Cited by 112Consumer Attitudes and Food LabelingConsumer Packaging Perceptions and TrendsConsumer behavior in food and health

Effect of front-of-package nutrition labeling on food purchases: A systematic review

An, R., Shi, Y., Shen, J., Bullard, T., Liu, G., Yang, Q., Chen, N., Cao, L.·2021·Public Health

Abstract

Objectives This study systematically reviewed evidence from interventions on the effect of front-of-package (FOP) nutrition labeling on food purchases. Study design The study design used in this study is a systematic review. Methods Keyword search was performed in PubMed, Web of Science, Scopus, and Cochrane Library. Results Fifteen studies (10 randomized controlled trials, four pre-post studies, and one case-control study) met the eligibility criteria and were included in the review. Five studies were conducted in a controlled setting through the establishment of an online virtual supermarket or physical laboratory food store solely for the intervention. In contrast, the remaining ten studies were conducted in a naturalistic setting where people commonly purchase foods (e.g., supermarket, grocery store, school/hospital cafeteria, or vending machine). FOP labels assessed included traffic lights, health star rating, daily intake guides, health warnings, and high sugar symbol labels. Compared with the control, FOP labels were effective for helping participants make healthier food purchase decisions in five of the 12 studies that assessed traffic lights labels, in one of the two studies that assessed health warning labels, and in one study that assessed high sugar symbol labels. Three assessed health star ratings and one assessed daily intake guide labels, but none revealed an effect on food purchases compared with the control. Conclusions Findings on the effectiveness of FOP nu…

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Crossref · 10.1016/j.puhe.2020.06.035

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Authors
An, R., Shi, Y., Shen, J., Bullard, T., Liu, G., Yang, Q., Chen, N., & Cao, L.
Affiliations
  • Washington University in St. Louis (US)
  • University of California San Diego (US)
  • China University of Geosciences (Beijing) (CN)
  • University of Illinois Urbana-Champaign (US)
  • Beijing Normal University (CN)
  • University of Shanghai for Science and Technology (CN)
  • Tsinghua University (CN)
  • Shenyang Sport University (CN)
Corresponding author
Cao, L.
Venue
Public Health
Publisher
Elsevier BV
Published
2021-02
Volume
191
Pages
59-67
ISSN
0033-3506 (ISSN-L)
OpenAlex
W3127573106
Cited by
112
References
42
Citations by year
2026: 12 · 2025: 28 · 2024: 26 · 2023: 25 · 2022: 16 · 2021: 5
FWCI
3.21
Type
journal article
Language
en
Open access
closed
Locations
  • Public Health (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Consumer Attitudes and Food Labeling
  • Social Sciences › Business, Management and Accounting › Marketing › Consumer Packaging Perceptions and Trends
  • Social Sciences › Sociology and Political Science › Consumer behavior in food and health
Keywords
food purchasing, traffic light labels, Health Star Rating, health warning labels, nudging, healthier food choices, consumer behavior, naturalistic settings, virtual supermarket
MeSH terms
Adult, Choice Behavior, Commerce, Consumer Behavior, Female, Food, Food Labeling, Food Preferences, Health Promotion, Humans, Health Knowledge, Attitudes, Practice, Male, Nutritive Value, Product Labeling, Health Behavior

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