Acceptance of Multi-Traffic Light Food Labels Among Students: A Systematic Literature Review
DOI:
https://doi.org/10.53469/jrve.2025.7(03).01Keywords:
Acceptance, Food Label, Obesity, Multiple traffic light (MTL)Abstract
Prevalence of overweight and obesity are escalating not only among adults but also children and adolescents. Evidence suggest that effective food label helps consumers to make quick and easy decision on healthy and less healthy products based on the key nutrients such as sodium, fat, saturated fat, and sugar content. No reviews have been published on multiple traffic light (MTL) food label as a tool used to prevent obesity among students. A search of three databases (September 2024 to October 2024) and gray - literature sources in English (2012 – 2024) were retrieved. A final of 19 studies met the inclusion criteria. The analysis showed a more salient type of food label is called the MTL demonstrated to be superior in perceived healthfulness of food products and purchased intention compared to other food label used among students. Therefore, educational institutional as a primary setting for promoting healthy eating behaviors is well recognized in reducing obesity risks due to time spent in first 2 decades of their life.
References
Abdul, N., Kutty, M., Ru, T. Y., Hwang, V., Chiang, Q., & Zhi, W. Y. (2015). Association of Dietary Habits and Body Mass Index among University Students in Malaysia. IOSR Journal of Nursing and Health Science Ver. I, 4 (5), 2320–1940. https: //doi. org/10.9790/1959 - 04517885
Lagerros, Y. T., & Rössner, S. (2013). Obesity management: What brings success? Therapeutic Advances in Gastroenterology, 6 (1), 77–88. https: //doi. org/10.1177/1756283X12459413
David L Katz, Catherine S Katz, Judith A Treu, Jesse Reynolds, Valentine Njike, Jennifer Walker, Erica Smith, J. M. (2011). To Elementary School Students and Their Parents : The Nutrition Detectives Program. Journal of School Health, 81 (1), 21–28.
Institute for Public Health. (2019). Non - Communicable Diseases: Risk Factors and other Health Problems (Vol.1).
Mahaletchumy, A., Rampal, L., & Sharif, Z. M. (2019). Prevalence of overweight/obesity and its associated factors among secondary school students in semi urban area in Malaysia. Medical Journal of Malaysia, 74 (6), 513–520.
Palaniveloo, L. Z. A. A. K. H. A. K. L. W. (2022). Nutritional Status of Adolescents in Malaysia: Findings from Adolescents Health Survey 2022. Institute for Public Health (NIH).
Ghazi, H. F., Abdalqader, M. A., Baobaid, M. F., Hasan, T. N., Alabed, A. A. A., Veerabadran, V., Abdalrazak, H. A., Gazi, T. M., & Hassan, M. R. (2018). Obesity knowledge and its associated factors among medical students in a Private University in Shah Alam, Selangor. Malaysian Journal of Public Health Medicine, 18 (2), 45–51.
Radzi, C. W. J. M., Jenatabadi, H. S., Alanzi, A. R. A., Mokhtar, M. I., Mamat, M. Z., & Abdullah, N. A. (2019). Analysis of obesity among malaysian university students: A combination study with the application of Bayesian structural equation modelling and pearson correlation. International Journal of Environmental Research and Public Health, 16 (3). https: //doi. org/10.3390/ijerph16030492
Reilly, K., Nathan, N., Wu, J. H. Y., Delaney, T., Wyse, R., Cobcroft, M., Wiggers, J., Sutherland, R., Buffett, K., Yoong, S. L., & Wolfenden, L. (2018). Assessing the potential impact of a front - of - pack nutritional rating system on food availability in school canteens: A randomised controlled trial. Appetite, 121, 309–315. https: //doi. org/10.1016/j. appet.2017.11.103
Delaney, T., Wyse, R., Yoong, S. L., Sutherland, R., Wiggers, J., Ball, K., Campbell, K., Rissel, C., Lecathelinais, C., & Wolfenden, L. (2017). Cluster randomized controlled trial of a consumer behavior intervention to improve healthy food purchases from online canteens. American Journal of Clinical Nutrition, 106 (5), 1311–1320. https: //doi. org/10.3945/ajcn.117.158329
Latimer, L. A. (2017). Elementary school lunch categorisation and correlations with dietitian recommendations.136 (1), 43–49. https: //doi. org/10.1177/1757913915581184.
