Nutrition Labels Research Articles

Public-Private Partnerships in Mexico: Implications of Engaging With the Food and Beverage Industry for Public Health Nutrition.

In the last few years, Mexico adopted public health policies to tackle non-communicable diseases (NCDs), such as front of package nutrition labelling, food marketing restrictions to children, and a soda tax. In parallel, transnational food and beverage industries (F&BIs), their allies, and the government have agreed on public-private partnerships (PPPs) to implement policies or deliver programs. However, research has questioned the benefits of PPPs and exposed its limitations as a suitable mechanism to improve public health. This study analyses how four PPPs between the Mexican government, the F&BI, and allies are working to achieve their goals. We critically assessed the objectives, scope, reported impacts, governance principles and perceived risks and benefits for the public health agenda of these PPPs. This qualitative study is based on 26 interviews with key actors, and 170 publicly available documents, including 22 obtained through freedom of information (FOI) requests related to four purposively selected PPPs aiming to improve health. We found that the four PPPs studied had minimal public information available on their implementation and impact. The private partners tend to dictate the design, information management, and implementation of the programs, while promoting their brands. Few independent evaluations of the PPPs exist, and none reported on their effectiveness or public health benefits. Good governance principles, such as accountability, transparency, fairness, participation, integrity, and credibility, were barely followed in each of the cases studied. Public officials did not automatically question the conflict of interest (CoI) of such arrangements. When there were COI, the potential risks these posed did not always outweigh the financial benefits of working with the F&BI and its allies. The four PPPs studied produced minimal gains for public health while boosting credibility for the participating transnational F&BIs. It shows the lack of awareness of how these PPPs might be hindering public health gains.

Comparative analysis of the protein content and nutritional label of whey protein, plant-based, and animal proteins supplements

The consumption of protein supplements is increasingly part of the everyday life of adults in general and is associated with a healthier lifestyle. However, a constant lack of commitment to the quality of these products by companies poses risks to consumers’ health. Therefore, this study aims to analyze the protein content and compare it with the nutrition label of different protein supplements. This is an analytical original investigation. It was verified whether the food supplements comply with the label presented through food analysis (Kjeldahl method, ash content and moisture percentage) of the composition of various national and international brands (n=51). A total of 51 different protein-based supplements sold in Brazil were analyzed. The results showed that the protein values advertised on the nutritional label are similar to what the product has (P value > 0,05) and are within the 20% tolerance limit according to the current law. Also, there are similarities between different types of products (P value > 0,05) regarding their ash and water content. In conclusion, the nutrition facts of protein supplements reflect the reality of the bran of these products.

What’s in Your Fruit Juice?—Rapid Quality Screening Based on Infrared (FT-IR) Spectroscopy

Fruit juices (FJ) have gained widespread global consumption, driven by their perceived health benefits. The accuracy of nutrition information is essential for consumers assessing FJ quality, especially with increasing concerns about added sugars and obesity risk. Conversely, ascorbic acid (Vitamin C), found in nature in many fruits and vegetables, is often lost due to its susceptibility to light, air, and heat, and it undergoes fortification during FJ production. Current analytical methods for determining FJ components are time-consuming and labor-intensive, prompting the need for rapid analytical tools. This study employed a field-deployable portable FT-IR device, requiring no sample preparation, to simultaneously predict multiple quality traits in 68 FJ samples from US markets. Using partial least square regression (PLSR) models, a strong correlation (RCV ≥ 0.93) between FT-IR predictions and reference values was obtained, with a low standard error of prediction. Remarkably, 21% and 37% of FJs deviated from nutrition label values for sugars and ascorbic acid, respectively. Portable FT-IR devices offer non-destructive, simultaneous, simple, and high-throughput approaches for chemical profiling and real-time prediction of sugars and acid levels in FJs. Their handiness and ruggedness can provide food processors with a valuable “out-of-the-laboratory” analytical tool.

