OU Profiles homepage Edit my profile User guide Accessibility Statement

Biography

Professional biography

Research Associate in the School of Education, Childhood, Youth and Sport

C23 REF Impact Co-Chair

My research interests lie in food environment and policy, focusing mainly on unhealthy food marketing in various settings including digital media, TV and outdoors. I use quantitative, qualitative and mixed methods to research children's and other stakeholders' awareness of and attitudes towards food marketing, the extent and nature of children's exposure to such marketing, monitoring methods and tools, and other aspects of the topic. 

My research expertise has grown from a biological background (MSc, Biology; Jagiellonian University in Cracow, Poland). Building on my Doctoral studies which examined the role of common risk factors in the association between obesity and asthma (PhD, Biological Anthropology; University of Coimbra, Portugal), I joined the Department of Clinical Sciences of the Liverpool School of Tropical Medicine to study the obesity markers, metabolic syndrome, prediabetes, and malnutrition in Brazil and Nigeria.

In 2018 I brought this expertise to the Adwareness project, funded by the Wellcome Trust, and led by the University of Liverpool in collaboration with the Open University. I explored children’s and parental attitudes and awareness of unhealthy food marketing to children in digital media.

Since this time, I have been involved in several projects on the topic of unhealthy food marketing and other food policy aspects, for example, menu calorie labelling in the UK, with the University of Liverpool, and a systematic review and expert interview project on the topic of unhealthy food marketing, commissioned by the Public Health England.

I have been collaborating with the World Health Organisation (Office for Europe) on several projects related to food policy. In (2019) I was commissioned to work on projects evaluating two food policies implemented in Portugal: the sugar tax and regulatory reduction of salt content in bread. In 2023 I was commissioned to update the WHO protocols and tools to monitor unhealthy food marketing to children, including tools that aid the WHO CLICK Framework. Currently, I am a member of the WHO Technical Advisory Group on brand marketing.

I joined the Faculty of Wellbeing, Education, and Language Studies in 2021 to work on projects advocating food marketing that places children’s health centrally. 

Between 2022 and 2024 I was involved in CLICKBITE study, funded by Safefood, which used innovative methods and tools to explore the extent and nature of exposure of children and adolescents to the digital marketing of unhealthy foods on the island of Ireland, their attitudes and awareness of such marketing, interaction with it, among other objectives.

In 2022-2023 I also contributed my expertise to the Best-ReMaP European Union Joint Action, developing EU-wide monitoring protocols and exploring facilitators and challenges in implementing the monitoring program in the Member States. We piloted the WHO protocols and templates in 14 countries and co-created an EU framework on food marketing.

As a REF Impact co-chair, I support other researchers in achieving and evidencing the impact their work has beyond academia (specifically focused on education). 

Research interests

Currently, my research interests are in the marketing of unhealthy foods to children and include:

  • monitoring reach and power of unhealthy food marketing reaching children through various media and settings (methods, challenges, and facilitators)
  • the effect of such marketing on people’s behaviour and preferences
  • people’s awareness of and attitudes toward unhealthy foods marketing
  • food policy and nutrition
  • socioeconomic and environmental risk factors of obesity

Impact and engagement

The Best-ReMaP joint action resulted in the development of a coordinated and comprehensive EU-WHO protocol to monitor unhealthy foods in various settings (TV, internet, and outdoors) that Member States are be able to implement. Piloting the implementation of these tools resulted in 25 studies across 14 countries (Austria, Belgium, Bosnia and Herzegovina, Croatia, Cyprus, Estonia, Finland, France, Ireland, Portugal, Republika Srpska, Romania, Serbia and Slovenia). This was accompanied by training the public health representatives in using the monitoring protocols and exploring the challenges and facilitators of the monitoring program implementation in order to inform future EU policy and actions. The JA also resulted in an EU Framework for Action.

The CLICKBITE study team collaborated with the University of Galway as well as a board of international experts in the field to comprehensively explore the unhealthy food marketing ecosystem in the Island of Ireland and inform future policy. This study is likely to contribute to the field with a range of relevant novel publications.

I am recognised as an expert in the field and am on the WHO Technical Advisory Group on brand marketing, where together with other experts in the field we are preparing guidance on regulating and monitoring food brand marketing.