Ellis, R. M., & Ellis, R. C. T. (2007). Impact of a traffic light nutrition tool in a primary school changing dynamic in the. Journal of The Royal Society for the Promotion of Health, 127 (1), 13–21. https: //doi. org/10.1177/1466424007073202
Talati, Z., Norman, R., Pettigrew, S., Neal, B., Kelly, B., Dixon, H., Ball, K., Miller, C., & Shilton, T. (2017). The impact of interpretive and reductive front - of - pack labels on food choice and willingness to pay. International Journal of Behavioral Nutrition and Physical Activity, 14 (1), 1–10. https: //doi. org/10.1186/s12966 - 017 - 0628 - 2
Retno, D., & Fatmah. (2019). The impact of front - of - package traffic light (FoPTL) in the senior high school students’ nutrition labels comprehension. Current Research in Nutrition and Food Science, 7 (3), 918–926. https: //doi. org/10.12944/CRNFSJ.7.3.30
Talati, Z., Norman, R., Kelly, B., Dixon, H., Neal, B., Miller, C., & Pettigrew, S. (2018). A randomized trial assessing the effects of health claims on choice of foods in the presence of front - of - pack labels. American Journal of Clinical Nutrition, 108 (6), 1275–1282. https: //doi. org/10.1093/ajcn/nqy248
Chen, H. J., Weng, S. H., Cheng, Y. Y., Lord, A. Y. Z., Lin, H. H., & Pan, W. H. (2017). The application of traffic - light food labelling in a worksite canteen intervention in Taiwan. Public Health, 150, 17–25. https: //doi. org/10.1016/j. puhe.2017.04.005
Babio, N., Vicent, P., López, L., Benito, A., Basulto, J., & Salas - Salvadó, J. (2014a). Adolescents’ ability to select healthy food using two different front - of - pack food labels: A cross - over study. Public Health Nutrition, 17 (6), 1403–1409. https: //doi. org/10.1017/S1368980013001274
Brown, M. M. B., Vorland, C. J., Cardel, M. I., & Brown, A. W. (2015). Traffic light diets have limited evidence for effects on childhood obesity: review and future recommendations.1–22.
Sacco, J., Lillico, H. G., Chen, E., & Hobin, E. (2017). The influence of menu labelling on food choices among children and adolescents: A systematic review of the literature. Perspectives in Public Health, 137 (3), 173– 181. https: //doi. org/10.1177/1757913916658498
Vargas - Meza, J., Jáuregui, A., Pacheco - Miranda, S., Contreras - Manzano, A., & Barquera, S. (2019). Front of - pack nutritional labels: Understanding by low - And middle - income Mexican consumers. PLoS ONE, 14 (11), 1–16. https: //doi. org/10.1371/journal. pone.0225268
Lima, M., de Alcantara, M., Martins, I. B. A., Ares, G., & Deliza, R. (2019). Can front - of - pack nutrition labelling influence children’s emotional associations with unhealthy food products? An experiment using emoji. Food Research International, 120, 217–225. https: //doi. org/10.1016/j. foodres.2019.02.027
Basak, S., Steinberg, A., Campbell, A., Dupuis, A., Chen, S., Dayan, A. B., Dello, S., & Hamilton, J. (2019). All Aboard Meal Train: Can Child - Friendly Menu Labelling Promote Healthier Choices in Hospitals? Journal of Pediatrics, 204, 59 - 65. e3. https: //doi. org/10.1016/j. jpeds.2018.08.073
Acton, R. B., Vanderlee, L., White, C., & Hammond, D. (2016). The efficacy of calorie labelling formats on pre packaged foods: An experimental study among adolescents and young adults in Canada. Canadian Journal of Public Health, 107 (3), e296–e302. https: //doi. org/10.17269/CJPH.107.5513
Seward, M. W., Block, J. P., & Chatterjee, A. (2016). A traffic - light label intervention and dietary choices in college cafeterias. American Journal of Public Health, 106 (10), 1808–1814. https: //doi. org/10.2105/AJPH.2016.303301
Whitt, O. R., Jilcott Pitts, S. B., Rafferty, A. P., Payne, C. R., & Ng, S. W. (2018). The effects of traffic light labelling versus cartoon labelling on food and beverage purchases in a children’s hospital setting. Pediatric Obesity, 13 (4), 265–268. https: //doi. org/10.1111/ijpo.12232
Feldman, C., Harwell, H., & Brusca, J. (2013). Using student opinion and design inputs to develop an informed university foodservice menu. Appetite, 69, 80–88. https: //doi. org/10.1016/j. appet.2013.05.009
Van Herpen, E., Hieke, S., & Van Trijp, H. C. M. (2014). Inferring product healthfulness from nutrition labelling. The influence of reference points. Appetite, 72, 138–149. https: //doi. org/10.1016/j. appet.2013.10.012
Yoo, H. J., Machín, L., Arrúa, A., Antúnez, L., Vidal, L., Giménez, A., Curutchet, M. R., & Ares, G. (2017). Children and adolescents’ attitudes towards sugar reduction in dairy products. Food Research International, 94, 108–114. https: //doi. org/10.1016/j. foodres.2017.02.005
