Traffic Light System Can Increase Healthfulness Perception: Implications for Policy Making

Objective To evaluate how information about low nutrient content included in the traffic light labeling system influences consumers' perception of the healthfulness of products with high content of 1 key nutrient, and to compare the traffic light system with warnings in terms of the perception of healthfulness. Design Images of front‐of‐pack (FOP) nutrition labels (the traffic light labeling system with different numbers of nutrients with low content, and warnings) were evaluated in study 1, whereas product labels featuring the different FOP nutrition labels were evaluated in study 2. Setting Online studies conducted in Montevideo, Uruguay. Participants A total of 1,228 Uruguayan Facebook users. Main Outcome Measures Perception of healthfulness. Analysis The researchers used ANOVA to evaluate the influence of FOP nutrition labels on perceived healthfulness. Results The inclusion of information about low nutrient content in the traffic light system statistically significantly increased the perception of the healthfulness of products with high nutrient content. Nutritional warnings showed healthfulness ratings similar to those of the simplified version of the traffic light system. Conclusions and Implications Information about low nutrient content in the traffic light system might be used to infer health, and thus could raise the perception of healthfulness and decrease the traffic light system's efficacy in discouraging the consumption of unhealthful products. A simplified version of the traffic light highlighting only high‐nutrient content or nutritional warnings seems to overcome this problem.

[1]  P. Scarborough,et al.  Reds are more important than greens: how UK supermarket shoppers use the different information on a traffic light nutrition label in a choice experiment , 2015, International Journal of Behavioral Nutrition and Physical Activity.

[2]  Bernadette Sütterlin,et al.  Simply adding the word “fruit” makes sugar healthier: The misleading effect of symbolic information on the perceived healthiness of food , 2015, Appetite.

[3]  H. Fleyeh,et al.  Color detection and segmentation for road and traffic signs , 2004, IEEE Conference on Cybernetics and Intelligent Systems, 2004..

[4]  C. Parker,et al.  Front-of-Pack Food Labelling and the Politics of Nutritional Nudges , 2020 .

[5]  P. Ubel,et al.  Reducing the Influence of Anecdotal Reasoning on People’s Health Care Decisions: Is a Picture Worth a Thousand Statistics? , 2005, Medical decision making : an international journal of the Society for Medical Decision Making.

[6]  B. Popkin,et al.  Global nutrition transition and the pandemic of obesity in developing countries. , 2012, Nutrition reviews.

[7]  Gastón Ares,et al.  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 , 2017, Appetite.

[8]  S. Pettigrew,et al.  The relative ability of different front-of-pack labels to assist consumers discriminate between healthy, moderately healthy, and unhealthy foods , 2017 .

[9]  Mike Daube,et al.  Consumer testing of the acceptability and effectiveness of front-of-pack food labelling systems for the Australian grocery market. , 2009, Health promotion international.

[10]  C. K. Mertz,et al.  Less Is More in Presenting Quality Information to Consumers , 2007, Medical care research and review : MCRR.

[11]  Lucia A. Reisch,et al.  Do Europeans like nudges? , 2015, Judgment and Decision Making.

[12]  H. Dagevos,et al.  The Growing Role of Front-of-Pack Nutrition Profile Labeling: A Consumer Perspective on Key Issues and Controversies , 2011, Critical reviews in food science and nutrition.

[13]  Ross A. Hammond,et al.  Smart food policies for obesity prevention , 2015, The Lancet.

[14]  Gastón Ares,et al.  Warnings as a directive front-of-pack nutrition labelling scheme: comparison with the Guideline Daily Amount and traffic-light systems , 2017, Public Health Nutrition.

[15]  Mei-Hua Chen,et al.  Nutrition labels: a survey of use, understanding and preferences among ethnically diverse shoppers in New Zealand , 2009, Public Health Nutrition.

[16]  Brittany R. L. Duff,et al.  Ignorance is bliss. How parents of preschool children make sense of front-of-package visuals and claims on food , 2015, Appetite.

[17]  D. Ludwig,et al.  Front-of-package food labels: public health or propaganda? , 2010, JAMA.

[18]  Gergely Nyilasy,et al.  Colour correct: the interactive effects of food label nutrition colouring schemes and food category healthiness on health perceptions , 2016, Public Health Nutrition.

[19]  Gastón Ares,et al.  Nutrition warnings as front-of-pack labels: influence of design features on healthfulness perception and attentional capture , 2017, Public Health Nutrition.

[20]  Jutta Roosen,et al.  The effects of traffic light labels and involvement on consumer choices for food and financial products , 2014 .

[21]  Lynn Stockley,et al.  Consumer understanding and use of nutrition labelling: a systematic review , 2005, Public Health Nutrition.

[22]  Bridget Kelly,et al.  The types and aspects of front-of-pack food labelling schemes preferred by adults and children , 2017, Appetite.

[23]  Monique M. Raats,et al.  Effects of nutrition label format and product assortment on the healthfulness of food choice , 2013, Appetite.

[24]  Klaus G. Grunert,et al.  Use and understanding of nutrition information on food labels in six European countries , 2010, Journal of Public Health.

[25]  A. Giménez,et al.  Consumer Perception of the Healthfulness of Ultra‐processed Products Featuring Different Front‐of‐Pack Nutrition Labeling Schemes , 2017, Journal of nutrition education and behavior.

[26]  M. Rayner,et al.  Just read the label , 1992 .

[27]  Peggy J. Liu,et al.  The science on front-of-package food labels , 2012, Public Health Nutrition.

[28]  Roger J. Calantone,et al.  Effectiveness of Marketing Cues on Consumer Perceptions of Quality: The Moderating Roles of Brand Reputation and Third-Party Information , 2013 .

[29]  K. Grunert,et al.  Attitude towards resveratrol as a healthy botanical ingredient: The role of naturalness of product and message , 2017 .