@article{3d2b644032804f239c727fe1d30875a5,
title = "Mandating front-of-package food labels in the U.S. – What are the First Amendment obstacles?",
abstract = "Front-of-package (FOP) food labels are symbols, schemes, or systems designed to communicate concise and useful nutrition-related information to consumers to facilitate healthier food choices. FOP label policies have been implemented internationally that could serve as policy models for the U.S. However, the First Amendment poses a potential obstacle to U.S. government-mandated FOP requirements. We systematically reviewed existing international and major U.S.-based nutrition-related FOP labels to consider potential U.S. policy options and conducted legal research to evaluate the feasibility of mandating a FOP label in the U.S. We identified 24 international and 6 U.S.-based FOP labeling schemes. FOP labels which only disclosed nutrient-specific data would likely meet First Amendment requirements. Certain interpretive FOP labels which provide factual information with colors or designs to assist consumers interpret the information could similarly withstand First Amendment scrutiny, but questions remain regarding whether certain colors or shapes would qualify as controversial and not constitutional. Labels that provide no nutrient information and only an image or icon to characterize the entire product would not likely withstand First Amendment scrutiny.",
keywords = "First Amendment, Food labels, Front-of-pack",
author = "Pomeranz, {Jennifer L.} and Parke Wilde and Dariush Mozaffarian and Renata Micha",
note = "Funding Information: This research was supported by the NIH , NHLBI ( R01 HL130735 ). The funding agencies did not contribute to design or conduct of the study; collection, management, analysis, or interpretation of the data; preparation, review, or approval of the manuscript; or decision to submit the manuscript for publication. Funding Information: The authors thank all of the collaborators and advisory groups in the Food Policy Review and Intervention Cost-Effectiveness (Food-PRICE) project (www.food-price.org). The authors wish to thank Nicole Gracias, Gabriella Bolanos, and Joshua Arshonsky for their stellar research assistance. This research was supported by the NIH, NHLBI (R01 HL130735). The funding agencies did not contribute to design or conduct of the study; collection, management, analysis, or interpretation of the data; preparation, review, or approval of the manuscript; or decision to submit the manuscript for publication. All authors report support from NIH grants during the conduct of the study. In addition, Dr. Micha reports research funding from Unilever and personal fees from the World Bank and Bunge; and Dr. Mozaffarian, personal fees from Astra Zeneca, Acasti Pharma, GOED, DSM, Haas Avocado Board, Nutrition Impact, Pollock Communications, Boston Heart Diagnostics, Bunge, and UpToDate; all outside the submitted work. Funding Information: All authors report support from NIH grants during the conduct of the study. In addition, Dr. Micha reports research funding from Unilever and personal fees from the World Bank and Bunge; and Dr. Mozaffarian, personal fees from Astra Zeneca, Acasti Pharma, GOED, DSM, Haas Avocado Board, Nutrition Impact, Pollock Communications, Boston Heart Diagnostics, Bunge, and UpToDate; all outside the submitted work. Publisher Copyright: {\textcopyright} 2019 Elsevier Ltd",
year = "2019",
month = jul,
doi = "10.1016/j.foodpol.2019.05.005",
language = "English (US)",
volume = "86",
journal = "Food Policy",
issn = "0306-9192",
publisher = "Elsevier B.V.",
}