Calorie Label Formats: Using Numeric and Traffic Light Calorie Labels to Reduce Lunch Calories

In a field experiment involving online workplace lunch orders, this study examines the impact of numeric and traffic light calorie labels on calorie intake. Employees of a large corporation ordered lunches through a website of the authors’ design, on which they were presented menus with numeric calorie labels, traffic light labels, or both together, and the authors compared the calorie content of the ordered lunches with that of diners randomized to receive no calorie information. Each label type reduced lunch calories by approximately 10%. Nutrition knowledge was not improved by any menu format. Traffic light labels achieved meaningful reductions in calories ordered even in the absence of numeric information, and the authors found no apparent benefit or detriment of combining label types. These findings suggest that consumers may benefit most from help in identifying relatively healthier choices but rely little on information about the exact caloric content of items.

[1]  Scot Burton,et al.  Is Simpler Always Better? Consumer Evaluations of Front-of-Package Nutrition Symbols , 2011 .

[2]  James C Hersey,et al.  Effects of front-of-package and shelf nutrition labeling systems on consumers. , 2012, Nutrition reviews.

[3]  Charlene Compher,et al.  Comparison of predictive equations for resting metabolic rate in healthy nonobese and obese adults: a systematic review. , 2005, Journal of the American Dietetic Association.

[4]  Kimes,et al.  The Current State of Online Food Ordering in the U.S. Restaurant Industry , 2011 .

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

[6]  A. Auchincloss,et al.  Exploratory Analysis of Fast-Food Chain Restaurant Menus Before and After Implementation of Local Calorie-Labeling Policies, 2005–2011 , 2013, Preventing chronic disease.

[7]  K. Flegal,et al.  Association of All-Cause Mortality With Overweight and Obesity Using Standard Body Mass Index Categories , 2012 .

[8]  Roland Sturm,et al.  Hold the Salt , 2009 .

[9]  Lisa M. Schwartz,et al.  The Role of Numeracy in Understanding the Benefit of Screening Mammography , 1997, Annals of Internal Medicine.

[10]  J Michael Oakes,et al.  Effects of calorie labeling and value size pricing on fast food meal choices: Results from an experimental trial , 2008, The international journal of behavioral nutrition and physical activity.

[11]  R. Hertwig,et al.  A lack of appetite for information and computation. Simple heuristics in food choice , 2013, Appetite.

[12]  Gary Smalley,et al.  Healthy Weight Loss , 2007 .

[13]  Anthony J. Viera,et al.  Potential effect of physical activity based menu labels on the calorie content of selected fast food meals , 2013, Appetite.

[14]  Jennifer L. Pomeranz,et al.  Legal and Public Health Considerations Affecting the Success, Reach, and Impact of Menu-labeling Laws the Public Health Rationale Eating outside the Home Consumer Confusion over Calories and Nutrition , 2022 .

[15]  G. Loewenstein,et al.  Supplementing menu labeling with calorie recommendations to test for facilitation effects. , 2013, American journal of public health.

[16]  B. Rolls,et al.  Reductions in portion size and energy density of foods are additive and lead to sustained decreases in energy intake. , 2006, The American journal of clinical nutrition.

[17]  K. Flegal,et al.  Prevalence of obesity among adults: United States, 2011-2012. , 2013, NCHS data brief.

[18]  Joerg Koenigstorfer,et al.  Healthful Food Decision Making in Response to Traffic Light Color-Coded Nutrition Labeling , 2014 .

[19]  J. Lusk,et al.  Looking at the label and beyond: the effects of calorie labels, health consciousness, and demographics on caloric intake in restaurants , 2013, International Journal of Behavioral Nutrition and Physical Activity.

[20]  Glen B Taksler,et al.  Calorie labeling and consumer estimation of calories purchased , 2014, International Journal of Behavioral Nutrition and Physical Activity.

[21]  Douglas E Levy,et al.  A 2-phase labeling and choice architecture intervention to improve healthy food and beverage choices. , 2012, American journal of public health.

[22]  My Bui,et al.  Hold the Salt! Effects of Sodium Information Provision, Sodium Content, and Hypertension on Perceived Cardiovascular Disease Risk and Purchase Intentions , 2012 .

[23]  E. Finkelstein,et al.  Annual medical spending attributable to obesity: payer-and service-specific estimates. , 2009, Health affairs.

