Labelling
Does Nutri-Score actually change what people buy?
Somewhat. The larger effect may be on manufacturers reformulating to score better, which is not what the debate is usually about.
What the reviews find
A 2025 systematic review of Nutri-Score effectiveness [1] and a review of front-of-pack labelling impact [4] converge: labels shift purchasing in the intended direction, and the shift is small. Criterion validation work [2] addresses a different and prior question — whether the algorithm ranks foods the way nutritional science would — and the answer is broadly yes, with known edge cases.
The dietary indices underlying these systems have also been scrutinised [3], which matters because a profiling algorithm encodes contestable judgements about which nutrients to weight.
Front-of-pack labelling effects
The known edge cases
Critics point to olive oil, nuts and cheese scoring worse than intuition suggests, and to some diet drinks scoring well. Some of this is fair and some misunderstands the design: Nutri-Score compares within categories on a per-100 g basis and is not a verdict on whether a food belongs in a healthy diet.
Recent algorithm revisions addressed several of these cases. The deeper point stands: a single letter cannot encode everything about a food, and treating it as if it does is a misuse rather than a flaw.
What a health claim legally means
In the EU, nutrition and health claims are regulated: only authorised claims with an accepted evidence base may appear, and each is tied to specific conditions of use. "Contributes to normal immune function" is a licensed phrase with a defined basis, not marketing prose.
What is not regulated is everything surrounding it — imagery, provenance language, and terms like "natural" or "wholesome". The regulated claim is often the least misleading statement on the packet.
Common questions
Is Nutri-Score accurate?
Why does olive oil score badly?
Should Nutri-Score be mandatory in the EU?
References
Every citation below links to the original peer-reviewed record on PubMed or via DOI. Nothing here is a substitute for medical advice.
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Efficacy of phytosterols for reduction of cardiometabolic risk factors: An umbrella review of systematic reviews and meta-analyses and updated dose-response meta-analyses of randomized trials Zurbau A, Haintz L, Chen V, et al. · Clinical nutrition (Edinburgh, Scotland) · 2026 · Meta-analysis DOIPubMed 42275989
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Nutri-Score effectiveness in improving consumers' nutrition literacy, food choices, health, and healthy eating pattern adherence: A systematic review Muzzioli L, Scenna D, Frigerio F, et al. · Nutrition (Burbank, Los Angeles County, Calif.) · 2025 · Systematic review DOIPubMed 40712552
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Criterion validation of nutrient profiling systems: a systematic review and meta-analysis Barrett EM, Afrin H, Rayner M, et al. · The American journal of clinical nutrition · 2024 · Meta-analysis DOIPubMed 37863430
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Dietary indices underpinning front-of-pack nutrition labels and health outcomes: a systematic review and meta-analysis of prospective cohort studies Montericcio A, Bonaccio M, Ghulam A, et al. · The American journal of clinical nutrition · 2024 · Meta-analysis DOIPubMed 38145705
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The Potential Effectiveness of Front-of-Pack Nutrition Labeling for Improving Population Diets Kelly B, Ng SH, Carrad A, et al. · Annual review of nutrition · 2024 · Systematic review DOIPubMed 38857543
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The Potential Effectiveness of Nutrient Declarations and Nutrition and Health Claims for Improving Population Diets Kelly B, Ng SH, Carrad A, et al. · Annual review of nutrition · 2024 · Systematic review DOIPubMed 38857539
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Impact of front-of-pack nutrition labelling in consumer understanding and use across socio-economic status: A systematic review Shrestha A, Cullerton K, White KM, et al. · Appetite · 2023 · Systematic review DOIPubMed 37169260
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Lifestyle, psychological and socio-demographic drivers in functional food choice: a systematic literature review based on bibliometric and network analysis Zanchini R, Di Vita G, Brun F · International journal of food sciences and nutrition · 2022 · Systematic review DOIPubMed 35264074
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A Systematic Review of Salt Reduction Initiatives Around the World: A Midterm Evaluation of Progress Towards the 2025 Global Non-Communicable Diseases Salt Reduction Target Santos JA, Tekle D, Rosewarne E, et al. · Advances in nutrition (Bethesda, Md.) · 2021 · Systematic review DOIPubMed 33693460Full text
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Impact of color-coded and warning nutrition labelling schemes: A systematic review and network meta-analysis Song J, Brown MK, Tan M, et al. · PLoS medicine · 2021 · Meta-analysis DOIPubMed 34610024Full text
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Health Benefits of Whey or Colostrum Supplementation in Adults ≥35 Years; a Systematic Review Blair M, Kellow NJ, Dordevic AL, et al. · Nutrients · 2020 · Systematic review DOIPubMed 31979025Full text
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The relationship between food label use and dietary intake in adults: A systematic review Anastasiou K, Miller M, Dickinson K · Appetite · 2019 · Systematic review DOIPubMed 31010704
