ArticlePreventive medicine reports2021
Experimental study of front-of-package nutrition labels' efficacy on perceived healthfulness of sugar-sweetened beverages among youth in six countries.
Article in Preventive medicine reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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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.
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Who cites it
26 citing papers in PubMed, 65 citations in OpenAlex.
- Effects of front-of-package nutrition labelling systems on objective understanding and purchase intention in El Salvador: results from a multi-arm parallel-group randomised controlled trial.European journal of nutrition · 2025Trial
- Trial
- Effects of front-of-package nutrition labelling systems on objective understanding and purchase intention in Panama: results from a multi-arm parallel-group randomised controlled trial.Public health nutrition · 2024Trial
- Trial
- Front-of-Package Labels on Unhealthy Packaged Foods in India: Evidence from a Randomized Field Experiment.Nutrients · 2022Trial
- Testing Front-of-Package Labels on Packaged Food for Adult and Adolescent Population in Bangladesh.Current developments in nutrition · 2026Article
- Effects of a Combined Front-of-Pack Nutrition Label and Nutrition Education Intervention on Healthier Choices of Freshly Prepared Beverages: An Online Randomized Controlled Trial.Foods (Basel, Switzerland) · 2026Article
- Article
- Warning and green labels versus Nutri-Score: visual attention and product evaluation in a binational eye-tracking study.Frontiers in nutrition · 2026Article
- Article
- Comparing the influence of front-of-pack nutrition labels on Saudi consumers' understanding and food selection.Frontiers in public health · 2025Article
- Front-of-pack labeling and perceived nutritional quality in adults with and without chronic disease: results from a quasi-experimental study.Frontiers in nutrition · 2025Article
- Designing Front-of-Package Labels to Inform Consumers and Encourage Healthier Food Choices in Bangladesh: A Qualitative Study.Nutrients · 2024Article
- Self-reported decreases in the purchases of selected unhealthy foods resulting from the implementation of warning labels in Mexican youth and adult population.The international journal of behavioral nutrition and physical activity · 2024Article
- The Impact of Excessive Fructose Intake on Adipose Tissue and the Development of Childhood Obesity.Nutrients · 2024Review
- Sociodemographic differences in nutrition labels effect on Chilean and Mexican youth.Revista panamericana de salud publica = Pan American journal of public health · 2024Article
- How Interdisciplinary Interventions Can Improve the Educational Process of Children Regarding the Nutritional Labeling of Foods.Foods (Basel, Switzerland) · 2023Article
- A Little Bird Told Me… Nutri-Score Panoramas from a Flight over Europe, Connecting Science and Society.Nutrients · 2023Article
- Awareness, use and understanding of nutrition labels among children and youth from six countries: findings from the 2019 - 2020 International Food Policy Study.The international journal of behavioral nutrition and physical activity · 2023Article
- A Diet Profiling Algorithm (DPA) to Rank Diet Quality Suitable to Implement in Digital Tools-A Test Study in a Cohort of Lactating Women.Nutrients · 2023Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Front-of-package (FOP) nutrition labels have been proposed as a strategy to help limit sugar-sweetened beverage (SSB) consumption among youth. However, few studies have examined the efficacy of FOP labels in youth across different countries. A between-group experiment was conducted to examine the impact of FOP labels (no-label control, Health Star Rating, 'High in' Octagon, Guideline Daily Amount (GDA), Traffic Light, or Nutri-Score) on perceived healthfulness of an SSB. The study was conducted online in November-December 2019 with 10,762 children aged 10-17 from six countries: Australia, Canada, Chile, Mexico, the United Kingdom, and the United States. A binary logistic regression model tested the impacts of FOP label condition, country, and sociodemographic characteristics on participants' likelihood of perceiving the SSB to be Unhealthy. Compared to the control condition, participants in each of the five FOP label conditions were significantly more likely to perceive the SSB as Unhealthy (p < 0.002). The 'High in' Octagon label had the greatest impact on perceived healthfulness across five out of six countries, whereas the GDA and Nutri-Score labels demonstrated the lowest impact across all six countries. The impact of FOP labels was consistent across sex, age, race/ethnicity, and perceived income adequacy. FOP labels can significantly reduce the perceived healthfulness of SSBs among youth across multiple countries. The current study adds to the evidence that 'high in' labels, which use intuitive symbols such as the octagon 'stop sign', are the most efficacious labels for helping consumers identify foods high in nutrients of concern, including SSBs.
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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.