Food Nutrition Labels Research Articles

Digital native students using nutritional apps: are they more adherent to a mediterranean diet model? Results from the good APPetite survey

Reading and understanding food labels are crucial steps in healthy dietary choices. Nutrition-related applications (n-apps) have increased in the recent years and the aim of this study was to assess the use and the perception of n-apps among a population of university students, also investigating the attitude and relationship with reading food labels and adherence to the Mediterranean diet (Medi-Lite score).In 2023, 316 students, mainly attending the courses of Medicine, Pharmacy and Dietetics at the University of Brescia, Italy, completed an anonymous and specifically designed survey. 33.9% of the students stated that they use or have used n-apps. The most used apps were Yuka, MyFitnessPal, Fat Secret and Yazio, especially for the ease of use, speed, nutritional values estimation and barcode reading. 53.2% and 53.5% of the students declared to be food information and nutrition label readers respectively and the Medi-Lite mean value was 9.98 ± 2.46. N-app-users were significantly more attentive to food information and nutrition label than app not-users (both p < 0.0001) and recorded a Medi-Lite score significantly higher (p = 0.0131).The present study found for the first time an extensive correlation between the use of n-apps, the food labels awareness and healthy eating habits in a digitally native population.

The Impact of Food Nutrition Labels on Consumer Behavior: A Cross-national Survey and Quantitative Analysis

The Impact of Food Nutrition Labels on Consumer Behavior: A Cross-national Survey and Quantitative Analysis

In vitro protein digestibility to replace in vivo digestibility for purposes of nutrient content claim substantiation in North America's context

The reliance by North American regulatory authorities on in vivo rodent bioassays—Protein Correct-Amino Acid Score (PDCAAS) in the U.S. and Protein Efficiency Ratio (PER) in Canada—to measure the protein quality for protein content claim substantiation represents a major barrier for innovation in the development and marketing of protein foods. Although FAO in 2013 proposed a new method (Digestible Indispensable Amino Acid Score, DIAAS), it is still not used for protein content claim substantiation in any jurisdiction. Together with public health efforts to increase the consumption of plant-based foods, removing hurdles is key to incentivizing the food industry to measure protein digestibility in making food formulation decisions as well as in claiming protein content on product labels. To address this issue, a pathway has been proposed to position alternative methods for in vitro protein digestibility in collaborative studies to generate the data necessary for method approval by a certifying body. The latter is critical to the potential recognition of these methods by both Health Canada and the US FDA. The purpose of this article is to briefly summarize the state-of-the-art in the field, to inform the research community of next steps, and to describe the path engaging collaborative laboratories in a proficiency test as the first step in moving forward toward acceptance of in vitro digestibility methods. Throughout, a consultative and iterative process will be utilized to ensure the program goals are met. Success will be achieved when the proposed path results in the acceptance of an in vitro methods for protein digestibility used for PDCAAS determinations, which will enable increased protein analyses and improved nutrition labeling of protein foods.

How Interdisciplinary Interventions Can Improve the Educational Process of Children Regarding the Nutritional Labeling of Foods.

This research aimed to evaluate the effect of interdisciplinary educational interventions on children's attitudes, knowledge, preferences, and perceptions about different nutrition labels. Four hundred and ten elementary school children, aged between seven and ten years, participated in the research. The children completed questionnaires on attitudes, knowledge, and preferences about nutrition labeling and on perceived healthiness of a food product considering different types of nutrition labels (Pre-Intervention). They then participated in educational interventions as a strategy to address nutrition labeling of foods (Intervention). Finally, the Pre-Intervention questionnaires were reapplied (Post-Intervention). The intervention improved children's attitudes and knowledge about nutrition labeling. It also showed that this public has a greater preference for labels printed on the front of the food package. The label in the form of a warning was considered the most favorable for comparing the healthiness of the food product among children, while the table was the least preferred. It is concluded that interdisciplinary educational interventions are effective in improving children's attitudes, knowledge, preferences, and perceptions about different nutrition labels on a food product. The front label model is the most suitable for food packaging aimed at children.

