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Exploring enhanced menu labels' influence on fast food selections and exercise-related attitudes, perceptions, and intentions.

Appetite
January 1, 1970
Morgan S Lee et al. (2 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate whether adding physical activity equivalents (miles of walking) to calorie labels on fast food menus influenced food selection and exercise-related attitudes.

Results Summary

The study found that calorie labels, with or without walking equivalents, had little effect on food ordering behavior or exercise-related outcomes, with some counterintuitive increases in calories ordered and perceptions of exercise as less enjoyable in informational conditions.

Population

643 participants in an online study, randomly assigned to labeling conditions.

Effective Dosage

Not applicable

Duration

Single session (online menu ordering task and survey)

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Labeling restaurant menus with calorie counts
no change
behavior
-
small, inconsistent
have small, inconsistent effects
#1
Supplementing calorie counts with physical activity equivalents
increase
behavior
-
stronger
may produce stronger results
#2
no information, calories-only, and calories plus equivalent miles of walking labels
no change
fast food item selection
Participants (N = 643)
little
had little effect
#3
no information, calories-only, and calories plus equivalent miles of walking labels
no change
total calories ordered
Participants (N = 643)
no significant differences
no significant differences
#4
no information, calories-only, and calories plus equivalent miles of walking labels
increase
calories ordered
Participants (N = 643)
-
counterintuitive increases
#5
no information, calories-only, and calories plus equivalent miles of walking labels
no change
exercise-related outcomes
Participants (N = 643)
little
had little impact
#6
no information, calories-only, and calories plus equivalent miles of walking labels
decrease
exercise enjoyment
Participants (N = 643)
less
perceived exercise as less enjoyable
#7
Abstract

Labeling restaurant menus with calorie counts is a popular public health intervention, but research shows these labels have small, inconsistent effects on behavior. Supplementing calorie counts with physical activity equivalents may produce stronger results, but few studies of these enhanced labels have been conducted, and the labels' potential to influence exercise-related outcomes remains unexplored. This online study evaluated the impact of no information, calories-only, and calories plus equivalent miles of walking labels on fast food item selection and exercise-related attitudes, perceptions, and intentions. Participants (N = 643) were randomly assigned to a labeling condition and completed a menu ordering task followed by measures of exercise-related outcomes. The labels had little effect on ordering behavior, with no significant differences in total calories ordered and counterintuitive increases in calories ordered in the two informational conditions in some item categories. The labels also had little impact on the exercise-related outcomes, though participants in the two informational conditions perceived exercise as less enjoyable than did participants in the no information condition, and trends following the same pattern were found for other exercise-related outcomes. The present findings concur with literature demonstrating small, inconsistent effects of current menu labeling strategies and suggest that alternatives such as traffic light systems should be explored.

Medical Subject Headings (MeSH)
AdolescentAdultBody Mass IndexChoice BehaviorDietExerciseFast FoodsFemaleFood LabelingFood PreferencesHealth BehaviorHealth Knowledge, Attitudes, PracticeHumansIntentionMaleRestaurantsSurveys and QuestionnairesWalkingYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy30/10
Quality75/10
Citation Metrics
Total Citations8
Citations/Year0.9
Relative Citation Ratio0.43
NIH Percentile23%
Research Impact Scores
APT Score0.25
Weight Score1.57
Normalized Score0.47
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