Trial reportThe American journal of clinical nutrition2022
Nutrition-related claims lead parents to choose less healthy drinks for young children: a randomized trial in a virtual convenience store.
Trial report in The American journal of clinical nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04381481 (Studying the Impact of Product Packaging in a Virtual Store Environment), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled 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.
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.
Studying the Impact of Product Packaging in a Virtual Store Environment
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- The Relationship Between Fruit Drink Front-of-Package Claims, Fruit Imagery, and Ingredient Disclosures and Consumer Perceptions, Intentions, and Behavior: A Systematic Review.Journal of the Academy of Nutrition and Dietetics · 2025Pooled it
- Trial
- Natural Claims on Sugary Fruit Drinks: A Randomized Experiment With U.S. Parents.American journal of preventive medicine · 2023Trial
- How pictorial warnings change parents' purchases of sugar-sweetened beverage for their children: mechanisms of impact.The international journal of behavioral nutrition and physical activity · 2023Trial
- Effect of Front-of-Package Information, Fruit Imagery, and High-Added Sugar Warning Labels on Parent Beverage Choices for Children: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Parental Cognition Regarding Children's Sugar Consumption and Its Implications for Dental Caries Prevention: A Systematic Review.Children (Basel, Switzerland) · 2026Review
- Developing and Applying a Typology of 'Better for You' Claims on Alcohol Products.Drug and alcohol review · 2026Article
- Nutrient Composition and Health Information on the Labels of Commercially Produced Complementary Foods in Nepal.Maternal & child nutrition · 2026Article
- The case for stronger regulation of deceptive nutrition-related claims on unhealthy food.PLoS medicine · 2025Article
- Parents' Perceptions of Claims on Packaged Commercial Toddler Foods: A Qualitative Study.Maternal & child nutrition · 2025Article
- Article
- Evaluating text, icon, and graphic nutrition labels: An eye tracking experiment with Latino adults in the US.Appetite · 2025Article
- Market survey of food product indicators and their credibility as a healthy food product in Klang Valley, Malaysia.BMJ open · 2024Article
- Characterising Parent-Appeal Marketing on Foods for Children: A Scoping Review.Current nutrition reports · 2024Article
- Effects of marketing claims on toddler food products on parents' product preferences, perceptions and purchasing intentions: an online experiment.The international journal of behavioral nutrition and physical activity · 2024Article
- Impact of the Philadelphia Beverage Tax on Perceived Beverage Healthfulness, Tax Awareness, and Tax Opinions.Journal of nutrition education and behavior · 2024Article
- The impact of "pinkwashed" alcohol advertisements on attitudes and beliefs: A randomized experiment with US adults.Addictive behaviors · 2024Article
- Effects of a front-of-package disclosure on accuracy in assessing children's drink ingredients: two randomised controlled experiments with US caregivers of young children.Public health nutrition · 2023Article
- Sociodemographic disparities in purchases of fruit drinks with policy relevant front-of-package nutrition claims.Public health nutrition · 2023Article
- Primordial prevention: Reducing consumption of sugar-sweetened beverages in racial/ethnic populations.American heart journal plus : cardiology research and practice · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundConsumption of sugar-sweetened beverages, including fruit drinks (i.e., fruit-flavored drinks containing added sugar), contributes to childhood obesity.
objectivesWe aimed to examine whether nutrition-related claims on fruit drinks influence purchasing among parents and lead to misperceptions of healthfulness.
methodsWe conducted an experiment in a virtual convenience store with 2219 parents of children ages 1-5 y. Parents were randomly assigned to view fruit drinks displaying 1 of 3 claims ("No artificial sweeteners," "100% Vitamin C," and "100% All Natural") or no claim (i.e., control group). Parents selected among each of 2 drinks for their young child: 1) a fruit drink or 100% juice (primary outcome), and 2) a fruit drink or water.
resultsWhen choosing between a fruit drink and 100% juice, 45% of parents who viewed the fruit drink with the "No artificial sweeteners" claim, 51% who viewed the "100% Vitamin C" claim, and 54% who viewed the "100% All Natural" claim selected the fruit drink, compared with 32% in the no-claim control group (all P < 0.001). "No artificial sweeteners" (Cohen's d = 0.13, P < 0.05) and "100% All Natural" (d = 0.15, P < 0.05) claims increased the likelihood of parents choosing the fruit drink instead of water but "100% Vitamin C" did not (P = 0.06). All claims made parents more likely to incorrectly believe that the fruit drinks contained no added sugar and were 100% juice than the control (d ranged from 0.26 to 0.84, all P < 0.001), as assessed in a posttest survey. The impact of claims on selection of the fruit drink (compared with 100% juice) did not vary by any of the moderators examined (e.g., race/ethnicity, income; all moderation P > 0.05).
conclusionsNutrition-related claims led parents to choose less healthy beverages for their children and misled them about the healthfulness of fruit drinks. Labeling regulations could mitigate misleading marketing of fruit drinks.This trial was registered at clinicaltrials.gov as NCT04381481.
Indexed as
Identifiers
What OpenQuestion holds
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.