How a health goal activation drives the Nutri-Score effect

The Nutri-Score nutrition label has been found to improve consumers’ food choices in several previous studies. It is not clear though why this would be the case. Using a multi-methods approach consisting of four experimental studies (covering in total 1150 respondents and 145 products), we provide evidence that the Nutri-Score serves as a health prime and activates health goals in and of itself. This health goal, in turn, leads consumers to make healthier food choices. As part of an experimental-causal-chain design, Study 1 (n = 304) shows that the presence (vs. absence) of the Nutri-Score on product packages leads consumers to activate a health goal. Study 2 (n = 351) then shows that a manipulation of health goals increases the healthiness of respondents’ shopping baskets. Studies 3 (n = 225) and 4 (n = 259) replicate this substantive finding using traditional measurement-of-mediation designs (Studies 3 and 4), while at the same time excluding injunctive social norms as a rival explanation for the Nutri-Score effect (Study 4). Identifying why the Nutri-Score enhances healthy food choices is important as it increases our understanding of how nutrition labels can be further improved. Implications for public policy makers, retailers, and manufacturers are discussed.

A computational model to analyze the impact of birth weight-nutritional status pair on disease development and disease recovery.

The purpose of this work is to analyse the combined impacts of birth weight and nutritional status on development and recovery of various types of diseases. This work aims to computationally establish the facts about the effects of individual birth weight-nutritional status pairs on disease development and disease recovery. This work designs a computational model to analyze the impact of birth weight-nutritional status pairs on disease development and disease recovery. Our model works in two phases. The first phase finds the best machine learning model to predict birth weight from "Child Birth Weight Dataset" available at IEEE Dataport (https://dx.doi.org/10.21227/dvd4-3232). The second phase combines the predicted birth weight labels with nutritional status labels and establishes the effects using differential equations. The experimental results find Gradient boosting (GB) to work the best with Information gain (IGT) and Support Vector Machine (SVM) with Chi-square test (CST) for predicting the birth weights. The simulated results establish that "normal birth weight and normal nutritional status" is the best pair for resisting disease development as well as enhancing disease recovery. The results also depict that "low birth weight and malnutrition" is the worst pair for disease development while "high birth weight and malnutrition" is the worst combination for disease recovery. The findings computationally establish the facts about the effects of birth weight-nutritional status pairs on disease development and disease recovery. As a social implication, this study can spread awareness about the importance of birth weight and nutritional status. The outcome can be helpful for the concerned authority in making decisions on healthcare cost and expenditure.

Visual communication design: a neglected factor in nutrition promotion via packaged food labels.

Packaging design is a communication device and a critical component in branding strategy, and has relevance for food policy. Presently, packaging-related nutrition policy initiatives focus on the role of regulated claims, nutrition information panels and front-of-pack nutrition labels to help guide consumer food choices and address high prevalences of discretionary and ultra-processed food consumption in many countries. However, these nutrition labelling systems are not optimized as public health policy tools as many consumers do not use them to inform their food choices. Visual communication design theory posits that a designer orders the elements and principles of design into hierarchies that prioritize certain elements over others, and that some of these elements are more dominant and given more emphasis than others. The overall design of the package thereby directs consumer attention to some aspects of pack design (e.g., characters, contents of the package) and away from others (e.g., nutrition details). Dual processing frameworks propose that food decisions are made with the interplay between automatic and rational thinking processes. Packaging designs affect whether consumers rely predominantly on automatic or rational thinking to select a food. This narrative review outlines the role of food packaging design and how it impacts the clear communication of nutrition aspects of food products and how the use of nutrition information by consumers to make decisions may depend upon design structures in packaging. This article attests that nutrition scientists and policy makers should incorporate visual communication design into research on the food packaging as a public health promotion tool. A stronger focus on the communication of regulated front-of-pack nutrition information can be made with a re-evaluation of the hierarchy of elements in the front-of-pack design enabling consumers to make healthier decisions.

Use of nutrition facts panels and traffic light labelling and perceived healthiness of food: conjoint analysis and cross-sectional survey

PurposeNutrition labels provide a cost-effective method of conveying nutrition information to consumers. This study aimed to assess the use of nutrition facts panels, knowledge of traffic light labelling (TLL) and perceived healthiness of food items using TLL among consumers.Design/methodology/approachA web-based cross-sectional study was conducted among adults in the United Arab Emirates (UAE) (n = 1,322). TLL knowledge score was derived for each participant. Conjoint analysis was used to calculate the utilities and relative importance of the perceived healthiness scores for four attributes (fat, saturated fat, total sugar, salt) at the aggregate level.FindingsParticipants had a positive attitude towards TLL but were less familiar with TLL than the nutrition facts panel (47.4 vs 85.8%). The mean TLL knowledge score was 3.6 out of 7 (51.6%). Younger age, higher education, higher income, and health-related qualifications were associated with higher scores. Conjoint analysis showed that participants tend to choose products with greener labels, especially for sugars (80.1%) and avoid red labels for fats. Sugars had the highest percentage value of relative importance compared to the other attributes (27.1%).Originality/valueThe study outcomes offer valuable insights into the extent of consumer awareness, comprehension and utilization of nutrition facts panels in the UAE. These findings contribute essential knowledge for a deeper understanding of the impact of nutrition labels on consumer behaviour and decision-making in the region.

