Medical College Students' Responds to Menu Labeling

Dietary Modification Clinical Trial

Official title:

Medical College Students' Responds to Menu Labeling With or Without Nutrition

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02574052
• Other study ID #: XHEC-C-2014-094
• Status: Completed
• Phase: Phase 3
• First received: October 7, 2015
• Last updated: October 9, 2015
• Start date: October 2014
• Est. completion date: December 2014

Study information

• Verified date: October 2015
• Source: Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
• Contact: n/a
• Is FDA regulated: No
• Health authority: China: Ethics Committee
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to evaluate whether exposure to nutrition information with or without nutrition education would influence college students' dietary choices and improved the previous photographs-based dietary assessment tools.

Description:

1. The investigators improved the previous photographs-based dietary assessment tools and utilized the improved approach to evaluate participants' calorie and nutrients intake.

2. A pre-post non-controlled study design was implemented in the medical college and was divided into three stages: just recording the dietary selection in the three meals daily, recording the dietary selection with the provision of menu labeling accompanying with or without nutrition education. The investigators adopted photographs-based dietary assessment tools and a mobile phone application 'WeChat' was utilized as the photographs and nutrition knowledge transfer platform. Two professional researchers respectively read the received photographs and calculated participants' calorie and nutrients intake.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 120
• Est. completion date: December 2014
• Est. primary completion date: November 2014
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Grade 2012, 2013 undergraduate students and Grade 2013 graduate students

Exclusion Criteria:

• Participants who sent the photographs less than six times in any one of the three meals at any stage

• Participants who did not complete their questionnaires

• Participants who withdrew from the experiment at any stage

Study Design

Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Dietary Modification

Intervention

Behavioral:
• participants' food choices
just recorded the participants' food choices in the school cafeteria
• menu labelling without nutrition education
The investigators provided every participant with a menu labeling without any interpretation and recorded their dietary selections
• menu labelling with nutrition education
The investigators not only sent a menu labeling to every participant, but also delivered nutrition education to participants by providing them with nutrition and health knowledge through WeChat daily.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Xinhua Hospital, Shanghai Jiao Tong University School of Medicine

References & Publications (11)

Chu YH, Frongillo EA, Jones SJ, Kaye GL. Improving patrons' meal selections through the use of point-of-selection nutrition labels. Am J Public Health. 2009 Nov;99(11):2001-5. doi: 10.2105/AJPH.2008.153205. Epub 2009 Sep 17. — View Citation

Conklin MT, Cranage DA, Lambert CU. College students' use of point of selection nutrition information. Top Clin Nutr 2005;20:97-108.

Elbel B, Gyamfi J, Kersh R. Child and adolescent fast-food choice and the influence of calorie labeling: a natural experiment. Int J Obes (Lond). 2011 Apr;35(4):493-500. doi: 10.1038/ijo.2011.4. Epub 2011 Feb 15. — View Citation

Farley TA, Caffarelli A, Bassett MT, Silver L, Frieden TR. New York City's fight over calorie labeling. Health Aff (Millwood). 2009 Nov-Dec;28(6):w1098-109. doi: 10.1377/hlthaff.28.6.w1098. Epub 2009 Oct 6. — View Citation

Finkelstein EA, Strombotne KL, Chan NL, Krieger J. Mandatory menu labeling in one fast-food chain in King County, Washington. Am J Prev Med. 2011 Feb;40(2):122-7. doi: 10.1016/j.amepre.2010.10.019. — View Citation

Harnack LJ, French SA, Oakes JM, Story MT, Jeffery RW, Rydell SA. Effects of calorie labeling and value size pricing on fast food meal choices: results from an experimental trial. Int J Behav Nutr Phys Act. 2008 Dec 5;5:63. doi: 10.1186/1479-5868-5-63. — View Citation

Huybregts L, Roberfroid D, Lachat C, Van Camp J, Kolsteren P. Validity of photographs for food portion estimation in a rural West African setting. Public Health Nutr. 2008 Jun;11(6):581-7. Epub 2007 Aug 9. — View Citation

Lazarte CE, Encinas ME, Alegre C, Granfeldt Y. Validation of digital photographs, as a tool in 24-h recall, for the improvement of dietary assessment among rural populations in developing countries. Nutr J. 2012 Aug 29;11:61. doi: 10.1186/1475-2891-11-61. — View Citation

Martin CK, Correa JB, Han H, Allen HR, Rood JC, Champagne CM, Gunturk BK, Bray GA. Validity of the Remote Food Photography Method (RFPM) for estimating energy and nutrient intake in near real-time. Obesity (Silver Spring). 2012 Apr;20(4):891-9. doi: 10.1038/oby.2011.344. Epub 2011 Dec 1. — View Citation

Roberto CA, Larsen PD, Agnew H, Baik J, Brownell KD. Evaluating the impact of menu labeling on food choices and intake. Am J Public Health. 2010 Feb;100(2):312-8. doi: 10.2105/AJPH.2009.160226. Epub 2009 Dec 17. — View Citation

Sinclair SE, Cooper M, Mansfield ED. The influence of menu labeling on calories selected or consumed: a systematic review and meta-analysis. J Acad Nutr Diet. 2014 Sep;114(9):1375-1388.e15. doi: 10.1016/j.jand.2014.05.014. Epub 2014 Jul 16. Review. — View Citation

* Note: There are 11 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Descriptive Name of Scale: Composite outcome measure of calorie (kcal/day), protein(g/day), fat intake (g/day) and carbohydrate intake (g/day) of participants	Through the receiving photographs the participants took about their three meals, the investigators estimated the calorie content (kcal/day), protein content (g/day), fat content (g/day), carbohydrate content (g/day) participants ate.	up to six weeks	Yes