Appetitive drives for ultra-processed food products and the ability of text warnings to counteract consumption predispositions

David, Isabel A.; Krutman, Laura; Fernández‐Santaella, M. Carmen; Andrade, Jéssica Rocha de; Andrade, Eduardo B.; Oliveira, Letícia; Pereira, Mirtes Garcia; Gomes, Fábio da Silva; Gleiser, Sônia; Oliveira, José Magalhães de; Araújo, Rutênio Luiz Castro de; Volchan, Eliane; Braga, Filipe

doi:10.1017/s1368980017003263

Cited by 35 publications

(51 citation statements)

References 52 publications

(79 reference statements)

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“…However, these studies are based on very small sample sizes. For food, text-only HWLs have been shown to decrease intentions to consume and purchase a range of labelled food products [16], and decrease the likelihood of purchasing SSBs [17]. Image-and-text HWLs on food have also been shown to increase dietary self-control in relation to snack foods [18,19], reduce hypothetical selection [17,20], and real-life purchasing of SSBs [21].…”

Section: Introductionmentioning

confidence: 99%

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Image-and-text health warning labels on alcohol and food: potential effectiveness and acceptability

et al. 2020

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Background: Health warning labels (HWLs) using images and text to depict the negative health consequences of tobacco consumption are effective and acceptable for changing smoking-related outcomes. There is currently limited evidence concerning their potential use for reducing consumption of alcoholic drinks and energy-dense foods. The aim of this research was to describe the potential effectiveness and acceptability of image-and-text (also known as pictorial or graphic) HWLs applied to: i. alcoholic drinks and ii. energy-dense snack foods. Methods: Two online studies were conducted using between-subjects designs with general population samples. Participants rated one of 21 image-and-text HWLs on alcoholic drinks (n = 5528), or one of 18 image-and-text HWLs on energy-dense snacks (n = 4618). HWLs comprised a graphic image with explanatory text, depicting, respectively, seven diseases linked to excess alcohol consumption, and six diseases linked to excess energy intake. Diseases included heart disease and various cancers. Outcomes were negative emotional arousal, desire to consume the labelled product, and acceptability of the label. Free-text comments relating to HWLs were content analysed. Results: For both alcoholic drinks and energy-dense snacks, HWLs depicting bowel cancer generated the highest levels of negative emotional arousal and lowest desire to consume the product, but were the least acceptable. Acceptability was generally low for HWLs applied to alcohol, with 3 of 21 rated as acceptable, and was generally high for snacks, with 13 of 18 rated as acceptable. The majority of free-text comments expressed negative reactions to HWLs on alcohol or energy-dense snacks. Conclusions: Image-and-text health warning labels depicting bowel cancer showed greatest potential for reducing selection and consumption of alcoholic drinks and energy-dense snacks, although they were the least acceptable. Laboratory and field studies are needed to assess their impact on selection and consumption.

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Section: Introductionmentioning

confidence: 99%

“…Food: Means (±SDs) for NEA, desire and acceptability by label and health consequence [ranked from highest to lowest,[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] …”

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confidence: 99%

Image-and-text health warning labels on alcohol and food: potential effectiveness and acceptability

et al. 2020

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“…Comparatively little evidence exists on the impact of warning labels on food or beverages. Findings from the few studies conducted in this area suggest that when used on food products, warning labels can increase dietary self-control ( Rosenblatt et al, 2018 ), reduce appetite, decrease intentions to consume and purchase labelled products ( Ares et al, 2018 ; David et al, 2018 ) and promote healthier food purchasing ( Mhurchu et al, 2018 ; Neal et al, 2017 ). Similarly, when used on alcoholic beverages, warning labels can slow consumption ( Stafford and Salmon, 2017 ) and reduce intentions to drink ( Wigg and Stafford, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

Impact of warning labels on sugar-sweetened beverages on parental selection: An online experimental study

