{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T16:18:00Z","timestamp":1774973880877,"version":"3.50.1"},"reference-count":40,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n          <jats:sec>\n            <jats:title>Aims:<\/jats:title>\n            <jats:p>Interpretive front-of-package nutrition labelling can contribute to healthier food habits. This systematic review aimed to examine the effectiveness of interpretive front-of-package nutrition labelling schemes on consumers\u2019 food choices, namely at the moment of food purchase, and to analyse if this potential front-of-package nutrition labelling's effect varies according to different socioeconomic groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>Electronic databases (Cochrane Library, PubMed, Scopus, and Web of Science) search was performed to identify peer-reviewed articles describing longitudinal studies evaluating the effect of front-of-package nutrition labelling schemes on consumers\u2019 food choices, according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-Equity 2012 Extension guidelines. No publication-period or language restrictions were applied. PROGRESS-Plus framework was used to report if and how socioeconomic factors were considered in analyses of front-of-package nutrition labelling-related interventions\u2019 effect.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Nine studies were selected for narrative synthesis (seven randomized controlled trials and two cross-over trials). When compared with no-interpretive-label conditions, front-of-package nutrition labelling showed a positive impact for nutritional content understanding, healthiness perception of products, selection of products with better nutritional quality, and purchase intention. However, there is no robust evidence of superiority of a specific front-of-package nutrition labelling scheme's effect, neither on consumers\u2019 understanding of nutritional content nor on food choices. An evaluation of the studies following the PROGRESS-Plus framework revealed that socioecononomic status and education were the most frequently used dimensions, when assessing the effect of interpretative front-of-pack nutrition labels. More evidence is necessary to determine the role of front-of-pack nutrition labels in decreasing inequalities between different population subgroups, namely among the most vulnerable subgroups, on the promotion of healthy food choices.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>Well controlled longitudinal studies, following a real-world evidence approach, are needed to clarify front-of-package nutrition labelling's impact on consumers\u2019 food choices, namely at purchase points, taking into account the most vulnerable population subgroups, such as those with lower literacy and\/or financial resources.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/xeb.0000000000000214","type":"journal-article","created":{"date-parts":[[2019,12,31]],"date-time":"2019-12-31T20:50:44Z","timestamp":1577825444000},"page":"24-37","source":"Crossref","is-referenced-by-count":43,"title":["Effectiveness of interpretive front-of-pack nutritional labelling schemes on the promotion of healthier food choices: a systematic review"],"prefix":"10.1097","volume":"18","author":[{"given":"Rodrigo","family":"Feteira-Santos","sequence":"first","affiliation":[{"name":"Instituto de Sa\u00fade Ambiental, Faculdade de Medicina, Universidade de Lisboa"}]},{"given":"Jo\u00e3o","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Instituto de Sa\u00fade Ambiental, Faculdade de Medicina, Universidade de Lisboa"}]},{"given":"Ana","family":"Virgolino","sequence":"additional","affiliation":[{"name":"Instituto de Sa\u00fade Ambiental, Faculdade de Medicina, Universidade de Lisboa"}]},{"given":"Violeta","family":"Alarc\u00e3o","sequence":"additional","affiliation":[{"name":"Instituto de Sa\u00fade Ambiental, Faculdade de Medicina, Universidade de Lisboa"},{"name":"Centro de Investiga\u00e7\u00e3o e Estudos de Sociologia (CIES-IUL), Instituto Universit\u00e1rio de Lisboa (ISCTE-IUL)"}]},{"given":"Catarina","family":"Sena","sequence":"additional","affiliation":[{"name":"Dire\u00e7\u00e3o-Geral da Sa\u00fade"}]},{"given":"Carlota P.","family":"Vieira","sequence":"additional","affiliation":[{"name":"Dire\u00e7\u00e3o-Geral da Sa\u00fade"}]},{"given":"Maria Jo\u00e3o","family":"Greg\u00f3rio","sequence":"additional","affiliation":[{"name":"Programa Nacional para a Promo\u00e7\u00e3o da Alimenta\u00e7\u00e3o Saud\u00e1vel, Dire\u00e7\u00e3o-Geral da Sa\u00fade, Lisboa"},{"name":"Faculdade de Ci\u00eancias da Nutri\u00e7\u00e3o e Alimenta\u00e7\u00e3o da Universidade do Porto, Porto"}]},{"given":"Paulo","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Instituto de Sa\u00fade Ambiental, Faculdade de Medicina, Universidade de Lisboa"},{"name":"Dire\u00e7\u00e3o-Geral da Sa\u00fade"},{"name":"Laborat\u00f3rio de Biomatem\u00e1tica, Faculdade de Medicina, Universidade de Lisboa"}]},{"given":"Andreia","family":"Costa","sequence":"additional","affiliation":[{"name":"Instituto de Sa\u00fade Ambiental, Faculdade de Medicina, Universidade de Lisboa"},{"name":"Dire\u00e7\u00e3o-Geral da Sa\u00fade"},{"name":"Escola Superior de Enfermagem de Lisboa, Lisboa, Portugal"}]},{"given":"Pedro","family":"Gra\u00e7a","sequence":"additional","affiliation":[{"name":"Programa Nacional para a Promo\u00e7\u00e3o da Alimenta\u00e7\u00e3o Saud\u00e1vel, Dire\u00e7\u00e3o-Geral da Sa\u00fade, Lisboa"},{"name":"Faculdade de Ci\u00eancias da Nutri\u00e7\u00e3o e Alimenta\u00e7\u00e3o da Universidade do Porto, Porto"}]},{"given":"Osvaldo","family":"Santos","sequence":"additional","affiliation":[{"name":"Instituto de Sa\u00fade Ambiental, Faculdade de Medicina, Universidade de 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