Establishing an EU-wide front-of-pack nutrition label: Review of options and model-based evaluation.

This paper reviews the effectiveness of four types of front-of-pack nutrition labels (FoPLs) in influencing calorie purchases. The four FoPL types are poised for unified implementation across European countries. Further, this study extends its analysis to evaluate the impacts of the voluntary adoption of these FoPLs within 27 EU nations. Nutri-Score displays higher potential for yielding positive health and economic outcomes, compared with other FoPLs. Across EU countries, Nutri-Score is projected to avert nearly two million cases of non-communicable diseases, in total, between 2023 and 2050. Keyhole demonstrates effects of a similar magnitude but with no statistical significance. Nutri-Repere shows smaller impacts, while Nutri-Couleurs has non-significant effects. Nutri-Score is projected to significantly lower annual healthcare spending by 0.05%, whereas the other labels have negligible impacts. By reducing cases of disease, FoPLs have the potential to improve employment and work productivity. Nutri-Score surpasses the other labels with an estimated annual gain of 10.6 full-time equivalent workers per 100,000 individuals of working age across EU countries. In all, mandatory implementation of any of the four labels would lead to greater effects than those obtained with a voluntary implementation, providing evidence to inform legislation proposal for an EU-wide nutrition labelling system.

Understanding the influence of stakeholders on the implementation of front-of-pack nutrition labelling in the absence of public debate: the case of Portugal

In the context of the European Commission’s proposal for the harmonization of front-of-pack nutrition labels (FoPLs) across the European Union scheduled for 2023, Portugal’s position on the preferred format to be adopted remains unclear. Our study aims to (1) describe the context of the political decision regarding FoPL’s implementation in Portugal, (2) identify and characterize the actors involved in the debate and (3) evaluate their influence in the decision-making process and their position on the various formats of FoPLs considered. A document review complemented by a qualitative study with eight experts revealed the actors involved in the implementation of FoPLs in Portugal. The stakeholder theory was used to qualify their level of influence on the decision. To complement the experts’ analysis, the views of 1014 Portuguese consumers on stakeholders’ influence were collected via an online questionnaire. The results show a strong mobilization of the Portuguese Ministry of Health on the issue through the production of several technical and scientific reports. The background of the political decision related to FoPLs in Portugal highlights the commitment of some influential stakeholders in favour of the traffic light format, including one of the major Portuguese retailers, Continente. Nevertheless, in the face of public support for the Nutri-Score from a growing number of actors, Portugal has not yet adopted a specific format, partly due to some resistance from the agricultural sector. Portugal, by lack of consensus and agenda setting, is now awaiting formal harmonization of FoPLs by the European Commission. This study provides useful insights for public policy actors when promoting interventional measures.

Analysis of the Lipid Component and the Sterol Ester Fraction for the Detection of Soft Wheat in Durum Wheat Flour and Pasta

Food adulteration consists of changing the original structure of a food, and so, by its definition, it is a process not admitted by law. Adulterations can not only have commercial consequences, but also hygienic and nutritional ones, and in some cases, they can cause a serious danger to public health. Therefore, it is of great interest to understand and identify the modifications that alter the original chemical composition of a food item (nutrition label). Among the food processing sectors, the pasta food chain is a fascinating production process, which finds its roots in a mixture of a few, simple ingredients; in particular, in its basic formulation to produce pasta, exclusively durum wheat mixed with water is used, while soft wheat and therefore the flour obtained from it are destined for bakeries and the confectionery industry. In this work, a procedure was developed that allows the detection of the possible presence of soft wheat in durum wheat-based products, both in the flour and after the pasta-making process. It is to point out that this adulteration is only commercial fraud and there are no consequences for people’s health. In detail, the method was based on the isolation of the lipid fraction of flours and pastas and using the gas chromatographic analysis of the sterol ester fraction, which were not altered during the pasta-making phase, because they have very high boiling points. Based on the evaluation of some specific ratios between sterol esters, it was possible to trace the percentage of soft wheat present in a mixture with durum wheat, both in flour products and pastas.

