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Effect of front-of-package nutrition labeling on food purchases: a systematic review
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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“extensive literature on ethical labelling in FMCG environments does exist with the food and nutrition literature [33], and this may be applicable to the use of ethical labelling in fast fashion.”
From Marketing Tactics for Sustainable Fashion and the Circular Economy: The Impact of Ethical Labels on Fast Fashion Choice (2023) · cites this paper as [33]
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Connolly, C., Norze, J., & Stearns, S. (2025) · Journal of Human Sciences and Extension · doi:10.55533/2325-5226.1498
de Alcântara, M., Martins, I. B. A., Sant’Anna, L. J., & Deliza, R. (2025) · Food Quality and Preference · doi:10.1016/j.foodqual.2025.105688
Metadata
- 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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