American Journal of Preventive Medicine · 2026 · Vol. 70, No. 5, 108222
Impact of the Food and Drug Administration’s Proposed Front-of-Package Label and Alternative Designs on Consumer Understanding: A Randomized Experiment
In January 2025, the Food and Drug Administration proposed mandating Nutrition Info front-of-package labels, which would indicate whether packaged foods are low, medium, or high in saturated fat, sodium, and added sugars. This online randomized trial of 5,636 U.S. adults who were primary grocery shoppers tested whether a label similar to the FDA’s proposal improves consumer understanding compared with positive endorsement and other proposed or adopted front-of-package labels. Compared with positive labels, Nutrition Info labels led to the greatest improvements in consumers’ ability to identify the healthier of two products (18.4 percentage points), followed by positive + Nutrition Info, positive + high-in, spectrum, and high-in labels. Effects did not differ by income, education, or race/ethnicity but were larger for participants with higher nutrition literacy. The findings support the FDA’s initiative to implement mandatory front-of-package labels, while noting that Nutrition Info labels may not serve all nutrition literacy groups equally.