المؤلفون: Kathia Larissa Quevedo, Alejandra Jáuregui, Claudia Nieto, Alejandra Contreras-Manzano, Christine M. White, Lana Vanderlee, Simón Barquera, Camila Corvalán, David Hammond

المصدر: Revista Panamericana de Salud Pública, Vol 48, Iss 33, Pp 1-10 (2024)

مصطلحات موضوعية: food labeling, adolescent, child, sugar-sweetened beverages, chile, mexico, Medicine, Arctic medicine. Tropical medicine, RC955-962, Public aspects of medicine, RA1-1270

الوصف: Objective. To examine sociodemographic differences in the awareness, understanding, use and effect of nutrition labels among Mexican and Chilean youth. Methods. Online surveys among youth (10-17 years) were obtained in 2019 (n=2631). Participants reported their awareness, understanding, and use of their country-specific nutrition facts tables (NFT) and front-of-pack labels (FOPL) (Chile: warning labels [WLs]; Mexico: guideline daily amounts [GDA]). Additionally, participants reported their perceived healthfulness of a sweetened fruit drink after viewing one of six versions of it with different FOPL (no-label control, Health Star Rating, WLs, GDAs, Traffic Light, or Nutri-Score) during an experimental task. Results. Higher self-reported nutrition knowledge was associated with higher NFT and FOPL awareness, understanding, and use, except for WL use. WLs were the most effective FOPL in decreasing the perceived healthfulness of the sweetened fruit drink compared to a no-label condition and other FOP labels. In Chile, the effect of GDA differed by income adequacy, while in Mexico Nutri-Score differed by age. Conclusions. Results suggest that nutrition label awareness, use, understanding, and impact differ across demographics, favoring higher income and nutrition knowledge. Despite this, WLs are likely to have a positive impact on nutrition-related knowledge and behaviors among Mexican and Chilean youth, independently of their socio-demographic groups.

وصف الملف: electronic resource

Relation: https://iris.paho.org/handle/10665.2/59399; https://doaj.org/toc/1020-4989; https://doaj.org/toc/1680-5348

URL الوصول: https://doaj.org/article/06ababa8a1904239bb17c237867d2dd8

المؤلفون: Hammond, David, Acton, Rachel B., Rynard, Vicki L., White, Christine M., Vanderlee, Lana, Bhawra, Jasmin, Reyes, Marcela, Jáuregui, Alejandra, Adams, Jean, Roberto, Christina A., Sacks, Gary, Thrasher, James F.

المصدر: International Journal of Behavioral Nutrition & Physical Activity; 5/4/2023, Vol. 20 Issue 1, p1-13, 13p

مصطلحات موضوعية: FOOD labeling, NUTRITIONAL value, GOVERNMENT regulation, SELF-evaluation, CONSUMER attitudes, COGNITION, FOOD preferences, HUMAN services programs, SURVEYS, HEALTH behavior, HEALTH, INFORMATION resources, DESCRIPTIVE statistics, DATA analysis software, NUTRITION policy

مصطلحات جغرافية: UNITED States, CANADA, CHILE, MEXICO, AUSTRALIA

مستخلص: Background: Nutrition facts tables (NFTs) on pre-packaged foods are widely used but poorly understood by consumers. Several countries have implemented front-of-package labels (FOPLs) that provide simpler, easier to use nutrition information. In October 2020, Mexico revised its FOPL regulations to replace industry-based Guideline Daily Amount (GDA) FOPLs with 'Warning' FOPLs, which display stop signs on foods high in nutrients of concern, such as sugar and sodium. This study examined self-reported awareness, use, and understanding of NFTs and FOPLs among young people in six countries with different FOPLs, with an additional focus on changes before and after implementation of Mexico's FOPL warning policy. Methods: A 'natural experiment' was conducted using 'pre-post' national surveys in Mexico and five separate comparison countries: countries with no FOPL policy (Canada and the US), countries with voluntary FOPL policies (Traffic Lights in the UK and Health Star Ratings in Australia), and one country (Chile) with mandatory FOPL 'warnings' (like Mexico). Population-based surveys were conducted with 10 to 17-year-olds in 2019 (n = 10,823) and in 2020 (n = 11,713). Logistic regressions examined within- and between-countries changes in self-reported awareness, use, and understanding of NFTs and FOPLs. Results: Across countries, half to three quarters of respondents reported seeing NFTs 'often' or 'all the time', approximately one quarter reported using NFTs when deciding what to eat or buy, and one third reported NFTs were 'easy to understand', with few changes between 2019 and 2020. In 2020, awareness, use and self-reported understanding of the Warning FOPLs in Mexico were higher than for NFTs in all countries, and compared with GDA FOPLs in Mexico (p <.001). Mandated Warning FOPLs in Mexico and Chile had substantially higher levels of awareness, use, and understanding than the voluntary Traffic Lights in the UK and Health Star Ratings in Australia (p <.001 for all). Conclusions: Mandated easy-to-understand FOPLs are associated with substantially greater levels of self-reported awareness, use and understanding at the population-level compared to NFT and GDA-based labeling systems. [ABSTRACT FROM AUTHOR]

