School of Food Science and Nutrition, University of Leeds, Leeds LS2 9JT, UK.
School of Health and Social Sciences, Leeds Trinity University, Leeds LS18 5HD, UK.
Nutrients. 2018 Oct 4;10(10):1432. doi: 10.3390/nu10101432.
The potential for nutrition labels to impact on population health is dependent on consumer ability to understand and use this information. Consumer understanding of this information varies across sociodemographic groups and with different label design formats. Labeling legislation requires consumer education on how to use nutrition labels, and recent mandatory changes to the Nutrition Facts Panel (NFP) are underway to improve comprehensibility. This review aimed to evaluate if educational programs can improve understanding and use of nutrition labels. Database searches were performed to identify interventions which delivered education on nutrition labels with outcomes measuring aspects of comprehension or use. A total of 17 studies were selected for review, including nine randomized and eight cohort studies. The majority of studies were conducted in the United States Study participants included school aged children, older adults, and those with diabetes within a range of intervention types involving taught sessions or web-based education. Whilst outcome measures were heterogenous, all studies reported a statistically significant improvement in one or more outcomes of participant understanding or use of nutrition labels. Aspects such as general nutrition knowledge, health literacy, and program delivery format warrant attention in future research. Education which optimizes comprehension and use of nutrition labels may have the potential to improve the impact of this information on dietary health.
营养标签对人口健康的影响潜力取决于消费者理解和使用这些信息的能力。消费者对这些信息的理解因社会人口群体和不同的标签设计格式而异。标签立法要求对消费者进行有关如何使用营养标签的教育,最近正在对营养成分表(NFP)进行强制性更改,以提高可理解性。本综述旨在评估教育计划是否可以提高对营养标签的理解和使用。进行了数据库搜索,以确定提供营养标签教育的干预措施,其结果衡量理解或使用的各个方面。共选择了 17 项研究进行综述,其中包括 9 项随机对照研究和 8 项队列研究。大多数研究在美国进行,研究参与者包括学龄儿童、老年人以及患有糖尿病的人群,干预类型涉及授课或基于网络的教育。尽管研究结果指标存在异质性,但所有研究均报告了参与者对营养标签的理解或使用方面的一个或多个结果有统计学意义的改善。在未来的研究中,应关注一般营养知识、健康素养和方案提供形式等方面。优化营养标签的理解和使用的教育可能有潜力提高该信息对饮食健康的影响。
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