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Evaluating the Impact of Singapore's Nutri-Grade Beverage Labels on Prepackaged Beverage Purchases and Product
1At the time of the study, Soye Shin and Yan Ning Tan were with the Program in Health Services Research and Population Health, Duke-NUS Medical School, Singapore.
Abstract:
In December 2022, Singapore implemented mandatory Nutri-Grade front-of-pack labels for beverages. Using household scanner data (April 2019-March 2024), we evaluated changes in sugar purchases and product formulation. Households reduced sugar purchases by 3.1 grams per day (-18%), and purchases of unhealthy beverages fell 44%. Reformulation and reassortment lowered sugar content by 1.16 grams per 100 milliliters (-21%) but increased sweetener and lactose use. Higher-income and nutritionally literate households showed larger reductions. Findings support mandatory labeling but highlight equity concerns and supplier substitution risks. (Am J Public Health. 2026;116(7):893-897. https://doi.org/10.2105/AJPH.2026.308476).
