Front-of-pack food labeling in South America: A scoping review
DOI:
https://doi.org/10.33448/rsd-v13i2.44949Keywords:
Nutrition labeling; Food safety and quality; Processed foods; Consumer health information; Food industry.Abstract
The aim of the study was to map and synthesize the scientific production of knowledge regarding front-of-package food labeling in South American countries. A scoping review was conducted in 2023, based on the Joanna Briggs Institute guide, using a search strategy across five electronic databases: LILACS, SciELO, PubMed, Web of Science, and Scopus, with no restrictions on language or year of publication. The analysis process was carried out through blinded review by two reviewers: 1) article selection using the Rayyan platform, 2) data extraction using a standardized form, 3) PRISMA flowchart and checklist, 4) frequency calculations, and organization of findings. The search strategy identified 2,711 records, of which 94 articles met the inclusion criteria. There was a prevalence of studies from Uruguay and from the year 2020; 61% of the studies were cross-sectional observational, and 57% had a local scope. Study outcomes addressed the nutritional quality and composition of foods, the food industry, types of labeling, and consumer food choices. The synthesis revealed heterogeneity in results regarding the effectiveness of labeling types and the nutritional quality of packaged foods due to different populations studied. The mapping allowed the identification of resistance from the food industry to policy implementation, even in the face of evidence of improved consumer food choices, regardless of the type of front-of-package labeling used. It is suggested that new studies investigate different labeling methodologies more robustly across different countries.
References
Adasme-Berríos, C., Aliaga-Ortega, L.; Schnettler, B., Sánchez, M.; Pinochet, C.; & Lobos, G. (2020). What Dimensions of Risk Perception are Associated with Avoidance of Buying Processed Foods with Warning Labels? Nutrients. 12(10), 2987. https://doi.org/10.3390/nu12102987
Alaniz-Salinas, N., & Castillo-Montes, M. (2020). Evaluación del etiquetado frontal de advertencia de la Ley de Alimentos en adultos responsables de escolares de las comunas de La Serena y Coquimbo. Rev. chil. Nutr, 47 (5), 738-749. https://dx.doi.org/10.4067/s0717-75182020000500738
Alcantara, M., Ares G., de Castro, I. P. L, & Deliza, R. (2020). Gain vs.Loss-framing for reducing sugar consumption: Insights from a choice experiment with six product categories. Food Research International (Ottawa, Ont.), 136, 109458. https://doi.org/10.1016/j.foodres.2020.109458.
Alvarenga, M. et al. (2015) Nutrição comportamental. Manole.
Aliaga-Ortega, L., Adasme-Berríos, C., Méndez, C., Soto, C. & Schnettler, B. (2019).Processed food choice based on the theory of planned behavior in the context of nutritional warning labels. British Food Journal, 121(12), 3266-3280. https://doi.org/10.1108/BFJ-10-2018-0695
Alonso-Dos-Santos, M., Quilodrán Ulloa, R., Salgado Quintana Á., Vigueras Quijada D., & Farías Nazel P. (2019). Nutrition Labeling Schemes and the Time and Effort of Consumer Processing. Sustainability, 11(4), 1079. https://doi.org/10.3390/su11041079
Ares, G., Franco, M., Giménez, A., & Maiche, A. (2014). Influence of rational and intuitive thinking styles on food choice: Preliminary evidence from an eye-tracking study with yogurt labels. Food Quality and Preference, 31, 28-37. https://doi.org/10.1016/j.foodqual.2013.07.005.
Ares, G., Machín, L., Vidal, L., Aschemann-Witzel, J., Otterbring, T., Curutchet, M. R., Giménez, A., & Bove, I. (2020). How Can We Motivate People to Use Nutritional Warnings in Decision Making? Citizen Co-Created Insights for the Development of Communication Campaigns. Health education & behavior: the official publication of the Society for Public Health Education, 47(2), 321–331. https://doi.org/10.1177/1090198119889086
Ares, G., Antúnez, L., Gugliucci, V., Curutchet, M R., Galicia, L., Moratorio. X., Giménez, A., & Bove, I. (2021). How do consumer characteristics influence responses to nutritional warnings? Revista chilena de nutrición, 48(4), 578-585. https://dx.doi.org/10.4067/S0717-75182021000400578
Ares, G., Vidal, L., Otterbring, T., Aschemann-Witzel, J., Curutchet, M. R., Giménez, A., & Bove, I. (2021). Communication Campaigns to Support the Use of Nutritional Warnings: Different Messages for Different People? Health education & behavior: the official publication of the Society for Public Health Education, 48(5), 584–594. https://doi.org/10.1177/10901981211003510
Ares, G., Antúnez, L., Cabrera, M., & Thow, A. M. (2021). Analysis of the policy process for the implementation of nutritional warning labels in Uruguay. Public health nutrition, 24(17), 5927–5940. https://doi.org/10.1017/S1368980021002469
Ares, G., Bove, I., Díaz, R., Moratorio, X., Benia, W., & Gomes, F. (2020). Argumentos de la industria alimentaria en contra del etiquetado frontal de advertencias nutricionales en Uruguay [Food industry arguments against front-of-package nutrition labels in UruguayArgumentos da indústria alimentícia contra a rotulagem frontal de advertência nutricional no Uruguai]. Revista panamericana de salud pública = Pan American journal of public health, 44, e20. https://doi.org/10.26633/RPSP.2020.20
Ares, G., Machín, L., Vidal, L., Otterbring, T., Aschemann-Witzel, J., Curutchet, M. R., & Bove, I. (2020). Uruguayan Citizens' Perception of Messages to Promote Healthy Eating Through the Use of Nutritional Warnings. Journal of nutrition education and behavior, 52(10), 918–927. https://doi.org/10.1016/j.jneb.2020.05.012
Ares, G., Antúnez, L., Curutchet, M R., Galicia, L., Moratorio, X., Giménez, A., & Bove, I. (2021). Immediate effects of the implementation of nutritional warnings in Uruguay: awareness, self-reported use and increased understanding. Public Health Nutr, 24(2), 364-375. 10.1017/S1368980020002517.
