Consumers’ Response to an On‐Shelf Nutrition Labelling System in Supermarkets: Evidence to Inform Policy and Practice

Hobin, Erin; Bollinger, Bryan; Sacco, Joe; Liebman, Eli; Vanderlee, Lana; Zuo, Fei; Rosella, Laura; L’Abbé, Mary R.; Manson, Heather; Hammond, David

doi:10.1111/1468-0009.12277

Cited by 52 publications

(90 citation statements)

References 31 publications

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“…Successful efforts in this direction can follow the path of the American Heart Association’s Heart-Check Program, which has driven part of the fast-food industry to meet nutrient quality standards [ 23 , 24 , 25 ]. Additionally, a mark label for traditional Mediterranean foods and recipes might facilitate a better adherence to this dietary pattern when making food choices, comparable to the Guiding Stars system in Canada, which observed better food-purchasing patterns and measurable nutritional benefits [ 57 ]. Information on websites, blogs, books, health-related resources, and cooking magazines can promote the MedDiet for Americans.…”

Section: Discussionmentioning

confidence: 99%

Transferability of the Mediterranean Diet to Non-Mediterranean Countries. What Is and What Is Not the Mediterranean Diet

et al. 2017

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Substantial evidence has verified the Mediterranean diet’s (MedDiet) nutritional adequacy, long-term sustainability, and effectiveness for preventing hard clinical events from cardiovascular disease (CVD), as well as increasing longevity. This article includes a cumulative meta-analysis of prospective studies supporting a strong inverse association between closer adherence to the MedDiet and the incidence of hard clinical events of CVD. The MedDiet has become an increasingly popular topic of interest when focusing on overall food patterns rather than single nutrient intake, not only in Mediterranean countries, but also globally. However, several myths and misconceptions associated with the traditional Mediterranean diet should be clearly addressed and dispelled, particularly those that label as “Mediterranean” an eating pattern that is not in line with the traditional Mediterranean diet. The transferability of the traditional MedDiet to the non-Mediterranean populations is possible, but it requires a multitude of changes in dietary habits. New approaches for promoting healthy dietary behavior consistent with the MedDiet will offer healthful, sustainable, and practical strategies at all levels of public health. The following article presents practical resources and knowledge necessary for accomplishing these changes.

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Section: Discussionmentioning

confidence: 99%

Transferability of the Mediterranean Diet to Non-Mediterranean Countries. What Is and What Is Not the Mediterranean Diet

et al. 2017

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“…These differences in findings for the number of SOBF present, and the proportion displaying the HSR, indicate that examination of differences in product availability between the Australian States and Territories is needed. This is important because most Australian studies assessing attributes of supermarket environments to date have been conducted in Sydney and Melbourne [ 71 ], and findings may not translate to other metropolitan areas within Australia.…”

Section: Discussionmentioning

confidence: 99%

Alignment of Supermarket Own Brand Foods’ Front-of-Pack Nutrition Labelling with Measures of Nutritional Quality: An Australian Perspective

et al. 2018

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Two voluntary front-of-pack nutrition labels (FOPNL) are present in Australia: the government-led Health Star Ratings (HSR) and food industry-led Daily Intake Guide (DIG). Australia’s two largest supermarkets are key supporters of HSR, pledging uptake on all supermarket own brand foods (SOBF). This study aimed to examine prevalence of FOPNL on SOBF, and alignment with patterns of nutritional quality. Photographic audits of all SOBF present in three large supermarkets were conducted in Perth, Western Australia, in 2017. Foods were classified as nutritious or nutrient-poor based on the Australian Guide to Healthy Eating (AGTHE), NOVA level of food processing, and HSR score. Most (81.5%) SOBF featured FOPNL, with only 55.1% displaying HSR. HSR was present on 69.2% of Coles, 54.0% of Woolworths, and none of IGA SOBF. Half (51.3%) of SOBF were classified as nutritious using the AGTHE, but using NOVA, 56.9% were ultra-processed foods. Nutrient-poor and ultra-processed SOBF were more likely than nutritious foods to include HSR, yet many of these foods achieved HSR scores of 2.5 stars or above, implying they were a healthy choice. Supermarkets have a powerful position in the Australian food system, and they could do more to support healthy food selection through responsible FOPNL.

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“…However, widespread use of a single, effective FoPL is likely to have the greatest impact on product selection. For example, supermarket studies using a star-based rating system applied to shelf tags across all products found a shift toward increased purchases of healthier foods [ 28 – 30 ]. Other supermarket studies using the MTL did not observe any shift in purchases, however this may have been due to the label not being applied across all products [ 31 , 32 ].…”

Section: Introductionmentioning

confidence: 99%

The impact of interpretive and reductive front-of-pack labels on food choice and willingness to pay

Talati

Norman

Pettigrew

et al. 2017

Int J Behav Nutr Phys Act

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Background: This study examined how front-of-pack labels and product healthfulness affect choice and willingness to pay across a range of foods. It was hypothesized that: (i) product choice and (ii) willingness to pay would be more aligned with product healthfulness when healthfulness was expressed through the Health Star Rating, followed by the Multiple Traffic Light, then the Daily Intake Guide, and (iii) the Nutrition Facts Panel would be viewed infrequently. Methods: Adults and children aged 10+ years (n = 2069) completed an online discrete choice task involving mock food packages. A 4 food type (cookies, corn flakes, pizza, yoghurt) × 2 front-of-pack label presence (present, absent) × 3 frontof-pack label type (Daily Intake Guide, Multiple Traffic Light, Health Star Rating) × 3 price (cheap, moderate, expensive) × 3 healthfulness (less healthy, moderately healthy, healthier) design was used. A 30 s time limit was imposed for each choice. Results: Of the three front-of-pack labels tested, the Health Star Rating produced the largest differences in choices, with 40% (95% CIs: 38%-42%) of respondents selecting the healthier variant, 33% selecting the moderately healthy variant (95% CIs: 31%-35%), and 23% (95% CIs: 21%-24%) selecting the less healthy variant of the four products included in the study. The Multiple Traffic Light led to significant differences in choices between healthier (35%, 95% CIs: 33%-37%) and less healthy products (29%, 95% CIs: 27%-31%), but not moderately healthy products (32%, 95% CIs: 30%-34%). No significant differences in choices were observed by product healthfulness when the Daily Intake Guide was present. Only the Health Star Rating resulted in a significantly greater willingness to pay for healthier versus less healthy products. The Nutrition Facts Panel was viewed for only 7% of all mock packages. Conclusions: Front-of-pack labels that are more interpretive, such as the Health Star Rating, can be more effective at directing consumers towards healthier choices than reductive front-of-pack labels such as the Daily Intake Guide. The study results provide policy makers with clear guidance on the types of front-of-pack labels that are most likely to achieve positive health outcomes at a population level.

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Consumers’ Response to an On‐Shelf Nutrition Labelling System in Supermarkets: Evidence to Inform Policy and Practice

Cited by 52 publications

References 31 publications

Transferability of the Mediterranean Diet to Non-Mediterranean Countries. What Is and What Is Not the Mediterranean Diet

Transferability of the Mediterranean Diet to Non-Mediterranean Countries. What Is and What Is Not the Mediterranean Diet

Alignment of Supermarket Own Brand Foods’ Front-of-Pack Nutrition Labelling with Measures of Nutritional Quality: An Australian Perspective

The impact of interpretive and reductive front-of-pack labels on food choice and willingness to pay

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