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Claimed effects, outcome variables and methods of measurement for health claims proposed under European Community Regulation 1924/2006 in the area of blood glucose and insulin concentrations Martini D, Biasini B, Zavaroni I, et al. · Acta diabetologica · 2018 · Clinical guideline DOIPubMed 29383587
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Position of the academy of nutrition and dietetics: functional foods Crowe KM, Francis C · Journal of the Academy of Nutrition and Dietetics · 2013 · Clinical guideline DOIPubMed 23885705
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Review of the efficacy of green tea, isoflavones and aloe vera supplements based on randomised controlled trials Williamson G, Coppens P, Serra-Majem L, et al. · Food & function · 2011 · Systematic review DOIPubMed 21927741
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Position of the American Dietetic Association: functional foods Hasler CM, Brown AC · Journal of the American Dietetic Association · 2009 · Clinical guideline DOIPubMed 19338113
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Effectiveness of regular oat β-glucan-enriched bread compared with whole-grain wheat bread on long-term glycemic control in adults at risk of type 2 diabetes: a randomized controlled trial Hjorth T, Schadow A, Revheim I, et al. · The American journal of clinical nutrition · 2025 · Randomised controlled trial DOIPubMed 40571100Full text
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A randomized controlled trial to test the effects of displaying the Nutri-Score in food advertising on consumer perceptions and intentions to purchase and consume Courbet D, Jacquemier L, Hercberg S, et al. · The international journal of behavioral nutrition and physical activity · 2024 · Randomised controlled trial DOIPubMed 38622707Full text
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The impact of the nutri-score on food choice: A choice experiment in a Dutch supermarket van den Akker K, Bartelet D, Brouwer L, et al. · Appetite · 2022 · Randomised controlled trial DOIPubMed 34453996
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Labels Affect Food Choices, but in What Ways? Kühne SJ, Reijnen E, Granja G, et al. · Nutrients · 2022 · Randomised controlled trial DOIPubMed 35956380Full text
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Nutri-Score and NutrInform Battery: Effects on Performance and Preference in Italian Consumers Fialon M, Serafini M, Galan P, et al. · Nutrients · 2022 · Randomised controlled trial DOIPubMed 36079769Full text
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Impact of different front-of-pack nutrition labels on online food choices Santos O, Alarcão V, Feteira-Santos R, et al. · Appetite · 2020 · Randomised controlled trial DOIPubMed 32798050
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Functional Foods in Modern Nutrition Science: Mechanisms, Evidence, and Public Health Implications Fekete M, Lehoczki A, Kryczyk-Poprawa A, et al. · Nutrients · 2025 · Review DOIPubMed 40647258Full text
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Establishing an EU-wide front-of-pack nutrition label: Review of options and model-based evaluation Devaux M, Aldea A, Lerouge A, et al. · Obesity reviews : an official journal of the International Association for the Study of Obesity · 2024 · Review DOIPubMed 38326224
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Towards unified and impactful policies to reduce ultra-processed food consumption and promote healthier eating Popkin BM, Barquera S, Corvalan C, et al. · The lancet. Diabetes & endocrinology · 2021 · Review DOIPubMed 33865500Full text
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The Influence of Front-of-Package Nutrition Labeling on Consumer Behavior and Product Reformulation Roberto CA, Ng SW, Ganderats-Fuentes M, et al. · Annual review of nutrition · 2021 · Review DOIPubMed 34339293
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Impact of Salt Intake on the Pathogenesis and Treatment of Hypertension Rust P, Ekmekcioglu C · Advances in experimental medicine and biology · 2017 · Review DOIPubMed 27757935
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Appetite control: methodological aspects of the evaluation of foods Blundell J, de Graaf C, Hulshof T, et al. · Obesity reviews : an official journal of the International Association for the Study of Obesity · 2010 · Review DOIPubMed 20122136Full text
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Purchase behavior reported by Mexican adults after implementing the front-of-pack warning labels Sagaceta-Mejia J, Durán R, Munguía A, et al. · Salud publica de Mexico · 2025 · Journal article DOIPubMed 41150992
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[Nutri-Score: A public health tool validated by science and fought by agri-food lobbies] Hercberg S · Bulletin du cancer · 2024 · Journal article DOIPubMed 38565441
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Front-of-pack labels: "Directive" versus "informative" approaches Donini LM, Berry EM, Folkvord F, et al. · Nutrition (Burbank, Los Angeles County, Calif.) · 2023 · Journal article DOIPubMed 36401998
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"Front-of-pack" nutrition labeling Sinu Scientific Board, Sinu Scientific Committee · Nutrition, metabolism, and cardiovascular diseases : NMCD · 2021 · Journal article DOIPubMed 34565661