Ares, G., Aschemann-Witzel, J., Curutchet, M R., Antúnez, L., Machín, L., Vidal, L., Martínez, J., & Giménez, A. (2018). Nutritional warnings and product substitution or abandonment: Policy implications derived from a repeated purchase simulation. Food Quality and Preference, 65, 40-48. https://doi.org/10.1016/j.foodqual.2017.12.001.
Ares, G., Arrúa, A., Antúnez, L., Vidal, L., Machín, L., Martínez, J., Curutchet, M R., & Giménez, A. (2016). Influence of label design on children’s perception of two snack foods: Comparison of rating and choice-based conjoint analysis. Food Quality and Preference, 53, 1-8. https://doi.org/10.1016/j.foodqual.2016.05.006.
Ares, G., Aschemann-Witzel, J., Curutchet, M. R., Antúnez, L., Machín, L., Vidal, L., & Giménez, A. (2018). Product reformulation in the context of nutritional warning labels: Exploration of consumer preferences towards food concepts in three food categories. Food research international (Ottawa, Ont.), 107, 669–674. https://doi.org/10.1016/j.foodres.2018.03.021
Ares, G., Aschemann-Witzel, J., Curutchet, M. R., Antúnez, L., Moratorio, X., & Bove, I. (2018). A citizen perspective on nutritional warnings as front-of-pack labels: insights for the design of accompanying policy measures. Public health nutrition, 21(18), 3450–3461. https://doi.org/10.1017/S1368980018002045
Ares, G., Varela, F., Machin, L., Antúnez, L., Giménez, A., Curutchet, M R., & Aschemann-Witzel J. (2018). Comparative performance of three interpretative front-of-pack nutrition labelling schemes: Insights for policy making. Food Quality and Preference, 68, 215-225. https://doi.org/10.1016/j.foodqual.2018.03.007.
Ares, G., Antúnez, L., Otterbring, T., Curutchet, M R., Galicia, L., Moratorio, X., & Bove, I. (2020). Sick, salient and full of salt, sugar and fat: Understanding the impact of nutritional warnings on consumers’ associations through the salience bias. Food Quality and Preference, 86, Article 103991. https://doi.org/10.1016/j.foodqual.2020.103991.
Antúnez, L., Giménez, A., Maiche, A., & Ares, G. (2015). Influence of Interpretation Aids on Attentional Capture, Visual Processing, and Understanding of Front-of-Package Nutrition Labels. Journal of nutrition education and behavior, 47(4), 292–9.e1. https://doi.org/10.1016/j.jneb.2015.02.010
Arrúa, A., Machín, L., Curutchet, M. R., Martínez, J., Antúnez, L., Alcaire, F., Giménez, A., & Ares, G. (2017). Warnings as a directive front-of-pack nutrition labelling scheme: comparison with the Guideline Daily Amount and traffic-light systems. Public health nutrition, 20(13), 2308–2317. https://doi.org/10.1017/S1368980017000866
Arrúa, A., Curutchet, M R., Rey, N., Barreto, P., Golovchenko, N., Sellanes, A., Velazco, G., Winokur, M., Giménez, A., & Ares, G. (2017). Impact of front-of-pack nutrition information and label design on children's choice of two snack foods: Comparison of warnings and the traffic-light system. Appetite, 116, 139-146. https://doi.org/10.1016/j.appet.2017.04.012.
Bandeira, L. M., Pedroso, J., Toral, N., & Gubert, M. B. (2021). Performance and perception on front-of-package nutritional labeling models in Brazil. Rev Saude Publica, 55, 19. https://doi.org/10.11606/s1518-8787.2021055002395.
Bassetti, E., Khosravi, A., & Pries, A. M. (2023). Prevalence of Front-of-Pack Warning Signs among Commercial Complementary Foods in Seven High and Upper Middle-Income Countries. Nutrients, 15(7), 1629. https://doi.org/10.3390/nu15071629
Bueno, L. C, Souza-Silva, T. G., Lima, D. B., Alves, C. G. L, Rezende, M. L. & Azevedo, L. (2022). A influência dos rótulos nutricionais no cuidado em saúde: uma revisão integrativa. Research, Society and Development, 11(6), 1-13. https://doi.org/10.33448/rsd-v11i6.29486
Braesco, V., & Drewnowski, A. (2023). Are Front-of-Pack Nutrition Labels Influencing Food Choices and Purchases, Diet Quality, and Modeled Health Outcomes? A Narrative Review of Four Systems. Nutrients, 15(1), 205. https://doi.org/10.3390/nu15010205
Cadena-Montenegro J L. (2011). Geopolítica na América do Sul: Potenciais conflitos e efeitos globais. Investig Geogr, 55 (1), 113-133.
