DOI QR코드

DOI QR Code

Continuous Postpandemic Increase in the Use of Nutrition Fact Labels Among Korean Adults: A Weighted Multiyear Analysis of a Nationwide Survey

  • Jung Min Cho (K-Food Industry Research Institute, College of Culture and Tourism, Jeonju University)
  • Received : 2024.09.03
  • Accepted : 2024.10.24
  • Published : 2024.10.30

Abstract

Nutrition fact labels (NFLs) have advantages because they are an intuitive tool that provides unified information regulated by the government and does not require any devices or special skills. During pandemic, with increased interest in information about healthy food choices and optimum nutrition, frequent exposure to NFLs on pre-packaged foods and dietary supplements may have helped consumers become aware of and/or use NFLs. We aimed to evaluate NFL usage changes from the pre- and early to the late pandemic years in the Korean adult population, using data from the Korean Community Health Survey (3-year total respondents n = 687,610) conducted from 2019 to 2021. NFL awareness, effect, and utilization ratios in each subgroup (sex, age, diabetes mellitus/hypertension, subjective health status, and physical activity) were analyzed for the 3 years by the cross-tabulation test of weighted complex sample analysis. Despite the declining awareness of NFLs in the Korean population, the proportion of individuals who were affected by the NFL content in the entire population and the utilization ratio among those who were aware of NFLs increased continuously during the early and late pandemic periods. Thus, Nutrition experts and policy-makers need to increase efforts to maintain interest in NFLs that emerged during the pandemic. NFLs, a conventional but well-regulated and effective tool, may have enabled the Korean population to make healthy food choices during the pandemic.

Keywords

Acknowledgement

This research was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (2022R1I1A1A01066215).