[24]  S. French,et al.  Effect of point-of-purchase calorie labeling on restaurant and cafeteria food choices: A review of the literature , 2008, The international journal of behavioral nutrition and physical activity.

[25]  K. Glanz,et al.  Why Americans eat what they do: taste, nutrition, cost, convenience, and weight control concerns as influences on food consumption. , 1998, Journal of the American Dietetic Association.

[26]  F. J. Kok,et al.  Public health nutrition: editorial. , 1998 .

[27]  Eve Guth,et al.  JAMA patient page. Healthy weight loss. , 2014, JAMA.

[28]  Anthony J Viera,et al.  Calorie menu labeling on quick-service restaurant menus: an updated systematic review of the literature , 2011, The international journal of behavioral nutrition and physical activity.

[29]  Thomas R Frieden,et al.  New York City's fight over calorie labeling. , 2009, Health affairs.

[30]  Dianne Davis,et al.  Patient understanding of food labels: the role of literacy and numeracy. , 2006, American journal of preventive medicine.

[31]  Alan T. Sorensen,et al.  Calorie Posting in Chain Restaurants , 2010 .

[32]  Pierre Chandon,et al.  The Biasing Health Halos of Fast Food Restaurant Health Claims: Lower Calorie Estimates and Higher Side-Dish Consumption Intentions , 2007 .

[33]  Scot Burton,et al.  Flies in the Ointment? Addressing Potential Impediments to Population-Based Health Benefits of Restaurant Menu Labeling Initiatives , 2012 .

[34]  Scot Burton,et al.  Attacking the obesity epidemic: the potential health benefits of providing nutrition information in restaurants. , 2006, American journal of public health.

[35]  J. Lusk,et al.  The Impact of Restaurant Calorie Labels on Food Choice: Results from a Field Experiment , 2014 .

[36]  George Loewenstein,et al.  Promoting Healthy Choices: Information versus Convenience , 2010 .

[37]  Heather-Lyn Haley,et al.  Primary Prevention for Resettled Refugees from Burma: Where to Begin? , 2014, Journal of Community Health.

[38]  Dimitri A. Christakis,et al.  Nutrition Menu Labeling May Lead to Lower-Calorie Restaurant Meal Choices for Children , 2010, Pediatrics.

[39]  Steven L Gortmaker,et al.  Systematic review and meta-analysis of the impact of restaurant menu calorie labeling. , 2015, American journal of public health.

[40]  Food labeling; nutrition labeling of standard menu items in restaurants and similar retail food establishments. Final rule. , 2014, Federal register.

[41]  Klaus G. Grunert,et al.  A review of European research on consumer response to nutrition information on food labels , 2007, Journal of Public Health.

[42]  Hayden Stewart Food away from home. , 2011 .

[43]  Dan Ariely,et al.  Calorie Consumption Inviting Consumers To Downsize Fast-Food Portions Significantly Reduces , 2012 .

[44]  D. O'Gorman,et al.  Active commuting to school: How far is too far? , 2008, The international journal of behavioral nutrition and physical activity.

[45]  J. Polivy,et al.  Effects of the presence of others on food intake: a normative interpretation. , 2003, Psychological bulletin.

[46]  B. Elbel,et al.  The Influence of Calorie Labeling on Food Orders and Consumption: A Review of the Literature , 2014, Journal of Community Health.

[47]  Katherine M Flegal,et al.  Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. , 2012, JAMA.

[48]  C. Sunstein,et al.  Disclosure: Psychology Changes Everything , 2014 .

[49]  George Loewenstein,et al.  Helping Consumers Use Nutrition Information: Effects of Format and Presentation , 2015, American Journal of Health Economics.

[50]  John M. de Castro,et al.  The amount eaten in meals by humans is a power function of the number of people present , 1992, Physiology & Behavior.

[51]  J. Craig Andrews,et al.  Consumer Research Needs from the Food and Drug Administration on Front-of-Package Nutritional Labeling , 2014 .

[52]  Scot Burton,et al.  Food for thought: how will the nutrition labeling of quick service restaurant menu items influence consumers' product evaluations, purchase intentions, and choices? , 2009 .

[53]  R. Nayga,et al.  Consumers' Use of Nutritional Labels: A Review of Research Studies and Issues , 2006 .