Understanding of the Nutri-Score front-of-pack label by Italian Medical Professionals and its effect on food choices: a web-based study on knowledge, attitudes and practices

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Matteo Riccò http://orcid.org/0000-0002-6525-2159
Silvia Ranzieri
Federica Balzarini
Luigi Vezzosi
Federico Marchesi
Marina Valente
Simona Peruzzi


Italian consumers, Nutri-Score, Knowledge, Attitudes, Practices, food choices, front-of-pack nutrition label, nutritional labeling


Background and aim. A growing number of European Countries have adopted front-of-pack nutrition labels (FPNL) in order to assist costumers’ alimentary choices, and particularly Nutri-Score. While its acceptance in Italy has been slowed by ongoing debates, we assessed corresponding knowledge, attitudes and practices of a sample of Italian Medical Professionals (MP).

Methods. A total of 153 MP participated into an internet-based survey by completing a structured questionnaire. While 43.1% reported any knowledge of Nutri-Score, the overall understanding of its conceptual issues was quite low (50.8% after percentual normalization of the knowledge score). Only half of participants acknowledge some usefulness of FPNL, and their acceptance as a guide for nutritional choices was seemingly low (36.6%), being more likely in MP participants from Northern regions (Odds Ratio 9.610, 95% confidence intervals 2.667-34.637), living with children < 14 year or age (3.658, 1.463-9.145), and perceiving some usefulness in FPNL (3.595, 1.381-9.356). In turn, having any knowledge of Nutri-Score and being of male gender were negative effects.

Conclusions. Nutri-Score is a useful instrument in guiding consumers’ alimentary choices, but the actual understanding of its rationale by participants MP was insufficient. Specifically aimed interventions should be tailored in order to cope with a significant share of MP reporting false beliefs and misunderstanding.


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