Potential Effect of Physical Activity Calorie Equivalent Labeling on Parent Fast Food Decisions

Viera, Anthony J.; Antonelli, Ray

doi:10.1542/peds.2014-2902

Cited by 26 publications

(44 citation statements)

References 16 publications

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“…Minutes of walking led to 440 fewer calories ordered, while miles of walking led to 370 fewer calories ordered compared to no labels. The labels did not statistically significantly differ from one to another .…”

Section: Resultsmentioning

confidence: 66%

“…Fewer studies have examined modified calorie information (e.g., daily recommended intake statement) relative to calorie labels, and these results are highly variable across settings (22,23,31,33,35,43,49,(51)(52)(53)(55)(56)(57)(58)(59)(60)(61)(62)(63)(64)(65)(66)(67)70). Presumably, making calorie information easier to understand and more accessible to a greater range of individuals, particularly those with lower numeracy levels, would increase the reach and impact of such information, but real-world RCTs are needed to know for sure.…”

Section: Discussionmentioning

confidence: 99%

“…Of the ten laboratory studies, five measured hypothetical food selections (50-54) and five measured actual food selections and consumption (55)(56)(57)(58)(59). Eleven simulation studies measured hypothetical food selections (60)(61)(62)(63)(64)(65)(66)(67)(68)(69)(70). The laboratory and simulation results are heterogeneous, even among studies with the strongest designs, and many are limited by small sample sizes.…”

Section: Laboratory and Simulation Settingsmentioning

confidence: 99%

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A Systematic Review of Calorie Labeling and Modified Calorie Labeling Interventions: Impact on Consumer and Restaurant Behavior

Bleich

Economos

Spiker

et al. 2017

Obesity

152

142

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Background Evidence on the effects of restaurant calorie labeling on consumer and restaurant behavior is mixed. This paper examined: 1) consumer responses to calorie information alone or compared to modified calorie information, and 2) changes in restaurant offerings following or in advance of menu labeling implementation. Methods We searched PubMed, Web of Science, Policy File and PAIS International to identify restaurant calorie labeling studies through October 1, 2016, that measured calories ordered, consumed, or available for purchase on restaurant menus. We also searched reference lists of calorie labeling articles. Results Fifty-three studies were included: 18 in real-world restaurants, 9 in cafeterias, and 21 in laboratory or simulation settings. Five examined restaurant offerings. Conclusion Due to a lack of well-powered studies with strong designs, the degree to which menu labeling encourages lower calorie purchases and whether that translates to a healthier population is unclear. Although there is limited evidence that menu labeling affects calories purchased at fast-food restaurants, some evidence demonstrates that it lowers calories purchased at certain types of restaurants and in cafeteria settings. The limited data on modified calorie labels find that such labels can encourage lower-calorie purchases, but may not differ in effects relative to calorie labels alone.

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Section: Resultsmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Laboratory and Simulation Settingsmentioning

confidence: 99%

See 1 more Smart Citation

A Systematic Review of Calorie Labeling and Modified Calorie Labeling Interventions: Impact on Consumer and Restaurant Behavior

Bleich

Economos

Spiker

et al. 2017

Obesity

152

142

View full text Add to dashboard Cite

show abstract

“…Gıda sanayii ile iş birliği hâlinde sağlıklı gıdaların teşvik edilmesi ve bu konuda yönlendirici etiketlemelerin yapılması; medya haberleri ve reklamlarda doğru beslenme ve düzenli fiziksel aktivitenin desteklenmesi toplumsal farkındalığın artmasına katkıda bulunabilecek önemli yaklaşımlardır. 47,48 …”

Section: Sonuçunclassified

Physical Inactivity, Obesity and Preventive Rehabilitation Approaches in Children: Review

Tarakçı¹,

Hüseyinsinoğlu²,

Çiçek³

2016

Turkiye Klinikleri J Health Sci

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“…In fact, there is no consensus among investigators about the impact of nutrition labels on food behavior. Recently, a new type of label that takes physical activity into consideration has been examined in different studies in high income countries [9][10][11][12][13]. This type of label shows the amount of physical activity needed to burn off calories.…”

Section: Introductionmentioning

confidence: 99%

The new nutrition label is a combination of the physical activity, traffic light and warning labels: a qualitative study

Seyedhamzeh

Shakibazadeh

Hosseini

et al. 2020

Preprint

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Background Unhealthy diets and inadequate physical activity are important factors in the increasing trend of obesity. In order to mitigate this harmful trend, an effective policy must be developed to target both unhealthy diets and insufficient physical activity. The implementation of physical activity recommendations in nutrition labeling may influence the consumers’ food choices. In this qualitative study, we designed a new type of physical activity calorie equivalent (PACE) label by considering the viewpoints of household representatives and experts. Method Ten focus group discussions (FGDs) were conducted with 63 mothers from different regions of Tehran based on the participants’ socioeconomic status. Furthermore, ten interviews were conducted with food quality control (FQC) experts to examine the new PACE label. The preliminary designs were based on the mothers’ viewpoints. We then presented these new labels to the nutritionists and food industry experts in two separate FGDs. After taking their opinions into consideration, we applied certain changes to the labels and emailed them to the mothers. Consequently, the final versions of the new labels were designed. Conventional content analysis was applied with the MAXQDA10 software. Result Two main themes were defined: (1) the stakeholders’ perspectives on PACE labeling (2) the new PACE label’s characteristics including the appearance and the nutritional information on the new label. Conclusion The new label is a combination of the physical activity, traffic light and warning labels.

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Potential Effect of Physical Activity Calorie Equivalent Labeling on Parent Fast Food Decisions

Abstract: OBJECTIVES: Menu labels displaying food energy in physical activity calorie equivalents (PACE) is a possible strategy to encourage ordering meals with fewer calories and promoting physical activity. Potential effects of such labeling for children have never been examined.

Cited by 26 publications

References 16 publications

A Systematic Review of Calorie Labeling and Modified Calorie Labeling Interventions: Impact on Consumer and Restaurant Behavior

A Systematic Review of Calorie Labeling and Modified Calorie Labeling Interventions: Impact on Consumer and Restaurant Behavior

Physical Inactivity, Obesity and Preventive Rehabilitation Approaches in Children: Review

The new nutrition label is a combination of the physical activity, traffic light and warning labels: a qualitative study

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