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Advancing integrated care for non-communicable diseases across APEC economies

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Nutrition labels can support healthier choices in later life

Food labels are often treated as a small feature of grocery shopping, yet they can influence decisions that accumulate across years. For older adults, clear information about sugar, sodium, saturated fat, fibre and serving size may support the prevention and management of diabetes, obesity and cardiovascular disease. Labels can also help people compare familiar products when dietary needs change after a diagnosis or medication review.

The value of nutrition information becomes clearer within community-based care. A general practitioner, dietitian, pharmacist or community nurse may recommend reducing salt, choosing higher-fibre foods or moderating carbohydrate intake. The label then becomes a practical tool used at the supermarket shelf, in the kitchen and during conversations with family members or carers.

These issues were central to the 2023 APEC Conference on Promoting Community-based Non-Communicable Diseases Integrated Care Model. The event examined ways to connect prevention, primary care and community support for chronic disease, with particular attention to ageing populations. Its conference speakers reflected the range of expertise needed to understand health behaviour, public policy and integrated care.

For Australians, the discussion has a local setting: shopping at Woolworths, Coles, Aldi or an independent grocer; comparing Australian-grown products with imported foods; and adapting meals around family routines, cultural traditions and fixed incomes. Nutrition labelling can assist these decisions, although its effect depends on design, health literacy, eyesight, digital access and the wider food environment.

Why labels matter in later life

Ageing often brings several health considerations at once. A person may need to monitor blood glucose, reduce sodium for blood pressure, increase fibre for digestive health and maintain enough protein to protect muscle. Nutrition panels can help identify trade-offs that are difficult to judge from packaging claims such as “natural”, “light” or “wholesome”.

Older adults may also purchase food for a partner, grandchildren or a household with different needs. A label provides a common reference point when preferences vary. Instead of relying entirely on brand familiarity, shoppers can compare two breakfast cereals, soups or frozen meals using measurable information.

The usefulness of a label is greatest when it supports an existing care plan. An older person who has received specific advice about sodium or saturated fat is more likely to know what to look for. This is why labelling should be understood as part of health communication rather than as a substitute for professional guidance.

What information attracts attention

Front-of-pack elements are usually noticed before the detailed nutrition information on the back or side panel. In Australia, the Health Star Rating can offer a quick comparison within some product categories, while ingredient lists and nutrient panels provide greater detail. A shopper might use the rating to narrow a choice, then check sugar, sodium or serving size before buying.

The order of information matters. Large print, strong contrast and uncluttered design can help people with reduced vision or limited concentration. Terms such as “per 100 grams” are useful for comparison, while “per serving” may be easier for estimating what will actually be eaten. Both figures are valuable because serving sizes can differ substantially between brands.

Older shoppers do not form a single group. Some are confident label readers who use a phone to check products, while others prefer familiar brands or rely on advice from relatives. People from culturally diverse communities may need translated explanations, and those with limited literacy may benefit from symbols and plain language. Effective labelling respects these differences instead of assuming that everyone processes information in the same way.

The Australian shopping environment

Australian supermarkets offer a broad range of packaged foods, including reduced-salt soups, high-fibre cereals, canned legumes and lower-sugar dairy products. They also contain many discretionary foods promoted through price discounts, end-of-aisle displays and prominent packaging. A label may be accurate while the shopping environment continues to make less nutritious choices more visible or convenient.

Cost is a serious consideration for older adults living on the Age Pension or managing rising household bills. A product with a favourable nutrition profile may appear more expensive, even when the relevant comparison is the price per kilogram or the number of serves. Canned vegetables, frozen produce and store-brand staples can sometimes provide practical alternatives, but shoppers need time and confidence to assess them.

Local habits influence how labels are used. A person in Melbourne might compare ready-made meals for a cold evening, while a household in Brisbane may look for lighter options during warmer weather. Weekend barbecues, takeaway meals, morning tea and shared family celebrations also shape food choices. Labels are most helpful when they fit these real routines rather than presenting healthy eating as a separate lifestyle.

Barriers that reduce the impact of labels

Small print is a practical barrier. Glare in brightly lit aisles, crowded shelves and limited time can make a detailed panel hard to read. Arthritis, tremor or reduced dexterity may make it difficult to hold a product close to the eyes. Hearing or vision loss can also affect how people receive advice from health professionals and family members.