Consistency of the Initial and Updated Version of the Nutri-Score with Food-Based Dietary Guidelines: A French Perspective

BackgroundTo help consumers to make healthier food choices, 7 European countries have implemented the front-of-pack nutrition label Nutri-Score. The algorithm was updated in 2022–2023 by the Nutri-Score European scientific committee, based on the current scientific knowledge. ObjectivesThe aim of this study was to investigate the consistency of the newly internationally developed algorithm with the French food-based dietary guidelines (FBDG) and compare the respective performances of the initial and updated algorithm. MethodsThree complementary French food composition databases were used to access extensive coverage of the food supply in France (n = 46,752): the Oqali, OpenFoodFacts, and CIQUAL databases. Based on the French FBDG, a list of 41 criteria was defined by which the consistency between French FBDG and the Nutri-Score was assessed (eg, consumption of fresh vegetables is promoted in FBDG, thus the Nutri-Score should rate favorably such products). ResultsOf all criteria, the initial algorithm met 63% (26/41) of them, whereas the revised algorithm met 85% (35/41) of them. Improvements achieved by the updated version of the Nutri-Score in alignment with the FBDG were particularly observed for high-fat products (ie, fatty fish, nuts, and seeds), sweet products (ie, ice creams and sweet spreads), salty products (ie, savory snacks and salted nuts), dairy beverages, and beverages with artificial sweeteners. ConclusionsThe Nutri-Score’s updated nutrient profiling system appears to rate foods more consistently regarding the French dietary guidelines and improved the currently existing system. This work supports the implementation of the updated nutrient profiling system underlying Nutri-Score.

Analisis Pengaruh Sikap terhadap Kesehatan dan Label Kepada Kepatuhan Membaca Label Produk Pangan pada Mahasiswa Gizi Provinsi Kepulauan Riau

Badan Pengawas Obat dan Makanan (BPOM) reported that 20.62% of identified food product labels did not meet the provisions. This results in low compliance with reading information labels and nutritional composition among the public. Low compliance with reading information and nutritional labels can occur due to disinterest in information resulting in poor understanding of food product labels. This study aims to analyze the relationship between attitudes towards health and food product labels with compliance with reading food product labels. This research involved 47 students of the undergraduate nutrition study program. Data on attitudes towards health and nutritional labels were obtained using a respondent agreement level form. Data on label reading compliance was obtained from questionnaire. The chi square test is used to analyze the relationship between variables. The research results showed that the majority of respondents (63.8%) had a positive attitude regarding the level of approval of health and food product labels. There is no significant relationship between attitudes towards health and food product labels and compliance with reading nutritional value information labels (p=0.330). Nutrition students are expected to increase their positive attitude towards reading nutritional value information labels through education or practice reading food labels.

Uji Daya Terima dan Analisis Kandungan Zat Gizi Keripik Bawang Substitusi Tepung Cangkang Telur Sebagai Alternatif Pangan Sumber Kalsium

<p><strong>Eggshells are part of urban wastes. The nutrition content in eggshells is 94% calcium carbonate, 1% potassium phosphate, and 1% magnesium carbonate. One alternative to overcome this waste is to utilize it as eggshell flour. This study aims to determine the acceptability, analyse the nutritional content, and assess the contribution of nutrients to the Reference Nutrition Label (ALG) of onion chips substituted with eggshell flour as an alternative food source of calcium. This type of research is experimental with a completely randomized design. The eggshell flour used was commercial and non-commercial eggshell flour with a total of eight (8) formulas. Panelists were 30 students of University Al-Azhar Indonesia with two replicates. The results of the organoleptic test (hedonic and hedonic quality) were analyzed using the Kruskal-Wallis test, with the Mann-Whitney further test at a real level of 5%. The results showed that the A1B1 formula with the addition of eggshell flour as much as 10% and the use of commercial eggshell flour as the selected formula based on the Exponential Comparison Method (MPE). The results of the analysis of the nutritional content of the selected formula per 100 grams are energy 505 kcal, protein 9 grams, fat 31,5 grams, carbohydrates 46 grams, water content 4,3 grams, ash content 9,5 grams, and calcium 414,8 mg. Based on the nutrient contribution analysis, the product contributed 15,1% of calcium.</strong></p><p><strong><em>Keywords</em></strong> <em>– </em><em>Eggshell, Onion Crisps, Substitution, Nutrient Content, Calcium</em></p>

