Abstract

The implementation of a standardized front-of-pack-labelling (FoPL) scheme would likely be a useful tool for many consumers trying to improve the healthfulness of their diets. Our objective was to examine what the traffic light labelling scheme would look like if implemented in the US. Data were extracted from Label Insight’s Open Access branded food database in 2017. Nutrient levels and the proportion of products classified as “Red” (High), “Amber” (Medium) or “Green” (Low) in total fat, saturated fat, total sugar and sodium for food and beverage items were examined. The proportion of products in each category that had each possible combination of traffic light colors, and met the aggregate score for “healthy” was examined. Out of 175,198 products, >50% of all US packaged foods received a “Red” rating for total sugar and sodium. “Confectionery” had the highest mean total sugar (51.9 g/100 g) and “Meat and meat alternatives” the highest mean sodium (781 mg/100 g). The most common traffic light label combination was “Red” for total fat, saturated fat and sodium and “Green” for sugar. Only 30.1% of products were considered “healthy”. A wide variety (n = 80) of traffic light color combinations were observed. A color coded traffic light scheme appears to be an option for implementation across the US packaged food supply to support consumers in making healthier food choices.

Highlights

  • Americans today have access to more nutrition information than any previous generation

  • More than 50% received a “Red” (High) rating for both total fat and sodium

  • The traffic light labelling criteria demonstrate the substantial variability in levels of total fat, saturated fat, total sugar and sodium both within and across product categories as well as variability in the overall “healthfulness” of products and a variety of traffic light color combinations indicating it could be a useful tool to support US consumers to make healthier packaged food and beverage choices

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Summary

Introduction

Americans today have access to more nutrition information than any previous generation. Administration (FDA) mandates the declaration of eight nutrients on the back-of pack to educate consumers on what is in the foods they buy [1]. Manufacturers can display health and nutrient content claims on the front-of-pack (FOP), and can use a wide variety of logos, graphics, and wording to encourage consumers to buy their products. Despite this huge amount of information available to help consumers make healthier food choices, intake of energy dense, nutrient poor foods, and subsequent levels of obesity and non-communicable diseases (NCDs) in the US population [2].

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