Appropriation of the Front-of-Pack Nutrition Label Nutri-Score across the French Population: Evolution of Awareness, Support, and Purchasing Behaviors between 2018 and 2019
Abstract:Since the implementation of the Nutri-Score on a voluntary basis in 2017 in France, very few studies have evaluated how the label was recognized and used by consumers. The goal of this study was to assess the evolution of awareness, support, and perceived impact on purchasing behaviors of the Nutri-Score in France. Between April 2018 and May 2019, a total of 4006 participants were recruited across three successive waves and answered questions regarding awareness of the Nutri-Score, support of the measure, and … Show more
“…The Nutri-Score was also ranked by the participants as the preferred label and considered as the easiest of being spotted, to be understood and to provide rapid information. These results are also consistent with studies showing that Nutri-Score is strongly supported by consumers and appears as the preferred format compared to other labels especially by populations with the lowest levels of nutritional knowledge [ 25 – 27 ].…”
Background
The front of pack nutrition label Nutri-Score, intended to help consumers orient their choices towards foods that are more favorable to health, was developed in France and applied in several European countries. Consideration is underway for its use in Morocco. This study aims to assess Moroccan consumers’ perception and objective understanding of Nutri-Score and 4 other nutritional information labels (Health Star Rating, Health warning, Reference Intakes and Multiple Trafic Light) and their impact on purchase intentions.
Methods
814 participants were asked to choose among 3 food classes (yoghurts, biscuits and cold cuts), which ones they would prefer to buy among three products with different nutritional profiles and then to rank them according to their nutritional quality. Participants first performed these tasks without a visible nutritional label, and then, after being randomized to one of five labels tested, with the nutritional label visible on front of packs. Next, the full set of tested labels was presented to the participants who were asked a series of questions regarding their preferences, the attractiveness of the labels, their perceptions, intention to use and the trustworthiness placed in the labels.
Results
Compared to the Reference Intake, the Nutri-Score (OR = 2.48 [1.53–4.05], p < 0.0001), was associated with the highest improvement in the ability to correctly classify foods based on their nutritional quality. The percentage of participants who improved their food choice was higher than those who worsened it for all the labels. For yogurts and cookies, the most significant improvements were observed for the Nutri-Score and the Reference Intakes: Concerning the perception of labels, the Nutri-Score is the label that received the highest number of positive responses, whether concerning the ease of being spotted (82.2%), of being understood (74%), and to provide rapid information (68.8%). The Nutri-Score was ranked as the preferred label by 64.9% of the participants.
Conclusion
The Nutri-Score appears to be the most effective nutritional information system to inform consumers about the nutritional quality of foods in Morocco, where it could constitute a useful tool to help consumers in their food choices in situations of purchase.
“…The Nutri-Score was also ranked by the participants as the preferred label and considered as the easiest of being spotted, to be understood and to provide rapid information. These results are also consistent with studies showing that Nutri-Score is strongly supported by consumers and appears as the preferred format compared to other labels especially by populations with the lowest levels of nutritional knowledge [ 25 – 27 ].…”
Background
The front of pack nutrition label Nutri-Score, intended to help consumers orient their choices towards foods that are more favorable to health, was developed in France and applied in several European countries. Consideration is underway for its use in Morocco. This study aims to assess Moroccan consumers’ perception and objective understanding of Nutri-Score and 4 other nutritional information labels (Health Star Rating, Health warning, Reference Intakes and Multiple Trafic Light) and their impact on purchase intentions.
Methods
814 participants were asked to choose among 3 food classes (yoghurts, biscuits and cold cuts), which ones they would prefer to buy among three products with different nutritional profiles and then to rank them according to their nutritional quality. Participants first performed these tasks without a visible nutritional label, and then, after being randomized to one of five labels tested, with the nutritional label visible on front of packs. Next, the full set of tested labels was presented to the participants who were asked a series of questions regarding their preferences, the attractiveness of the labels, their perceptions, intention to use and the trustworthiness placed in the labels.
Results
Compared to the Reference Intake, the Nutri-Score (OR = 2.48 [1.53–4.05], p < 0.0001), was associated with the highest improvement in the ability to correctly classify foods based on their nutritional quality. The percentage of participants who improved their food choice was higher than those who worsened it for all the labels. For yogurts and cookies, the most significant improvements were observed for the Nutri-Score and the Reference Intakes: Concerning the perception of labels, the Nutri-Score is the label that received the highest number of positive responses, whether concerning the ease of being spotted (82.2%), of being understood (74%), and to provide rapid information (68.8%). The Nutri-Score was ranked as the preferred label by 64.9% of the participants.
Conclusion
The Nutri-Score appears to be the most effective nutritional information system to inform consumers about the nutritional quality of foods in Morocco, where it could constitute a useful tool to help consumers in their food choices in situations of purchase.
