Position of the American Dietetic Association: Total Diet Approach to Communicating Food and Nutrition Information

doi:10.1016/j.jada.2007.05.025

Cited by 66 publications

(18 citation statements)

References 56 publications

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“…Use of multiple categories ensures a higher discrimination performance of the 5-CNL. Moreover, some have argued that the use of binary scores tends to induce the idea of ‘good’ and ‘bad’ foods, promoting dichotomous thinking [43]. …”

Section: Discussionmentioning

confidence: 99%

Performance of a five category front-of-pack labelling system – the 5-colour nutrition label – to differentiate nutritional quality of breakfast cereals in France

et al. 2015

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BackgroundBreakfast cereals exhibit a wide variability in nutritional quality, and differences are not easily grasped by consumers. A simplified nutritional information system might contribute to help consumers make healthier food choices. A five-category colour label based on the Food Standards Agency Nutrient profiling system (FSA score) has been proposed in France to be implemented on the front-of-pack of foods (the five-colour nutrition label - 5-CNL). Objectives were to evaluate the ability of the 5-CNL to discriminate nutritional quality between types of breakfast cereals, within a category and in equivalent products, as well as its ability to change through product reformulation.MethodsNutritional information was collected through an Internet and supermarket research for N = 433 breakfast cereals (N = 380 complete data included in the analyses). Breakfast cereals were categorized according to common attributes in terms of processing and/or ingredients used. The FSA score and 5-CNL category allocation were computed for each cereal. Nutrient content and FSA score were compared across types of cereals. Distribution within the 5-CNL categories was assessed across types of cereals and for equivalent products. Impact of reformulation (reduction of 5 and 10% in simple sugar, saturated fat and sodium) on the 5-CNL category allocation was compared to original allocation with Bapkhar’s tests of homogeneity of marginal distribution.ResultsVariability in nutritional quality of breakfast cereals was high, as reflected by the FSA score (range −7- 22 for a theoretical range of −15-40) and the 5-CNL (all five categories represented). The 5-CNL allowed for discrimination across types of cereals, within categories of breakfast cereals and for equivalent products (at least 3 categories of the 5-CNL represented). Reformulation scenarios allowed for significant change in 5-CNL allocation: 5% reduction in sugar lead to a modification of the label for 4.21% of products while a reduction of 10% of sugar, saturated fat and sodium lead to a modification of the label for 19.2% of products.ConclusionThe 5-CNL adequately discriminates between breakfast cereals. It would therefore be an adequate tool for consumer information on nutritional quality of foods in the French context.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-015-1522-y) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Performance of a five category front-of-pack labelling system – the 5-colour nutrition label – to differentiate nutritional quality of breakfast cereals in France

et al. 2015

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“…26 The healthful food items composite score calculation reflects the current understanding in nutrition that focus on dietary patterns is preferable to an individual food items approach. 27,28 For each food category in the index, students received a score of 0–3 based on consumption frequency the previous day. The range of possible total scores for the index was 0–24.…”

Section: Methodsmentioning

confidence: 99%

Diet- and Body Size-related Attitudes and Behaviors Associated with Vitamin Supplement Use in a Representative Sample of Fourth-grade Students in Texas

George¹,

Hoelscher

Nicklas

et al. 2009

Journal of Nutrition Education and Behavior

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Objective To examine diet- and body size-related attitudes and behaviors associated with supplement use in a representative sample of fourth-grade students in Texas. Design Cross-sectional data from the School Physical Activity and Nutrition study, a probability-based sample of schoolchildren. Children completed a questionnaire that assessed supplement use, food choices, diet-related attitudes, and physical activity; height and weight were measured. Setting School classrooms. Participants Representative sample of fourth-grade students in Texas (n = 5967; mean age = 9.7 years standard error of the mean [SEM] = .03 years, 46% Hispanic, 11% African-American). Main Outcome Measures Previous day vitamin supplement consumption, diet- and body size-related attitudes, food choices, demographic factors, and physical activity. Analysis Multivariable logistic regression models, P < .05. Results The prevalence of supplement use was 29%. Supplement intake was associated with physical activity. Girls who used supplements were more likely to report positive body image and greater interest in trying new food. Relative to nonusers, supplement users were less likely to perceive that they always ate healthful food, although supplement use was associated with more healthful food choices in boys and girls (P < .001). Conclusions and Implications The widespread use of supplements and clustering of supplement use with healthful diet and greater physical activity in fourth graders suggest that supplement use be closely investigated in studies of diet–disease precursor relations and lifestyle factors in children.

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“…As previously noted, confusion is often assumed to be an outcome of exposure to contradictory information (American Dietetic Association, 2007; Drummond, 2006; Goldberg, 1992; Goldberg & Hellwig, 1997; Johnson-Taylor, Yaroch, Krebs-Smith, & Rodgers, 2007). Yet what theoretical support is there for this relationship?…”

Section: Decision Theory’s Concept Of Ambiguitymentioning

confidence: 99%

“…Nutrition researchers and clinicians have assumed that contradictory health and nutrition messages exist in the news media (e.g., Angell & Kassirer, 1994; Boyle, Boffetta, & Autier, 2008; Fineberg & Rowe, 1998), and that exposure to these messages negatively influences public understanding and health behavior (e.g., American Dietetic Association, 2007; Drummond, 2006; Goldberg & Hellwig, 1997). Although there is some evidence that this information exists (e.g., Greiner, Smith, & Guallar, 2010; Smith, Kromm, & Klassen, 2010; Squiers et al, 2011; Vardeman & Aldoory, 2008), there have been few efforts to capture exposure to contradictory health and nutrition messages (Nagler & Hornik, 2012) and assess its potential effects.…”

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confidence: 99%

Adverse Outcomes Associated With Media Exposure to Contradictory Nutrition Messages

Nagler

2013

Journal of Health Communication

225

221

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There is increasing concern that the media present conflicting health information on topics including cancer screening and nutrition. Although scholars have speculated that exposure to this information leads to increased public confusion, less trust in health recommendations, and less engagement in health behaviors, there is a lack of empirical research that directly addresses the role of media exposure to conflicting information. Using data from the Annenberg National Health Communication Survey, this study finds that exposure to conflicting information on the health benefits and risks of, for example, wine, fish, and coffee consumption is associated with confusion about what foods are best to eat and the belief that nutrition scientists keep changing their minds. There is evidence that these beliefs, in turn, may lead people to doubt nutrition and health recommendations more generally—including those that are not rife with contradictory information (e.g., fruit and vegetable consumption, exercise). The implications of these findings for healthy eating campaigns and interventions are discussed.

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Position of the American Dietetic Association: Total Diet Approach to Communicating Food and Nutrition Information

Cited by 66 publications

References 56 publications

Performance of a five category front-of-pack labelling system – the 5-colour nutrition label – to differentiate nutritional quality of breakfast cereals in France

Performance of a five category front-of-pack labelling system – the 5-colour nutrition label – to differentiate nutritional quality of breakfast cereals in France

Diet- and Body Size-related Attitudes and Behaviors Associated with Vitamin Supplement Use in a Representative Sample of Fourth-grade Students in Texas

Adverse Outcomes Associated With Media Exposure to Contradictory Nutrition Messages

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