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Is a Front-of-package Label Contaning Information on Both Nutrient Profile and Ultra-processing Well Understood?

Effect of a New Graphically Modified Nutri-Score on the Objective Understanding of Foods' Nutritional Quality and Ultra-processing - a Randomised Controlled Trial

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05610930
Enrollment
21159
Registered
2022-11-09
Start date
2022-05-01
Completion date
2022-07-07
Last updated
2023-05-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Objective Understanding of Nutritional Label

Brief summary

A modified version of the Nutri-Score (Nutri-Score 2.0), containing an additional graphic mention when the product is ultra-processed, has been proposed. The investigators aim to study, in a randomised controlled trial design nested in the NutriNet-Santé cohort, the impact of this modified version on the objective understanding of foods' nutritional quality, and on the identification of UPFs as primary outcomes. They also aim to study as secondary outcomes the impact of this label on purchasing intentions and the product perceived as the healthiest.

Detailed description

Two arms will be enrolled. The control arm will not have access to any FOP Label (the current situation in Europe), and the experimental arm will have access to Nutri-Score 2.0. Participants of both arms wil be asked to rank food products of 3 categories (breakfast cereals, cookies, ready-to-eat meals) according to their nutrient profile, and to identify ultra-processed foods.

Interventions

OTHERFront-of-pack label NutriScore 2.0

Participants in the experimental arm can see, in case the product is ultra-processed, a black banner surrounding the Nutri-Score, with the word ultra-transformé, meaning ultra-processed, and no black banner otherwise. Participants in the control arm had no label at all. The intervention (the Nutri-Score 2.0) was added on the packaging on the products included in the 3 sets of images that participants recieved via the questionnaire.

Sponsors

University of Paris 13
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
Yes

Inclusion criteria

Enrolled in the NutriNet-Santé cohort

Exclusion criteria

None

Design outcomes

Primary

MeasureTime frameDescription
Objective understanding the nutritional quality.Between 30 minutes and 1 hour (the time needed to fill the questionnaire)The answers of the participants on the corresponding questionnaire (via the NutriNet-Santé website) were expected to match the order according to which Nutri-Score ranks the 3 products (highest nutritional quality, second highest, third highest). In case of ex-æquos (i.e., two products having the same Nutri-Score), both were considered correct. Therefore, the number of correct answers for the nutritional dimension could range between 0 (no correct answers) to 9 (3 best products\*3 food categories, all correct answers).
Objective understanding the ultra-processing dimension.Between 30 minutes and 1 hour (the time needed to fill the questionnaire)Participants were expected to identify all UPFs on the corresponding questionnaire (via the NutriNet-Santé website). For each product, the answer was considered correct if an UPF was identified as such by the participant (the gold standard being the presence of the black banner of the Nutri-Score 2.0, corresponding to the NOVA 4 ultra-processed definition), and a non-UPF was identified as such. Therefore, the number of correct answers for the food processing dimension could range between 0 (no correct answers) and 22 (correct answer for all 22 products).

Secondary

MeasureTime frameDescription
Purchasing intentionsBetween 30 minutes and 1 hour (the time needed to fill the questionnaire)Assessed with the question (in the corresponding questionnaire via the NutriNet-Santé website) : Which of these products would you purchase more frequently?. This aimed to explore whether Nutri-Score 2.0 (the intervention) had an effect on the purchasing intentions.
Product perceived as the healthiestBetween 30 minutes and 1 hour (the time needed to fill the questionnaire)Assessed with the question (in the corresponding questionnaire via the NutriNet-Santé website) : Which product seems the healthiest to you?. This aimed to explore whether Nutri-Score 2.0 (the intervention) had an effect on the product that the participants considered as the healthiest.

Countries

France

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 9, 2026