Physical activity food labelling linked to healthier choices

Labelling food and drink with the amount and type of exercise needed to burn off the calories in it might be a more effective way of encouraging people to make ‘healthier’ choices – according to new research involving the University of East Anglia.

Given that the current system of food labelling by calorie and nutrient content is poorly understood, and there’s little evidence that it is altering purchasing decisions or having any impact on obesity levels, it may be worth trying, suggest the researchers.

If widely applied, it might, on average, shave off up to 195 calories per person per day, they calculate.

Physical activity calorie equivalent or expenditure (PACE) food labelling aims to show how many minutes or miles of physical activity are needed to burn off the calories in a particular food or drink. 

For example, eating 229 calories in a small bar of milk chocolate would require about 42 minutes of walking or 22 minutes of running to burn these off.

The UK Royal Society for Public Health has already called for PACE labelling to replace the current system, but to date, there’s been little strong evidence to back this stance.

The study was led by researchers at the University of Loughborough, together with UEA, and published in the Journal of Epidemiology & Community Health.

The research team trawled research databases and other relevant online resources for studies that compared PACE labelling with other types of food labelling or none for potential impact on the selection, purchase, or consumption of food and drinks (excluding alcohol).

They found 15 relevant randomised controlled trials, and pooled the data from 14 of them. The results showed that when PACE labelling was displayed on food and drink items and on menus, on average, significantly fewer calories - 65 fewer per meal -were selected.

PACE labelling was also associated with the consumption of 80 to 100 fewer calories than no food labelling, or other types of labelling. 

Based on their findings, and average consumption of three meals a day plus two snacks, the researchers suggest that PACE labelling might potentially slice around 200 calories off daily intake.

But they caution, the number of included studies was small, and the design of each varied considerably. Most weren’t carried out in real life settings, such as restaurants and supermarkets.

Dr Helen Parretti, from UEA’s Norwich Medical School, said: “This type of labelling shows some promise in reducing the number of calories selected from menus, as well as the number of calories and the amount of food consumed.

“Even a relatively small reduction in daily calorie intake of around 100 calories a day, combined with a sustained increase in physical activity, is likely to be good for health and could help curb obesity at population level.

“PACE labelling may help people achieve this.”

“PACE labelling is a simple strategy that could be easily included on food and drink packaging by manufacturers, on shelving price labels in supermarkets, or in menus in restaurants and fast-food outlets.

“Public health agencies may want to consider the possibility of including policies to promote it as a strategy that contributes to the prevention and treatment of obesity and related diseases,” she added.

Effects of physical activity calorie equivalent food labelling to reduce food selection and consumption: systematic review and meta-analysis of randomised controlled studies’ is published in the Journal of Epidemiology & Community Health.

Study Medicine at UEA

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