Changes in children’s and adolescents’ dietary intake after the implementation of Chile’s law of food labeling, advertising and sales in schools: A longitudinal study

Background In June 2016, a comprehensive food policy was implemented in Chile that included front-of-package warning labels on key nutrients of concern (total sugars, added saturated fats, sodium, and calories), child-directed food advertisement bans, and school regulations. The policy was implement...

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Autores principales: Fretes, Gabriela, Corvalán, Camila, Reyes, Marcela, Taillie, Lindsey Smith, Economos, Christina D., Wilson, Norbert L.W., Cash, Sean B.
Formato: Journal Article
Lenguaje:Inglés
Publicado: Springer 2023
Materias:
Acceso en línea:https://hdl.handle.net/10568/135129
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author Fretes, Gabriela
Corvalán, Camila
Reyes, Marcela
Taillie, Lindsey Smith
Economos, Christina D.
Wilson, Norbert L.W.
Cash, Sean B.
author_browse Cash, Sean B.
Corvalán, Camila
Economos, Christina D.
Fretes, Gabriela
Reyes, Marcela
Taillie, Lindsey Smith
Wilson, Norbert L.W.
author_facet Fretes, Gabriela
Corvalán, Camila
Reyes, Marcela
Taillie, Lindsey Smith
Economos, Christina D.
Wilson, Norbert L.W.
Cash, Sean B.
author_sort Fretes, Gabriela
collection Repository of Agricultural Research Outputs (CGSpace)
description Background In June 2016, a comprehensive food policy was implemented in Chile that included front-of-package warning labels on key nutrients of concern (total sugars, added saturated fats, sodium, and calories), child-directed food advertisement bans, and school regulations. The policy was implemented in 3 phases from 2016 to 2019 and the primary objective was to improve children’s food environments. This study’s objective was to assess changes in child and adolescent intake of key nutrients of concern (total sugars, saturated fats, and sodium) at school after the initial implementation of Chile’s Law of Food Labeling and Advertisement. Methods Longitudinal study of 349 children from the Food Environment Chilean Cohort (FECHIC) and 294 adolescents from the Growth and Obesity Cohort Study (GOCS). Data were from single 24-hour dietary recalls collected from 2016 to 2019. Fixed-effects models stratified by school, home, and other locations compared nutrient consumption in each year to consumption at the pre-policy 2016 baseline. Nutrient intakes are expressed as percent of total energy. Results Compared to 2016 (pre-policy), total sugars consumed by children at school decreased 4.5 [-8.0, -0.9] percentage points (pp) and 11.8 [-15.4, -8.3] pp in 2018 and 2019 respectively. In 2019, children’s saturated fats and sodium intake at school also decreased (1.1 [-1.9, -0.2] pp and 10.3 [-18.1, -2.5] mg/100 kcal respectively). Likewise, in adolescents, total sugars and saturated fats consumed at school decreased in 2018 (5.3 [-8.4, -2.2] pp and 1.5 [-2.7, -0.3] pp respectively). However, consumption of key nutrients of concern at other locations increased after implementation of the policy. Conclusions After initial implementation of Chile’s Labeling Law, intake of most key nutrients of concern significantly declined at school. However, we found evidence of compensatory behavior in out-of-school settings. Further research is needed to evaluate what other actions are needed to impact overall diets in the long term both at schools and out of school.
