A Sex-Specific Analysis of Nutrition Label Use and Health, Douglas County, Nebraska, 2013

Su, Dejun; Zhou, Jiming; Jackson, Hannah; Soliman, Ghada A.; Huang, Terry T.‐K.; Yaroch, Amy L.

doi:10.5888/pcd12.150167

Cited by 14 publications

(10 citation statements)

References 23 publications

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“…This may be explained by the greater interest in nutritional information and labels of these individuals compared to smokers or former smokers [ 61 ]. This finding is in line with other studies, which have noted that former or never smokers are more likely to read nutrition labels [ 61 – 65 ]. We also found that households with children were more likely to correctly rank the food products.…”

Section: Discussionsupporting

confidence: 93%

Objective understanding of Nutri-Score Front-Of-Package nutrition label according to individual characteristics of subjects: Comparisons with other format labels

et al. 2018

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BackgroundTo improve nutritional status and prevent chronic nutrition-related diseases, international organizations have recommended the use of multiple strategies, including front-of-package nutrition labelling (FOPL). In France, the Nutri-Score has been selected by health authorities in March 2017. However, to be effective in purchasing situations, the label needs to be well understood, which may be influenced by label format and sociodemographic characteristics. This study aimed at investigating the objective understanding of the Nutri-Score compared to other label formats, and more particularly among specific at-risk populations.MethodsThe objective understanding of four FOPLs—namely Nutri-Score, Multiple Traffic Lights (MTL), the simplified nutrition labelling system (SENS), and modified Reference Intakes (mRIs)—was investigated in a sample from the NutriNet-Santé French cohort (n = 3,751). Logistic regression mixed models were computed to assess the association of the four FOPLs, compared to a “no label” situation, on the consumers’ ability to rank products according to their overall nutritional quality. Objective understanding was also investigated according to sociodemographic and lifestyle characteristics.ResultsCompared to a “no label” situation, all FOPLs were significantly associated to an increase in consumers’ ability to classify the products correctly, with wide disparities in results according to formats. The best performance was observed for the Nutri-Score (OR = 20.33(17.68–23.37)), followed by SENS (OR = 9.57(8.50–10.77)), MTL (OR = 3.55(3.20–3.93)) and mRIs (OR = 1.53(1.39–1.69)). This ranking was similar among all sub-populations and the ORs associated to the Nutri-Score were over 10, whichever the sub-group considered. Women, younger people, non-smokers, individuals with higher educational level and those with children had a higher capacity to identify healthier products (all P≤0.05).ConclusionNutri-Score, with a summarized graded and color-coded format, using semantic colours, is associated to a higher objective understanding than monochrome and nutrient-specific labels. Furthermore, though objective understanding may differ according to individual characteristics of subjects, the magnitude of effect of the Nutri-Score largely outweighed this effect, even in the at-risk populations.

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Section: Discussionsupporting

confidence: 93%

Objective understanding of Nutri-Score Front-Of-Package nutrition label according to individual characteristics of subjects: Comparisons with other format labels

et al. 2018

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“…This is in congruence with the observation that women consume less fast food as compared with men. [30] These proportions make us understand that discretionary salt is the sole contributor to the excess salt intake in this population. Hence, any measure to reduce salt intake should focus on changing the discretionary salt use behavior in addition to avoiding food prepared outside or packed food in this population.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and behaviors related to dietary salt and sources of dietary sodium in north India

Aparna

Salve

Krishnan

et al. 2019

J Family Med Prim Care

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Sodium, an element needed for the normal human physiology is known to be associated with high blood pressure and other consequences if consumed in excess. The assessment of knowledge and behavior related to sodium that is consumed in the form of salt plays an important role in the control of cardiovascular diseases. To control the intake of sodium, dietary sources of sodium need to be identified. To address this, a community-based cross-sectional study was conducted among women aged 20 to 59 years in north India, where knowledge, attitude, and behavior questionnaire given by the World Health Organization and 24-h dietary recall were used. The mean age of the participants was 34.5 years, and the majority of them were homemakers. Approximately, 80% of the participants believed that high salt diet causes serious health problems, and only 5% of the participants were aware of the existence of a recommendation for daily salt intake. Less than 20% of the participants took measures to control their salt intake. Vegetable-based dishes were found to be the major contributors to the daily salt intake followed by pulse-based and cereal-based dishes. This is because of the high quantity in which they are consumed. Food cooked at home contributed to 90% of the daily salt intake. To control the salt intake, we should cut- down the discretionary salt use. Dietary advice should be customized to the individual, and the family physician plays an important role in this. Behavioral change is the need of the hour to control the epidemic of non-communicable diseases.

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“…Food industries opposed the implementation of TLL [ 16 ] and specialists, including nutrition and food industry experts were not sure about the impact of TLL on consumers' food choices. One of the reasons of disagreement among experts regarding the variety of label designs is due to different study results, which indicate various factors such as socio-economic status [ 20 ], gender [ 21 ], nutrition knowledge [ 22 ], dietary behavior [ 23 ], etc. to be influential.…”

Section: Introductionmentioning

confidence: 99%

Nutrition labels’ strengths & weaknesses and strategies for improving their use in Iran: A qualitative study

et al. 2020

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Background This study aimed to explain the strengths and weaknesses of the Traffic light label (TLL) and nutrition facts label (NFL) and the strategies for improving their use in Iran, based on the perspectives of different stakeholders, including mothers, food quality control experts (FQC), nutritionists and food industry experts. Methods We conducted 10 Focus Group Discussions (FGDs) with 63 mothers, 10 semi-structured interviews with FQCs, 1 FGD with 6 nutritionists and 1 FGD with 8 food industry experts. To clarify some of the questions that arose from the interviews, the researcher interviewed three policy makers who had sufficient information about the TLL. The discussions and interviews were transcribed verbatim and MAXQDA10 software was used for coding. Results The most important findings of this study based on different stakeholders’ perspectives were as follows: mothers believed that nutrition labels reduced the consumption of high-calorie products, although they found the TLL to be easier to understand than the NFL because of its red color. However, their weaknesses were their incompatibility with culture and the lack of trust in the information provided by manufacturers. FQCs pointed out the possibility of changing formulations and the appropriateness of the traffic light for patients, but like mothers, they believed that the labels did not suit the governing culture. Further weaknesses were, misleading the consumer, problems in the colorings reported by different laboratories, and different approaches adopted by regulatory experts. The simplicity of understanding TLL for the general public has been suggested by some nutritionists. Nevertheless, the multiplicity of colors of the TLL was the most important weakness presented by nutritionists and food industry experts and the failure to implement nutrition labels was another issue raised by experts. To improve the use of nutrition labels, notification via media especially television, community education and culture building were suggested by all stakeholders. Conclusions The findings of this study underscore the importance of implementing the policy of nutrition labeling in Iran. Mothers and nutritionists believed TLL to be more appropriate for the public to understand, however, FQCs and food industry experts believed that NFL was more suitable in guiding consumers toward healthy food choices. Education and information dissemination via media on interpretive TLL may affect consumer behavior toward food purchases.

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A Sex-Specific Analysis of Nutrition Label Use and Health, Douglas County, Nebraska, 2013

Cited by 14 publications

References 23 publications

Objective understanding of Nutri-Score Front-Of-Package nutrition label according to individual characteristics of subjects: Comparisons with other format labels

Objective understanding of Nutri-Score Front-Of-Package nutrition label according to individual characteristics of subjects: Comparisons with other format labels

Knowledge and behaviors related to dietary salt and sources of dietary sodium in north India

Nutrition labels’ strengths & weaknesses and strategies for improving their use in Iran: A qualitative study

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