I am currently co-supervising one MSc student at the Federal University of Sergipe, Brazil, and two international PhD students in Denmark (The University of Southern Denmark) and Portugal (The Directorate-General of Health and University of Porto). In all three projects, we are monitoring children's exposure to unhealthy food marketing in digital media and piloting innovative machine-learning tools. These will generate powerful evidence to advocate for regulation of marketing in digital spaces.

External collaborations

I collaborate with a range of national and international partners, including the University of Liverpool, The University of Galway, the University College of Cork, The Directorate-General of Health in Portugal, 13 EU partner countries involved in the Best-ReMaP Joint action, the World Health Organisation (European office), OECD and Joint Research Centre (JRC, EU), Federal University of Sergipe, Brazil; Federal University of Minas Gerais, Brazil, University of Porto and more. 

I am also collaborating with a public health charity Health Equalities Group from Liverpool, supporting the implementation and monitoring of the School Pledge aimed at improving the food environment in educational settings in North West of the UK.

Publications

Book Chapter

Exposure to Paracetamol and Antibiotics in Early Life and Elevated Risk of Asthma in Childhood (2013)

Journal Article

A scoping review of children's and parents' attitudes to and awareness of digital food marketing (2025)

A “major breakthrough”, yet potentially “entirely ineffective”? Experts’ opinions about the ‘total ban’ on unhealthy food marketing online in the United Kingdom’s Health and Care Act (2022) (2024)

Influencing children: food cues in YouTube content from child and youth influencers (2024)

Food marketing, eating and health outcomes in children and adults: a systematic review and meta-analysis (2024)

Modeling the health impact of legislation to limit the salt content of bread in Portugal: A macro simulation study (2022)

A scoping review of outdoor food marketing: exposure, power and impacts on eating behaviour and health (2022)

Less obesity but higher inequalities in Portuguese children: Trends of childhood obesity between 2002--2016 (2021)

Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight (2021)

Indirect associations between commercial television exposure and child body mass index (2021)

Marketing of unhealthy brands during the 2018 Fédération Internationale de Football Association (FIFA) World Cup UK broadcasts – a frequency analysis (2021)

Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories: a pooled analysis of 2181 population-based studies with 65 million participants (2020)

Projected impact of the Portuguese sugar-sweetened beverage tax on obesity incidence across different age groups: A modelling study (2020)

A bit or a lot on the side? Observational study of the energy content of starters, sides and desserts in major UK restaurant chains (2019)

Rising rural body-mass index is the main driver of the global obesity epidemic in adults (2019)

Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults (2017)

Tuberculosis and diabetes in Nigerian patients with and without HIV (2017)

The lactase- 13910C> T polymorphism (rs4988235) is associated with overweight/obesity and obesity-related variables in a population sample of Portuguese young adults (2017)

Association study between near-MC4R variants and obesity-related variables in Portuguese young adults (2016)

Metabolic derangements identified through untargeted metabolomics in a cross-sectional study of Nigerian children with severe acute malnutrition (2016)

Dietary Patterns and Their Socioeconomic and Behavioral Determinants in 6- to 8-Year-Old Portuguese Children (2016)

Association between obesity and asthma - epidemiology, pathophysiology and clinical profile (2016)

Association of polymorphisms in 5-HTT (SLC6A4) and MAOA genes with measures of obesity in young adults of Portuguese origin (2016)

Influence of physical activity on the association between the FTO variant rs9939609 and adiposity in young adults (2015)

Maternal fatty acid desaturase genotype correlates with infant immune responses at 6 months (2015)

Leptin and resistin in overweight patients with and without asthma (2014)

Prevalence of asthma and rhinitis symptoms among children living in Coimbra, Portugal | Prevalência dos sintomas de asma e rinite nas crianças a viver em Coimbra, Portugal (2014)

Prevalence and correlates of allergic diseases among children (2008)

Report

Protocols to monitor marketing of unhealthy foods to children: Comparison and evaluation of existing protocols, with stakeholder consultation (2023)

Thesis

The Association of Childhood Obesity with Asthma and Rhinitis Symptoms in 6-8 Years Old Children Living in the Coimbra District, Portugal: The Role of Environmental, Family and Socioeconomic Factors (2014)