Caivano, S., Lopes, R. F., Sawaya, A. L., Domene, S. M. A., & Martins, P. A. (2017). Conflitos de interesses nas estratégias da indústria alimentícia para aumento do consumo de alimentos ultraprocessados e os efeitos sobre a saúde da população brasileira. Demetra, 12 (2), 349-60. https://doi.org/10.12957/demetra.2017.26928
Cardozo, N. O., Barbosa, A. A. B., Crisp, A. H., Ramirez, Y. P. G., Espinosa, R. M., & de Oliveira, M. R. M. (2022). Front-of-pack Nutrition Labels on Foods: A Scoping Review of South America. https://doi.org/10.17605/OSF.IO/4PX69
Claro, R. M., Linders, H., Ricardo, C. Z., Legetic, B., & Campbell, N. R. (2012). Consumer attitudes, knowledge, and behavior related to salt consumption in sentinel countries of the Americas. Revista panamericana de salud publica = Pan American journal of public health, 32(4), 265–273. https://doi.org/10.1590/s1020-49892012001000004
Correa, T., Fierro, C., Reyes, M., Dillman Carpentier, F. R., Taillie, L. S., & Corvalan, C. (2019). "Responses to the Chilean law of food labeling and advertising: exploring knowledge, perceptions and behaviors of mothers of young children". The international journal of behavioral nutrition and physical activity, 16(1), 21. https://doi.org/10.1186/s12966-019-0781-x
Crosbie, E., Gomes, F. S., Olvera, J., Rincón-Gallardo Patiño, S., Hoeper, S., & Carriedo, A. (2022). A policy study on front-of-pack nutrition labeling in the Americas: emerging developments and outcomes. Lancet regional health. Americas, 18, 100400. https://doi.org/10.1016/j.lana.2022.100400
Croker, H., Packer, J., Russell, S. J., Stansfield, C., & Viner, R. M. (2020). Front of pack nutritional labelling schemes: a systematic review and meta-analysis of recent evidence relating to objectively measured consumption and purchasing. Journal of human nutrition and dietetics: the official journal of the British Dietetic Association, 33(4), 518–537. https://doi.org/10.1111/jhn.12758
Crovetto, M., Acosta, M., & Rocco, Y. (2020). Ley 20.606: Efectos en el conocimiento de etiquetado nutricional en consumidores de un supermercado en Valparaíso de Chile: estudio descriptivo, cuanticualitativo, antes y después de 5 meses de la implementación de la ley. Rev Esp Nutr Hum Diet, 24(4), 311-323. https://doi.org/10.14306/renhyd.24.4.979.
Defago, D., Geng, J. F., Molina, O., & Santa María, D. (2020). Can traffic light nutritional labels induce healthier consumer choices? Experimental evidence from a developing country. Int J Consum Stud, 44, 151–161. https://doi.org/10.1111/ijcs.12554
Dover, R. V., & Lambert, E. V. (2016). "Choice Set" for Health Behavior in ChoiceConstrained Settings to Frame Research and Inform Policy: Examples of Food Consumption, Obesity and Food Security. Int J Equity Health, 15(1), 48-73. https://doi.org/10.1186/s12939-016-0336-6
Dourado, D., Quintiliano, S et al. (2021). Impacto de los mensajes frontales de advertencia en el patrón de compra de alimentos en Chile. Nutr. Hosp, 38(2), 358-365. https://doi.org/10.20960/nh.03311.
Deliza, R., Alcantara, M., Pereira, R., & Ares, G. (2020). How do different warning signs compare with the guideline daily amount and traffic-light system? Food Quality and Preference, 80, 103821. https://doi.org/10.1016/j.foodqual.2019.103821.
Díaz, A. A., Veliz, P. M., Rivas-Mariño, G., Mafla, C. V., Altamirano, L. M. M, & Jones, C. V. (2017). Etiquetado de alimentos en Ecuador: implementación, resultados y acciones pendientes [Food labeling in Ecuador: implementation, results, and pending actions]. Rev Panam Salud Publica, 41, e54. https://doi.org/10.26633/RPSP.2017.54.
Duran, A. C., Ricardo, C. Z., Mais, L. A., & Bortoletto Martins, A. P. (2021). Role of different nutrient profiling models in identifying targeted foods for front-of-package food labelling in Brazil. Public health nutrition, 24(6), 1514–1525. https://doi.org/10.1017/S1368980019005056
Duran Aguero, S., Silva Rojas, J., Caichac, A., Araneda, J., Willson Rojas, W., Buhring, R., & Moya, J. (2020). Stages of change in the purchase of ultra-processed snacks among university students after the implementation of the chilean food law; a multi-center study. Archivos Latinoamericanos Nutrición, 70(4), 263-268. https://doi.org/10.37527/2020.70.4.004
Durán Agúero, S., Silva Ocampo, P., Giménez Sánchez, J., Fleta Sánchez, Y., & Moya Tillería, J. (2020). Stages of change in the purchase of packaged foods after phase 1 of the implementation of the new food policy in Chile 2017. Nutrition (Burbank, Los Angeles County, Calif.), 71, 110593. https://doi.org/10.1016/j.nut.2019.110593
Durán Agüero, S., Araneda, J., Ahumada, D., Silva Rojas, J., Bonacich, R. B., Caichac, A., Salamanca, M. F., Villarroel, P., Fernandez, E., Pacheco, V., Martinovic, P. A., Wilson, W., Neira, A. M., Encina, C., & Tillería, J. M. (2020). A Multicenter Study Evaluating the Stages of Change in Food Consumption with Warning Labels among Chilean University Students. BioMed Research International, Article 2317929. https://doi.org/10.1155/2020/2317929
Eguren, J., Antúnez, L., Otterbring, T., Curutchet, M R., & Ares, G. (2021). Health gains through loss frames: Testing the effectiveness of message framing on citizens’ use of nutritional warnings. Appetite, 166, 105469. https://doi.org/10.1016/j.appet.2021.105469.
