Saturday 19 October 2013

HEALTH ALERT: TRAFFIC-LIGHT’ LABELING PROMOTES HEALTHIER FOOD CHOICES

TRAFFIC-LIGHT’ LABELING PROMOTES HEALTHIER FOOD CHOICES

BOSTON—New research published in the journal Preventative Medicine supports the thinking that using“traffic-light" labeling on foods and beverages to reflect the nutritional quality of items can be an effective method of promoting healthier choices.


In the paper, Massachusetts General Hospital (MGH) investigators describe customer responses to surveys taken before and after the 2010 implementation of a system using green, yellow or red "traffic light" labels on food and beverage items in the hospital’s foodservice locations.

"Several small, experimental studies have suggested that 'traffic light' labels can be an effective method of promoting healthier choices, but there have been few real-world studies of customers' perceptions and purchasing behaviors in response to this type of labeling," said Lillian Sonnenberg, DSc, RD, LDN, MGH Nutrition and Food Service, the corresponding author of the current report. "Our results suggest that these labels are an effective method for conveying information about healthy and unhealthy choices and for prompting changes in purchasing behavior."

Interpreting calorie counts, fat, cholesterol and sodium content on menus can be difficult, and the researchers wanted to find a simpler way to encourage more healthful purchases at the hospital. MGH Nutrition and Food Service put together a plan that started with color-coding each item sold in the main cafeteria—green for the healthiest items, such as fruits, vegetables and lean meats; yellow for less healthy items, and red for those with little or no nutritional value. Signage encouraged frequent purchase of green items, less frequent for yellow and discouraged purchase of red items. Cafeteria cash registers were programmed to record each purchased item as green, yellow or red, starting three months before the labeling intervention began.

Previous reports from the MGH team have described how the program—a second phase of which included rearranging items in refrigerators to bring healthy choices to eye level—increased sales of green items while decreasing purchase of red items. The current paper reports results of a survey taken during the month before and the two months after the labeling intervention began in March 2010.
Research coordinators approached customers who had just made purchases and asked them to participate in the brief survey. Participants were asked whether they had noticed any nutritional information in the cafeteria or on food labels, which factors most influenced their purchases, how often they consider nutrition information before making food choices, and how often they "choose food that is healthy." After introduction of the color-coded labels, respondents were also asked whether they had noticed the labels and if the labels had influenced their purchases.

During the baseline period before the labeling intervention, 204 individuals completed the survey, and 243 did so in the weeks following. While 46% of respondents indicated that health/nutrition was an important factor in their choices at baseline, 61% did so after the intervention. The percentage of those indicating that they looked at available nutritional information before a purchase doubled from 15% to 33%, although there was no significant difference in the percentage reporting they usually or always choose healthy foods. Respondents who reported noticing the new labels bought a greater proportion of green items and fewer red items than did those who did not notice, and the influence was even stronger among those who indicated being influenced by the labels.

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