–10.

Boyland EJ, Nolan S, Kelly B, Tudur-Smith C, Jones A, Halford JC, et al. La publicidad como estímulo para el consumo: una revisión sistemática y un metaanálisis de los efectos de la exposición aguda a la publicidad de alimentos y bebidas no alcohólicas no saludables sobre el consumo en niños y adultos. Am J Clin Nutr.2016;103(2):519–33. doi: 10.3945/ajcn.115.120022.

Micha R, Karageorgou D, Bakogianni I, Trichia E, Whitsel LP, Story M, et al. Effectiveness of school food environment policies on children’s dietary behaviors: A systematic review and meta-analysis. PLOS One.2018;13(3). doi: 10.1371/journal.pone.0194555.

Organización de las Naciones Unidas para la Alimentación y la Agricultura. Alimentación y nutrición escolar [Internet]. [citado el 19 de septiembre de 2024]. Disponible en: https://www.fao.org/schoolfood/areas-work/foodenvironment/es/#:~:text=El%20entorno%20alimentario%20escolar%20hace,cantinas%2C%20vendedores%20de%20alimentos%2C%20m%C3%A1quinas.

Ministerio de Salud. Lineamientos para la promoción y protección de la alimentación saludable en las instituciones educativas públicas y privadas de la educación básica [Internet]. 2019. Disponible en: https://cdn.www.gob.pe/uploads/document/file/296301/RM_N__195-2019-MINSA.PDF?v=1551542279.

Congreso de la República. Ley de promoción de la alimentación saludable para niños, niñas y adolescentes [Internet]. LEY No 30021. Disponible en: https://leyes.congreso.gob.pe/Documentos/Leyes/30021.pdf.

Diez-Canseco F, Cavero V, Cano JA, Saavedra-Garcia L, Taillie LS, Carpentier FRD, et al. Design and approval of the nutritional warnings’ policy in Peru: Milestones, key stakeholders, and policy drivers for its approval. PLOS Glob Public Health. 2023;3(6):e0001121. doi: 10.1371/journal.pgph.0001121.

Alvarez-Cano J, Cavero V, Diez-Canseco F. Idas y venidas del diseño de la política de alimentación saludable en el Perú: análisis comparativo de sus documentos regulatorios. Rev Peru Med Exp Salud Publica. 2022;39(4):480–8. doi: 10.17843/rpmesp.2022.394.11896.

Saavedra-Garcia L, Meza-Hernández M, Yabiku-Soto K, Hernández-Vásquez A, Kesar HV, Mejia-Victorio C, et al. Oferta y publicidad de alimentos y bebidas en instituciones educativas y entornos escolares de Lima Metropolitana. Un estudio exploratorio. Rev Peru Med Exp Salud Publica. 2021;37(4):726–32. doi: 10.17843/rpmesp.2020.374.5838.

Clark EM, Quigg R, Wong JE, Richards R, Black KE, Skidmore PML. Is the food environment surrounding schools associated with the diet quality of adolescents in Otago, New Zealand? Health Place. 2014;30:78–85. doi: 10.1016/j.healthplace.2014.08.008.

Borradaile KE, Sherman S, Vander Veur SS, McCoy T, Sandoval B, Nachmani J, et al. Snacking in Children: The Role of Urban Corner Stores. Pediatrics. 2009;124(5):1293–8. doi: 10.1542/peds.2009-0964

Municipalidad Metropolitana de Lima. Ordenanza que promueve la generación de entornos saludables para los niños, niñas y adolescentes en Lima Metropolitana [Internet]. ORDENANZA No 2366-2021 jun, 2021. Disponible en: https://busquedas.elperuano.pe/dispositivo/NL/1967586-1.

Ministerio de Educación. ESCALE - Unidad de Estadística Educativa [Internet]. [citado el 19 de septiembre de 2024]. Disponible en: https://escale.minedu.gob.pe/.

Instituto Nacional de Estadística e Informática. Planos Estratificados de Lima Metropolitana a Nivel de Manzanas 2020. Según ingreso per cápita del hogar [Internet]. 2020 jul. Disponible en: https://www.inei.gob.pe/media/MenuRecursivo/publicaciones_digitales/Est/Lib1744/libro.pdf.

Levasseur P. Do junk food bans in school really reduce childhood overweight? Evidence from Brazil. Food Policy. 2021;99:101981. doi: 10.1016/j.foodpol.2020.101981.

Hugues Y, Díaz-Zavala RG, Quizán-Plata T, Corvalán C, Haby MM. Poor compliance with school food environment guidelines in elementary schools in Northwest Mexico: A cross-sectional study. PLOS One. 2021;16(11):e0259720. doi: 10.1371/journal.pone.0259720.

Cabrera-Ledesma B, Abril-Ulloa V, Pinos-Vélez V, Carpio-Arias V. A Descriptive Qualitative Study of the Perceptions of Regulatory Authorities, Parents, and School Canteen Owners in the South of Ecuador about the Challenges and Facilities Related to Compliance with the National Regulation for School Canteens. Int J Environ Res Public Health. 2023;20(7):5313. doi: 10.3390/ijerph20075313.

Jensen ML, Gonzalez W, Bolaños-Palmieri C, Monge-Rojas R, Frongillo EA. Implementation of a regulatory food policy to reduce availability of energy-dense foods in Costa Rican high schools. Public Health Nutr. 2021;24(18). doi: 10.1017/S1368980021003013

Massri C, Sutherland S, Källestål C, Peña S. Impact of the Food-Labeling and Advertising Law Banning Competitive Food and Beverages in Chilean Public Schools, 2014–2016. Am J Public Health. 2019;109(9):1249–54. doi: 10.2105/AJPH.2019.305159.

Boyland EJ, Whalen R. Food advertising to children and its effects on diet: review of recent prevalence and impact data. Pediatr Diabetes. 2015;16(5):331–7. doi: 10.1111/pedi.12278.

Saavedra-Garcia L, Moscoso-Porras M, Diez-Canseco F. An Experimental Study Evaluating the Influence of Front-of-Package Warning Labels on Adolescent’s Purchase Intention of Processed Food Products. Int J Environ Res Public Health. 2022;19(3):1094. doi: 10.3390/ijerph19031094.

Meza-Hernández M, Yabiku-Soto K, Saavedra-Garcia L, Diez-Canseco F, Meza-Hernández M, Yabiku-Soto K, et al. El tamaño del empaque de las galletas ultraprocesadas evita que lleven octógonos a pesar de tener alto contenido de azúcar y grasas saturadas. Rev Peru Med Exp Salud Publica. 2023;40(3):369–71. doi: 10.3390/ijerph19031094.

Headey DD, Alderman HH. The Relative Caloric Prices of Healthy and Unhealthy Foods Differ Systematically across Income Levels and Continents. J Nutr. 2019;149(11):2020–33. doi: 10.1093/jn/nxz158

Caro JC, Valizadeh P, Correa A, Silva A, Ng SW. Combined fiscal policies to promote healthier diets: Effects on purchases and consumer welfare. PLOS One. 2020;15(1). doi: 10.1371/journal.pone.0226731

Mokari-Yamchi A, Omidvar N, Tahamipour Zarandi M, Eini-Zinab H. The Effects of Food Taxes and Subsidies on Promoting Healthier Diets in Iranian Households. Front Nutr. 2022;9.917932. doi: 10.3389/fnut.2022.917932.