Franco, M., Trías, M., Giménez, A., Maiche, A., & Ares, G. (2015). Influence of cognitive style on information processing and selection of yogurt labels: Insights from an eye-tracking study. Food Research International, 74, 1-9. https://doi.org/10.1016/j.foodres.2015.04.023
Freire, W. B., Waters, W. F., Rivas-Mariño, G., Nguyen, T., & Rivas, P. (2017). A qualitative study of consumer perceptions and use of traffic light food labelling in Ecuador. Public health nutrition, 20(5), 805–813. https://doi.org/10.1017/S1368980016002457
Freitas Silva, V. S., Pacheco, J. T. L., & Teixeira, M. T. (2017). Análise da rotulagem de alimentos industrializados destinados ao público infantil à luz da proposta de semáforo nutricional. Vigilância Sanitária em Debate, 5(1), 36-44. https://doi.org/10.22239/2317-269X.00709
Galarza Morillo, G. E., Robles Rodríguez, J. B., Chávez Vaca, V. A., Pazmiño Estévez, K. A., & Castro Burbano, J. (2019). Conocimientos, opiniones y uso del etiquetado nutricional de alimentos procesados en adolescentes ecuatorianos según tipo de colegio. Perspectivas En Nutrición Humana, 21(2), 145–157. https://doi.org/10.17533/udea.penh.v21n2a02
Gittelsohn, J., Trude, A. C. B., & Kim, H. (2017). Pricing Strategies to Encourage Availability, Purchase, and Consumption of Healthy Foods and Beverages: A Systematic Review. Prev Chronic Dis, 14(1), 107-31. https://doi.org/10.5888/pcd14.170213
Gugliucci, V., Machín, L., Curutchet, M. R., & Ares, G. (2021). Do nutritional warnings encourage healthier choices on food ordering websites? An exploratory experimental study in Uruguay. Public health nutrition, 24(11), 3547–3551. https://doi.org/10.1017/S1368980021001026
Grajeda, R., Hassell, T., Ashby-Mitchell, K., Uauy, R., & Nilson, E. (2019). Regional Overview on the Double Burden of Malnutrition and Examples of Program and Policy Responses: Latin America and the Caribbean. Annals of nutrition & metabolism, 75(2), 139–143. https://doi.org/10.1159/000503674
Hercberg, S., Touvier, M., Salas-Salvado, J., & Group of European scientists supporting the implementation of Nutri-Score in Europe (2022). The Nutri-Score nutrition label. International journal for vitamin and nutrition research. Internationale Zeitschrift fur Vitamin- und Ernahrungsforschung. Journal international de vitaminologie et de nutrition, 92(3-4), 147–157. https://doi.org/10.1024/0300-9831/a000722
Hernández-Ruiz, Á., Madrigal, C., Soto-Méndez, M. J., & Gil, Á. (2022). Challenges and perspectives of the double burden of malnutrition in Latin America. Clínica e investigacion en arteriosclerosis: publicación oficial de la Sociedad Española de Arteriosclerosis, 34(1), S3–S16. https://doi.org/10.1016/j.arteri.2021.11.005
Janssen, H., Davies, I. G., Richardson, L., & Stevenson, L. (2018). Determinants of takeaway and fast food consumption: a narrative review. Nutr Res Rev, 31(1), 16-34. https://doi.org/10.1017/S0954422417000178
Kanter, R., Reyes, M., Vandevijvere, S., Swinburn, B., & Corvalán, C. (2019). Anticipatory effects of the implementation of the Chilean Law of Food Labeling and Advertising on food and beverage product reformulation. Obesity reviews: an official journal of the International Association for the Study of Obesity, 20 Suppl 2, 129–140. https://doi.org/10.1111/obr.12870
Kanter, R., Vanderlee, L., & Vandevijvere, S. (2018). Front-of-package nutrition labelling policy: global progress and future directions. Public health nutrition, 21(8), 1399–1408. https://doi.org/10.1017/S1368980018000010
Konig, L. M., Ziesemer, K., & Renner, B. (2019) Quantifying Actual and Perceived Inaccuracy When Estimating the Sugar, Energy Content and Portion Size of Foods. Nutrients, 11(10), 2425-38. https://doi.org/10.3390/nu11102425
Kühne, S. J., Reijnen, E., Granja, G., & Hansen, R. S. (2022). Labels Affect Food Choices, but in What Ways? Nutrients, 14(15), 3204. https://doi.org/10.3390/nu14153204
Krajbichi, H. T., Barling, B., Morishima, Y., & Fehr, E. (2015). A Common Mechanism Underlying Food Choice and Social Decisions. PLoS Comput Biol, 11(10), e1004371. https://doi.org/10.1371/journal.pcbi.1004371
Khandpur, N., Mais, L. A., de Morais Sato, P., Martins, A. P. B., Spinillo, C. G., Rojas, C. F. U., Garcia, M. T., & Jaime, P. C. (2019). Choosing a front-of-package warning label for Brazil: A randomized, controlled comparison of three different label designs. Food research international (Ottawa, Ont.), 121, 854–861. https://doi.org/10.1016/j.foodres.2019.01.008
Khandpur, N., de Morais Sato, P., Mais, L. A., Bortoletto Martins, A. P., Spinillo, C. G., Garcia, M. T., Urquizar Rojas, C. F., & Jaime, P. C. (2018). Are Front-of-Package Warning Labels More Effective at Communicating Nutrition Information than Traffic-Light Labels? A Randomized Controlled Experiment in a Brazilian Sample. Nutrients, 10(6), 688. https://doi.org/10.3390/nu10060688