References

  1. de Faria Coelho-Ravagnani C, Corgosinho FC, Sanches FF, Prado CM, Laviano A, et al. Dietary recommendations during the COVID-19 pandemic. Nutr Rev 2021;79:382-93.
  2. Hamulka J, Jeruszka-Bielak M, Gornicka M, Drywien ME, Zielinska-Pukos MA. Dietary supplements during COVID-19 outbreak. Results of google trends analysis supported by PLifeCOVID-19 online studies. Nutrients 2020;13:54.
  3. Garcia-Saiso S, Marti M, Brooks I, Curioso WH, Gonzalez D, et al. The COVID-19 infodemic. Rev Panam Salud Publica 2021;45:e56.
  4. O'Hara JK, Woods TA, Dutton N, Stavely N. COVID-19's impact on farmers market sales in the Washington, DC, area. J Agric Appl Econ 2021;53:94-109.
  5. Cho JM. Increased dependency on dietary supplements for calcium, vitamin B1 and vitamin C intake during the COVID-19 pandemic among healthy adults: data from the eighth Korea National Health and Nutrition Examination Survey (2019-2020). Hum Nutr Metab 2024;36:200252.
  6. Buyuktuncer Z, Ayaz A, Dedebayraktar D, Inan-Eroglu E, Ellahi B, et al. Promoting a healthy diet in young adults: the role of nutrition labelling. Nutrients 2018;10:1335.
  7. Kollannoor-Samuel G, Shebl FM, Hawley NL, Perez-Escamilla R. Nutrition label use is associated with lower longer-term diabetes risk in US adults. Am J Clin Nutr 2017;105:1079-85.
  8. Filippou CD, Tsioufis CP, Thomopoulos CG, Mihas CC, Dimitriadis KS, et al. Dietary approaches to stop hypertension (DASH) diet and blood pressure reduction in adults with and without hypertension: a systematic review and meta-analysis of randomized controlled trials. Adv Nutr 2020;11:1150-60. 
  9. Kyle TK, Thomas DM. Consumers believe nutrition facts labeling for added sugar will be more helpful than confusing. Obesity (Silver Spring) 2014;22:2481-4.
  10. Roseman MG, Joung HW, Littlejohn EI. Attitude and behavior factors associated with front-of-package label use with label users making accurate product nutrition assessments. J Acad Nutr Diet 2018;118:904-12.
  11. Kempen EL, Muller H, Symington E, Van Eeden T. A study of the relationship between health awareness, lifestyle behaviour and food label usage in Gauteng. South Afr J Clin Nutr 2012;25:15-21.
  12. Weimer J. Accelerating the trend toward healthy eating: public and private efforts. In: Frazao E, editor. America's eating habits: changes and consequences. Washington, D.C.: US Department of Agriculture, Economic Research Service; 1999. p. 385-401. 
  13. Song J, Brown MK, Tan M, MacGregor GA, Webster J, et al. Impact of color-coded and warning nutrition labelling schemes: a systematic review and network meta-analysis. PLoS Med 2021;18:e1003765.
  14. Emanuel EJ, Osterholm M, Gounder CR. A national strategy for the "new normal" of life with COVID. JAMA 2022;327:211-2.
  15. Kang J, Jang YY, Kim J, Han SH, Lee KR, et al. South Korea's responses to stop the COVID-19 pandemic. Am J Infect Control 2020;48:1080-6.
  16. Slovic P. Understanding perceived risk: 1978-2015. Environment 2016;58:25-9.
  17. Bruine de Bruin W, Bennett D. Relationships between initial COVID-19 risk perceptions and protective health behaviors: a national survey. Am J Prev Med 2020;59:157-67.
  18. Bou Fakhreddine L, Martinez MG, Sanchez M, Schnettler B. Consumers' willingness to pay for health claims during the COVID-19 pandemic: a moderated mediation analysis. J Agric Food Res 2023;11:100523.
  19. Chen Y, Feng J, Chen A, Lee JE, An L. Risk perception of COVID-19: a comparative analysis of China and South Korea. Int J Disaster Risk Reduct 2021;61:102373.
  20. Kowalczuk I, Gebski J. Impact of fear of contracting COVID-19 and complying with the rules of isolation on nutritional behaviors of polish adults. Int J Environ Res Public Health 2021;18:1631.
  21. Grunert KG, Wills JM, Fernandez-Celemin L. Nutrition knowledge, and use and understanding of nutrition information on food labels among consumers in the UK. Appetite 2010;55:177-89.
  22. Kim K, Yang J, Jeon YJ, Lee YJ, Lee Y, et al. The effects of information-seeking behaviours on prevention behaviours during the COVID-19 pandemic: the mediating effects of anxiety and fear in Korea. Epidemiol Health 2021;43:e2021085.
  23. Arfaoui L, Alkhaldy A, Alareeshi A, AlSaadi G, Alhendi S, et al. Assessment of knowledge and self-reported use of nutrition facts labels, nutrient content, and health claims among Saudi adult consumers. J Multidiscip Healthc 2021;14:2959-72.
  24. Maugeri A, Barchitta M, Perticone V, Agodi A. How COVID-19 pandemic has influenced public interest in foods: a Google Trends analysis of Italian data. Int J Environ Res Public Health 2023;20:1976.
  25. Gerritsen S, Egli V, Roy R, Haszard J, De Backer C, Teunissen L, et al. Seven weeks of home-cooked meals: changes to New Zealanders' grocery shopping, cooking and eating during the COVID-19 lockdown. J R Soc N Z 2021;51:S4-S22. 
  26. AlTarrah D, AlShami E, AlHamad N, AlBesher F, Devarajan S. The impact of coronavirus COVID-19 pandemic on food purchasing, eating behavior, and perception of food safety in Kuwait. Sustainability (Basel) 2021;13:8987.
  27. Khuan WS, Lin PKC. COVID-19 pandemic: Malaysians on food label and purchase amid lockdown. Proceedings of International Conference on Advanced Marketing (ICAM)-2021. Sri Lanka: University of Kelaniya; 2021. 
  28. Luo Y, Chen L, Xu F, Gao X, Han D, et al. Investigation on knowledge, attitudes and practices about food safety and nutrition in the China during the epidemic of corona virus disease 2019. Public Health Nutr 2021;24:267-74.
  29. Cowburn G, Stockley L. Consumer understanding and use of nutrition labelling: a systematic review. Public Health Nutr 2005;8:21-8.
  30. Cho JM. Nutrition fact label (NFL) use is related to meeting the requirements for vitamins and minerals not listed on NFLs: data from the Korea National Health and Nutritional Examination Survey VIII (2019-2021) for the prepandemic and pandemic periods. PLoS One 2023;18:e0296268.