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Chile implemented the Food Labelling and Advertising Law in 2016.
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The law targets foods and beverages high in sugars, saturated fats, salt, or calories.
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The law mandates front-of-package warning labels shaped as black octagons on targeted products.
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The law restricts the sale of targeted food products in schools.
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The law limits food marketing directed at children.
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Researchers analyzed national data on more than 300,000 schoolchildren aged four to six in Chile.
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The study compared children's weight measurements from before the law's implementation with data from the same school grades after the first phase began.
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Children who attended school for 18 months after the introduction of the first phase were less likely to be overweight or have obesity compared to students in the same grades before the law.
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Girls exhibited a 2.9 percent lower risk of overweight or obesity, representing a reduction of 1.4 percentage points from a pre-law rate of 47.7 percent.
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Boys exhibited a 2.4 percent lower risk of overweight or obesity, representing a reduction of 1.2 percentage points from a pre-law rate of 52 percent.
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Six months into the first phase, girls aged four to six showed a 1.9 percent lower risk of overweight or obesity, a reduction of 0.9 percentage points from a pre-law prevalence of 47.4 percent.
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Six months into the first phase, boys aged four to six showed a 2.2 percent lower risk of overweight or obesity, a reduction of 1.2 percentage points from a pre-law prevalence of 52 percent.
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Phases two and three of the law introduced stricter limits on sugars, saturated fats, salt, or calories in 2018 and 2019.
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Weight data for the study was collected by school staff rather than primary health care professionals.
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The researchers noted that establishing plausible causality relies on the assumption that, without the law, the two student cohorts would have followed identical nutrition trends.
Guillermo Paraje, Professor of economics
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"These results offer strong evidence for policymakers around the world. They support mandatory front-of-pack nutrition warning labels, restrictions on unhealthy food in schools, and marketing bans as effective, practical ways to tackle the childhood obesity epidemic."
Nieves Valdes, Associate professor of economics
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"Although the reduction in obesity and overweight risk among young school children may seem modest, it is likely that the further tightening of the law in later years will have increased the impact, especially given evidence that there was a greater drop in sales of labelled food products during Phase 2 of the FLAL compared to Phase 1."
Nieves Valdes, Associate professor of economics
Relevance: supporting · Type: quote
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"Additionally, even a small weight reduction for children who have overweight or obesity is likely to bring meaningful long-term health benefits, given the strong links between childhood obesity and later risk of obesity, diabetes, hypertension, and cardiovascular disease, as well as evidence that early prevention can substantially lower these risks."
Simone Pettigrew, Professor
Relevance: supporting · Type: quote
Confidence100%
"In a policy environment where industry opposition constitutes a formidable obstacle to the implementation of health-promoting policies, high-quality, real-world evidence is critical. In particular, the results highlight the potential for policy suites including mandatory warning labels and marketing restrictions on unhealthy foods and school food minimum standards to produce meaningful outcomes."
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