Lima-filho, D. O., Arca, N. S., Quevedo-Silva, F., Nunes, O. S., Chung, P., & Corrêa, R. (2016). Escolha de alimentos: os fatores vida saudável e bem-estar e sensorialidade e prazer. Rev. Pens. Real, 31(3), 78-87. e-ISSN: 2237-4418
Lima, M., Alcantara M, Rosenthal A, & Deliza R. (2019). Effectiveness of traffic light system on Brazilian consumers perception of food healthfulness. Food Science and Human Wellness, 8(4), 368-374. https://doi.org/10.1016/j.fshw.2019.10.001.
Lima, M., Alcantara, M., Martins, I. B. A., Ares, G., & Deliza, R. (2019). Can front-of-pack nutrition labeling influence children's emotional associations with unhealthy food products? An experiment using emoji. Food research international (Ottawa, Ont.), 120, 217–225. https://doi.org/10.1016/j.foodres.2019.02.027
Lima, M., Alcantara, M., Ares, G., & Deliza, R. (2019). It is not all about information! Sensory experience overrides the impact of nutrition information on consumers’ choice of sugar-reduced drinks. Food Quality and Preference, 74, 1-9. https://doi.org/10.1016/j.foodqual.2018.12.013.
Lima, M., Ares, G., & Deliza, R. (2018). How do front of pack nutrition labels affect healthfulness perception of foods targeted at children? Insights from Brazilian children and parents. Food Quality and Preference, 64, 111-119. https://doi.org/10.1016/j.foodqual.2017.10.003.
Lowery, C. M., Mora-Plazas, M., Gómez, L. F., Popkin, B., & Taillie, L. S. (2020). Reformulation of Packaged Foods and Beverages in the Colombian Food Supply. Nutrients, 12(11), 3260. https://doi.org/10.3390/nu12113260
Longo-Silva, G., Toloni, M. H. de A., & Taddei, J. A. de A. C. (2010). Traffic light labelling: traduzindo a rotulagem de alimentos. Revista De Nutrição, 23(6), 1031–1040. https://doi.org/10.1590/S1415-52732010000600009
Longo-Silva, G., Toloni, M. H. de A., Menezes, R. C. E., Asakura, L., Oliveira, M. A. A., & Taddei, J. A. de A. C. (2015). Ultra-processed foods: Consumption among children at day-care centers and their classification according to Traffic Light Labelling system. Revista de Nutrição, 28(5), 543–553. https://doi.org/10.1590/1415-52732015000500009
Machín, L, Curutchet, M. R., Giménez, A, Aschemann-Witzel, J., & Ares, G. (2019). Do nutritional warnings do their work? Results from a choice experiment involving snack products. Food Quality and Preference, 77, 159-165. https://doi.org/10.1016/j.foodqual.2019.05.012.
Machín, L., Giménez, A., Curutchet, M. R., Martínez, J., & Ares, G. (2016). Motives Underlying Food Choice for Children and Perception of Nutritional Information Among Low-Income Mothers in a Latin American Country. Journal of nutrition education and behavior, 48(7), 478–485.e1. https://doi.org/10.1016/j.jneb.2016.04.396
Machín, L., Cabrera, M., Curutchet, M. R., Martínez, J., Giménez, A., & Ares, G. (2017). Consumer Perception of the Healthfulness of Ultra-processed Products Featuring Different Front-of-Pack Nutrition Labeling Schemes. Journal of nutrition education and behavior, 49(4), 330–338.e1. https://doi.org/10.1016/j.jneb.2016.12.003
Machín, L., Aschemann-Witzel, J., Curutchet, M. R., Giménez, A., & Ares, G. (2018). Traffic Light System Can Increase Healthfulness Perception: Implications for Policy Making. Journal of nutrition education and behavior, 50(7), 668–674. https://doi.org/10.1016/j.jneb.2018.03.005
Machín, L., Aschemann-Witzel, J., Curutchet, M. R., Giménez, A., & Ares, G. (2018). Does front-of-pack nutrition information improve consumer ability to make healthful choices? Performance of warnings and the traffic light system in a simulated shopping experiment. Appetite, 121, 55–62. https://doi.org/10.1016/j.appet.2017.10.037
Machín, L., Arrúa, A., Giménez, A., Curutchet, M. R., Martínez, J., & Ares, G. (2018). Can nutritional information modify purchase of ultra-processed products? Results from a simulated online shopping experiment. Public health nutrition, 21(1), 49–57. https://doi.org/10.1017/S1368980017001185
Mayhew, A. J., Lock, K., Kelishadi, R., Swaminathan, S., Marcilio, C. S., Iqbal, R., Dehghan, M., Yusuf, S., & Chow, C. K. (2016). Nutrition labelling, marketing techniques, nutrition claims and health claims on chip and biscuit packages from sixteen countries. Public health nutrition, 19(6), 998–1007. https://doi.org/10.1017/S1368980015000658
Mamani-Urrutia, V et al. (2021). Evaluación de alimentos procesados y ultraprocesados: Un análisis antes de la implementación del etiquetado frontal en Perú. Rev. chil. Nutr, 48(3), 355-365. https://doi.org/10.4067/s0717-75182021000300355.