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المؤلفون: Baidal, Jennifer A Woo, Nichols, Kelsey, Charles, Nalini, Chernick, Lauren, Duong, Ngoc, Finkel, Morgan A, Falbe, Jennifer, Valeri, Linda

المصدر: Nutrients. 13(12)

مصطلحات موضوعية: Reproductive Medicine, Biomedical and Clinical Sciences, Public Health, Health Sciences, Clinical Trials and Supportive Activities, Pediatric, Nutrition, Prevention, Clinical Research, Obesity, Behavioral and Social Science, Prevention of disease and conditions, and promotion of well-being, 3.1 Primary prevention interventions to modify behaviours or promote wellbeing, Reproductive health and childbirth, Good Health and Well Being, Adolescent, Adult, Consumer Behavior, Eating, Female, Food Analysis, Food Labeling, Humans, Infant, Maternal Behavior, New York City, Pregnancy, Sugar-Sweetened Beverages, Sugars, Text Messaging, Young Adult, sugar-sweetened beverage, obesity, pregnant women and mothers, mobile health, randomized controlled trial, graphic beverage health warning labels, beverage sugar content information, Food Sciences, Nutrition and Dietetics, Clinical sciences, Nutrition and dietetics, Public health

الوصف: Racial, ethnic, and socioeconomic disparities in childhood obesity in the United States (U.S.) originate in early life. Maternal sugar-sweetened beverage (SSB) consumption is an early life risk factor for later offspring obesity. The goal of this study was to test the effects of policy-relevant messages delivered by text messages mobile devices (mHealth) on maternal SSB consumption. In this three-arm 1-month randomized controlled trial (RCT), pregnant women or mothers of infants in predominantly Hispanic/Latino New York City neighborhoods were randomized to receive one of three text message sets: graphic beverage health warning labels, beverage sugar content information, or attention control. The main outcome was change in maternal self-reporting of average daily SSB consumption from baseline to one month. Among 262 participants, maternal SSB consumption declined over the 1-month period in all three arms. No intervention effect was detected in primary analyses. In sensitivity analyses accounting for outliers, graphic health warning labels reduced maternal SSB consumption by 28 kcal daily (95% CI: -56, -1). In this mHealth RCT among pregnant women and mothers of infants, graphic health warning labels and beverage sugar content information did not reduce maternal SSB consumption.

وصف الملف: application/pdf

URL الوصول: https://escholarship.org/uc/item/95x6m4t8

المؤلفون: Leung, Cindy W, Wolfson, Julia A, Hsu, Robert, Soster, Keith, Mangan, Steve, Falbe, Jennifer

المصدر: Journal of Nutrition. 151(1)

مصطلحات موضوعية: Biomedical and Clinical Sciences, Nutrition and Dietetics, Nutrition, Adolescent, Carbonated Beverages, Diet Surveys, Female, Food Labeling, Humans, Male, Sugar-Sweetened Beverages, Universities, Young Adult, sugar-sweetened beverages, warning label, college students, intervention, quasi-experimental, Animal Production, Food Sciences, Nutrition & Dietetics, Animal production, Food sciences, Nutrition and dietetics

