Evidence map›Paper›PMID 35143553›Full record

Trial reportPloS one2022

Impact of nutrient warning labels on choice of ultra-processed food and drinks high in sugar, sodium, and saturated fat in Colombia: A randomized controlled trial.

Mercedes Mora-Plazas, Isabella Carolyn Aida Higgins, Luis Fernando Gomez, Marissa Hall, Maria Fernanda Parra, Maxime Bercholz, Nandita Murukutla, Lindsey Smith Taillie

Retracted Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialRetracted Publication
In one paragraph

Trial report in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. It is linked to trial NCT04567004 (Testing Product Messages for Colombia), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.8field-weighted citation impact, top 7% of its field
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.

NCT04567004 nacompletednot on this map

Testing Product Messages for Colombia

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2020 to 2020Enrolled8,071ConditionsObesityArmsControl, Nutriscore Label, Adapted Peruvian Nutrient Label, Guideline Daily Amount Label
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Mercedes Mora-PlazasDepartamento de Nutrición Humana, Universidad Nacional de Colombia, Bogotá, Colombia.
Isabella Carolyn Aida HigginsCarolina Population Center, University of North Carolina, Chapel Hill, North Carolina, United States of America.ORCID 0000-0003-0241-2378
Luis Fernando GomezFacultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia.
Marissa HallCarolina Population Center, University of North Carolina, Chapel Hill, North Carolina, United States of America.
Maria Fernanda ParraFacultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia.
Maxime BercholzCarolina Population Center, University of North Carolina, Chapel Hill, North Carolina, United States of America.
Nandita MurukutlaVital Strategies, New York, New York, United States of America.
Lindsey Smith TaillieCarolina Population Center, University of North Carolina, Chapel Hill, North Carolina, United States of America.
University of North Carolina at Chapel Hill · USPontificia Universidad Javeriana · COUniversidad Nacional de Colombia · COVital Strategies · US

Funding

UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Venkata Saroja Voruganti · 1999 to 2026
$31.6M
Carolina Population CenterR24HD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORGAN, SAMUEL PHILIP · 2005 to 2014
$10.0M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Program Development (Pilot) CoreP30AG066615 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ELIZABETH A FRANKENBERG · 2020 to 2026
$4.1M
Designing and Evaluating High-Impact Pictorial Health Warnings for Food ProductsK01HL147713 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HALL, MARISSA · 2019 to 2023
$738k
NHLBI NIH HHS K01 HL147713NIA NIH HHS P30 AG066615NICHD NIH HHS P2C HD050924NICHD NIH HHS R24 HD050924NIDDK NIH HHS P30 DK056350
6 · The paper itself

Abstract

objectiveThis study assessed nutrient warnings' impact on product selection and identification of food products high in nutrients of concern in Colombia.

methodsIn an online experiment (October 2020), 8,061 Colombians were randomized to a nutrient warning, guideline daily amounts (GDA), Nutri-Score, or no-label condition. They viewed two fruit drinks labeled according to their condition, one high in sugar and one not, and completed selection tasks. Next, they assessed four products high in sugar, sodium, and/or saturated fat ("high in" product). Finally, they selected which label would most discourage them from consuming a "high in" product.

resultsThe nutrient warning performed better on most outcomes. Twenty percent of participants exposed to the nutrient warning would purchase the high-sugar fruit drink compared to GDA (24%, p<0.01), Nutri-Score (33%, p<0.001), and no label (29%, p<0.001). GDA performed slightly better than the nutrient warning in identifying the high-sugar fruit drink (91% vs 88%, p<0.001). The nutrient warning best helped participants correctly identify other "high in" products (75% vs. 23% no-label, 26% Nutri-Score, and 43% GDA, all p<0.001) and had the highest perceived message effectiveness (3.86 on 5-point scale vs. 2.97 GDA and 2.70 Nutri-Score, both p<0.001) and lowest likelihood of purchasing "high in" products (2.58 on 5-point scale vs. 3.23 GDA, 3.49 Nutri-Score, and 3.51 no label, all p<0.001). The nutrient warning most discouraged participants from wanting to consume "high in" products.

conclusionsNutrient warnings are a promising policy to help consumers identify and discourage consumption of products high in nutrients of concern.

trial registrationTrial Registration: NCT04567004.

Indexed as

Food LabelingAdolescentAdultBeveragesChoice BehaviorColombiaConsumer BehaviorDietary SugarsFatty AcidsFemaleFood, ProcessedHumansMaleMiddle AgedNutritive ValueSodium, DietaryDietary SugarsFatty AcidsSodium, Dietary

Identifiers

PMID35143553
PMCPMC8830675
OpenAlexW4225269173

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.