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spelling CGSpace1351292025-12-09T21:37:15Z Changes in children’s and adolescents’ dietary intake after the implementation of Chile’s law of food labeling, advertising and sales in schools: A longitudinal study Fretes, Gabriela Corvalán, Camila Reyes, Marcela Taillie, Lindsey Smith Economos, Christina D. Wilson, Norbert L.W. Cash, Sean B. child nutrition food labelling food packaging nutrients nutrition labelling regulations school feeding research methods Background In June 2016, a comprehensive food policy was implemented in Chile that included front-of-package warning labels on key nutrients of concern (total sugars, added saturated fats, sodium, and calories), child-directed food advertisement bans, and school regulations. The policy was implemented in 3 phases from 2016 to 2019 and the primary objective was to improve children’s food environments. This study’s objective was to assess changes in child and adolescent intake of key nutrients of concern (total sugars, saturated fats, and sodium) at school after the initial implementation of Chile’s Law of Food Labeling and Advertisement. Methods Longitudinal study of 349 children from the Food Environment Chilean Cohort (FECHIC) and 294 adolescents from the Growth and Obesity Cohort Study (GOCS). Data were from single 24-hour dietary recalls collected from 2016 to 2019. Fixed-effects models stratified by school, home, and other locations compared nutrient consumption in each year to consumption at the pre-policy 2016 baseline. Nutrient intakes are expressed as percent of total energy. Results Compared to 2016 (pre-policy), total sugars consumed by children at school decreased 4.5 [-8.0, -0.9] percentage points (pp) and 11.8 [-15.4, -8.3] pp in 2018 and 2019 respectively. In 2019, children’s saturated fats and sodium intake at school also decreased (1.1 [-1.9, -0.2] pp and 10.3 [-18.1, -2.5] mg/100 kcal respectively). Likewise, in adolescents, total sugars and saturated fats consumed at school decreased in 2018 (5.3 [-8.4, -2.2] pp and 1.5 [-2.7, -0.3] pp respectively). However, consumption of key nutrients of concern at other locations increased after implementation of the policy. Conclusions After initial implementation of Chile’s Labeling Law, intake of most key nutrients of concern significantly declined at school. However, we found evidence of compensatory behavior in out-of-school settings. Further research is needed to evaluate what other actions are needed to impact overall diets in the long term both at schools and out of school. 2023-04-04 2023-12-07T18:55:27Z 2023-12-07T18:55:27Z Journal Article https://hdl.handle.net/10568/135129 en Open Access Springer Fretes, Gabriela; Corvalán, Camila; Reyes, Marcela; Taillie, Lindsey Smith; Economos, Christina D.; Wilson, Norbert L. W.; and Cash, Sean B. 2023. Changes in children’s and adolescents’ dietary intake after the implementation of Chile’s law of food labeling, advertising and sales in schools: a longitudinal study. International Journal of Behavioral Nutrition and Physical Activity 20:40. https://doi.org/10.1186/s12966-023-01445-x
spellingShingle child nutrition
food labelling
food packaging
nutrients
nutrition labelling
regulations
school feeding
research methods
Fretes, Gabriela
Corvalán, Camila
Reyes, Marcela
Taillie, Lindsey Smith
Economos, Christina D.
Wilson, Norbert L.W.
Cash, Sean B.
Changes in children’s and adolescents’ dietary intake after the implementation of Chile’s law of food labeling, advertising and sales in schools: A longitudinal study
title Changes in children’s and adolescents’ dietary intake after the implementation of Chile’s law of food labeling, advertising and sales in schools: A longitudinal study
title_full Changes in children’s and adolescents’ dietary intake after the implementation of Chile’s law of food labeling, advertising and sales in schools: A longitudinal study
title_fullStr Changes in children’s and adolescents’ dietary intake after the implementation of Chile’s law of food labeling, advertising and sales in schools: A longitudinal study
title_full_unstemmed Changes in children’s and adolescents’ dietary intake after the implementation of Chile’s law of food labeling, advertising and sales in schools: A longitudinal study
title_short Changes in children’s and adolescents’ dietary intake after the implementation of Chile’s law of food labeling, advertising and sales in schools: A longitudinal study
title_sort changes in children s and adolescents dietary intake after the implementation of chile s law of food labeling advertising and sales in schools a longitudinal study
topic child nutrition
food labelling
food packaging
nutrients
nutrition labelling
regulations
school feeding
research methods
url https://hdl.handle.net/10568/135129
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