ArticleBMJ nutrition, prevention & health2023
Effect of a new graphically modified Nutri-Score on the objective understanding of foods' nutrient profile and ultraprocessing: a randomised controlled trial.
Article in BMJ nutrition, prevention & health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05610930 (Effect of a New Graphically Modified Nutri-Score on the Objective Understanding of Foods' Nutritional Quality and Ultra-processing - a Randomised Controlled Trial), which is not on this map. Cited by 22 papers.
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.
Effect of a New Graphically Modified Nutri-Score on the Objective Understanding of Foods' Nutritional Quality and Ultra-processing - a Randomised Controlled Trial
Who cites it
22 citing papers in PubMed.
- "Warning: ultra-processed": an online experiment examining the impact of ultra-processed warning labels on consumers' product perceptions and behavioral intentions.The international journal of behavioral nutrition and physical activity · 2024Trial
- Review
- What Do Nova and the Ultraprocessed Food Concept Offer to Policymakers? From Updating Dietary Guidance to Regulatory Action and Advancing Sustainable Food System Transitions.American journal of public health · 2026Article
- Mortality risk in relation to diet quality assessed by the 2023 nutri-score nutrient profiling model: a prospective analysis.European journal of nutrition · 2026Article
- Selected Consumer Behaviours in the Bread Market: Does Dietary Fibre Labelling Influence Consumer Decisions? A Preliminary Study.Nutrients · 2026Article
- The gut microbiome connects nutrition and human health.Nature reviews. Gastroenterology & hepatology · 2025Review
- NutriNet-Brasil, a web-based prospective study on dietary patterns and risk of chronic diseases: cohort profile.BMJ open · 2025Article
- Toward Multidimensional Front-of-Pack Labels: Integrating Nutritional, Environmental, and Processing Information.Nutrients · 2025Review
- Health and Environmental Impacts of Major Foods Consumed in Regional Food Systems of Brazil.International journal of environmental research and public health · 2025Article
- Health impacts of exposure to synthetic chemicals in food.Nature medicine · 2025Review
- Fifteen Years of NOVA Food-Processing Classification: "Friend or Foe" Among Sustainable Diet Indicators? A Scoping Review.Nutrition reviews · 2025Article
- Nova fails to appreciate the value of plant-based meat and dairy alternatives in the diet.Journal of food science · 2025Review
- Modifying the Health Star Rating nutrient profiling algorithm to account for ultra-processing.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2025Article
- Enhanced Labeling to Promote Consumption of Nutrient Dense Foods and Healthier Diets.Foods (Basel, Switzerland) · 2024Article
- Article
- Ultra-processed foods and food additives in gut health and disease.Nature reviews. Gastroenterology & hepatology · 2024Review
- Complementarity between the updated version of the front-of-pack nutrition label Nutri-Score and the food-processing NOVA classification.Public health nutrition · 2024Article
- Responses to the updated Nutri-Score algorithms in Norway: A qualitative study among food system actors in the NewTools-project.Food & nutrition research · 2024Article
- Dietary fibre intake and its association with ultraprocessed food consumption in the general population of Switzerland: analysis of a population-based, cross-sectional national nutrition survey.BMJ nutrition, prevention & health · 2024Article
- Ultra-processed foods and cardiometabolic health: public health policies to reduce consumption cannot wait.BMJ (Clinical research ed.) · 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
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: When considering health-related impacts of foods, nutrient profile and (ultra)processing are two complementary dimensions. The Nutri-Score informs on the nutrient profile dimension. Recently, mounting evidence linked ultraprocessed food consumption to various adverse health outcomes, independently of their nutrient profile. To inform consumers about each of these health-related dimensions of food, we tested, in a randomised controlled trial, if a graphically modified version 'Nutri-Score V.2.0', including a black 'ultraprocessed' banner, would improve the capacity of consumers to rank products according to their nutrient profile and to detect those ultra-processed, compared with a no-label situation. Methods: 21 159 participants included in the NutriNet-Santé web-cohort were randomly assigned to a control arm (no front-of-pack label) or an experimental arm (Nutri-Score 2.0) and were presented an online questionnaire with three sets of food products (cookies, breakfast cereals and ready-to-eat meals) to rank according to nutrient profile and to identify ultraprocessed foods. The primary outcome was objective understanding of nutrient profile and ultraprocessing, represented by a score of correct answers. Secondary outcomes were purchasing intentions and the healthiest-perceived product. Multinomial logistic regressions were performed. Results: The Nutri-Score V.2.0 increased the objective understanding of both the nutrient profile dimension (OR Conclusion: This randomised controlled trial demonstrates the interest of a front-of-pack label combining the Nutri-Score (informing on the nutrient profile dimension) with an additional graphic mention, indicating when the food is ultraprocessed, compared with a no-label situation. Our results show that a combined label enabled participants to independently understand these two complementary dimensions of foods. Trial registration number: NCT05610930.
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.