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Feteira-Santos, R., Alarcão, V., Santos, O., Virgolino, A., Fernandes, J., Pacheco Vieira, C....Graça, P. (2021). Looking ahead: Health impact assessment of front-of-pack nutrition labelling schema as a public health measure. International Journal of Environmental Research and Public Health. 18 (4), 1422

R. Feteira-Santos et al.,  "Looking ahead: Health impact assessment of front-of-pack nutrition labelling schema as a public health measure", in Int. Journal of Environmental Research and Public Health, vol. 18, no. 4, pp. 1422, 2021

@article{feteira-santos2021_1713480869016,
	author = "Feteira-Santos, R. and Alarcão, V. and Santos, O. and Virgolino, A. and Fernandes, J. and Pacheco Vieira, C. and Gregório, M. J. and Nogueira, P. and Costa, A. S. and Graça, P.",
	title = "Looking ahead: Health impact assessment of front-of-pack nutrition labelling schema as a public health measure",
	journal = "International Journal of Environmental Research and Public Health",
	year = "2021",
	volume = "18",
	number = "4",
	doi = "10.3390/ijerph18041422",
	pages = "1422",
	url = "https://www.mdpi.com/journal/ijerph"
}

TY  - JOUR
TI  - Looking ahead: Health impact assessment of front-of-pack nutrition labelling schema as a public health measure
T2  - International Journal of Environmental Research and Public Health
VL  - 18
IS  - 4
AU  - Feteira-Santos, R.
AU  - Alarcão, V.
AU  - Santos, O.
AU  - Virgolino, A.
AU  - Fernandes, J.
AU  - Pacheco Vieira, C.
AU  - Gregório, M. J.
AU  - Nogueira, P.
AU  - Costa, A. S.
AU  - Graça, P.
PY  - 2021
SP  - 1422
SN  - 1661-7827
DO  - 10.3390/ijerph18041422
UR  - https://www.mdpi.com/journal/ijerph
AB  - This study aimed to describe the underlying process, used methods and major recommendations emerging from a comprehensive and prospective health impact assessment of the endorsement of a front-of-pack nutrition labelling (FOP-NL) system by the Portuguese health authorities. A mixed-methods approach was used to gather information on the impact of four FOP-NL schemes on consumers’ selection of food products according to the perception of their nutritional quality, combining a systematic literature review, focus groups (FG), in-depth individual interviews, and an open-label crossover randomized controlled study. The relevance of FOP-NL as a public health promotion policy has emerged as a consensual idea among either FGs’ participants (i.e., consumers and experts), or interviewed stakeholders. Although all of the evaluated FOP-NLs result better than no system on promoting the choice of the healthiest product, the effectiveness of easy-to-interpret FOP-NL among vulnerable groups raised concerns related to the need of integrating specific nutritional information to promote a better self-management of chronic diseases, and related to the level of literacy of consumers, which could impair the usage of FOP-NL. Educational campaigns addressing skills to use FOP-NL is recommended. Furthermore, a monitoring strategy should be considered to evaluate the long-term effectiveness of this policy in promoting healthier food choices, and in reducing diet-related non-communicable diseases burden. 
ER  -