Exploring the influence of food labels and advertisements on eating habits of children: a cross-sectional study from Punjab, India

BackgroundMaintaining healthy eating habits among children is challenging due to industrial tactics. There is little research on the effect of nutritional labels and tv ads on the eating habits of children. So the primary aim of the study was to explore the noticeability of the food packaging labels by the children, the information retrieved from the food nutrition labels, and their role in increased frequency of eating out in addition to the perceptions of their parents about the television ads.MethodsA cross-sectional study was conducted at schools in Punjab, India. Using multi-stage stratified random sampling, we included 722 school-going children aged 14–18 and their parents. A structured predefined questionnaire collected data using a four-point Likert scale. Descriptive statistics and binary logistic regression were used to draw our inferences.ResultsAbout 46% of children were eating out > 3 times a week. Nearly 49% said they never looked at the expiry dates on the food packet, and 40% have yet to notice the quality certification. Nearly half do not understand the components of the food label, and 59% said they never changed their buying behavior because of the label. Only 37% of parents expressed their concerns about the timing of the ads when children watch television, while only 25.5% were concerned about the accuracy of the information. Concerns of the parents regarding the timing of the ads, and celebrity endorsements, were potential predictors for the increased frequency of eating out by the children.ConclusionsLow awareness regarding the utility of nutrition labels and minimal concerns of the parents increase the frequency of eating out. Unification of our existing policies regarding food labels and tv advertisements to develop family-centric interventions will bring us one step closer to improving the enabling environment to curb the growing menace of childhood obesity.

Consideration of Food Nutrition Labeling Based on the Standard Tables of Food Composition in Japan―2020― (Eighth Revised Edition)

Consideration of Food Nutrition Labeling Based on the Standard Tables of Food Composition in Japan―2020― (Eighth Revised Edition)

Association between Free Sugars Intake and Risk of Metabolic Syndrome in Chinese Adults: Results from the China Health and Nutrition Survey, 2000-2018.

The association of free sugars intake with metabolic syndrome (MetS) is controversial. This study aimed to examine the association between free sugars intake and risk of MetS in Chinese adults. The data were from seven waves of the China Health and Nutrition Survey (2000−2018), a longitudinal and open prospective cohort study. Dietary intake was calculated based on the data collected by consecutive 3-day 24-h dietary recalls combined with household weighing for foods or condiments. Cox proportion hazard regressions and restricted cubic spline (RCS) were performed to explore the associations between free sugars intake and the risk of MetS. The present study selected 12,048 adults aged 18 years and above. During a median (IQR) follow-up of 9.0 (7.0, 15.0) years with 131,844.0 person-years, 3970 (32.95%) MetS occurred. After adjusting for all potential confounders, compared to adults with free sugars intake of <5 g/day group, adults with free sugars intake of 5−20 g/day were associated with a higher risk of MetS (HR, 1.094; 95% CI, 1.009−1.186). No significant association was observed between free sugars intake of >20 g/day and the risk of MetS (HR, 1.011; 95% CI, 0.800−1.277). There is an urgent need to pay attention to the intake of free sugars and comprehensive measures such as the improvements in the processing of sugary foods, and sugar composition should be included on food nutrition labels to control intake of free sugars in China.

Knowledge of the adult population about food nutritional labeling

Los consumidores a menudo informan dificultades para interpretar la información cuantitativa contenida en las etiquetas nutricionales de los alimentos. El objetivo fue estudiar los principales conocimientos sobre etiquetado de alimentos que la población adulta del Paraguay tiene incorporado en el periodo de agosto de 2021. Este es un estudio descriptivo observacional de corte trasversal en el cual se evaluaron a adultos de ambos sexos de 18 a 60 años consumidores de alimentos con etiquetado nutricional. Se recabarón datos sociodemográficos y de conocimientos sobre etiquetado nutricional de alimentos a través de una encuesta tipo on-line con la herramienta de Google forms. El 73% fueron del sexo femenino, la edad promedio fue de 36,9 años, 57,1% residía en Gran Asunción, 49,1% tenía nivel educativo universitario y 37,5%eran profesionales de la salud. Los aspectos generales sobre etiquetado nutricional revelaron que 88,3% sabía su concepto, 55,3% refirió que lo lee casi siempre, 84% sabía que es obligatorio y 44% se fijaba más en las calorías. Al evaluar los conocimientos generales, 91% sabía la diferencia entre caducidad y consumo preferente, 71,4% conocía el concepto de cantidades orientativas, 62,5% supo cuáles son las grasas menos saludables, y 71,4% respondió correctamente el concepto de alimento light. Los encuestados tuvieron un conocimiento general adecuado sobre etiquetado nutricional, no obstante, hubo un porcentaje considerable de individuos que no supieron los conceptos básicos, por lo que se debe realizar intervenciones de educación nutricional enfocadas al consumidor

Time preference and nutrition label use: Evidence from China

The assumption that label use behavior is, to some extent, intertemporal decision behavior because the benefit of label use cannot be realized instantly, is insufficiently considered. This paper is the first to examine directly if food nutrition label use is associated with behavioral inclinations in time preference. Using a theoretical analysis, this paper illustrates that individuals with lower present bias and higher long-run patience tend to use nutrition labels more frequently. In an empirical investigation, an analysis of a nationwide survey of 1220 Chinese adults confirmed that time preference relates to label use behavior, not only via impatience but also via hyperbolic discounting. Results of this study can help to better understand label-use behavior. They also provide important policy implications for the design of proper strategies for improving food nutrition label use, as well as help consumers in China and other developing countries choose healthier diets.