The effect of nutrition labels on lunch buffet consumption: a real-life experiment

PurposeThis study aims to increase knowledge of the ability of nutrition labels to guide consumer choices in real-life environments.Design/methodology/approachFood consumption and plate waste data were collected from two self-service restaurants (SSR) with different customer groups over six observation days: three control and three intervention (with nutrition labelling) periods. Study Group 1 consisted of vocational school students, mostly late adolescents (N = 1,710), and Group 2 consisted of spa hotel customers, mostly elderly (N = 1,807). In the experimental restaurants, the same food was served to the buffets during the control and intervention periods.FindingsThe nutrition label in the lunch buffet guides customers to eat fewer main foods and salads and to select healthier choices. Increased consumption of taste enhancers (salt and ketchup) was observed in the study restaurants after nutritional labelling. Nutrition labelling was associated with a reduction in plate waste among the elderly, whereas the opposite was observed among adolescents.Originality/valueThe results provide public policymakers and marketers with a better understanding of the effects of nutrition labelling on consumer behaviour. Future studies should further evaluate the effects of nutrition labelling on the overall quality of customer diets and the complex environmental, social, and psychological factors affecting food choices and plate waste accumulation in various study groups.

Brazilian Front-of-Package Labeling: A Product Compliance Analysis 12 Months after Implementation of Regulations.

This study investigated the presence of front-of-package labeling on food products in major retailers in Brazil after its implementation in 2022. Carried out from May to October 2023, we analyzed 2145 products of brands present in five Brazilian states. A total of 541 products presented front-of-package warnings. The categories varied in their adherence to front-of-package labeling, highlighting a prevalence of combined warnings, such as high in added sugar and high in saturated fat on sweet biscuits and chocolates. Sausages showed a high prevalence of high in sodium and high in saturated fat warnings. Beverages stood out as high in added sugar, while fats, dairy products, frozen preparations, seasonings, and sauces presented diversity in the warnings. Other products, such as panettone, showed a high presence of alerts. The study demonstrated the widespread presence of front-of-package labeling on ultra-processed products highly consumed by the Brazilian population. Considering the alarming presence of these foods in the Brazilian diet, it is concluded that front-of-package nutrition labeling is crucial to inform and raise awareness among consumers, allowing healthier choices and potentially contributing to a reduction in chronic diseases and the costs associated with treatment in the health system.

Using the Nutrition Facts Label to Make Food Choices Is Associated with Healthier Eating among 8th and 11th-Grade Students: An Analysis of Statewide Representative Data from the 2019-2020 Texas School Physical Activity and Nutrition Survey.

