Concrete images of the sugar content in sugar-sweetened beverages reduces attraction to and selection of these beverages

Adams, John M.; Hart, William; Gilmer, Declan O.; Lloyd-Richardson, Elizabeth E.; Burton, K. Alex

doi:10.1016/j.appet.2014.07.027

Cited by 32 publications

(26 citation statements)

References 33 publications

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“…Text-based labels can improve understanding of the health harms associated with SSBs overconsumption and may reduce the selection of such drinks ( Bollard et al, 2016 ; Gray et al, 2011 ; Vanepps and Roberto, 2016 ), including by parents choosing beverages for their children ( Roberto et al, 2016 ). Consistent with prior research on the use of warning labels on tobacco products, image-based labels on SSBs, including labels that illustrate the health consequences of excess sugar consumption ( Bollard et al, 2016 ) and those illustrating sugar content ( Adams et al, 2014 ), appear superior than text-based labels, having been shown more effective at reducing intentions to purchase SSBs and preferences for SSBs ( Bollard et al, 2016 ; Adams et al, 2014 ). Further research, however, is needed to elucidate the types of images that could be most effective.…”

Section: Introductionmentioning

confidence: 52%

Impact of warning labels on sugar-sweetened beverages on parental selection: An online experimental study

Mantzari

Vasiljevic

Turney

et al. 2018

Preventive Medicine Reports

109

105

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Sugar-sweetened beverages (SSBs) are one of the largest added sugar sources to diets in the UK and USA, particularly among young people. Warning labels, including calorie information labels, could reduce SSB consumption but uncertainty surrounds the labels that are most effective. This study assessed the impact of labels containing (a) each of two image-based warnings and (b) calorie information, singly and together, on SSB selection by parents of 11–16-year-olds living in the UK. Using a 3 (disease image, sugar content image, no image) × 2 (calorie information, no calorie information) between-subjects experimental design, 2002 participants were randomised to see beverages with one of six labels and selected one for their child to consume. The primary outcome was the proportion of participants selecting an SSB. Data were collected in December 2017. Logistic regressions showed SSB selection was lower when labels contained an image-based warning (35%), compared to not having any label (49%) or just calorie information (43.5%). The disease image lowered selection more than the sugar image (32% vs 40.5%). Providing calorie information with the disease image had no additional impact on selection (33%) but enhanced the impact of the sugar image (36%). Image-based warning labels discourage SSB selection by parents for their children. Images depicting health consequences of excess sugar consumption have larger effects than those depicting sugar content. Calorie information does not add to the effect of the former but does to that of the latter. Field studies are needed to assess the impact of SSB warning labels in real-life settings.

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Section: Introductionmentioning

confidence: 52%

Impact of warning labels on sugar-sweetened beverages on parental selection: An online experimental study

Mantzari

Vasiljevic

Turney

et al. 2018

Preventive Medicine Reports

109

105

View full text Add to dashboard Cite

show abstract

“…Qualitative research has shown that people have difficulty understanding and interpreting energy information [36], despite having ready access to this information via on-pack nutrition information panels. Furthermore, experimental research has shown that concrete visual images of sugar are better understood than abstract information [54]. Large proportions of respondents in this study underestimated, rather than overestimated the sugar content and exercise equivalent metric, which has important implications for consumers' decision-making processes.…”

Section: Discussionmentioning

confidence: 73%

An In-Depth Exploration of Knowledge and Beliefs Associated with Soda and Diet Soda Consumption

et al. 2020

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The need to reduce sugar-sweetened beverage (SSB) consumption is widely accepted, but whether artificially sweetened beverages (ASBs) are a recommended alternative is a growing policy issue because of emerging evidence of potential health effects associated with excess consumption. This study aimed to establish the extent of the Australian population’s knowledge of the risks associated with consuming SSBs (e.g., soda) and ASBs (e.g., diet soda), which is essential for identifying which facets of knowledge to target with public health interventions. A national computer-assisted telephone survey of 3430 Australian adults was conducted in 2017. The survey included a range of measures to test associations between SSB and ASB knowledge and beliefs, demographic characteristics, and soda and diet soda consumption. Participants had an overall awareness that there were health risks associated with SSB and ASB consumption, but they lacked more detailed knowledge of health effects and nutritional composition of these drinks. These knowledge gaps are concerning given that SSBs and ASBs are consumed in large quantities in Australia. Public health interventions targeting consumers’ limited knowledge and perceptions of health risks associated with excess sugar, calorie intake and artificial sweeteners are essential in reducing the health burden of obesity.

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“…The remaining five experimental studies (Adams, Hart, Gilmer, Lloyd-Richardson, & Burton, 2014;Bialkova, Sasse, & Fenko, 2016;Kim, Lopetcharat, & Drake, 2013;Roberto et al, 2016;Sutterlin & Siegrist, 2015) explored whether products with sugar labels influence attitudes towards sugar. These studies had mixed results with three (Adams et al, 2014;Bialkova et al, 2016;Roberto et al, 2016) reporting positive effects of sugar labels on attitudes towards reduced SSB consumption, while the other two (Kim et al, 2013;Sutterlin & Siegrist, 2015) did not find such effects. The presence of a 'less than 30% sugar' label; a health-warning label ('drinking beverages with added sugar[s] contributes to obesity, diabetes, and tooth decay'); and a pictorial image of quantity of sugar in SSBs, all generated positive attitudes to reduce purchase intention and consumption of SSBs.…”

Section: Methodological Quality Of Included Studiesmentioning

confidence: 99%

Determinants of knowledge and attitudes about sugar and the association of knowledge and attitudes with sugar intake among adults: A systematic review

et al. 2018

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Efforts to reduce sugar intake levels have been primarily limited to increasing knowledge and changing attitudes. We conducted a systematic review to (1) identify factors influencing adults' knowledge and attitudes about sugar, and (2) determine if there is an association between knowledge and attitudes about sugar and sugar intake. We searched 15 electronic databases from inception to December 2016 for English language publications including adults with relevant exposure and outcome measures. Findings were summarised meta-narratively. Of 3287 studies, 22 studies (14 for objective one and 8 for objective two) were included. Individual (liking of sugary food), interpersonal (attitudes of peers) and environmental factors (media, health professionals and food labelling) influenced adults' knowledge and attitudes about sugar, at least to some extent. Overall, quality of the studies included in our review was weak, and evidence for the application of the Knowledge-Attitude-Behavior model for understanding sugar intake is limited. Protocol registered in the PROSPERO International prospective register of systematic reviews (registration number CRD42015027540).

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Concrete images of the sugar content in sugar-sweetened beverages reduces attraction to and selection of these beverages

Cited by 32 publications

References 33 publications

Impact of warning labels on sugar-sweetened beverages on parental selection: An online experimental study

Impact of warning labels on sugar-sweetened beverages on parental selection: An online experimental study

An In-Depth Exploration of Knowledge and Beliefs Associated with Soda and Diet Soda Consumption

Determinants of knowledge and attitudes about sugar and the association of knowledge and attitudes with sugar intake among adults: A systematic review

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