Emotional health cues and their influence on healthy food choice: an experimental study

Alfaqih Hidayatullah* -  Department of Psychology, Faculty of Science and Psychology, Semarang State University, Jawa Tengah, Indonesia
Anna Undarwati -  Department of Psychology, Faculty of Science and Psychology, Semarang State University, Jawa Tengah, Indonesia
The prevalence of obesity in Indonesia has shown a consistent upward trend, reaching 23.1%, largely driven by dietary patterns that pose health risks. Food choices are influenced not only by social and personal factors but also by environmental cues, which are the focus of this study. This research aimed to investigate the effect of affective health cues presented through human motion picture videos on individuals’ healthy food choices. A quasi-experimental design was employed in the Psychology Laboratory at Universitas Negeri Semarang in December 2024, using a simulated supermarket setting with 186 student participants selected through purposive sampling. Data were analyzed using an Independent Samples t-test. The results indicated that the human motion picture intervention significantly influenced individual food choices (p < 0.001, d = 0.98). These findings suggest that health cues play an important role in guiding individual decisions regarding healthier food options. In conclusion, environmental factors, such as health cues, can significantly impact healthy food selection and may serve as a strategic approach to reducing obesity rates in the future.

Keywords : Eating behavior, health cues, obesity, healthy food, behavioral intervention

