ArticleThe international journal of behavioral nutrition and physical activity2023
Changes in children's and adolescents' dietary intake after the implementation of Chile's law of food labeling, advertising and sales in schools: a longitudinal study.
Article in The international journal of behavioral nutrition and physical activity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of unhealthy food/drink marketing exposure to children in New Zealand: a systematic narrative review.Health promotion international · 2025Pooled it
- Integrating Policies that Enable Minimally Processed Foods with Policies that Restrict Ultra-Processed Foods for Obesity and Noncommunicable Disease Prevention.Current obesity reports · 2026Review
- Exploring Drivers of Children's Food Choices: A Multi-Source Process Evaluation of a School-Based Nutrition Education Program.Foods (Basel, Switzerland) · 2026Article
- Prevalence of overweight and obesity and their associations with lifestyle habits among late adolescents in the Northern Border Region of Saudi Arabia: a cross‑sectional study.BMC public health · 2026Article
- Fairer competition? Warning labels narrow the gap between the emotional reactions evoked by ultra-processed and unprocessed/minimally processed foods.BMC nutrition · 2026Article
- Goals in Nutrition Science 2025-2030.Frontiers in nutrition · 2026Review
- Which front-of-pack nutritional label (FOPNL) is most effective in promoting healthier dietary choices? An experimental study in Indonesia.BMJ public health · 2026Article
- 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 · 2026Review
- Free, healthy school lunches in New Zealand: A Value for Investment analysis.BMC public health · 2025Article
- Twenty years of behavioral nutrition- A reflection on the road less travelled.The international journal of behavioral nutrition and physical activity · 2025Article
- Ultra-processed foods and public health: Evidence of harm and of conflicts of interest in the food industry to evade regulation.Future healthcare journal · 2025Article
- Effects of front-of-package nutrition labels in Latine and limited English proficiency populations: A randomized trial.medRxiv : the preprint server for health sciences · 2025Article
- Using a systems thinking approach to map the global rise of ultra-processed foods in population diets.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Review
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- Article
- Prevalence of ultra-processed foods and beverages in newly launched products across the Americas: a comparison between the United States and Latin American countries from 2018 to 2023.Frontiers in public health · 2025Article
- Diet quality of Chilean schoolchildren: How is it linked to adherence to dietary guidelines?PloS one · 2025Article
- Examining public support for comprehensive policy packages to tackle unhealthy food environments.Public health nutrition · 2024Article
- A snapshot of cancer in Chile II: an update on research, strategies and analytical frameworks for equity, innovation and national development.Biological research · 2024Article
- Chilean children's adherence to sustainable healthy diets and its associations with sociodemographic and anthropometric factors: a cross-sectional study.European journal of nutrition · 2024Article
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Authors and funding
7 authors.
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Abstract
backgroundIn June 2016, a comprehensive food policy was implemented in Chile that included front-of-package warning labels on key nutrients of concern (total sugars, added saturated fats, sodium, and calories), child-directed food advertisement bans, and school regulations. The policy was implemented in 3 phases from 2016 to 2019 and the primary objective was to improve children's food environments. This study's objective was to assess changes in child and adolescent intake of key nutrients of concern (total sugars, saturated fats, and sodium) at school after the initial implementation of Chile's Law of Food Labeling and Advertisement.
methodsLongitudinal study of 349 children from the Food Environment Chilean Cohort (FECHIC) and 294 adolescents from the Growth and Obesity Cohort Study (GOCS). Data were from single 24-hour dietary recalls collected from 2016 to 2019. Fixed-effects models stratified by school, home, and other locations compared nutrient consumption in each year to consumption at the pre-policy 2016 baseline. Nutrient intakes are expressed as percent of total energy.
resultsCompared to 2016 (pre-policy), total sugars consumed by children at school decreased 4.5 [-8.0, -0.9] percentage points (pp) and 11.8 [-15.4, -8.3] pp in 2018 and 2019 respectively. In 2019, children's saturated fats and sodium intake at school also decreased (1.1 [-1.9, -0.2] pp and 10.3 [-18.1, -2.5] mg/100 kcal respectively). Likewise, in adolescents, total sugars and saturated fats consumed at school decreased in 2018 (5.3 [-8.4, -2.2] pp and 1.5 [-2.7, -0.3] pp respectively). However, consumption of key nutrients of concern at other locations increased after implementation of the policy.
conclusionsAfter initial implementation of Chile's Labeling Law, intake of most key nutrients of concern significantly declined at school. However, we found evidence of compensatory behavior in out-of-school settings. Further research is needed to evaluate what other actions are needed to impact overall diets in the long term both at schools and out of school.
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