Effects of Different Types of Front-of-Pack Labelling Information on the Healthiness of Food Purchases-A Randomised Controlled Trial.
Bruce Neal,Michelle Crino,Elizabeth Dunford,Elizabeth Dunford,Annie Gao,Rohan Greenland,Nicole Li,Judith Ngai,Cliona Ni Mhurchu,Simone Pettigrew,Gary Sacks,Jacqui Webster,Jason H Y Wu +12 more
TLDR
These real-world data align with experimental findings and provide support for the policy choice of HSR, and recommendation/warning labels warrant further exploration, as they may be a stronger driver of healthy food purchases.Abstract:
Background: Front-of-pack nutrition labelling may support healthier packaged food purchases. Australia has adopted a novel Health Star Rating (HSR) system, but the legitimacy of this choice is unknown. Objective: To define the effects of different formats of front-of-pack labelling on the healthiness of food purchases and consumer perceptions. Design: Individuals were assigned at random to access one of four different formats of nutrition labelling—HSR, multiple traffic light labels (MTL), daily intake guides (DIG), recommendations/warnings (WARN)—or control (the nutrition information panel, NIP). Participants accessed nutrition information by using a smartphone application to scan the bar-codes of packaged foods, while shopping. The primary outcome was healthiness defined by the mean transformed nutrient profile score of packaged foods that were purchased over four weeks. Results: The 1578 participants, mean age 38 years, 84% female recorded purchases of 148,727 evaluable food items. The mean healthiness of the purchases in the HSR group was non-inferior to MTL, DIG, or WARN (all p 0.07), but WARN resulted in healthier packaged food purchases (mean difference 0.87; 95% confidence interval 0.03 to 1.72; p = 0.04). HSR was perceived by participants as more useful than DIG, and easier to understand than MTL or DIG (all p < 0.05). Participants also reported the HSR to be easier to understand, and the HSR and MTL to be more useful, than NIP (all p < 0.03). Conclusions: These real-world data align with experimental findings and provide support for the policy choice of HSR. Recommendation/warning labels warrant further exploration, as they may be a stronger driver of healthy food purchases.read more
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A Meta-Analysis of Food Labeling Effects on Consumer Diet Behaviors and Industry Practices.
Siyi Shangguan,Ashkan Afshin,Masha Shulkin,Wenjie Ma,Daniel P Marsden,Jessica Smith,Michael Saheb-Kashaf,Peilin Shi,Renata Micha,Fumiaki Imamura,Dariush Mozaffarian,Intervention Cost-Effectiveness +11 more
TL;DR: From reviewing 60 intervention studies, food labeling reduces consumer dietary intake of selected nutrients and influences industry practices to reduce product contents of sodium and artificial trans fat.
Journal ArticleDOI
Experimental Studies of Front-of-Package Nutrient Warning Labels on Sugar-Sweetened Beverages and Ultra-Processed Foods: A Scoping Review
TL;DR: FoP nutrient warnings were visually attended to by consumers, easy to understand, helped consumers identify products high in nutrients of concern, and discouraged them from purchasing these products, although other labeling systems were perceived as containing more information and performed better at helping consumers rank the healthfulness of products.
Journal ArticleDOI
Front of pack nutritional labelling schemes: a systematic review and meta-analysis of recent evidence relating to objectively measured consumption and purchasing.
TL;DR: Evidence is provided from experimental and 'real-life' studies indicating that FOPL encourages healthier food purchasing, resulting in healthier purchasing in ITS studies.
Journal ArticleDOI
Front-of-pack nutrition labelling to promote healthier diets: current practice and opportunities to strengthen regulation worldwide.
TL;DR: Key components of 31 FOP nutrition labelling regulations endorsed by governments up to June 2019 are evaluated to support policymakers to design and implement best-practice, evidence-informed regulation.
Journal ArticleDOI
Impact of warning labels on sugar-sweetened beverages on parental selection: An online experimental study.
TL;DR: Installing image-based warning labels discourage SSB selection by parents for their children, and field studies are needed to assess the impact of SSB warning labels in real-life settings.
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Salt Reduction Initiatives around the World – A Systematic Review of Progress towards the Global Target
Kathy Trieu,Bruce Neal,Corinna Hawkes,Elizabeth Dunford,Norm R.C. Campbell,Rodrigo Rodriguez-Fernandez,Branka Legetic,Lindsay McLaren,Amanda M Barberio,Jacqui Webster +9 more
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