{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T11:03:26Z","timestamp":1790247806539,"version":"4.1.0"},"reference-count":76,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["ift.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comp Rev Food Sci Food Safe"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Front\u2010of\u2010package labeling (FOPL) is increasingly used to support healthier food choices, but its role in early childhood, where decisions are largely caregiver\u2010mediated, remains uncertain. This systematic review assessed the methodological quality and certainty of evidence on FOPL for foods and beverages marketed to children and synthesized behavioral, nutritional, and cognitive\u2013affective outcomes among children and caregivers. Following PRISMA 2020, five bibliographic databases and BASE were searched through July 2025. Risk of bias was assessed using JBI tools, and certainty was evaluated using GRADE and GRADE\u2010CERQual. Thirty\u2010nine studies were included: 18 RCTs, five quasi\u2010experimental studies, six cross\u2010sectional studies, and 10 qualitative studies. Evidence most consistently supported effects on perceived healthfulness, purchase intention, and, in some comparisons, product selection and purchase. Warning labels showed the clearest directional pattern, particularly for discouraging selection or intended purchase of less healthy products, but evidence varied by outcome and comparator. Nutritional outcomes were more heterogeneous and generally of low or very low certainty. Educational components tended to favor FOPL conditions in direction\u2010of\u2010effect summaries, but the evidence was of very low certainty and insufficient to establish a reliable incremental benefit. Qualitative findings indicated that FOPL can function as a simple heuristic for caregivers, although use is shaped by comprehension, trust, context, and everyday constraints. Overall, FOPL may support early stages of caregiver\u2010mediated decision\u2010making, but sustained nutritional impact remains uncertain. The absence of a universally superior format argues against one\u2010size\u2010fits\u2010all labeling; policies should prioritize interpretive clarity and contextual fit and support longitudinal, real\u2010world evaluations.<\/jats:p>","DOI":"10.1111\/1541-4337.70604","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T04:47:47Z","timestamp":1786423667000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Front\u2010of\u2010Package Nutrition Labeling for Foods and Beverages Marketed to Children: Behavioral, Nutritional, and Cognitive\u2013Affective Outcomes and Methodological Quality\u2014A Systematic Review"],"prefix":"10.1111","volume":"25","author":[{"given":"Filipa","family":"Soares","sequence":"first","affiliation":[{"name":"LAQV\u2010REQUIMTE, Department of Chemical Sciences, Faculty of Pharmacy, Laboratory of Bromatology and Hydrology University of Porto  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9685-231X","authenticated-orcid":false,"given":"Rebeca","family":"Cruz","sequence":"additional","affiliation":[{"name":"LAQV\u2010REQUIMTE, Department of Chemical Sciences, Faculty of Pharmacy, Laboratory of Bromatology and Hydrology University of Porto  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1426639"},{"key":"e_1_2_12_3_1","unstructured":"Allen S.2019. \u201cImproving the Diets of Children: Understanding the Decision\u2010Making of Parents Children and Food Manufacturers.\u201d PhD diss. 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