Mediano Stoltze, F., Busey, E., Taillie, L. S., & Dillman Carpentier, F. R. (2021). Impact of warning labels on reducing health halo effects of nutrient content claims on breakfast cereal packages: A mixed-measures experiment. Appetite, 163, 105229. https://doi.org/10.1016/j.appet.2021.105229
Meléndez-Illanes, L., Olivares Cortés, S., Sáez-Carrillo, K., Zapata Fuentes, D., Muñoz Reyes, S., & Granfeldt Molina, G. (2020). Actitudes de madres de preescolares ante la implementación de la ley de etiquetado nutricional en Chile. Archivos Latinoamericanos De Nutrición (ALAN), 69(3), 165–173.
Meza-Hernández, M., Villarreal-Zegarra, D., & Saavedra-Garcia, L. (2020). Nutritional Quality of Food and Beverages Offered in Supermarkets of Lima According to the Peruvian Law of Healthy Eating. Nutrients, 12(5), 1508. https://doi.org/10.3390/nu12051508
Mialon, M., Gaitan Charry, D. A., Cediel, G., Crosbie, E., Scagliusi, F. B., & Perez Tamayo, E. M. (2021). 'I had never seen so many lobbyists': food industry political practices during the development of a new nutrition front-of-pack labelling system in Colombia. Public health nutrition, 24(9), 2737–2745. https://doi.org/10.1017/S1368980020002268
Mialon, M., Khandpur, N., Amaral Laís, M., & Bortoletto Martins, A. P. (2020). Arguments used by trade associations during the early development of a new front-of-pack nutrition labelling system in Brazil. Public health nutrition, 1–9. Advance online publication. https://doi.org/10.1017/S1368980020003596
Monteiro, C. A., Moubarac, J. C., Cannon, G., NG, S. W., & Popkin, B. (2013). Ultra-processed Products Are Becoming Dominant in the Global Food System. Obes Rev, 14(2): 21-8. https://doi.org/10.1111/obr.12107.
Morais Sato, P., Mais, L. A., Khandpur, N., Ulian, M. D., Bortoletto Martins, A. P., Garcia, M. T., Spinillo, C. G., Urquizar Rojas, C. F., Jaime, P. C., & Scagliusi, F. B. (2019). Consumers' opinions on warning labels on food packages: A qualitative study in Brazil. PLoS One, 14(6), e0218813. https:// 10.1371/journal.pone.0218813.
Morales-Avilez, D., Cruz-Casarrubias, C., Tolentino-Mayo, L., Encalada-Torres, L., & Abril-Ulloa, V. (2020). Evaluation of the Accurateness of the Nutritional Labels of Processed and Ultra-Processed Products Available in Supermarkets of Ecuador. Nutrients, 12(11), 3481. https://doi.org/10.3390/nu12113481
Mora-Plazas, M., Gómez, L. F., Miles, D. R., Parra, D. C., & Taillie, L. S. (2019). Nutrition Quality of Packaged Foods in Bogotá, Colombia: A Comparison of Two Nutrient Profile Models. Nutrients, 11(5), 1011. https://doi.org/10.3390/nu11051011
Nestle, M. (2013). Conflicts of Interest in the Regulation of Food Safety: A Threat to Scientific Integrity. Jama Intern Med, 173 (22), 2036-8
Nestle, M. (2019). Uma verdade indigesta: como a indústria alimentícia manipula a ciência do que comemos. Elefante, p.1-368.
Nieto, C., Jáuregui, A., Contreras-Manzano, A., Arillo-Santillan, E., Barquera, S., et al. (2019). Understanding and use of food labeling systems among whites and latinos in the United States and among Mexicans: Results from the International Food Policy Study, 2017. Int J Behav Nutr Phys Act, 16 (1), 87-99. https://doi.org/10.1186/s12966-019-0842-1
Nobrega, L., Ares, G., & Deliza, R. (2020). Are nutritional warnings more efficient than claims in shaping consumers’ healthfulness perception? Food Quality and Preference, 79, 103749. https://doi.org/10.1016/j.foodqual.2019.103749.
Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan—a web and mobile app for systematic reviews. Syst Rev, 5 (1), 210. https://doi.org/10.1186/s13643-016-0384-4
Olivares Cortes, S., Araneda Flores, J., Morales Illanes, G., Leyton Dinamarca, B., Bustos Zapata, N., Hernández Moreno, M. A., & Oyarzún Macchiavello, M. T. (2017). Actitudes de escolares chilenos de distinto nivel socioeconómico al inicio de la implementación de la ley que regula la venta y publicidad de alimentos altos en nutrientes críticos. Nutricion hospitalaria, 34(2), 431–438. https://doi.org/10.20960/nh.499
Orozco, F., Ochoa, D., Muquinche, M., Padro, M., & Melby, C. L. (2017). Awareness, Comprehension, and Use of Newly-Mandated Nutrition Labels Among Mestiza and Indigenous Ecuadorian Women in the Central Andes Region of Ecuador. Food and nutrition bulletin, 38(1), 37–48. https://doi.org/10.1177/0379572116684730
Page, M J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., et al. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372, 71. https://doi. org/10.1136/bmj.n71
Peña Herrera, V., Carpio, C., Sandoval, L., Sánchez, M., Cabrera, T., Guerrero, P., & Borja, I. (2018). Efecto del etiquetado de semáforo en el contenido nutricional y el consumo de bebidas gaseosas en Ecuador. Rev Panam Salud Publica, 42, e177. https://doi.org/10.26633/RPSP.2018.177
Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2020). Updated methodological guidance for the conduct of scoping reviews. JBI evidence synthesis, 18(10), 2119–2126. https://doi.org/10.11124/JBIES-20-00167
Pereira, T. N., Nascimento, F. A., & Bandoni, D. H. (2016). Conflito de interesse na formação e prática do nutricionista: regulamentar é preciso. Rev Ciênc Saúde Coletiva, 21(12), 3833-44.
Peters, M., Godfrey, C., Mcinerney, P., Soares, C., Khalil, H., & Parker, D. (2015). Methodology for JBI Scoping Reviews. Adelaide: The Joanna Briggs Institute.
Pettigrew, S., Jongenelis, M. I., Hercberg, S. et al. (2023). Front-of-pack nutrition labels: an equitable public health intervention. Eur J Clin Nutr, 77, 135–137. https://doi.org/10.1038/s41430-022-01205-3
Poveda, A. F. (2016). Impacto del sistema de alertas “semáforo” de contenido de azúcar, sal y grasa en etiquetas de alimentos procesados: enfoque cualitativo. Universitas, Revista de Ciencias Sociales y Humanas, (25), 48-60.
Popkin, B. M., Corvalan, C., & Grummer-Strawn, L. M. (2020). Dynamics of the double burden of malnutrition and the changing nutrition reality. Lancet (London, England), 395(10217), 65–74. https://doi.org/10.1016/S0140-6736(19)32497-3
Quintiliano Scarpelli, D., Pinheiro Fernandes, A. C., Rodriguez Osiac, L., & Pizarro Quevedo, T. (2020). Changes in Nutrient Declaration after the Food Labeling and Advertising Law in Chile: A Longitudinal Approach. Nutrients, 12(8), 2371. https://doi.org/10.3390/nu12082371
Ramos Padilla, P D et al. (2017). Actitudes y prácticas de la población en relación al etiquetado de tipo “semáforo nutricional” en Ecuador. Rev Esp Nutr Hum Diet, 21(2), 121-129. https://doi.org/10.14306/renhyd.21.2.306.
Rayner, M., Wood, A., Lawrence, M., Mhurchu, C. N., Albert, J., Barquera, S., et al. INFORMAS (2013). Monitoring the health-related labelling of foods and non-alcoholic beverages in retail settings. Obesity reviews: an official journal of the International Association for the Study of Obesity, 14 Suppl 1, 70–81. https://doi.org/10.1111/obr.12077
Reyes, M., Garmendia, M. L., Olivares, S., Aqueveque, C., Zacarías, I., & Corvalán, C. (2019). Development of the Chilean front-of-package food warning label. BMC public health, 19(1), 906. https://doi.org/10.1186/s12889-019-7118-1
Reyes, M., Smith Taillie, L., Popkin, B., Kanter, R., Vandevijvere, S., & Corvalán, C. (2020). Changes in the amount of nutrient of packaged foods and beverages after the initial implementation of the Chilean Law of Food Labelling and Advertising: A nonexperimental prospective study. PLoS medicine, 17(7), e1003220. https://doi.org/10.1371/journal.pmed.1003220
Rojas-Rivas, E., Antúnez, L., Cuffia, F., Otterbring, T., Aschemann-Witzel, J., Giménez, A., & Ares, G. (2020). Time orientation and risk perception moderate the influence of sodium warnings on food choice: Implications for the design of communication campaigns. Appetite, 147, 104562, ISSN 0195-6663, https://doi.org/10.1016/j.appet.2019.104562
Sanchez, A. G. C., Lima, G. V., Freitas, F. M. N. O., & Lobo, R. H. (2023). A importância da educação nutricional para o desenvolvimento da criança na fase pré-escolar. Research, Society and Development, 12(12), 1-15. https://doi.org/10.33448/rsd-v12i12.43977
Sandoval, L. A., Carpio, C. E., & Sanchez-Plata, M. (2019). The effect of 'Traffic-Light' nutritional labelling in carbonated soft drink purchases in Ecuador. PloS one, 14(10), e0222866. https://doi.org/10.1371/journal.pone.0222866
Schnettler, B., Ares, G., Sepúlveda, N., Bravo, S., Villalobos, B., Hueche, C., Lobos, G. (2019). Are consumers willing to pay more for reformulated processed meat products in the context of the implementation of nutritional warnings? Case study with frankfurters in Chile, Meat Science, 152, 104-108. https://doi.org/10.1016/j.meatsci.2019.02.007.
