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Guiding Stars: the effect of a nutrition navigation program on consumer purchases at the supermarket
Open accessAbstract
Background To improve diet quality and overall population health, the need to develop nutritional rating systems that are comprehensive in scope and easy for the consumer to understand and use at the point-of-purchase has emerged.Objective Our aim was to examine the effect of a comprehensive storewide supermarket point-of-purchase nutrition navigation intervention by using a shelf-label 3-tiered star icon on consumer food and beverage choices and their associated nutritional quality.Design By using a natural experiment design, purchasing data from 2006 to 2008 were obtained from a Northeast supermarket chain with 168 stores located in northern New England and New York and examined at preimplementation and at 1- and 2-y follow-up periods.Results The nutrition navigation system studied showed significant changes in food purchasing immediately after implementation, and these changes continued to be significant 1 and 2 y later. When the same 8-mo period (January-August) each year was compared, in 2006, 24.50% of items purchased earned a star rating; this proportion increased to 24.98% (P < 0.001) and 25.89% (P < 0.0001) at the 1- and 2-y follow-up periods, respectively. For a 4-wk period, 1 y after program implementation, consumers purchased significantly more ready-to-eat cereals with stars (eg, less added sugars and more dietary fiber) and fewer no-star, high-sugar, low-fiber cereals.Conclusion Increasing rates of obesity and declining diet quality for Americans strongly support the need for effective supermarket point-of-purchase programs, such as the Guiding Stars nutrition navigation program, that provide clear, concise, and simplified nutrition information to guide consumer food and beverage choices.
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“A similar uncontrolled study in New England supermarkets demonstrated statistically significant but small changes in food purchasing at 1 and 2 years after implementation of an in-store, on-shelf version of a front-of-pack icon system.106”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [106]
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Metadata
- Authors
- Sutherland, L. A., Kaley, L. A., & Fischer, L.
- Affiliations
- University of Southern Maine (US)
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2010-04
- Volume
- 91
- Issue
- 4
- Pages
- 1090S-1094S
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W2116701417
- Cited by
- 200
- References
- 26
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 6 · 2023: 4 · 2022: 5 · 2021: 11 · 2020: 16 · 2019: 16 · 2018: 14 · 2017: 25 · 2016: 15 · 2015: 22 · 2014: 15 · 2013: 14 · 2012: 15
- FWCI
- 15.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Consumer Attitudes and Food Labeling
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Sociology and Political Science › Consumer behavior in food and health
- Keywords
- star rating system, consumer food choice, ready-to-eat cereals, sugar content, dietary fiber, diet quality
- MeSH terms
- Diet, Food Labeling, Food Preferences, Food Supply, Health Promotion, Humans, Nutritive Value, United States, Health Behavior, Consumer Health Information
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