الوصف: BackgroundHealth-related warning labels may reduce the intake of sugar-sweetened beverages (SSBs), but the effectiveness of such labels in real-world settings is not well established.ObjectivesWe investigated the influence of warning labels on SSB intake among college students at a large public Midwestern university.MethodsWe conducted a quasi-experimental intervention study among 840 undergraduate students recruited from 3 dining halls on 1 university campus. One dining hall was selected as the intervention (I) site, whereas the other dining halls served as control (C) sites. In January 2019, warning labels were posted on SSB dispensers at the I site. All students reported their beverage intake using a modified beverage frequency questionnaire 2 mo before and 2 mo after the warning label implementation. Generalized linear models examined the influence of the warning labels on SSB consumption at the I site compared with the C sites, adjusting for students' sociodemographic characteristics.ResultsIn the sample, 68% were aged 17-18 y old at baseline, and 51% identified as female. From baseline to follow-up, there was a 19% decrease in SSB intake at the I site, compared with a 5% decrease at the C sites (P = 0.049 comparing I with C). This difference was driven by significant decreases in the intakes of fruit-flavored drinks, sweetened teas, and flavored milk at the I site compared with the C sites. Although not an SSB, 100% fruit juce consumption decreased 21% at the I site, compared with a 1% increase at the C sites (P = 0.01 comparing I with C). No significant differences were observed in the intakes of soda, energy drinks, sweetened coffees, and nonsugary drinks at the I site compared with the C sites.ConclusionsWarning labels were effective in reducing SSB intake among college students, particularly for fruit-flavored drinks, sweetened teas, and flavored milk.This trial was registered at clinicaltrials.gov as NCT04435145.

وصف الملف: application/pdf

URL الوصول: https://escholarship.org/uc/item/1rz9n37w

المؤلفون: Wilson, Machelle D, Ramírez, A Susana, Arsenault, Joanne E, Miller, Lisa M Soederberg

المصدر: Journal of Nutrition Education and Behavior. 50(9)

مصطلحات موضوعية: Public Health, Biomedical and Clinical Sciences, Nutrition and Dietetics, Health Sciences, Basic Behavioral and Social Science, Clinical Research, Behavioral and Social Science, Cancer, Nutrition, Acculturation, Adolescent, Adult, Cross-Sectional Studies, Diet, Female, Food Labeling, Health Knowledge, Attitudes, Practice, Hispanic or Latino, Humans, Male, Middle Aged, Obesity, Poverty, Young Adult, dietary intake, Healthy Eating Index, Nutrition Facts panel, poverty, segmented assimilation, Medical and Health Sciences, Education, Psychology and Cognitive Sciences, Nutrition & Dietetics, Nutrition and dietetics, Curriculum and pedagogy, Public health

الوصف: ObjectiveTo investigate how acculturation and poverty are independently and jointly associated with the use of the Nutrition Facts panel (nutrition label) and to examine the extent to which nutrition label use moderates the association of poverty and acculturation on dietary quality among Latinos.DesignCross-sectional analysis of the 2007/2008 and 2009/2010 waves of the National Health and Nutrition Examination Survey.ParticipantsA total of 3,696 adults (aged >19 years) self-identified as Latino/Hispanic with food label use data from the most recent Consumer Behavior Phone Follow-Up Modules.Main outcome measure(s)Nutrition label use and dietary quality.AnalysisLogistic regression.ResultsAcculturation moderated the association of income on the likelihood of using nutrition labels, such that lower-income English-speaking Latinos were half as likely as higher-income English-speakers to use nutrition labels (P = .01, odds ratio [OR] = 0.44, 95% confidence interval [CI], 0.24-0.81); however, Spanish speakers were equally likely to use nutrition labels across income levels (P = .99; OR = 1.00; 95% CI, 0.77-1.31). Nutrition label use moderated the association of acculturation on diet. Among English-speaking Latinos, those who read nutrition labels had less than half the risk for poor diet (P =.001; OR = 0.43; 95% CI, 0.26-0.69); however, label use was not significantly associated with the diet quality of Spanish speakers (P = .07; OR = 0.82; 95% CI, 0.67-1.02). Nutrition label use decreased the risk for poor dietary quality regardless of poverty status.Conclusions and implicationsOverall, results demonstrated a positive association between the use of the Nutrition Facts panel for Latinos and dietary quality. An important nutrition education strategy among bicultural Latinos at risk for a poor diet as a result of acculturation may include label reading comprehension. This approach may also address the low rates of label use. The study provides evidence of segmented assimilation in which low-income, bicultural Latinos follow an underclass pattern of acculturation demonstrated by a lower likelihood of reading nutrition labels and higher-income, bicultural Latinos follow the more successful selective pattern.

