Conway Rana, Denning Tiffany, Steptoe Andrew, Llewellyn Clare
Research Department of Behavioural Science and Health, University College London, London, United Kingdom.
JMIR Res Protoc. 2025 Jun 19;14:e70135. doi: 10.2196/70135.
Average sugar consumption among young children in the United Kingdom exceeds the recommended intake. Many parents choose commercial baby foods believing these to be a healthy option. However, surveys show many products contain high levels of added or free sugars, despite labeling suggesting they are "natural" and "healthy." Analysis of labels and studies with parents suggest changes such as removing misleading marketing or adding sugar warning labels may impact parents' beliefs and food choices. However, the literature does not provide a comprehensive understanding of the range of changes to commercial baby food labels that might best support parents in choosing healthier foods for their children.
This scoping review will explore the published and unpublished evidence base to better understand what is known about how labeling of baby foods impacts parents' beliefs about a product's sugar content and related purchasing and feeding decisions.
The JBI guidelines for methodology of scoping reviews will be followed, and results will be reported using PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. The population, concept, and context (PCC) framework will be used to determine eligibility criteria. The search will include various research methodologies, including both quantitative (observational and interventional) and qualitative studies. An initial search of MEDLINE (Ovid) and Embase (Ovid) was conducted to develop a full search strategy for MEDLINE, which is presented here. In addition to MEDLINE and Embase, we will search PsycINFO (Ovid), CINAHL (Ebsco), Web of Science (Core Collection) and the Cochrane Library. Reference lists of included studies will also be searched. Unpublished reports will be identified using Google, Google Scholar, relevant websites, policy statements, and government reports and by contacting relevant government and third-sector organizations. In a 2-stage process, 2 reviewers will independently screen titles and abstracts and then full texts. One reviewer will then extract data and a second will verify accuracy. Findings will be presented in tables and diagrams accompanied by a narrative summary.
The literature searches yielded 2071 records from 6 databases, with 1123 documents remaining after deduplication. The gray literature search used a customized Google search, a targeted search of 34 websites, and contact with 49 experts.
We present a protocol for a scoping review to explore the evidence base to understand what is known about how the labeling of baby foods impacts parents' beliefs about sugar content and related purchasing and feeding decisions. The results of the review will help policymakers better understand regulatory opportunities to improve the labeling of commercial infant foods to help families feed infants and young children lower-sugar diets.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/70135.
英国幼儿的平均糖摄入量超过了建议摄入量。许多家长选择商业婴儿食品，认为这些是健康的选择。然而，调查显示，许多产品含有高水平的添加糖或游离糖，尽管标签表明它们是“天然的”和“健康的”。对标签的分析以及与家长的研究表明，诸如消除误导性营销或添加糖警告标签等变化可能会影响家长的观念和食物选择。然而，文献并未全面了解商业婴儿食品标签的一系列变化，这些变化可能最有助于家长为孩子选择更健康的食物。
本范围综述将探索已发表和未发表的证据基础，以更好地了解婴儿食品标签如何影响家长对产品糖含量的看法以及相关购买和喂养决策。
将遵循JBI范围综述方法指南，并使用PRISMA-ScR（系统评价和Meta分析扩展的范围综述首选报告项目）指南报告结果。将使用人群、概念和背景（PCC）框架来确定纳入标准。搜索将包括各种研究方法，包括定量研究（观察性和干预性）和定性研究。最初对MEDLINE（Ovid）和Embase（Ovid）进行了搜索，以制定MEDLINE的完整搜索策略，此处展示该策略。除了MEDLINE和Embase，我们还将搜索PsycINFO（Ovid）、CINAHL（Ebsco）、科学引文索引（核心合集）和考克兰图书馆。还将搜索纳入研究的参考文献列表。将通过谷歌、谷歌学术、相关网站、政策声明和政府报告以及联系相关政府和第三部门组织来识别未发表的报告。在两阶段过程中，两名评审员将独立筛选标题和摘要，然后筛选全文。然后一名评审员将提取数据，另一名将核实准确性。研究结果将以表格和图表形式呈现，并伴有叙述性总结。
文献检索从6个数据库中获得2071条记录，去重后剩下1123篇文献。灰色文献检索使用了定制的谷歌搜索、对34个网站的定向搜索以及与49位专家的联系。
我们提出了一项范围综述方案，以探索证据基础，了解婴儿食品标签如何影响家长对糖含量的看法以及相关购买和喂养决策。综述结果将有助于政策制定者更好地理解监管机会，以改善商业婴儿食品的标签，帮助家庭为婴幼儿提供低糖饮食。
国际注册报告识别号（IRRID）：DERR1-10.2196/70135