Cognitive load is another concern. A shopper may see kilojoules, grams, percentages, serving sizes and several health claims at once. For someone managing multiple conditions, the information can feel contradictory. A lower-fat product may contain more sugar, while a reduced-sodium product may cost more or have a different texture. Simple explanations are needed to turn data into a usable decision.

Health literacy includes the ability to find, understand and apply information. It is shaped by education, language, confidence and previous experience with the health system. Community pharmacists, dietitians, carers and multicultural health workers can explain label terms in familiar settings. Local programs through neighbourhood centres, seniors’ groups and general practices may be more effective than one-off awareness campaigns.

How labels influence food choices

Research on food choice suggests that labels can improve attention to nutrition, especially when comparisons are simple and relevant. A shopper who sees two similar canned meals may choose the one with less sodium or more fibre. Repeated exposure can gradually build familiarity, making healthier decisions faster over time.

The effect is rarely automatic. Taste, price, habit, convenience and cultural expectations remain powerful. A label may encourage a better choice when a person is choosing between similar products, yet it may have little effect when the preferred item is strongly linked to comfort, identity or a family tradition. Product availability also limits the range of possible decisions.

Messages should therefore focus on achievable changes. Choosing water more often, selecting unsalted nuts, adding vegetables to a ready meal or comparing breakfast cereals can be more practical than demanding a complete dietary overhaul. When advice is linked to a person’s medical needs and food preferences, nutrition information is more likely to influence behaviour.

Making label education part of care

Community-based chronic disease programs can teach label reading during group sessions, shopping tours or cooking demonstrations. Participants might compare two pasta sauces, identify the meaning of “per 100 grams” and discuss ways to use a lower-sodium option in a familiar recipe. Practical exercises help connect printed information with everyday action.

Primary care teams can reinforce one or two priorities at a time. Someone with hypertension may begin with sodium, while another person with prediabetes may focus on added sugars, carbohydrate portions and fibre. Written advice should use examples available in the local market, including supermarket own-label products and foods commonly purchased by the patient’s household.

Digital tools may extend this support, but they should not replace accessible packaging or face-to-face help. Some older Australians use supermarket apps, barcode scanners and online grocery services, while others have limited internet access or prefer shopping in person. Hybrid approaches can include printed guides, telephone support and demonstrations at community centres.

The conference’s emphasis on integrated care is relevant here because food choice is affected by more than individual motivation. Health professionals, local governments, retailers, aged-care services and community organisations can coordinate consistent messages. Evidence from a wider clinical research resource can help practitioners assess which communication strategies work for different populations.

Building trust through clearer communication

Trust influences whether an older adult believes a label and uses it. Confusing claims, changing product formulas and aggressive marketing can create uncertainty. Public education should explain the difference between a nutrition claim, a health claim and the detailed nutrient information that supports comparison.

Family members and carers often play an important role. They may shop, prepare meals or help interpret advice after a medical appointment. Including them in label education can reduce misunderstandings, particularly when an older person has memory impairment, limited vision or difficulty managing several dietary recommendations.

Retailers can contribute by placing healthier products where they are easy to find, providing consistent shelf information and avoiding promotions that undermine public health messages. Policymakers can improve the clarity and prominence of key nutrients while evaluating how labelling affects different age groups, income levels and cultural communities.

Materials from the official conference site provide a useful setting for considering these connections between community prevention, chronic disease management and ageing. The central lesson is practical: a label has the greatest effect when people can read it, understand it, afford the food and receive consistent support from the services around them.

Healthier food choices among older adults are built through repeated, manageable decisions. Clear labels can make those decisions easier, especially when supported by trusted professionals, culturally appropriate education and a food environment that offers realistic options. Australian communities can strengthen this approach by turning label literacy into a routine part of diabetes prevention, cardiovascular care and healthy ageing programs.

Use nutrition information as a starting point in consultations, community workshops and supermarket education sessions. Compare similar products, focus on the nutrients that matter for each person’s health needs, and connect label knowledge with affordable meals that suit Australian households.