Evidence map›Paper›PMID 37519233›Full record

ArticlePublic health nutrition2023

Implementing front-of-pack nutrition warning labels in Mexico: important lessons for low- and middle-income countries.

Eric Crosbie, Margarita Gabriela Otero Alvarez, Michelle Cao, Lesly Samara Vejar Renteria, Estefania Rodriguez, Ana Larrañaga Flota, Angela Carriedo

Abstract read
In one paragraph

Article in Public health nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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 · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Comprehensive study of associated factors with Type 2 Diabetes in Mexico: protocol.Revista medica del Instituto Mexicano del Seguro Social · 2025
    Observational
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Eric CrosbieSchool of Public Health, University of Nevada Reno, Reno, NV89557, USA.ORCID 0000-0002-6219-298X
Margarita Gabriela Otero AlvarezSchool of Public Health, University of Nevada Reno, Reno, NV89557, USA.
Michelle CaoSchool of Public Health, University of Nevada Reno, Reno, NV89557, USA.
Lesly Samara Vejar RenteriaInstituto Nacional de Salud Pública, Mexico City, Mexico.
Estefania RodriguezInstituto Nacional de Salud Pública, Mexico City, Mexico.ORCID 0000-0003-3892-5247
Ana Larrañaga FlotaUniversity of Sussex, Brighton, UK.
Angela CarriedoDepartment of Health, University of Bath, Bath, UK.ORCID 0000-0002-0193-6199

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyse the implementation of front-of-pack nutrition labelling (FOPNL) in Mexico.

designReview of publicly accessible documents, including legislative websites, news sources, and government, intergovernmental, and advocacy reports. Usage of the policy cycle model to analyse the implementation and evaluation stages of Mexico's General Health Law, amended with FOPNL (2019-2022).

resultsIn October 2019, the government published a draft modification of the Norma Oficial Mexicana (Official Mexican Standard) to regulate and enforce a new FOPNL warning label system. A 60-d public consultation period followed (October-December 2019), and the regulation was published in March 2020 and implementation began in October 2020. An analysis of nine key provisions of the Standard revealed that the food and beverage industry and its allies weakened some original provisions including health claims, warnings for added sweeteners and display areas. On the other hand, local and international public health groups maintained key regulations including the ban on cartoon character advertisements, standardised portions and nutrient criteria following international best practices. Early implementation appears to have high compliance and helped contribute to reformulating unhealthy products. Continued barriers to implementation include industry efforts to create double fronts and market their cartoon characters on social media and through digitalised marketing.

conclusionEarly success in implementing the new FOPNL system in Mexico was the result of an inclusive and participatory regulatory process dedicated to maintaining public health advances, local and international health advocacy support, and continued monitoring. Other countries proposing and enacting FOPNL should learn from the Mexican experience to maintain scientifically proven best practices, counter industry barriers and minimise delays in implementation.

Indexed as

Developing CountriesMarketingFoodFood LabelingHumansMexicoNutritional StatusLabellingMexicoNutritionPolicy implementation

Identifiers

PMID37519233
PMCPMC10564596

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.