Dataset Information

How Much Sugar is in My Drink? The Power of Visual Cues.

ABSTRACT: Despite widespread attempts to educate consumers about the dangers of sugar, as well as the advent of nutritional labeling, individuals still struggle to make educated decisions about the foods they eat, and/or to use the Nutrition Facts Panel. This study examined the effect of visual aids on judgments of sugar quantity in popular drinks, and choices. 261 volunteers at four different locations evaluated 11 common beverages. Key measures were estimates of sugar in the drinks, nutrition knowledge, and desire to consume them. In the experimental condition, participants viewed beverages along with test tubes filled with the total amount of sugar in each drink; the control condition had no sugar display. Both groups were encouraged to examine the Nutrition Facts Panel when making their evaluations. Correlational analyses revealed that consumers exposed to the visual aid overestimated sugar content and the length of time needed to exercise to burn off the calories; they also had lower intentions to consume any of the beverages. Individuals asserting to use the Nutrition Facts Panel (NFP) in general were also less likely to admit using it in this particular study (r = -2, p = 0.001). This study suggests that a simple visual aid intervention affected judgments and choices towards curtailing sugar intake. This has implications for labeling format implementation.

SUBMITTER: Merillat BD

PROVIDER: S-EPMC7071271 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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How Much Sugar is in My Drink? The Power of Visual Cues.

Merillat Bethany D BD González-Vallejo Claudia C

Nutrients 20200202 2

Despite widespread attempts to educate consumers about the dangers of sugar, as well as the advent of nutritional labeling, individuals still struggle to make educated decisions about the foods they eat, and/or to use the Nutrition Facts Panel. This study examined the effect of visual aids on judgments of sugar quantity in popular drinks, and choices. 261 volunteers at four different locations evaluated 11 common beverages. Key measures were estimates of sugar in the drinks, nutrition knowledge, ...[more]

PMID: 32024228

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Project description:The overvaluation of high-energy, palatable food cues contributes to unhealthy eating and being overweight. Reducing the valuation of unhealthy food may thus constitute a powerful lever to improve eating habits and conditions characterized by unhealthy eating. We conducted a double-blind, placebo-controlled, randomized intervention trial assessing the efficacy of a five to twenty days online cognitive training intervention to reduce sugary drink perceived palatability and consumption. Our intervention involved a recently identified action-to-valuation mechanism of action, in which the repeated inhibition of prepotent motor responses to hedonic food cues in a Go/NoGo (GNG) and an attentional bias modification (ABM) task eventually reduces their valuation and intake. Confirming our hypotheses, the experimental intervention with consistent (100%) mapping between motor inhibition and the targeted unhealthy sugary drinks cues induced a larger decrease in their valuation than the control intervention with inconsistent (50%) mapping (- 27.6% vs. - 19%), and a larger increase of the (water) items associated with response execution (+ 11% vs + 4.2%). Exploratory analyses suggest that the effect of training on unhealthy items valuation may persist for at least one month. Against our hypothesis, we observed equivalent reductions in self-reported consumption of sugary drinks following the two interventions (exp: - 27% vs. ctrl: - 19%, BF01 = 4.7), suggesting a dose-independent effect of motor inhibition on self-reported consumption. Our collective results corroborate the robustness and large size of the devaluation effects induced by response inhibition on palatable items, but challenge the assumption of a linear relationship between such effects and the actual consumption of the target items. PROTOCOL REGISTRATION: The stage 1 protocol for this Registered Report was accepted in principle on 30/03/2021. The protocol, as accepted by the journal, can be found at: https://doi.org/10.17605/OSF.IO/5ESMP .

Project description:BackgroundSeveral jurisdictions have introduced nutrient warning front of pack (FoP) labels in an effort to curb consumption of ultra-processed foods and beverages high in free sugars (sugars added to foods and beverages, and sugars naturally present in honey, syrups, fruit juices and fruit juice concentrates). This study aimed to explore consumer understanding and perceptions of FoP warning labels that convey different nutritional and health information messages regarding the consumption of sugary drinks.MethodsSixteen focus groups were held with 4-8 young adults per group (aged 18-24; n = 105 participants in total) stratified by education level, location (rural centres, large cities) and gender (males, females) to ensure diversity. Labels shown to participants during group discussions included text warning labels of health effects, exercise equivalents, calorie/kilojoule information and sugar content as a "high in" label and as teaspoons (text and pictograms). Thematic analysis was undertaken.ResultsFour themes were identified related to participants' perceived effectiveness of labels: the extent to which labels were perceived to be useful, relevant and credible; the extent to which a label elicited shock or disgust (perceived aversiveness); the extent to which the label message was resistant to self-exemption; and participants' perceived potential of the label to reduce purchasing and consumption behaviour. Across all four themes, labels communicating the number of teaspoons of sugar in a sugary drink (whether by text or pictogram) were perceived as the most impactful, resistant to self-exemption and to have the greatest potential to reduce consumption, with enhanced reactions to the pictogram label. Labels depicting health effects, exercise equivalents, calorie/kilojoule information or a general 'high in sugar' warning were perceived by consumers to be less effective in one or more themes.ConclusionsLabels conveying the amount of sugar in a beverage in teaspoons were perceived as highly factual, relatable and interpretable, and as having the greatest potential to impact consumption attitudes and intentions. Further quantitative studies are required to compare the potential effectiveness of the teaspoons of sugar labels in reducing purchasing and consumption behaviour than other alternative warning labels, such as health effects or "high in" sugar labels.

Project description:BackgroundBeverages high in added sugar, such as sugar-sweetened soft drinks, continue to be associated with various health issues. This study examines the effects of a manufacturer-initiated multicomponent intervention on the sales of sugar-free (SFD) and sugar-sweetened (SSD) soft drinks and the amount of sugar people purchase from soft drinks in a fast-food restaurant setting.MethodsA database of monthly sales data of soft drinks from January 2016 to December 2018 was obtained from three treatment and three control fast-food restaurants. A multicomponent intervention consisting of free coupons, point-of-purchase displays, a menu board, and two sugar-free replacements for sugar-sweetened soft drinks was introduced in August 2018 for five months in Western Sydney, Australia. A retrospective interrupted time series analysis was used to model the data and examine the effects of the interventions on SFD and SSD sales and their consequential impact on sugar purchases from soft drinks. The analyses were carried out for volume sales in litres and sugar in grams per millilitre of soft drinks sales. A comparison of these measures within the treatment site (pre- and post-intervention) and between sites (treatment and control) was conducted.ResultsThe interventions had a statistically significant impact on SFDs but not SSDs. On average, SFD sales in the treatment site were 56.75% higher than in the control site. Although SSD sales were lower in the treatment site, the difference with the control site was not statistically significant. The net reduction of 6.34% in the amount of sugar purchased from soft drinks between sites during the experimental period was attributed to the interventions.ConclusionsThe interventions significantly increased SFD sales and reduced sugar purchases in the short run. Aside from free coupons, the findings support the recommendation for fast food restaurants to nudge customers towards choosing SFDs through point-of-purchase displays and the replacement of popular SSDs with their SFD counterparts.

Dataset Information

How Much Sugar is in My Drink? The Power of Visual Cues.

Publications

How Much Sugar is in My Drink? The Power of Visual Cues.

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