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. Author manuscript; available in PMC: 2020 Feb 1.
Published in final edited form as: Am J Prev Med. 2018 Dec 17;56(2):300–314. doi: 10.1016/j.amepre.2018.09.024

Table 3.

Meta-Analyses of Effects of Food Labeling Interventions on Consumer Dietary Behaviors (Categorical Outcomes)a

Dietary factor Number of study estimates
(individual studies)
Number of consumers or
purchases
Percent change with labeling
(95% CI)b
Green options (traffic light system) 3 (3) 1,970,452 1,9 (1.8, 2.0)
Amber options (traffic light system) 3 (3) 1,970,452 0.4 (0.3, 0.5)
Red options (traffic light system) 3 (3) 1,970,452 −2.3 (−2.4. −2.2)
Other healthy optionsc 16 (11) 42,126 6.1 (2.6, 9.5)
Other unhealthy optionsd 22 (10) 33,990 −0.9 (−4.6, 2.8)
a

Food labeling (i.e., standardized provision of nutrition or health information) includes product package, menu, or other point-of-purchase labeling. Dietary behaviors in these studies were evaluated as consumer purchases, food outlet sales, or choices/orders. Appendix Figure 19 shows individual forest plots and more details on each meta-analysis.

b

The absolute difference in percentages of consumers or purchases making a certain selection.

c

Items recommended by labels to consume, such as green salad, “healthy items” not otherwise specified, low-fat items, low-sodium items, moderately nutrient-dense snacks, and high nutrient-dense snacks.

d

Items recommended by labels to avoid, such as sugar-sweetened beverages, large portion size sugar-sweetened beverages, caloric beverages, desserts, French fries, added cheese to hamburgers/sandwiches, full-fat meals or foods, high calorie meals, high saturated fat meals, high sodium meals, low vegetable content meals, and low nutrient-dense snacks.