“…The results of scientific studies performed on large populations (several thousand or tens of thousands of subjects) [34][35][36] and consumer surveys carried out in France [37], Spain [38], Belgium [39] and Germany [40] consistently demonstrate the superiority of Nutri-Score compared to the other nutrition labels tested, in terms of perception, ease of identification and speed of interpretation. All studies show that the Nutri-Score is perceived favourably by consumers and appears as the preferred format compared to other labels, particularly in populations with the lowest levels of nutritional knowledge.…”
Section: Perception Attractiveness and Preferencesmentioning
Abstract. Nutri-Score is a front-of-pack nutrition label with summary graded colour-coding, which aims to inform consumers, in a simple and understandable way, of the overall nutritional value of foods, in order to help them to make healthier choices at the point of purchase and to encourage manufacturers to improve the nutritional quality of their products. It is based on a five-colour scale (from dark green to dark orange) associated with letters, from A to E, to optimize logo accessibility and understanding by the consumer. Nutri-Score does not merely characterize foods as “healthy” or “unhealthy”. Rather, the graded logo provides semi-quantitative information, depending on the colour/ letter, of the relative overall nutritional composition of a food product compared to other similar products as to whether it is more or less favourable to health. Nutri-Score is the only proposed labelling scheme that adheres entirely to the concepts and processes that were published by the World Health Organisation (WHO) Europe concerning the validation studies that are required to select and evaluate a front-of-pack nutrition label. The aim of the present paper is to present the scientific basis for the design of the Nutri-Score and to summarize the various studies to validate its calculation method and its graphic format. We explore its effectiveness and superiority compared to other labelling schemes that have been implemented in other countries or supported by pressure groups. The necessity for objective, impartial consideration of how best to use Nutri-Score and avoid misunderstandings is highlighted.
“…Im Mai 2019 steigerten sich diese Angaben bei den Teilnehmenden, die über den Nutri-Score Bescheid wussten, auf 42,9%. Sie konnten zeigen, dass der Einfluss des Nutri-Scores auf das Einkaufsverhalten mit der Zeit grösser wird 13 . Es ist denkbar, dass eine Wiederholung der vorliegenden Studie zu einem späteren Zeitpunkt zu anderen Ergebnissen führen würde.…”
Zusammenfassung
Einleitung Das Nährwert-Ampelsystem «Nutri-Score»
ist seit 2020 auf einzelnen Lebensmittelverpackungen im Schweizer Detailhandel
abgebildet. Das Ziel dieses Labels ist es, Konsumentinnen und Konsumenten bei
der gesunden Lebensmittelauswahl zu unterstützen und das Risiko
für Adipositas und andere ernährungsbedingte Erkrankungen zu
verringern. In der vorliegenden randomisierten Studie wurde daher der
potentielle Einfluss der Nutri-Score Angabe auf Lebensmittelverpackungen auf die
Kaufentscheidung und die Energie- und Nährstoffaufnahme der Schweizer
Bevölkerung untersucht.
Methode An der Studie nahmen 104 Probandinnen und Probanden teil. Die
Stichprobe wurde randomisiert und in zwei Gruppen eingeteilt. Für die
Interventionsgruppe (n=52) und die Kontrollgruppe (n=52) wurden
zwei standardisierte Fragebögen eingesetzt, anhand welcher die
Fragestellung untersucht wurde. Anhand von Produktabbildungen trafen die
Teilnehmenden eine Auswahl der Lebensmittel, welche sie konsumieren
würden. Der Unterschied der beiden Befragungen bestand darin, dass in
der Interventionsgruppe die Produkte mit Nutri-Scores versehen waren und in der
Kontrollgruppe nicht. Die Ergebnisse der beiden Umfragen wurden auf statistisch
signifikante (p<0.05) Unterschiede der theoretischen Energie- und
Nährstoffaufnahme durch die gewählten Produkte
geprüft.
Ergebnisse Es konnten keine statistisch signifikanten Unterschiede der
theoretischen Energie- und Nährstoffaufnahme zwischen der Interventions-
und Kontrollgruppe festgestellt werden. Grund dafür war einerseits, dass
der Genussaspekt für die Einkaufsentscheide höchste
Priorität hatte. Andererseits war der Nutri-Score bei der Stichprobe
(noch) nicht bekannt und wurde deshalb für die Lebensmittelwahl nicht
berücksichtigt.
Schlussfolgerung Der Nutri-Score führte in vorliegender Arbeit mit
kleiner Stichprobe in einem Experiment mit fiktivem Einkaufsverhalten nicht zu
einem Einkaufsverhalten, aus dem eine verbesserte Energie- oder
Nährstoffaufnahme abgeleitet werden könnte. Dies suggeriert,
dass dieses Ampelsystem nicht intuitiv erkannt und verstanden wird.
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