Nutrition labels are a tool to inform and encourage the public to make healthier food choices, but little information is available about use in multi-ethnic adolescent populations in the U.S. The purpose of this study was to examine associations between the level of nutrition label usage and healthy/unhealthy eating behaviors among a statewide representative sample of 8th and 11th-grade students in Texas. We analyzed cross-sectional associations between the Nutrition Facts label use and eating behaviors from a statewide sample of 8th and 11th-grade students in Texas, (n = 4730, weighted n = 710,731, mean age = 14.7 ± 1.6 years; 49% female, 51% Hispanic), who completed the 2019-2020 Texas School Physical Activity and Nutrition (TX SPAN) survey. Students self-reported their level of nutrition label usage to make food choices (5-point Likert scale from "Never" to "Always") and previous day consumption of 26 food items (13 healthy, 13 unhealthy). The 26 food items were used to calculate a Healthy Eating Index (HEI) score (0-100), a Healthy Foods Index (HFI) score (0-100), and an Unhealthy Foods Index (UFI) score (0-100). Weighted linear regression models were employed to examine the associations between self-reported use of nutrition labels to make food choices and HEI, HFI, and UFI scores. Marginal predicted means of HEI, HFI, and UFI scores were calculated post hoc from linear regression models. The odds of consuming specific individual food items for nutrition label usage were also calculated from weighted logistic regression models. All linear and logistic regression models were adjusted for grade, sex, Body Mass Index (BMI), race/ethnicity, economic disadvantage, and percentage of English language learners by school. A total of 11.0% of students reported always/almost always using nutrition labels to make food choices, 27.9% reported sometimes using them, while 61.0% indicated they never/almost never used nutrition labels to make food choices. The average HEI score among students in the sample was 47.7 ± 5.9. Nutrition Facts label usage was significantly and positively associated with HEI (b = 5.79, 95%CI: 4.45, 7.12) and HFI (b = 7.28, 95%CI:4.48, 10.07), and significantly and negatively associated with UFI (b = -4.30, 95%CI: -6.25, -2.34). A dose-response relationship was observed between nutrition label usage and HEI, HFI, and UFI scores, such that the strength of these associations increased with each one-point increase in nutrition label usage. Students who reported using nutrition labels always/almost always to make food choices had significantly higher odds of consuming healthy foods including baked meat, nuts, brown bread, vegetables, whole fruit, and yogurt (ORrange = 1.31-3.07), and significantly lower odds of consuming unhealthy foods including chips, cake, candy, and soda (ORrange = 0.48-0.68) compared to students who reported never/almost never using the Nutrition Facts label. Using the Nutrition Facts labels to make food choices is beneficially associated with healthy and unhealthy eating among 8th and 11th-grade students, although the proportion of students using nutrition labels to make their food choices was low. Public health efforts should be made to improve nutrition literacy and encourage nutrition label use among secondary students in the United States.

Food safety-related practices among residents aged 18–75 years during the COVID-19 pandemic: a cross-sectional study in Southwest China

BackgroundGood food safety practices are essential to minimizing foodborne diseases. The present study explored the food safety-related practices of residents during the COVID-19 pandemic in Southwest China and identified the impacting factors.MethodsResidents aged 18–75 years from Guizhou, Yunnan, Sichuan, and Chongqing, China, were included in our study. The convenience sampling method was used to select participants, and face-to-face surveys were conducted in households and communities to collect data. Descriptive statistics including sociodemographic characteristics of respondents and weighted percentages were obtained and the log-binomial regression was used to evaluate the influencing factors associated with food safety-related practices.ResultsOverall, 7,848 respondents were involved, with 97.5% efficacy. Disparities in food safety-related practices were observed between males and females, with the former performing poorer practices than the latter (70.5% vs. 68.0%, respectively). Notably, paying attention to nutrition labels when shopping for prepackaged foods was the worst practice. Age, ethnicity, region, occupation, education level, and income were identified as significant determinants of food safety-related practices. Moreover, in comparison to males, females were more likely to acquire pertinent knowledge from diverse sources, including social media, family members/ friends, books/ newspapers/ magazines, experts, and food sales staff (p < 0.05).ConclusionsMales performed inferior food safety-related practices than females during the COVID-19 pandemic in Southwest China. It is suggested that future food safety education programs should incorporate diverse targeted approaches, with emphasis on males. The role of mainstream media in promoting food safety practices should be expanded and prioritized in the forthcoming initiatives.

Assessing transnational spillover effects of Mexico's front-of-package nutritional labeling system among Mexican Americans in the US

ObjectiveIn 2020, Mexico implemented innovative front-of-package nutrition warning labels (FoPWLs) for packaged foods to increase the salience and understanding of nutrition information. This study evaluated Mexican Americans' self-reported exposure to Mexican FoPWLs and self-reported effects of FoPWLs on purchasing behavior. MethodsThe 2021 International Food Policy Study surveyed online panels of adult Mexican Americans in the US (n = 3361) to self-report on buying food at Mexican-oriented stores, noticing Mexican FoPWLs, and being influenced by FoPWLs to purchase less of eight different unhealthy foods (each assessed separately). After recoding the frequency of buying foods in Mexican stores and noticing FoPWLs (i.e., “often” or “very often” vs. less often), logistic models regressed these outcomes on sociodemographics, adjusting for post-stratification weights. ResultsMost participants (88.0%) purchased foods in Mexican stores. Of these, 64.1% reported noticing FoPWLs, among whom many reported that FoPWLs influenced them to buy fewer unhealthy foods (range = 32% [snacks like chips] - 44% [colas]). Participants were more likely to buy foods in Mexican stores and notice FoPWLs if they were younger, had ≥two children at home vs no children (AOR = 1.40, 95%CI = 1.15–1.71; AOR = 1.37, 95%CI = 1.03–1.80, respectively), and more frequently used Spanish (AOR = 1.91, 95%CI = 1.77–2.07; AOR = 1.87, 95%CI = 1.69–2.07). Also, high vs. low education (AOR = 1.51, 95%CI = 1.17–1.94) and higher income adequacy (AOR = 1.37, 95%CI = 1.25–1.51) were positively associated with noticing FoPWLs. Being female and more frequent Spanish use were consistently associated with reporting purchase of fewer unhealthy foods because of FoPWLs. ConclusionsMany Mexican Americans report both exposure to Mexican FOPWLs and reducing purchases of unhealthy foods because of them.