Seward, M. W., Block, J. P., & Chatterjee, A. (2018). Student experiences with traffic - light labels at college cafeterias: a mixed methods study. Obesity Science and Practice, 4 (2), 159–177. https: //doi. org/10.1002/osp4.159
Hieke, S., & Wilczynski, P. (2012). Colour me in - An empirical study on consumer responses to the traffic light signposting system in nutrition labelling. Public Health Nutrition, 15 (5), 773–782. https: //doi. org/10.1017/S1368980011002874
Freire, W. B., Waters, W. F., Rivas - Mariño, G., Nguyen, T., & Rivas, P. (2017). A qualitative study of consumer perceptions and use of traffic light food labelling in Ecuador. Public Health Nutrition, 20 (5), 805–813. https: //doi. org/10.1017/S1368980016002457
Trudel, R., Murray, K. B., Kim, S., & Chen, S. (2015). The impact of traffic light color - coding on food health perceptions and choice. Journal of Experimental Psychology: Applied, 21 (3), 255–275. https: //doi. org/10.1037/xap0000049
Defago, D., Geng, J. F., Molina, O., & Santa María, D. (2020). Can traffic light nutritional labels induce healthier consumer choices? Experimental evidence from a developing country. International Journal of Consumer Studies, 44 (2), 151–161. https: //doi. org/10.1111/ijcs.12554
Becker, M. W., Brunk, E., Cwiakala, K., & Bix, L. (2019). Munchy Monster: Using video gaming to objectively evaluate front - of - pack labelling strategies for school - aged children. Packaging Technology and Science, 32 (8), 395–404. https: //doi. org/10.1002/pts.2451
Wakui, N., Matsuoka, R., Togawa, C., Ichikawa, K., Kagi, H., Watanabe, M., Ikarashi, N., Yamamura, M., Shirozu, S., & Machida, Y. (2023). Effectiveness of Displaying Traffic Light Food Labels on the Front of Food Packages in Japanese University Students: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 20 (3). https: //doi. org/10.3390/ijerph20031806
Ares, G., Giménez, A., Bruzzone, F., Antúnez, L., Sapolinski, A., Vidal, L., & Maiche, A. (2012). Attentional capture and understanding of nutrition labelling: A study based on response times. International Journal of Food Sciences and Nutrition, 63 (6), 679–688. https: //doi. org/10.3109/09637486.2011.652598
Hoefkens, C., Pieniak, Z., Van Camp, J., & Verbeke, W. (2012). Explaining the effects of a point - of - purchase nutrition - information intervention in university canteens: A structural equation modelling analysis. International Journal of Behavioral Nutrition and Physical Activity, 9, 1–10. https: //doi. org/10.1186/1479 - 5868 - 9 - 111
Talati, Z., Egnell, M., Hercberg, S., Julia, C., & Pettigrew, S. (2019). Consumers’ perceptions of five front - of - package nutrition labels: An experimental study across 12 countries. Nutrients, 11 (8). https: //doi. org/10.3390/nu11081934
Talati, Z., Pettigrew, S., Dixon, H., Neal, B., Ball, K., & Hughes, C. (2016). Do health claims and front - of - pack labels lead to a positivity bias in unhealthy foods? Nutrients, 8 (12), 1–18. https: //doi. org/10.3390/nu8120787
Johnston, C. A., & Steele, R. G. (2007). Treatment of pediatric overweight: An examination of feasibility and effectiveness in an applied clinical setting. Journal of Pediatric Psychology, 32 (1), 106–110. https: //doi. org/10.1093/jpepsy/jsl010
Wakui, N., Matsuoka, R., Ichikawa, K., Togawa, C., Okami, A., Kawakubo, S., Kagi, H., Watanabe, M., Tsubota, Y., Yamamura, M., & Machida, Y. (2024). Investigation of the 1 - week effect of traffic light nutrition labeling on diet selection among Japanese university students: a randomized controlled trial. BMC Public Health, 24 (1). https: //doi. org/10.1186/s12889 - 024 - 17815 - 4
Kelly, B., Hughes, C., Chapman, K., Louie, J. C. Y., Dixon, H., Crawford, J., King, L., Daube, M., & Slevin, T. (2009). Consumer testing of the acceptability and effectiveness of front - of - pack food labelling systems for the Australian grocery market. Health Promotion International, 24 (2), 120–129. https: //doi. org/10.1093/heapro/dap012
Sandoval, L. A., Carpio, C. E., & Sanchez - Plata, M. (2019). The effect of ‘Traffic - Light’ nutritional labelling in carbonated soft drink purchases in Ecuador. PLoS ONE, 14 (10), 1–18. https: //doi. org/10.1371/journal. pone.0222866
Dallacker, M., Hertwig, R., Peters, E., & Mata, J. (2016). Lower parental numeracy is associated with children being under - and overweight. Social Science and Medicine, 161, 126–133. https: //doi. org/10.1016/j. socscimed.2016.06.006
Chin, Y. S., Appukutty, M., Kagawa, M., Gan, W. Y., Wong, J. E., Poh, B. K., Shariff, Z. M., & Taib, M. N.
M. (2020). Comparison of factors associated with disordered eating between male and female malaysian university students. Nutrients, 12 (2), 1–15. https: //doi. org/10.3390/nu12020318
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