وصف الملف: application/pdf

URL الوصول: https://escholarship.org/uc/item/3d1912kc

المؤلفون: Radnitz, Cynthia, Loeb, Katharine L, Keller, Kathleen L, Boutelle, Kerri, Schwartz, Marlene B, Todd, Lauren, Marcus, Sue

المصدر: Public Health Nutrition. 21(7)

مصطلحات موضوعية: Public Health, Biomedical and Clinical Sciences, Nutrition and Dietetics, Health Sciences, Obesity, Nutrition, Prevention, Clinical Research, Adolescent, Adult, Cross-Sectional Studies, Diet, Female, Food Labeling, Food Preferences, Food Services, Humans, Male, Students, Universities, Young Adult, College, Default, Medical and Health Sciences, Nutrition & Dietetics, Biomedical and clinical sciences, Health sciences

الوصف: ObjectiveTo test an obesity prevention strategy derived from behavioural economics (optimal defaults plus delay), focused on changing the college dining hall service method.DesignAfter a uniform pre-load, participants attended an experimental lunch in groups randomized to one of three conditions: a nutrient-dense, lower-fat/energy lunch as an optimal default (OD); a less-nutrient-dense, higher-fat/energy lunch as a suboptimal default (SD); or a free array (FA) lunch. In the OD condition, students were presented a menu depicting healthier vegetarian and omnivore foods as default, with opt-out alternatives (SD menu) available on request with a 15 min wait. In the SD condition, the same menu format was used with the positioning of food items switched. In the FA condition, all choices were presented in uniform fonts and were available immediately.SettingPrivate rooms designed to provide a small version of a college dining hall, on two campuses of a Northeastern US university.SubjectsFirst-year college students (n 129).ResultsThere was a significant main effect for condition on percentage of optimal choices selected, with 94 % of food choices in the OD condition optimal, 47 % in the FA condition optimal and none in the SD condition optimal. Similarly, energy intake for those in the SD condition significantly exceeded that in the FA condition, which exceeded that in the OD condition.ConclusionsPresenting menu items as optimal defaults with a delay had a significant impact on choice and consumption, suggesting that further research into its long-term applicability is warranted.

وصف الملف: application/pdf

URL الوصول: https://escholarship.org/uc/item/11j5d84c

المؤلفون: Nianogo, Roch A, Kuo, Tony, Smith, Lisa V, Arah, Onyebuchi A

المصدر: BMC public health. 16(1)

مصطلحات موضوعية: Humans, Body Weight, Nutrition Surveys, Retrospective Studies, Cross-Sectional Studies, Food Preferences, Intention, Body Image, Public Health, Energy Intake, Poverty, Restaurants, Food Labeling, Adolescent, Adult, Aged, Middle Aged, United States, Los Angeles, Female, Male, Young Adult, Calorie information, Menu labeling, Obesity, Food choice, Self-perceived weight, Behavioral and Social Science, Cancer, Clinical Research, Nutrition, Metabolic and Endocrine, Public Health and Health Services

الوصف: BackgroundAlthough obesity continues to rise and remains a great public health concern in the U.S., a number of important levers such as self-perception of weight and calorie postings at point-of-purchase in restaurants are still not well-characterized in the literature, especially for low-income and minority groups in Los Angeles County (LAC). To study this gap, we examined the associations of self-perception of weight (as measured by body weight discrepancy) with food choice intentions and consumer response to calorie information among low-income adults residing in LAC during the pre-menu labeling regulation era.MethodsDescriptive and multivariable logistic regression analyses were performed to examine the aforementioned associations utilizing data from the 2007-2008 Calorie and Nutrition Information Survey (CNIS). The CNIS was a local health department study of 639 low-income adults recruited from five large, multi-purpose public health centers in LAC.ResultsSurvey participants who reported that their desired weight was less than their current weight (versus desired weight the same as current weight) had (i) higher odds of intending to select lower-calorie foods under the scenario that calorie information was available at point-of-purchase (aOR = 2.0; 95 % CI: 1.0-3.9); and (ii) had higher odds of reporting that it is "very important" to have these calorie postings on food items in grocery stores (aOR = 3.1; 95 % CI: 0.90-10.7) and in fast-food restaurants (aOR = 3.4; 95 % CI: 1.0-11.4).ConclusionsSelf-perception of weight was found to be associated with the intention to select lower-calorie foods under the scenario that calorie information was available at point-of-purchase. Future public health efforts to support menu labeling implementation should consider these and other findings to inform consumer education and communications strategies that can be tailored to assist restaurant patrons with this forthcoming federal law.