Effects of environmental and nutritional labels on the dietary choices of consumers: Evidence from China

Dietary change has great potential to deliver food-related environmental benefits and human health advantages. Labeling has been proven effective in dietary behavior change as a “low-hanging fruit” among nudging methods, yet the experimental analysis in low- and middle-income countries (LMICs) is lacking. In this research, a real-world intervention experiment is designed to explore the effects of color-based carbon footprint and calorie content labeling schemes on the sales of dumpling in two Chinese university canteens. The sample for the control phrase and label phrase respectively consisted of 8755 and 9492 records. Overall, fewer consumers choose to dine (−15.25%) when the label interventions were in place to release from ethical dilemma. Detailed analyses show that environmental labeling results in a significant reduction in purchases of dumplings with high carbon footprints, cutting down 20.40 (15.25% of average daily sales, the same as other percentage data) sale units (‘Liang’ in Chinese, one sale unit empirically corresponding to 6 dumplings) and leading to ∼26.90% of total GHG mitigation, while calorie labeling raises the purchase of dumplings with both low and high energy density, raising 59.88 (7.56%) and 48.66 (6.14%) sale units respectively at the day level. Labeling induces effective response demographically heterogeneous, with men more sensitive to calorie labels within the U-shape trend while women more impacted by environmental labels. Also, postgraduates show greater perceptiveness to the intervention compared to undergraduates. Our evaluation of labeling effects suggests a well-designed and population-tailored label highlighting negative information such as immense environmental burdens would offer a promising and feasible chance to navigate consumers' behavior. Our findings provide implications for effective intervention strategy design in China, indicating extensive inspiration for a potential larger-scale dietary structure evolution and promising behavior intervention.

The individual-level effects of social media campaigns related to healthy eating, physical activity, and healthy weight: Anarrative review.

Social media are promising channels for health communication promoting positive weight-related behaviors, but no prior studies have synthesized evidence on the independent effects of social media campaigns focused on promoting healthy eating, physical activity (PA), and healthy weight. This study aimed to fill that gap and inform future social media-based obesity-prevention research and practice by reviewing findings from studies testing the effects of such campaigns on individual-level cognitive, behavioral, and anthropometric outcomes. The Web of Science and PubMed databases were searched for peer-reviewed articles published between 2012 and 2023 that explored the independent effects of social media campaigns related to healthy eating, PA, or weight management. Study characteristics and outcomes were extracted and summarized. Eleven studies were included in this review describing campaigns targeting healthy eating-related outcomes (e.g., fruit and vegetable consumption, meal preparation, nutrition label reading), PA, or weight management. Most campaigns (n=7) were developed by universities or research centers. Priority audiences included parents, adult females, adolescents, college students, and adult government employees. The majority (n=8) of the campaigns used single platforms, with the most common being Facebook, Instagram, blogs, and YouTube. Campaigns had mixed effects on cognitive outcomes (e.g., intention, attitude, knowledge), behavioral outcomes (e.g., food choices, PA), and anthropometric outcomes (e.g., weight, waist circumference). Social media campaigns focused on promoting healthy eating, PA, and healthy weight had mixed effects on individual-level cognitive, behavioral, and anthropometric outcomes. Various limitations of the included studies make it difficult to ascertain which factors influence campaign effectiveness. Advancing knowledge in this area is important, particularly given social media's widespread use and potential for broad reach. New research with features such as rigorous study designs, larger and more diverse samples, and strong theoretical foundations may provide important insights into what types of interventions are effective or not and under what conditions.