On-the-Pack Voluntary Well-Being Messaging for Milks Targeting Chinese Older Adults: A Content Analysis.

China is experiencing severe population aging. Given that milks targeting older adults are one of the most popular foods designed for Chinese older adults (COA), this study investigated on-the-pack (OTP) voluntary well-being messaging (VWM, ways of communicating a product’s broad well-being benefits through information on food content or statements linked to favourable components, functions, or well-being outcomes) for milk targeting COA. Over 200 products identified from two sources (JD.com and Mintel’s global new products database), were analysed for type, content, and VWM frequency for different brand origins and milk sources of various animal species, nutrition claim regulation compliance and alignment with nutrition facts. The results suggested: (1) different brand origins (domestic vs. international) and milk source (cow vs. goat) highlighted different well-being aspects of products, (2) three products failed to comply with government regulations made for nutrition labelling of pre-packed foods (GB 28050-2011), but (3) excepting fat, all ‘contains’ claims and most ‘high’ claims did not reflect significantly greater levels of nutrients, compared to products with no claims. The findings create a comprehensive picture of OTP VWM for milks targeting older adults in China, providing useful information for consumer, domestic, and international dairy industries, and policymakers.

Effects of food nutrition labels on the health awareness of school-age children

BackgroundOverweight and obesity have been described as a global epidemic that seriously affects the health of adults and children. Front of Package (FOP) Nutrition Labeling can increase consumers’ awareness of unhealthy foods. The purpose of this study is to find effective deterrence and improve children’s health awareness via the FOP.MethodsThis study examined children’s health awareness of snack packaging using the four labels: guideline daily amounts (GDA), traffic light system (TLS), Apple label (designed in this study), and Warning label. This study recruited 343 children in the sixth grade, including 223 children living in cities and 120 children living in rural areas. First, 30 children in grades 3 to 6 selected 8 snacks that they often buy. Then, each snack was synthesized into these four labels according to their nutritional content for a total of 32 samples. Finally, a questionnaire was used to evaluate the health of snack packaging and the visibility of nutrition labels.ResultsFour results can be drawn: (1) GDA, Apple label and TLS can help children determine healthier snack choices, (2) black Warning label cannot induce children to make healthier choices, (3) children who often buy snacks have low health awareness, and (4) rural children have weak health awareness of snack packaging.ConclusionsThese results can provide a packaging label design, which can effectively improve children’s health awareness.

The Conceptual Framework for the International Food Policy Study: Evaluating the Population-Level Impact of Food Policy

An unhealthy diet is among the leading global causes of death and disability. Globally, a range of policies are being implemented to support healthy food choices at a population level, including novel polices in the areas of food marketing, nutrition labeling, and taxation of less healthy foods. There is a need to evaluate and inform the implementation of these policies, including their impacts on marginalized population subgroups. The International Food Policy Study (IFPS) consists of repeated cross-sectional surveys conducted in 5 high- and upper-middle-income countries: Australia, Canada, Mexico, the United Kingdom, and the United States. In each country, approximately 4000 adults and 1200 children and youth (aged 10–17) were recruited from a global commercial panel to complete an online survey using consistent measures and methodologies across countries. The first annual IFPS surveys were conducted in 2017 with adults; annual surveys for young people aged 10–17 were launched in 2019 in the same countries, as well as in Chile. The design of the IFPS surveys creates a framework for evaluating “natural experiments” in food policies, including comparisons over time within countries implementing the policy and comparisons with countries in which the policy was not implemented. IFPS surveys have 3 primary areas of focus: 1) knowledge, attitudes, and beliefs associated with specific policies; 2) diet-related behaviors; and 3) dietary intake, including 24-hour dietary recalls for adults in 4 of the 5 countries. Surveys also assess food insecurity, income adequacy, sex and gender, race/ethnicity, and a range of other measures to assess trends among priority subgroups. Overall, the IFPS project has the potential to address important gaps in national monitoring surveys for dietary patterns, and to evaluate the impacts of novel food policies implemented in any of the 5 countries over the study period.

