Evidence map›Paper›PMID 31533256›Full record

Trial reportNutrients2019

A Randomized Controlled Trial Evaluating the Relative Effectiveness of the Multiple Traffic Light and Nutri-Score Front of Package Nutrition Labels.

Eric A Finkelstein, Felicia Jia Ler Ang, Brett Doble, Wei Han Melvin Wong, Rob M van Dam

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Eric A FinkelsteinProgram in Health Services and Systems Research, Duke-NUS Medical School, Singapore 807443, Singapore. eric.finkelstein@duke-nus.edu.sg.
Felicia Jia Ler AngProgram in Health Services and Systems Research, Duke-NUS Medical School, Singapore 807443, Singapore. felicia.ang@u.duke.nus.edu.ORCID 0000-0002-6579-2913
Brett DobleProgram in Health Services and Systems Research, Duke-NUS Medical School, Singapore 807443, Singapore. brett.doble@duke-nus.edu.sg.ORCID 0000-0002-4948-8831
Wei Han Melvin WongProgram in Health Services and Systems Research, Duke-NUS Medical School, Singapore 807443, Singapore. melvin.wong@duke-nus.edu.sg.
Rob M van DamSaw Swee Hock School of Public Health, National University of Singapore, Singapore 807443, Singapore. ephrmvd@nus.edu.sg.

Funding

National Medical Research Council NMRC-HSRG-0060-2016
6 · The paper itself

Abstract

The objective of this trial was to test two promising front-of-pack nutrition labels, 1) the United Kingdom's Multiple Traffic Lights (MTL) label and 2) France's Nutri-Score (NS), relative to a no-label control. We hypothesized that both labels would improve diet quality but NS would be more effective due to its greater simplicity. We tested this hypothesis via an online grocery store using a 3 × 3 crossover (within-person) design with 154 participants. Outcomes assessed via within person regression models include a modified Alternative Healthy Eating Index (AHEI)-2010 (primary), average Nutri-Score, calories purchased, and singular measures of diet quality of purchase orders. Results show that both labels significantly improve modified AHEI scores relative to Control but neither is statistically superior using this measure. NS performed statistically better than MTL and Control based on average Nutri-Score, yet, unlike MTL it did not statistically reduce calories or sugar from beverages. This suggest that NS may be preferred if the goal is to improve overall diet quality but, because calories are clearly displayed on the label, MTL may perform better if the goal is to reduce total energy intake.

Indexed as

Choice BehaviorConsumer BehaviorDiet, HealthyFeeding BehaviorFood PackagingNutritive ValueAdultCaloric RestrictionCross-Over StudiesEnergy IntakeFemaleHumansMaleRecommended Dietary AllowancesSingapore5-color nutritional labeldietdiet qualityfood Intakefront-of-pack labelingmultiple traffic lightsnutri-scorenutrition labelingonline grocery store

Identifiers

PMID31533256
PMCPMC6770629

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.