  1. Almeida, I. J. de, Garcez, A., Backes, V., Cunha, C. M. de L., Schuch, I., & Canuto, R. (2023). Association between the community food environment and dietary patterns in residents of areas of different socio-economic levels of a southern capital city in Brazil. British Journal of Nutrition, 129(6), 1066–1074. https://doi.org/10.1017/S0007114522001969
  2. Annual Report, G. (2021). 2020 annual report. Alliance for Financial Inclusion. [data tidak tersedia untuk volume/issue]
  3. Atanasova, P., Kusuma, D., Pineda, E., Frost, G., Sassi, F., & Miraldo, M. (2022). The impact of the consumer and neighbourhood food environment on dietary intake and obesity-related outcomes: A systematic review of causal impact studies. Social Science & Medicine, 299, 114879. https://doi.org/10.1016/j.socscimed.2022.114879
  4. Badan Kebijakan Pembangunan Kesehatan. (2023). Laporan Survei Kesehatan Indonesia. Kementerian Kesehatan Indonesia. https://repository.badankebijakan.kemkes.go.id/id/eprint/5539/
  5. Bailey, R. L., Wang, T. G., Liu, J., Clayton, R. B., Kwon, K., Diwanji, V., & Karimkhanashtiyani, F. (2022). Social facilitation in fear appeals creates positive affect but inhibits healthy eating intentions. Frontiers in Psychology, 13, 838471. https://doi.org/10.3389/fpsyg.2022.838471
  6. Barnes, T. L., Colabianchi, N., Hibbert, J. D., Porter, D. E., Lawson, A. B., & Liese, A. D. (2016). Scale effects in food environment research: Implications from assessing socioeconomic dimensions of supermarket accessibility in an eight-county region of South Carolina. Applied Geography, 68, 20–27. https://doi.org/10.1016/j.apgeog.2016.01.004
  7. Dai, J., Cone, J., & Moher, J. (2020). Perceptual salience influences food choices independently of health and taste preferences. Cognitive Research: Principles and Implications, 5(1), 2. https://doi.org/10.1186/s41235-019-0203-2
  8. Danny Han, D. I., & Orlowski, M. (2024). Emotional responses to narrative content: A comparative study on consumer food choice intentions. Computers in Human Behavior, 155, 108191. https://doi.org/10.1016/j.chb.2024.108191
  9. Farrell, P., Reeve, E., Johnson, E., Farmery, A. K., Patay, D., Thow, A. M., Wu, J., & Bogard, J. R. (2024). Measuring characteristics of wild and cultivated food environments: A scoping review. BMC Medicine, 22(1), 519. https://doi.org/10.1186/s12916-024-03678-4
  10. Gligorić, K., Chiolero, A., Kıcıman, E., White, R. W., Horvitz, E., & West, R. (2024). Food choice mimicry on a large university campus. PNAS Nexus, 3(12). https://doi.org/10.1093/pnasnexus/pgae517
  11. Haines, A. (2016). Addressing challenges to human health in the Anthropocene epoch: An overview of the findings of the Rockefeller/Lancet Commission on Planetary Health. Public Health Reviews, 37(1), 1–5. https://doi.org/10.1186/s40985-016-0029-0
  12. Hallez, L., Qutteina, Y., Raedschelders, M., Boen, F., & Smits, T. (2020). That’s my cue to eat: A systematic review of the persuasiveness of front-of-pack cues on food packages for children vs. adults. Nutrients, 12(4). https://doi.org/10.3390/nu12041062
  13. Health Research and Development Agency Ministry of Health of Indonesia. (2018). Laporan Riskesdas 2018 Nasional. Lembaga Penerbit Balitbangkes. [data tidak tersedia URL]
  14. Heuch, I., Heuch, I., Hagen, K., & Zwart, J. A. (2024). Overweight and obesity as risk factors for chronic low back pain: A new follow-up in the HUNT Study. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-20011-z
  15. Hojjati, M., Mirzaei, A., Hemmati, N., & Shamsabadi, B. G. (2025). Predicting consumers’ intention and behavior towards industrial dairy products: A study based on an extended theory of planned behavior. Applied Food Research, 5(2), 101129. https://doi.org/10.1016/j.afres.2025.101129
  16. Kay, E., Kemps, E., & Prichard, I. (2025). A systematic review and meta-analysis of visual cues and primes for nudging consumption-related behaviours. Appetite, 206, 107813. https://doi.org/10.1016/j.appet.2024.107813
  17. Larsen, N. M., Sigurdsson, V., & Gunnarsson, D. (2022). Environmental cues for healthy food marketing: The importance of in-store research into three conversions. Frontiers in Nutrition, 9, 1078672. https://doi.org/10.3389/fnut.2022.1078672
  18. Li, X., Wang, S., Ruan, Y., Pan, Y., & Huang, Y. (2024). Taste or health: The impact of packaging cues on consumer decision-making in healthy foods. Appetite, 203, 107636. https://doi.org/10.1016/j.appet.2024.107636
  19. Matsuzaki, M., Sánchez, B. N., Acosta, M. E., Botkin, J., & Sanchez-Vaznaugh, E. V. (2020). Food environment near schools and body weight: A systematic review of associations by race/ethnicity, gender, grade, and socio-economic factors. Obesity Reviews, 21(4), 1–15. https://doi.org/10.1111/obr.12997
  20. Mattar, L., Farran, N., Abi Kharma, J., & Zeeni, N. (2019). Movie violence acutely affects food choices in young adults. Eating Behaviors, 33, 7–12. https://doi.org/10.1016/j.eatbeh.2019.02.002
  21. Motoki, K., Park, J., & Togawa, T. (2025). The role of sensory cues in promoting healthy eating: A narrative synthesis and gastronomic implications. Gastronomy, 3(2). https://doi.org/10.3390/gastronomy3020006
  22. Mulier, L., Slabbinck, H., & Vermeir, I. (2021). This way up: The effectiveness of mobile vertical video marketing. Journal of Interactive Marketing, 55, 1–15. https://doi.org/10.1016/j.intmar.2020.12.002
