ArticlePloS one2019
The effect of 'Traffic-Light' nutritional labelling in carbonated soft drink purchases in Ecuador.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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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.
The trial behind it
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Who cites it
17 citing papers in PubMed, 40 citations in OpenAlex.
- Front-of-Package Labels on Unhealthy Packaged Foods in India: Evidence from a Randomized Field Experiment.Nutrients · 2022Trial
- Impact of front-of-pack nutrition labels on consumer purchasing intentions: a randomized experiment in low- and middle-income Mexican adults.BMC public health · 2020Trial
- Sofrito and Fruit Consumption Associated with Lower Risk of Type 2 Diabetes in an Urban Latin American Cohort.Nutrients · 2026Article
- Which front-of-pack nutritional label (FOPNL) is most effective in promoting healthier dietary choices? An experimental study in Indonesia.BMJ public health · 2026Article
- Systematic review of impact of mandatory front-of-package nutrition labeling on behavioral and cognitive outcomes and inequalities.Revista panamericana de salud publica = Pan American journal of public health · 2026Review
- Article
- A scoping review of assessment of front-of-pack labeling policy implementation and response in low-and middle-income countries.Public health nutrition · 2025Article
- The burden of cardiovascular disease in adolescents in China and globally due to sugar-sweetened beverage consumption from 1990 to 2021: results from the global burden of disease study 2021.BMC public health · 2025Article
- Dietary Guidance, Sensory, Health and Safety Considerations When Choosing Low and No-Calorie Sweeteners.Nutrients · 2025Review
- Structural responses to the obesity epidemic in Latin America: what are the next steps for food and physical activity policies?Lancet regional health. Americas · 2023Review
- A Qualitative Study of Food Choice in Urban Coastal Esmeraldas, Ecuador.Current developments in nutrition · 2023Article
- Article
- A policy study on front-of-pack nutrition labeling in the Americas: emerging developments and outcomes.Lancet regional health. Americas · 2023Review
- Review
- A review of implementation and evaluation of Pan American Health Organization's policies to prevent childhood obesity in Latin America.Obesity science & practice · 2022Review
- Article
- Nutrition labels' strengths & weaknesses and strategies for improving their use in Iran: A qualitative study.PloS one · 2020Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Overweight and obesity have become global concerns in developed and developing countries due to their rise in recent years and their association with the prevalence of non-communicable diseases including diabetes, hypertension and cardiovascular diseases. In fact, it is estimated that roughly 39% of adults worldwide are overweight and 13% are obese. Ecuador is an example of a developing country concerned with the overweight and obesity problem, where it is estimated that 30% of children, 26% of teenagers and 63% of adults are either overweight or obese and where 1 in 4 deaths are attributed to chronic diseases. To address the overweight and obesity problem via the promotion of healthy eating habits, in 2013 the country approved technical regulation for the labelling of packed processed food products. The regulation included a mandatory traffic-light (TL) supplemental nutritional information labelling system to be displayed on the package of all processed foods for sale in the country. This new labelling system displays a traffic light panel for the product content of sugar, fat and salt in addition to the traditional nutrient declaration label. The objective of this paper was to evaluate the effect of the TL supplemental nutritional information on consumers' buying behavior in Ecuador. More specifically, we concentrated on the purchasing behavior of carbonated soft drinks. For our analysis, we used monthly aggregated purchase data (total expenditures, quantities and average prices) of carbonated soft drinks from January 2013 to December 2015 obtained from Kantar World Panel-Ecuador. We estimated a non-linear Almost Ideal Demand System where we model the demand for high sugar and low sugar carbonated soft drinks. We found that the introduction of the traffic light supplemental nutrition labelling did not have the expected effect of reducing purchases of carbonated soft drinks during its first year of implementation, especially those high in sugar. Additionally, we found that lower income-status households tend to spend more on and consume more calories from CSD than households with higher socio-economic status. Finally, we identified that over time purchases of high sugar soft drinks decreased while purchases of low and no sugar soft drinks increased. Beyond our contribution of evaluating the effect of the traffic light on the purchases of carbonated soft drinks, we also estimated price and income elasticities of carbonated soft drinks which can be useful in the evaluation of fiscal policies.
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