Impact of out-of-home nutrition labelling on people with eating disorders: a systematic review and meta-synthesis
Objectives Mandatory nutrition labels for out-of-home food consumption have been introduced in several countries to curb rising obesity levels. However, concerns have been raised about the potential negative impacts of such policies on individuals with eating disorders. This review aimed to summaris...
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Public Health |
| Online Access: | https://bmjpublichealth.bmj.com/content/3/1/e000862.full |
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| author | Lucy Serpell Dasha Nicholls Ulrike Schmidt Tom Jewell Nora Trompeter Fiona Duffy Imogen Peebles Emily Wadhera Kate Chambers Helen Sharpe Ellen Maloney |
| author_facet | Lucy Serpell Dasha Nicholls Ulrike Schmidt Tom Jewell Nora Trompeter Fiona Duffy Imogen Peebles Emily Wadhera Kate Chambers Helen Sharpe Ellen Maloney |
| author_sort | Lucy Serpell |
| collection | DOAJ |
| description | Objectives Mandatory nutrition labels for out-of-home food consumption have been introduced in several countries to curb rising obesity levels. However, concerns have been raised about the potential negative impacts of such policies on individuals with eating disorders. This review aimed to summarise the literature on the impact of out-of-home nutrition labels on individuals with eating disorders or disordered eating.Design A systematic search across eight databases was conducted on 11 October 2023.Data sources MEDLINE, EMBASE, APA PsycINFO, Web of Science, ProQuest Dissertations and Theses Global, Scopus and CINAHL. Unpublished studies were searched for on Google Scholar and PsyArXiv.Eligibility criteria Studies were included if they assessed the impact of out-of-home nutrition labelling policies on individuals with eating disorders or disordered eating.Data extraction and synthesis 538 studies were screened, of which 16 studies met inclusion criteria.Results The reviewed studies included five experimental/quasi-experimental studies, five cross-sectional studies and six qualitative/mixed-methods studies. Across studies, eating disorder pathology was associated with noticing labels more frequently, paying more attention to caloric intake and more frequent behaviour changes due to caloric values. The metasynthesis identified five themes based on the qualitative findings, being drawn to calories, facilitating the eating disorder, reassurance, social eating and frustration.Conclusions The current review summarised the existing literature on the impact of out-of-home nutrition label policies on individuals with eating disorders. The evidence suggests that there is cause for concern regarding negative impacts, particularly for those with restrictive eating disorders, which should be explored further by research and considered by policymakers when making decisions on public health policies. |
| format | Article |
| id | doaj-art-7031b85bd93d41e1af7a9e23e6d0fbc4 |
| institution | Kabale University |
| issn | 2753-4294 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Public Health |
| spelling | doaj-art-7031b85bd93d41e1af7a9e23e6d0fbc42025-01-29T12:30:09ZengBMJ Publishing GroupBMJ Public Health2753-42942025-01-013110.1136/bmjph-2023-000862Impact of out-of-home nutrition labelling on people with eating disorders: a systematic review and meta-synthesisLucy Serpell0Dasha Nicholls1Ulrike Schmidt2Tom Jewell3Nora Trompeter4Fiona Duffy5Imogen Peebles6Emily Wadhera7Kate Chambers8Helen Sharpe9Ellen Maloney10University College London, London, UK1 Imperial College London, London, UKKing`s College London, London, UKGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UKUniversity College London, London, UKNHS Lothian Child and Adolescent Mental Health Services, Royal Edinburgh Hospital, Edinburgh, UKNHS Lothian Child and Adolescent Mental Health Services, Royal Edinburgh Hospital, Edinburgh, UKKing`s College London, London, UKKing`s College London, London, UKClinical Psychology, University of Edinburgh School of Health in Social Science, Edinburgh, UKClinical Psychology, University of Edinburgh School of Health in Social Science, Edinburgh, UKObjectives Mandatory nutrition labels for out-of-home food consumption have been introduced in several countries to curb rising obesity levels. However, concerns have been raised about the potential negative impacts of such policies on individuals with eating disorders. This review aimed to summarise the literature on the impact of out-of-home nutrition labels on individuals with eating disorders or disordered eating.Design A systematic search across eight databases was conducted on 11 October 2023.Data sources MEDLINE, EMBASE, APA PsycINFO, Web of Science, ProQuest Dissertations and Theses Global, Scopus and CINAHL. Unpublished studies were searched for on Google Scholar and PsyArXiv.Eligibility criteria Studies were included if they assessed the impact of out-of-home nutrition labelling policies on individuals with eating disorders or disordered eating.Data extraction and synthesis 538 studies were screened, of which 16 studies met inclusion criteria.Results The reviewed studies included five experimental/quasi-experimental studies, five cross-sectional studies and six qualitative/mixed-methods studies. Across studies, eating disorder pathology was associated with noticing labels more frequently, paying more attention to caloric intake and more frequent behaviour changes due to caloric values. The metasynthesis identified five themes based on the qualitative findings, being drawn to calories, facilitating the eating disorder, reassurance, social eating and frustration.Conclusions The current review summarised the existing literature on the impact of out-of-home nutrition label policies on individuals with eating disorders. The evidence suggests that there is cause for concern regarding negative impacts, particularly for those with restrictive eating disorders, which should be explored further by research and considered by policymakers when making decisions on public health policies.https://bmjpublichealth.bmj.com/content/3/1/e000862.full |
| spellingShingle | Lucy Serpell Dasha Nicholls Ulrike Schmidt Tom Jewell Nora Trompeter Fiona Duffy Imogen Peebles Emily Wadhera Kate Chambers Helen Sharpe Ellen Maloney Impact of out-of-home nutrition labelling on people with eating disorders: a systematic review and meta-synthesis BMJ Public Health |
| title | Impact of out-of-home nutrition labelling on people with eating disorders: a systematic review and meta-synthesis |
| title_full | Impact of out-of-home nutrition labelling on people with eating disorders: a systematic review and meta-synthesis |
| title_fullStr | Impact of out-of-home nutrition labelling on people with eating disorders: a systematic review and meta-synthesis |
| title_full_unstemmed | Impact of out-of-home nutrition labelling on people with eating disorders: a systematic review and meta-synthesis |
| title_short | Impact of out-of-home nutrition labelling on people with eating disorders: a systematic review and meta-synthesis |
| title_sort | impact of out of home nutrition labelling on people with eating disorders a systematic review and meta synthesis |
| url | https://bmjpublichealth.bmj.com/content/3/1/e000862.full |
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