title: Objective Understanding of Front-of-Package Nutrition Labels among Nutritionally At-Risk Individuals.
abstract: In the ongoing debate about front-of-package (FOP) nutrition labels, little data exist regarding nutritionally at-risk populations, although they are critical targets of prevention programs. This study aimed to compare the impact of FOP labels on the ability to rank products according to their nutritional quality among French adults potentially at risk of poor dietary quality (N = 14,230). Four labels were evaluated: Guideline Daily Amounts (GDA), Multiple Traffic Lights (MTL), 5-Color Nutrition Label (5-CNL), Green Tick (Tick), along with a reference without label. Mixed models were used to assess how individual characteristics and FOP labels were associated with the ability to rank products. Older participants and those with a lower educational level, income, nutritional knowledge, and likelihood of reading nutrition facts were less skilled at ranking food products according to nutritional quality. Compared with individual characteristics, nutrition labels had an increased impact on food product ranking ability. Overall, 5-CNL corresponded to the highest rate of correct responses, followed by MTL, GDA, and Tick (p < 0.0001). The strongest impact of 5-CNL was observed among individuals with no nutritional knowledge (odds ratio (OR): 20.24; 95% confidence interval (CI): 13.19-31.06). Therefore, 5-CNL appeared to be effective at informing consumers, including those who are nutritionally at-risk, about the nutritional quality of food products.
authors: Equipe de Recherche en Epidémiologie Nutritionnelle, Centre de Recherche en Epidémiologie et Statistiques, Université Paris 13, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, Bobigny F-93017, France. p.ducrot@eren.smbh.univ-paris13.fr.
authors: Pauline
authors: P
authors: Ducrot
authors: Equipe de Recherche en Epidémiologie Nutritionnelle, Centre de Recherche en Epidémiologie et Statistiques, Université Paris 13, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, Bobigny F-93017, France. c.mejean@eren.smbh.univ-paris13.fr.
authors: Caroline
authors: C
authors: Méjean
authors: Equipe de Recherche en Epidémiologie Nutritionnelle, Centre de Recherche en Epidémiologie et Statistiques, Université Paris 13, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, Bobigny F-93017, France. c.julia@eren.smbh.univ-paris13.fr.|Santé Publique, Hôpital Avicenne, Bobigny Cedex F-93017, France. c.julia@eren.smbh.univ-paris13.fr.
authors: Chantal
authors: C
authors: Julia
authors: Equipe de Recherche en Epidémiologie Nutritionnelle, Centre de Recherche en Epidémiologie et Statistiques, Université Paris 13, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, Bobigny F-93017, France.
authors: Emmanuelle
authors: E
authors: Kesse-Guyot
authors: Equipe de Recherche en Epidémiologie Nutritionnelle, Centre de Recherche en Epidémiologie et Statistiques, Université Paris 13, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, Bobigny F-93017, France. m.touvier@eren.smbh.univ-paris13.fr.
authors: Mathilde
authors: M
authors: Touvier
authors: Equipe de Recherche en Epidémiologie Nutritionnelle, Centre de Recherche en Epidémiologie et Statistiques, Université Paris 13, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, Bobigny F-93017, France. l.fezeu@eren.smbh.univ-paris13.fr.
authors: Léopold K
authors: LK
authors: Fezeu
authors: Equipe de Recherche en Epidémiologie Nutritionnelle, Centre de Recherche en Epidémiologie et Statistiques, Université Paris 13, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, Bobigny F-93017, France. s.hercberg@eren.smbh.univ-paris13.fr.|Santé Publique, Hôpital Avicenne, Bobigny Cedex F-93017, France. s.hercberg@eren.smbh.univ-paris13.fr.
authors: Serge
authors: S
authors: Hercberg
authors: Equipe de Recherche en Epidémiologie Nutritionnelle, Centre de Recherche en Epidémiologie et Statistiques, Université Paris 13, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, Bobigny F-93017, France. s.peneau@eren.smbh.univ-paris13.fr.
authors: Sandrine
authors: S
authors: Péneau
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002755:Choice Behavior; D003258:Consumer Behavior; D005260:Female; D005500:Follow-Up Studies; D005515:Food Labeling; D005518:Food Preferences; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D018673:Nutrition Policy; D009753:Nutritive Value; D011446:Prospective Studies; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D044465:White People; D055815:Young Adult
keywords: food labeling; front-of-package nutrition label; objective understanding; population at risk