Silva, A. R. C. S., Braga, L. V. M. & Anastácio, L. R. (2021). A comparison of four different Nutritional Profile models in their scoring of critical nutrient levels in food products targeted at Brazilian children. Nutr Bull, 46, 128-138. https://doi.org/10.1111/nbu.12490
Singh, S., Naicker, A., & Memela, S. N. (2021). Categorizing Foods by Relative Healthfulness: A Scoping Review of Front of Pack Labelling. International journal of environmental research and public health, 18(22), 11980. https://doi.org/10.3390/ijerph182211980
Shangguan, S., Afshin, A., Shulkin, M., M A, W., Marsden, D., Smith, J. et al. (2018). A Meta-Analysis of Food Labeling Effects on Consumer Diet Behaviors and Industry Practices. Am J Prev Med, 56(2), 300-314. https://doi.org/ 10.1016/j.amepre.2018.09.024.
Schnettler, B., Ares, G., Sepúlveda, N., Bravo, S., Villalobos, B., Hueche, C., & Adasme-Berríos, C. (2019). How do consumers perceive reformulated foods after the implementation of nutritional warnings? Case study with frankfurters in Chile. Food Quality and Preference, 74, 179-188, https://doi.org/10.1016/j.foodqual.2019.01.021
Taillie, L. S., Bercholz, M., Popkin, B., Reyes, M., Colchero, M. A., & Corvalán, C. (2021). Changes in food purchases after the Chilean policies on food labelling, marketing, and sales in schools: a before and after study. The Lancet. Planetary health, 5(8), e526–e533. https://doi.org/10.1016/S2542-5196(21)00172-8
Taillie, L. S., Hall, M. G., Gómez, L. F., Higgins, I., Bercholz, M., Murukutla, N., & Mora-Plazas, M. (2020). Designing an Effective Front-of-Package Warning Label for Food and Drinks High in Added Sugar, Sodium, or Saturated Fat in Colombia: An Online Experiment. Nutrients, 12(10), 3124. https://doi.org/10.3390/nu12103124
Teran, S., Hernandez, I., Freire, W., Leon, B., & Teran, E. (2019). Use, knowledge, and effectiveness of nutritional traffic light label in an urban population from Ecuador: a pilot study. Global Health, 15(1), 26. https://doi.org/10.1186/s12992-019-0467-9.
Thow, A. M., Jones, A., Schneider, C. H., & Labonté, R. (2019). Global Governance of Front-of-Pack Nutrition Labelling: A Qualitative Analysis. Nutrients, 11(2), 268. https://doi.org/10.3390/nu11020268
Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., et al. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of internal medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
Torres-Schiaffino D., & Saavedra-Garcia L. (2020). Relationship between Marketing to Children on Food Labeling and Critical Nutrient Content in Processed and Ultra-Processed Products Sold in Supermarkets in Lima, Peru. Nutrients, 12(12), 3666. https://doi.org/10.3390/nu12123666
Tórtora, G., & Ares, G. (2018). Influence of time orientation on food choice: Case study with cookie labels. Food research international (Ottawa, Ont.), 106, 706–711. https://doi.org/10.1016/j.foodres.2018.01.045
Trujillo-Espino, S., Castilla-Minaya, L., Paredes-Aramburú, J., & Bernabe-Ortiz, A. (2018). Relación entre el contenido nutricional y el número de técnicas promocionales presentes en los envases de alimentos industrializados dirigidos a niños en mercados y supermercados de Lima, Perú. Revista Española De Nutrición Humana Y Dietética, 22(3), 227–234. https://doi.org/10.14306/renhyd.22.3.472
Uribe Bravo, R., Manzur Mobarec, E. & Cornejo, C. (2020). Varying the number of FOP warnings on hedonic and utilitarian food products: evidence from Chile. Journal of Food Products Marketing, 26(2), 123-143. https://doi.org/10.1080/10454446.2020.1738971
Valverde-Aguilar, M et al. (2018). Preferencia de etiquetado nutricional frontal: octógono frente a semáforo GDA en mercados de Lima, Perú. Acta méd. Peru, 35(3), 145-152.
Vedovato, G. M., Surkan, P. J., Jones-smith, J., Steeves, E. A., Han, E., Trude, A. C., et al. (2016). Food insecurity, overweight and obesity among low-income African-American families in Baltimore City: associations with food-related perceptions.. Nutr Saúde Pública, 19(8), 1405-16. https://doi.org/10.1017/S1368980015002888.
Velasco, V. F., & Velasco, A. (2019). The battle between brands and nutritional labels: How brand familiarity decreases consumers' alertness toward traffic light nutritional labels, Journal of Business Research, 101, 637-650. https://doi.org/10.1016/j.jbusres.2019.02.054.
Vidal, G., Machín, L., Aschemann-Witzel, J., & Ares, G. (2019). Does message framing matter for promoting the use of nutritional warnings in decision making? Public health nutrition, 22(16), 3025–3034. https://doi.org/10.1017/S1368980019002507
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