وصف الملف: application/pdf

URL الوصول: https://escholarship.org/uc/item/5043w74z

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المؤلفون: Sharif, Mienah Z, Rizzo, Shemra, Prelip, Michael L, Glik, Deborah C, Belin, Thomas R, Langellier, Brent A, Kuo, Alice A, Garza, Jeremiah R, Ortega, Alexander N

المصدر: Journal of the Academy of Nutrition and Dietetics. 114(12)

مصطلحات موضوعية: Public Health, Biomedical and Clinical Sciences, Nutrition and Dietetics, Health Sciences, Aging, Nutrition, Behavioral and Social Science, Clinical Research, Quality Education, No Poverty, Adolescent, Adult, Comprehension, Cross-Sectional Studies, Female, Food Labeling, Health Behavior, Health Knowledge, Attitudes, Practice, Hispanic or Latino, Humans, Logistic Models, Los Angeles, Male, Middle Aged, Multivariate Analysis, Residence Characteristics, Socioeconomic Factors, Surveys and Questionnaires, Young Adult, Nutrition Facts label utilization, Nutrition Facts label comprehension, Newest Vital Sign, Health disparities, Latinos, Hispanic Americans, Clinical Sciences, Anthropology, Biomedical and clinical sciences, Health sciences

الوصف: BackgroundThe Nutrition Facts label can facilitate healthy dietary practices. There is a dearth of research on Latinos' utilization and comprehension of the Nutrition Facts label.ObjectiveTo measure use and comprehension of the Nutrition Facts label and to identify correlates among Latinos in East Los Angeles, CA.DesignCross-sectional interviewer-administered survey using computer-assisted personal interview software, conducted in either English or Spanish in the participant's home.Participants/settingEligibility criteria were: living in a household within the block clusters identified, being age 18 years or older, speaking English or Spanish, identifying as Latino and as the household's main food purchaser and preparer. Analyses were based on 269 eligible respondents.Statistical analyses performedχ(2) test and multivariate logistic regression analysis assessed the associations among the main outcomes and demographics. Multiple imputations addressed missing data.ResultsSixty percent reported using the label; only 13% showed adequate comprehension of the label. Utilization was associated with being female, speaking Spanish, and being below the poverty line. Comprehension was associated with younger age, not being married, and higher education. Utilization was not associated with comprehension.ConclusionsLatinos who are using the Nutrition Facts label are not correctly interpreting the available information. Targeted education is needed to improve use and comprehension of the Nutrition Facts label to directly improve diet, particularly among males, older Latinos, and those with less than a high school education.

وصف الملف: application/pdf

URL الوصول: https://escholarship.org/uc/item/02p1436s

المؤلفون: Cristian Ortiz, Verónica Guaya, Aldo Salinas

المصدر: Journal of Public Health Policy. 43:593-612

مصطلحات موضوعية: Adult, Adolescent, Health Policy, Public Health, Environmental and Occupational Health, Middle Aged, Nutrition Surveys, Nutrition Policy, Young Adult, Cross-Sectional Studies, Food Labeling, Humans, Ecuador, Obesity, Child

الوصف: Few studies assess consumer response to nutrition labeling, especially in less-developed countries. We analyzed the link between nutrition labeling and obesity in Ecuador using a representative cross-sectional sample of 29,770 individuals from the National Health and Nutrition Survey (ENSANUT) in 2018. Nutrition labeling reduced the probability of obesity in adolescent (12-18 years old) and adult (18-59 years old) people by 4% (CI: - 5.7, - 2.2) and 8.4% (CI: - 12.7, - 4.0), respectively. The magnitude of average treatment effect of using nutrition label on obesity ranged from 0.90 (CI: - 1.299, - 0.500) to 1 (CI: - 1.355, - 0.645) BMI points for adolescent, and from 1.16 (CI: - 1.554, - 0.766) to 1.80 (CI: - 2.791, - 0.811) BMI points for adult. The effect of nutrition labeling is greater among the less obese. We recommend that health policy makers and clinicians continue to promote nutrition labeling especially where obesity is not chronic, where nutrition labeling is most successful.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0d110521ac4531d23dd25bae43bebd65
https://doi.org/10.1057/s41271-022-00368-4