  23. Neuha, M., Bretz, F., Gao, L., McCarthy, T. J., Buchner, A., Erdfelder, E., Faul, F., Lang, A.-G., Kawano, Y., Masai, H., Nakagawa, S., Yoshie, N., Terao, J., Torres, F. G., Le Bourhis, E., & Gonzales, K. N. (2023). GPower 3.1 manual: June 1, 2023*. Langmuir, 15(7), 1–10. [data tidak tersedia DOI]
  24. Ngqangashe, Y., & Backer, C. J. S. D. (2021). The differential effects of viewing short-form online culinary videos of fruits and vegetables versus sweet snacks on adolescents’ appetites. Appetite, 166, 105436. https://doi.org/10.1016/j.appet.2021.105436
  25. Osera, T., & Kurihara, N. (2025). Effect of video viewing on food consumption and perceived taste. American Journal of Food and Nutrition, 12(6), 159–164. [data tidak tersedia DOI]
  26. Pechey, R. (2018). Availability of healthier vs. less healthy food and food choice: An online experiment. BMC Public Health, 18, [article number tidak tersedia]. https://doi.org/10.1186/s12889-018-6112-3
  27. Pettigrew, S. (2016). Pleasure: An under-utilised “P” in social marketing for healthy eating. Appetite, 104, 60–69. https://doi.org/10.1016/j.appet.2015.10.004
  28. Ragelienė, T., & Grønhøj, A. (2020). The influence of peers and siblings on children’s and adolescents’ healthy eating behavior: A systematic literature review. Appetite, 148, 104592. https://doi.org/10.1016/j.appet.2020.104592
  29. Rathi, N., Worsley, A., & Bruening, M. (2025). Perceived influences of fruit and vegetable consumption among Indian adolescents: A qualitative inquiry. BMC Public Health, 25(1), 271. https://doi.org/10.1186/s12889-025-21408-0
  30. Sample, K. L., Hagtvedt, H., & Brasel, S. A. (2020). Components of visual perception in marketing contexts: A conceptual framework and review. Journal of the Academy of Marketing Science, 48(3), 405–421. https://doi.org/10.1007/s11747-019-00684-4
  31. Schmuck, D., Matthes, J., & Naderer, B. (2018). Misleading consumers with green advertising? An affect–reason–involvement account of greenwashing effects in environmental advertising. Journal of Advertising, 47, 1–19. https://doi.org/10.1080/00913367.2018.1452652
  32. Sheeran, P., Maki, A., Montanaro, E., Avishai, A., Bryan, A., Klein, W., Miles, E., & Rothman, A. (2016). The impact of changing attitudes, norms, and self-efficacy on health-related intentions and behavior: A meta-analysis. Health Psychology, 35. https://doi.org/10.1037/hea0000387
  33. Siswanto, J. V., Mutiara, B., Austin, F., Susanto, J., Tan, C. T., Kresnadi, R. U., & Kezia, I. (2025). Ancestry-adjusted polygenic risk scores for predicting obesity risk in the Indonesian population. [Manuskrip, halaman 1–6]. [data tidak tersedia penerbit/jurnal]
  34. Toet, A., Schaik, M., Kaneko, D., & van Erp, J. (2019). Do food cinemagraphs evoke stronger appetitive responses than stills? International Journal of Food Design, 4, 63–83. https://doi.org/10.1386/ijfd.4.1.63_1
  35. Toet, A., & van Erp, J. B. F. (2020). Affective rating of audio and video clips using the EmojiGrid. F1000Research, 9, 970. https://doi.org/10.12688/f1000research.25088.2
  36. Tonkin, M., Kemps, E., Prichard, I., Polivy, J., Herman, C. P., & Tiggemann, M. (2019). It’s all in the timing: The effect of a healthy food cue on food choices from a pictorial menu. Appetite, 139, 105–109. https://doi.org/10.1016/j.appet.2019.04.026
  37. Trudel-Guy, C., Bédard, A., Corneau, L., Bélanger-Gravel, A., Desroches, S., Bégin, C., Provencher, V., & Lemieux, S. (2019). Impact of pleasure-oriented messages on food choices: Is it more effective than traditional health-oriented messages to promote healthy eating? Appetite, 143, 104392. https://doi.org/10.1016/j.appet.2019.104392
  38. Turnwald, B. P., Boles, D. Z., & Crum, A. J. (2017). Association between indulgent descriptions and vegetable consumption: Twisted carrots and dynamite beets. JAMA Internal Medicine, 177(8), 1216–1218. https://doi.org/10.1001/jamainternmed.2017.1637
  39. Undarwati, A., & Why, F. Y. P. (2024). BMI and explicit-implicit cues on food choice: The fake food buffet in the United Kingdom and Indonesia. Appetite, 201, 107617. https://doi.org/10.1016/j.appet.2024.107617
  40. van Herpen, E., van den Broek, E., van Trijp, H. C. M., & Yu, T. (2016). Can a virtual supermarket bring realism into the lab? Comparing shopping behavior using virtual and pictorial store representations to behavior in a physical store. Appetite, 107, 196–207. https://doi.org/10.1016/j.appet.2016.07.033
  41. Vermeir, I. (2020). How visuals affect food choice. Foods, 9(12), 2–5. https://doi.org/10.3390/foods9121835
  42. Vermeir, I., & Roose, G. (2020). Visual design cues impacting food choice: A review and future research agenda. Foods, 9(10), 1495. https://doi.org/10.3390/foods9101495
  43. World Health Organization. (2024). World health statistics 2024. WHO. ISBN 9789240094703.

Open Access Copyright (c) 2025 Alfaqih Hidayatullah, Anna Undarwati
Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

AcTion: Aceh Nutrition Journal
Published by: Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health.
Soekarno-Hatta Street, No. 168. Health Polytechnic of Aceh, Aceh Besar, 23352. Telp/Fax: 0651 46126 / 0651 46121.
Website: https://gizipoltekkesaceh.ac.id/
E-mail: jurnal6121@gmail.com

e-issn: 2548-5741, p-issn: 2527-3310

All content is licensed under a: Creative Commons Attribution ShareAlike 4.0 International License

View My Stats

Get a feed by atom here, RRS2 here and OAI Links here