Abstract

Nutrition information on packaged foods supplies information that aids consumers in meeting the recommendations put forth in the US Dietary Guidelines for Americans such as reducing intake of solid fats and added sugars. It is important to understand how food label use is related to dietary intake. However, prior work is based only on self-reported use of food labels, making it unclear if subjective assessments are biased toward motivational influences. We assessed food label use using both self-reported and objective measures, the stage of change, and dietary quality in a sample of 392 stratified by income. Self-reported food label use was assessed using a questionnaire. Objective use was assessed using a mock shopping task in which participants viewed food labels and decided which foods to purchase. Eye movements were monitored to assess attention to nutrition information on the food labels. Individuals paid attention to nutrition information when selecting foods to buy. Self-reported and objective measures of label use showed some overlap with each other (r = 0.29, p < 0.001), and both predicted dietary quality (p < 0.001 for both). The stage of change diminished the predictive power of subjective (p < 0.09), but not objective (p < 0.01), food label use. These data show both self-reported and objective measures of food label use are positively associated with dietary quality. However, self-reported measures appear to capture a greater motivational component of food label use than do more objective measures.

Highlights

  • The Nutrition Facts panel (NFP) provides information that consumers can utilize in making informed decisions about food choices that are in keeping with the most recent 2010 Dietary Guidelines for Americans (DGA)

  • The mean Healthy Eating Index (HEI) in the sample was 56, slightly better than national averages based on National Health and Nutrition Examination Survey (NHANES) (50 for men, 53 for women) [44], but with substantial variation

  • The average proportion of dwell time devoted to front of package (FOP) (Table 1), the objective measure of label use, was 0.186 indicating that, on average, individuals spent 18.6% of their total viewing time for that food choice on nutrition information on package fronts (FOPs)

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Summary

Introduction

The Nutrition Facts panel (NFP) provides information that consumers can utilize in making informed decisions about food choices that are in keeping with the most recent 2010 Dietary Guidelines for Americans (DGA). The NFP and the more recently introduced front of package (FOP) symbols provide consumers with details that, in principle, can guide them to make informed choices to meet dietary recommendations, but evidence that individuals take advantage of this information is unclear. One approach to addressing the question of whether individuals take advantage of food labels is to ask individuals whether they use nutrition information on the food label when deciding what to buy. Using this approach, the majority of individuals appear to take advantage of food labels. Data from the 2005–2006 National Health and Nutrition Examination Survey (NHANES) show that 61.6% of participants report using the Nutrition

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