Nutrition label knowledge among culinary and health students in Indonesia

Many students in the world believed that the nutrition label was too difficult to understand. There is no previous research on nutrition label knowledge among Indonesian students in the field of health and culinary. This study was aimed to evaluate nutritional label knowledge among culinary and health students in Indonesia. A total of 252 students were recruited from 62 universities in Indonesia. The selection was carried out using the cluster sampling method. Sample respondents were asked to answer a validated nutrition label knowledge questionnaire. Nutrition label knowledge differences among culinary and health students were analyzed using Fisher exact tests. The percentage of wrong answers was mostly in questions about food ingredients containing high protein and fibre. The second and third most wrong answer was on the number of carbohydrates and fat consumed when consuming 2 servings. The total number of health students that answered incorrectly were significantly greater than culinary students on whether or not one serving of packaged processed products can meet daily nutrition need. The majority of the culinary and health students contributed correctly to the nutrients expected to be included on the nutrition label. The food nutrition label knowledge score for students in the culinary field is 5.40 and was categorized as good, whereas, the score in the health sector was 4.90 (moderately good). Health students need to get additional education about food nutrition labels.

Macronutrients and energy in home-prepared enteral tube feeding: Comparison between food composition table estimates, nutrition labels, and laboratory analysis.

The effectiveness of home enteral nutrition depends on the supply and delivery of the prescribed nutrients. This study compared the macronutrient and energy values of home-prepared enteral tube feeding analyzed in the laboratory with the same information calculated from labels and food composition tables. A total of 107 enteral formulations were analyzed: 66 commercial enteral formulas (CEFs), 19 homemade enteral preparations, and 22 blended enteral preparations (BEPs). The values of macronutrients and energy and the ratio between the values found in the laboratory and the calculated values were all evaluated. The tolerance limit of acceptable variation was 20%. The results were subjected to chemometric methods using principal component analysis (PCA) and hierarchical cluster analysis (HCA). In the three categories of the enteral formulations, the calculated values for protein and fat were higher than those obtained in the laboratory. The calculated values for energy were higher than those obtained in the laboratory for the BEPs and CEFs. The CEFs had the highest percentage within the limit of acceptable variation for carbohydrate and protein, whereas the BEPs presented the lowest values for fat and energy. In the exploratory analysis of data using PCA and HCA, it was possible to verify similarities and discrepancies between the enteral formulations analyzed in the laboratory with those calculated from the labels and food composition tables. The enteral formulations showed differences between the values of macronutrients and energy analyzed in the laboratory and those calculated from labels and/or food composition tables.

Nutritional content of the street food purchased in Chișinău, Moldova: Opportunity for policy action

This study aimed to describe the street food purchased and its nutritional value in Chișinău, Moldova. A cross-sectional study was conducted in 68 street food vending sites. Data on the food items purchased were collected through direct observation. Nutritional composition was estimated through chemical analyses, food composition tables or nutrition labels. From the 151 customers observed, two-thirds purchased industrial food items, most commonly buns/cakes/cookies (15.2%), soft drinks/industrial juices (15.2%) and confectionery (10.6%). The purchases were energy dense (median: 362 kcal/100g), rich in saturated fat (5.6 g), trans fat (0.43 g) and sodium (585 mg) and poor in potassium (212 mg).

A Survey on Cognitive Ability and Application of Food Nutrition Labels of Middle School Students in Beijing, China in 2020

In recent years, the health status of middle school students is not optimistic in Beijing, China. To understand the status quo and deficiencies of the cognition and application about food nutrition labels in middle school students in Beijing, and to explore the positive effects and weak links of food nutrition labels on healthy diet and scientific weight loss guidance for students, literature review, two-way questionnaire survey, data analysis and practical exploration methods were adopted to study the selected 405 students in terms of cognition, attitude, application and improvement suggestions of nutrition labels. The awareness rate of nutrition labels and nutrition ingredient list was only 49% and 66% respectively in the surveyed students. 94% of the students have the willing to learn about nutrition labels. 83% of students have confidence in the content of nutrition labels, but most them thought that the form and content of nutrition labels need to be optimized and improved, and emphasis should be placed on key information, meanwhile explanatory and warning information should be added. Label checking rate was 55%. Application rate was only 36%. The awareness of diet management based on nutrition labels was weak. There were statistically significant differences in nutrition knowledge, confidence of nutrition labels and health level among the surveyed students of different ages. The surveyed students were lacking of cognition and application on nutrition labels, and nutrition-related knowledge need to be popularized through multi-approach. Publicity and guidance should be strengthened, and health awareness should be raised. The application and decision of nutrition labels were affected by many factors. Attitude and attention play a relatively large role in application and benefit of nutrition labels. Nutrition labels with comprehensive use of colors, fonts, graphics and other presentation modes and prominent key information were more attractive to students. The establishment of food nutrition label one-hand APP effectively promoted the students to learn and use nutrition labels, and provided a simple and feasible solution for the realization of nutrition labels to guide the healthy diet and scientific weight loss for students.

