Food label use and awareness of nutritional information and recommendations among persons with chronic disease
Open accessAbstract
Background Because of the relation between chronic disease and poor nutritional habits, the use of food labels and adherence to dietary recommendations are important for chronic disease populations. We explored whether persons with chronic disease read nutrient information on food labels and whether they were aware of dietary guidelines.Objective This study aimed to assess dietary information use among persons with chronic disease by using a nationally representative sample of the US population.Design A total of 5603 respondents aged > or =17 y from the 2005-2006 National Health and Nutrition Examination Survey participated in the study. This representative sample of US civilians were asked 17 questions regarding their awareness of federal nutrition information and their food label use and were given two 24-h recall dietary interviews. Participants were classified into 5 disease categories: 1) hypertension, 2) hypercholesterolemia, 3) diabetes/at risk of diabetes, 4) overweight, and 5) heart disease.Results Subjects with chronic diseases were more aware of nutritional recommendations, checked more often for specific nutrients, and used nutrition information on food labels more often than did participants without such diseases. Label use behavior was inconsistently associated with dietary guideline compliance.Conclusions People with chronic disease generally reported better nutrition awareness and food label use and checking behaviors compared with those without chronic disease, but this did not translate into unequivocally better eating behaviors. New strategies are needed to improve the actual nutritional behaviors of persons with chronic disease.
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Generally, women; persons with greater education, existing chronic disease, or greater awareness of diet-disease relations; and persons counseled by their physician to change their diet were more likely to report using nutrition labels to help make decisions about foods.
“Generally, women; persons with greater education, existing chronic disease, or greater awareness of diet-disease relations; and persons counseled by their physician to change their diet were more likely to report using nutrition labels to help make decisions about foods.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [92]
Some studies did not show any association between reported awareness or use of the food label and many or all dietary habits.
“Some studies did not show any association between reported awareness or use of the food label and many or all dietary habits.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [92]
Greater reported use of food labels was inconsistently associated with certain dietary habits, such as lower consumption of added sugars, total fat, and total calories and higher consumption of fruits, vegetables, and dietary fiber.
“Greater reported use of food labels was inconsistently associated with certain dietary habits, such as lower consumption of added sugars, total fat, and total calories and higher consumption of fruits, vegetables, and dietary fiber.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [92]
In many cases, differences were observed for use of specific nutrient information on the food label; for example, only use of sugar information on the label, rather than general use of the food label, was associated with lower consumption of added sugar.
“In many cases, these differences were observed for use of specific nutrient information on the food label; for example, only use of sugar information on the label, rather than general use of the food label, was associated with lower consumption of added sugar.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [92]
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Factors Influencing Nutrition Label Reading Behavior in Individuals With Selected Chronic Diseases
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AWARENESS AND USE OF NUTRITION LABELS ON PRE-PACKAGED FOODS AMONG CONSUMERS IN ACCRA
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Accuracy of Declared Salt Content on Traffic Light Labelling of Nuts and Seeds in Isfahan, Iran
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- Authors
- Lewis, J. E., Arheart, K. L., LeBlanc, W. G., Fleming, L. E., Lee, D. J., Davila, E. P., Cabán-Martinez, A. J., Dietz, N. A., McCollister, K. E., Bandiera, F. C., & Clark, J. D.
- Affiliations
- University of Miami (US)
- Corresponding author
- Lewis, John E
- ORCID
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2009-11
- Volume
- 90
- Issue
- 5
- Pages
- 1351-1357
- ISSN
- 0002-9165 (ISSN-L)
- PMC
- PMC3151015
- OpenAlex
- W2107404455
- Cited by
- 107
- References
- 27
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 7 · 2023: 6 · 2022: 7 · 2021: 3 · 2020: 8 · 2019: 8 · 2018: 9 · 2017: 8 · 2016: 3 · 2015: 8 · 2014: 14 · 2013: 4 · 2012: 4
- FWCI
- 4.01
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (F31MH084567)
- National Institute for Occupational Safety and Health (R01 OH03915)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Consumer Attitudes and Food Labeling
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- food label use, dietary guidelines, chronic disease, hypertension, hypercholesterolemia, diabetes mellitus, overweight, heart disease, dietary adherence, dietary habits
- MeSH terms
- Awareness, Chronic Disease, Diabetes Mellitus, Feeding Behavior, Female, Food Labeling, Health Planning Guidelines, Heart Diseases, Humans, Hypercholesterolemia, Hypertension, Male, Nutrition Surveys, Probability, Surveys and Questionnaires, United States, Guidelines as Topic, Overweight
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