Evidence map›Paper›PMID 32252716›Full record

Trial reportBMC public health2020

Impact of front-of-pack nutrition labels on consumer purchasing intentions: a randomized experiment in low- and middle-income Mexican adults.

Alejandra Jáuregui, Jorge Vargas-Meza, Claudia Nieto, Alejandra Contreras-Manzano, Nelson Zacarías Alejandro, Lizbeth Tolentino-Mayo, Marissa G Hall, Simón Barquera

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04308408 (Front of Pack Nutritional Labeling of Processed Foods Among Mexican Consumers), which is not on this map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
–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.

NCT04308408 nacompletednot on this map

Front of Pack Nutritional Labeling of Processed Foods Among Mexican Consumers

TypeinterventionalSponsorInstituto Nacional de Salud Publica, MexicoRan2018 to 2018Enrolled2,105ConditionsFood LabelingArmsGuideline Daily Amounts, Multiple Traffic Light, Warning Labels, Video
3 · Its place in the literature

Who cites it

38 citing papers in PubMed.

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  12. Scoping review of evidence on front-of-pack warning labels and nutrition and health variables in Peru.Revista panamericana de salud publica = Pan American journal of public health · 2026
    Review
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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

8 authors.

Alejandra JáureguiNutrition and Health Research Center, Mexican National Institute of Public Health, Av. Universidad 655 Col. Santa María Ahuacatitlán, CP. 62100, Cuernavaca, Morelos, Mexico. alejandra.jauregui@insp.mx.
Jorge Vargas-MezaNutrition and Health Research Center, Mexican National Institute of Public Health, Av. Universidad 655 Col. Santa María Ahuacatitlán, CP. 62100, Cuernavaca, Morelos, Mexico.
Claudia NietoNutrition and Health Research Center, Mexican National Institute of Public Health, Av. Universidad 655 Col. Santa María Ahuacatitlán, CP. 62100, Cuernavaca, Morelos, Mexico.
Alejandra Contreras-ManzanoNutrition and Health Research Center, Mexican National Institute of Public Health, Av. Universidad 655 Col. Santa María Ahuacatitlán, CP. 62100, Cuernavaca, Morelos, Mexico.
Nelson Zacarías AlejandroSchool of Public Health, Mexican National Institute of Public Health, Av. Universidad 655 Col. Santa María Ahuacatitlán, CP. 62100, Cuernavaca, Mexico.
Lizbeth Tolentino-MayoNutrition and Health Research Center, Mexican National Institute of Public Health, Av. Universidad 655 Col. Santa María Ahuacatitlán, CP. 62100, Cuernavaca, Morelos, Mexico.
Marissa G HallDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina and Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, USA.
Simón BarqueraNutrition and Health Research Center, Mexican National Institute of Public Health, Av. Universidad 655 Col. Santa María Ahuacatitlán, CP. 62100, Cuernavaca, Morelos, Mexico.

Funding

Bloomberg Family Foundation 43003
6 · The paper itself

Abstract

backgroundFront-of-pack (FOP) nutrition labeling is a cost-effective strategy to help consumers make informed and healthier food choices. We aimed to investigate the effect of the FOP labels used in the Latin American region on consumers' shopping intentions when prompted to make their choices with specific nutrients-to-limit in mind among low- and middle-income Mexican adults (> 18 y).

methodsIn this experimental study of an online simulated shopping situation participants (n = 2194) were randomly assigned to one of three labeling conditions: Guideline Daily Amounts (GDA), Multiple Traffic Lights (MTL), or red Warning Labels (WL). Participants were required to view a video explaining how to correctly interpret the assigned label. Primary outcomes were the overall nutritional quality (estimated using the Nutrient Profiling Scoring Criterion [NPSC] and NPSC baseline score) and mean energy and nutrient content of purchases. Secondary outcomes included shopping time variables. We also evaluated the impact of the labels across food categories (ready-made foods, dairy beverages, non-dairy beverages, salty snacks, and breakfast cereals) and sociodemographic subgroups.

resultsThe MTL and the WL led to a better overall nutritional quality of the shopping cart compared to the GDA (p < 0.05). According to the NPSC score, the WL led to a better nutritional quality across breakfast cereals and salty snacks compared to the GDA (p < 0.05); a similar effect was observed for the MTL among non-dairy beverages (p < 0.05). The MTL and the WL required shorter shopping times compared to GDA (p < 0.05). Across all labeling conditions, the nutritional quality of the shopping cart tended to be lower among those with low income, education and nutrition knowledge levels.

conclusionWL and MTL may foster healthier food choices in a faster way among low- and middle-income groups in Mexico. To produce an equitable impact among consumers of all socioeconomic strata, efforts beyond simply the inclusion of a communication campaign on how to use and interpret FOP labels will be required.

trial registrationclinicaltrials.gov. NCT04308408 Retrospectively registered March 16, 2020.

Indexed as

Consumer BehaviorAdultBeveragesChoice BehaviorCommunicationDiet, HealthyFemaleFood LabelingFood PreferencesHumansIntentionMaleMexicoMiddle AgedNutritional StatusNutritive ValueLatin-AmericaNutritional labelingShopping time

Identifiers

PMID32252716
PMCPMC7137298

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.