Consumers' environmental responsibility and their purchase of local food: evidence from a large-scale survey

PurposeThe paper explores whether consumers' environmentally sustainable attitudes and behaviors (e.g. saving water, energy, etc.) are associated with high frequency of local food purchases. The study uses a large sample of individual data collected across all Italian regions as well as accounts for the respondents' socioeconomic characteristics.Design/methodology/approachThe analysis uses a large sample of individual-level data (n = 21,081) collected by the Italian National Bureau of Statistics in the annual Italian Multipurpose Households Survey (MHS). Data contain individual information on the frequency of local food purchases as well as socioeconomic characteristics and environmentally friendly attitudes and behaviors. Data were analyzed using a multivariate ordered logit regression.FindingsResults indicate that individuals sensitive to environmental issues and adopting sustainable behaviors are more likely to purchase local food products than others. Also, age, education and occupational status positively are associated with a high frequency of local food purchases. Reading food nutrition labels, living in small communities as well as buying organic products are strong predictors of a higher frequency of local food choices.Originality/valueThe role of individual sustainable attitudes and behaviors in local food purchases has been marginally investigated in the literature. We addressed the issue by jointly accounting for several individual-related characteristics potentially shaping such relation. To the best of authors’ knowledge, the authors use the largest sample ever used to explore the individual's local food purchases in Italy.

Analysis of Factors Influencing Food Nutritional Labels Use in Nanjing, China.

A correct use of food nutrition la bels benefits consumers in pursuing balanced diets. As a result, we conducted interviews in Nanjing, China and randomly sampled 427 respondents. Further, we used both descriptive statistics and binary logistic regression to assess their perception of food nutrition label use. The results indicated that the current situation is not ideal in Nanjing. Only 7.26% of respondents use labeling consistently. Data on purchasing experience, comprehension, nutritional value, work sector, chronic disease, diet awareness, nutritional knowledge, and age were statistically significant. Conversely, taste and primary shopper categories negatively influenced food nutrition label use. In light of the above results, we propose policy recommendations to promote consumers’ use of food nutrition labels. These are also beneficial in improving diet and relieving chronic diseases.

Ensuring the Reliability of Food Nutrition Labeling in Japan: Regulation and Laboratory Analysis

Ensuring the Reliability of Food Nutrition Labeling in Japan: Regulation and Laboratory Analysis

Differences in the Level of Health Care Indicators According to the Duration of Diabetes among Community-Dwelling People with Diabetes Mellitus: Analysis of the 2018 Community Health Survey in Korea

Background: This study aimed to determine whether the levels of healthcare indicators vary according to the duration of diabetes in diabetic people.Methods: From the 2018 Korean Community Health Survey, a total of 20,113 diabetic people aged 40-79 years were analyzed. The distribution of people with diabetes and its corresponding diabetes duration were as follows: 34.9%, less than 4 years; 22.4%, 5-9 years; 18.9%, 10-14 years; 9.4%, 15-19 years; and 14.1%, more than 20 years. Outcome variables included eight health behavior indicators and seven diabetes management indicators.Results: After adjusting for the sociodemographic characteristics, the longer the duration of diabetes, the less alcohol drinking and the more influenza vaccination was availed, whereas the regular tooth brushing, perceived usual stress, and perceived depressive symptoms tended to be unhealthy. Smoking, regular walking, and utilizing food nutrition label did not differ based on the duration of diabetes. Moreover, blood glucose control was evaluated to be poorly controlled as the duration of diabetes lengthened; however, diabetes management education and medical institution services (glycated hemoglobin measurement, diabetic retinopathy screening, and diabetic nephropathy screening) tended to increase significantly. There was also no difference in relation to diabetes duration in the recognition of early symptoms of myocardial infarction and stroke, which are the major complications of diabetes.Conclusions: People with long-lasting diabetes are at a higher risk of developing diabetes-related complications; therefore, more active community strategies are needed to improve their health behavior.