Mantzari

Vasiljevic

Turney

et al. 2018

Preventive Medicine Reports

109

105

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Sugar-sweetened beverages (SSBs) are one of the largest added sugar sources to diets in the UK and USA, particularly among young people. Warning labels, including calorie information labels, could reduce SSB consumption but uncertainty surrounds the labels that are most effective. This study assessed the impact of labels containing (a) each of two image-based warnings and (b) calorie information, singly and together, on SSB selection by parents of 11–16-year-olds living in the UK. Using a 3 (disease image, sugar content image, no image) × 2 (calorie information, no calorie information) between-subjects experimental design, 2002 participants were randomised to see beverages with one of six labels and selected one for their child to consume. The primary outcome was the proportion of participants selecting an SSB. Data were collected in December 2017. Logistic regressions showed SSB selection was lower when labels contained an image-based warning (35%), compared to not having any label (49%) or just calorie information (43.5%). The disease image lowered selection more than the sugar image (32% vs 40.5%). Providing calorie information with the disease image had no additional impact on selection (33%) but enhanced the impact of the sugar image (36%). Image-based warning labels discourage SSB selection by parents for their children. Images depicting health consequences of excess sugar consumption have larger effects than those depicting sugar content. Calorie information does not add to the effect of the former but does to that of the latter. Field studies are needed to assess the impact of SSB warning labels in real-life settings.

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“…However, these studies are based on very small sample sizes. For food, text-only HWLs have been shown to decrease intentions to consume and purchase a range of labelled food products (16), and decrease the likelihood of purchasing SSBs (17). Imageand-text HWLs on food have also been shown to increase dietary selfcontrol in relation to snack foods (18,19), reduce hypothetical selection (17,20), and real-life purchasing of SSBs (21).…”

Section: Introductionmentioning

confidence: 99%

Image-and-text health warning labels on alcohol and food: potential effectiveness and acceptability

Pechey

Clarke

Mantzari

et al. 2020

Preprint

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Background Health warning labels (HWLs) using images and text to depict the negative health consequences of tobacco consumption are effective and acceptable for changing smoking-related outcomes. There is currently limited evidence concerning their effectiveness and acceptability for reducing consumption of alcoholic drinks and energy-dense foods. Aim To describe potential effectiveness and acceptability of image-and-text (also known as pictorial or graphic) HWLs applied to : i. alcoholic drinks and ii. energy-dense snack foods. Methods Two online studies were conducted using between-subjects designs with general population samples. Participants rated one of 21 image-and-text HWLs on alcoholic drinks (n=5528), or one of 18 image-and-text HWLs on energy-dense snacks (n=4618). HWLs comprised a graphic image with explanatory text, depicting, respectively, seven diseases linked to excess alcohol consumption, and six diseases linked to excess energy intake. Diseases included heart disease and various cancers. Outcomes were negative emotional arousal, desire to consume the labelled product, and acceptability of the label. Free-text comments relating to HWLs were content analysed. Results For both alcoholic drinks and energy-dense snacks, HWLs depicting bowel cancer generated the highest levels of negative emotional arousal and lowest desire to consume the product, but were the least acceptable. Acceptability was generally low for HWLs applied to alcohol, with 3 of 21 rated as acceptable, and was generally high for snacks, with 13 of 18 rated as acceptable. The majority of free-text comments expressed negative reactions to HWLs on alcohol or energy-dense snacks. Conclusions Image-and-text health warning labels depicting bowel cancer showed greatest potential for reducing selection and consumption of alcoholic drinks and energy-dense snacks, although they were the least acceptable. Laboratory and field studies are needed to assess their impact on selection and consumption.

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Appetitive drives for ultra-processed food products and the ability of text warnings to counteract consumption predispositions

Abstract: This research provides initial evidence favouring the use of text warnings as a public policy tool to curb the powerful influence of highly appetitive ultra-processed food cues.

Cited by 35 publications

References 52 publications

Image-and-text health warning labels on alcohol and food: potential effectiveness and acceptability

Image-and-text health warning labels on alcohol and food: potential effectiveness and acceptability

Impact of warning labels on sugar-sweetened beverages on parental selection: An online experimental study

Image-and-text health warning labels on alcohol and food: potential effectiveness and acceptability

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