A randomized trial testing the efficacy of modifications to the nutrition facts table on comprehension and use of nutrition information by adolescents and young adults in Canada

Hobin, Erin; Sacco, Joe; Vanderlee, Lana; White, Christine M.; Zuo, Fei; Sheeshka, Judy; McVey, Gail; O'Brien, Mary Fodor; Hammond, David

doi:10.24095/hpcdp.35.10.01

Cited by 7 publications

(5 citation statements)

References 28 publications

(28 reference statements)

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“…A recent scoping review of experimental studies found FOP nutrient warnings helped consumers identify products high in nutrients of concern and discouraged their purchases ( Taillie et al, 2020 ); however, less evidence exists on the most effective FOP label format, especially among youth. The majority of FOP labelling studies have involved adults ( Grummon et al, 2020 ), although a considerable proportion of young people use nutrition labels ( Haidar et al, 2017 , Hobin et al, 2015 , Hobin et al, 2016 ), and evidence suggests children have an important influence on food behaviour within families ( Correa et al, 2019 ). FOP labels using familiar symbols, including octagon ‘stop signs’, may be especially easy for youth to comprehend given their simple, interpretative design.…”

Section: Introductionmentioning

confidence: 99%

Experimental study of front-of-package nutrition labels’ efficacy on perceived healthfulness of sugar-sweetened beverages among youth in six countries

Hock

Acton

Jáuregui

et al. 2021

Preventive Medicine Reports

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Section: Introductionmentioning

confidence: 99%

Experimental study of front-of-package nutrition labels’ efficacy on perceived healthfulness of sugar-sweetened beverages among youth in six countries

Hock

Acton

Jáuregui

et al. 2021

Preventive Medicine Reports

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“…One limitation of NFTs is that serving sizes often differ across brands and products; studies suggest that consistent serving sizes would facilitate compare nutrient content of similar products [13]. Consumers also have difficulty using NFTs to understand if a food is ‘high’ or ‘low’ in a nutrient [14]. Perhaps most importantly, there are persistent disparities in the use and understanding of NFTs among consumers with lower education and income [15, 16].…”

Section: Introductionmentioning

confidence: 99%

Understanding and use of food labeling systems among Whites and Latinos in the United States and among Mexicans: Results from the International Food Policy Study, 2017

Nieto

Jáuregui

Contreras‐Manzano

et al. 2019

Int J Behav Nutr Phys Act

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BackgroundObesity and chronic diseases could be prevented through improved diet. Most governments require at least one type of food labeling system on packaged foods to communicate nutrition information and promote healthy eating. This study evaluated adult consumer understanding and use of nutrition labeling systems in the US and Mexico, the most obese countries in the world.MethodsAdults from online consumer panels in the US (Whites n = 2959; Latinos n = 667) and in Mexico (n = 3533) were shown five food labeling systems: 1. Nutrition Facts Table (NFT) that shows nutrients of concern per serving; 2. Guideline Daily Amounts (GDA) that shows levels of nutrients of concern; 3. Multiple Traffic-Light (MTL) that color codes each GDA nutrient (green = healthy; yellow = moderately unhealthy; red = unhealthy); 4. Health Star Rating System (HSR) that rates foods on a single dimension of healthiness; 5. Warning Label (WL) with a stop sign for nutrients present in unhealthy levels. Participants rated each label on understanding (“easy”/“very easy to understand” vs “difficult”/“very difficult to understand”), and, for NFTs and GDAs, frequency of use (“sometimes”/“often” vs “never”). Mixed logistic models regressed understanding and frequency of use on indicators of labeling systems (NFT = ref), testing for interactions by ethnicity (US Latinos, US Whites, Mexicans), while controlling for sociodemographic and obesity-related factors.ResultsCompared to the NFT, participants reported greater understanding of the WL (OR = 4.8; 95% CI = 4.4–5.3) and lower understanding of the HSR (OR = 0.34, 95% CI = 0.31–0.37) and the MTL (OR = 0.56, 95% CI = 0.52–0.61), with similar patterns across ethnic subgroups. Participants used GDAs less often than NFTs (OR = 0.48; 95%CI = 0.41–0.55), with the greatest difference among US Whites (OR = 0.10; 95%CI = 0.07–0.14).ConclusionsUnderstanding and use of the GDA was similar to that of the NFT. Whites, Latinos, and Mexicans consistently reported the best understanding for WLs, a FOPL that highlights unhealthfulness of a product. Therefore, a FOPL summary indicator, such as WLs, may be more effective in both the US and Mexico for guiding consumers towards informed food choices.

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“…With the emergence of various labeling schemes, one would wonder if more nutrition information worsens information overload for consumers (51,52). Current evidence, however, has illustrated increased consumer interest in having more nutrition information added to labels provided the content, format, size, and position facilitate interpretation (86,87). This is positive, and because nutrition-sensitive chain labeling inherently combines the benefits offered by existing nutrition labels, its use as a novel approach is reasonable.…”

Section: Discussionmentioning

confidence: 99%

Labeling Nutrition-Sensitive Food Chains: A Consumer Preference Analysis of Milk Products

et al. 2020

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While nutrition-sensitive value-chain approaches are strongly advocated, studies on consumer preferences for such interventions are lacking. This study aims to fill this gap by examining a nutrition-sensitive chain labeling scheme, using the Ugandan dairy sector as a case. A survey was conducted among 250 consumers, primarily eliciting perceptions of the importance of a nutrition-sensitive chain label compared to nutrition claims/facts. In addition, a choice-based conjoint experiment was designed with nutrition label, brand, fat content, and price as attributes. Findings show that nutrition-sensitive chain labeling was more positively perceived by consumers than by nutrition claims/facts. Ordered logistic regression analysis indicated that BMI, nutrition knowledge, and label use influenced consumers' perceived importance of a nutrition-sensitive chain label relative to sex, age, children, and milk purchase frequency for nutrition claims/facts. This is confirmed by the higher utilities for the nutrition-sensitive chain label in our conjoint experiment. Future research should focus on the integration of nutrition-sensitive chain labeling with existing labels in a way that promotes candid interpretation by consumers. Industrial and policy actors in the agri-food sector can use these findings to innovate and regulate appropriate labeling schemes in the context of nutrition-sensitive value chains.

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A randomized trial testing the efficacy of modifications to the nutrition facts table on comprehension and use of nutrition information by adolescents and young adults in Canada

Cited by 7 publications

References 28 publications

Experimental study of front-of-package nutrition labels’ efficacy on perceived healthfulness of sugar-sweetened beverages among youth in six countries

Experimental study of front-of-package nutrition labels’ efficacy on perceived healthfulness of sugar-sweetened beverages among youth in six countries

Understanding and use of food labeling systems among Whites and Latinos in the United States and among Mexicans: Results from the International Food Policy Study, 2017

Labeling Nutrition-Sensitive Food Chains: A Consumer Preference Analysis of Milk Products

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