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    establishments to display the nutritional content of their food on the menus (Hamblett,2008). So far, in the UK, this has only been introduced on a voluntary basis.

    This exploratory paper considers the impact, and consumer attitudes towards,nutritional labelling in UK restaurants. Previous studies conducted by researchers in

    the field of nutrition and dietetics, (Kozup et al., 2003; Krukowski et al., 2006) havefound a link between label readers and their levels of health, but this research focusedmainly on pre-packaged foods in a supermarket context and not on restaurantproduced meals. In the past, the need for greater health education and the goal ofimproving diet have both played major roles in investigations (Kozup et al., 2003;Krukowski et al., 2006). Very little research has attempted to analyse the consumersperspective and or the extent to which the commercial sector is responsible forensuring healthier eating. What constitutes a healthy diet is still open to continuingdebate and the term healthy and healthy eating is interpreted in this paper as anutritionally balanced approach to eating such as the following of the Guideline DailyAmounts (GDA) on packaged food.

    Food labellingFrom its introduction at the end of the nineteenth century (Turner, 2007) food labellinghas grown in importance to encompass misleading descriptions, food additives,genetically modified ingredients, caffeine levels and food allergens. Thesedevelopments appear to reflect the particular health worries of the general public attheir time of inception (Turner, 2007).

    If a manufacturer, through obligation or choice, provides consumers withnutritional information then the energy value of the item in both kilojoules andkilocalories must appear on the label. Furthermore, amounts (in grams) of protein,carbohydrate and fat which the product contains have to be provided (BNF, 2008).Displaying the amounts of sugars, saturates, fibre and sodium are optional unless a

    nutritional claim has been made (BNF, 2008). With such basic requirements it isperhaps unsurprising that independent organisations such as the Institute of GroceryDistribution (IGD) and the Food Standards Agency (FSA) have produced morerigorous guidelines for food manufacturers to adopt offering consumers a greatercomprehension of what they are buying (FSA, 2008a; IGD, 2006).

    In 1998 the IGD teamed up with the government, consumer organisations and thefood industry to devise parameters for voluntary nutritional labelling on packagedfood (IGD, 2006) advising that manufacturers print the recommended in-take per day ofcertain nutritional elements on their food packaging. These Guideline Daily Amounts(GDAs), varied according to gender and age (IGD, 2006) and when the scheme waslaunched the GDAs featured information on calories, total fat and saturated fat. Thishas been extended to include carbohydrate, sugars, protein, fibre and salt (IGD, 2006).

    Founded in 2000, the FSA is an independent government department whichattempts to protect the publics health and consumer interests in relation to food(FSA, 2008b). The FSA is concerned not only with the food we eat but with what it issold in and how it is labelled (FSA, 2008c). The idea of their traffic light system is toprovide at-a-glance information if the food you are thinking about buying has high,medium or low amounts of fat, saturated fat, sugars and salt (FSA, 2008a). A red lightindicates that the product is high in one of these nutrients and should, therefore, beeaten only occasionally. A green light means the food is low in that nutrient and can be

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    consumed more frequently (FSA, 2008a). Buyers are encouraged to go for more greensand ambers, and fewer reds in order to make the healthier choice (FSA, 2008a). Boththe FSAs traffic light system and the IGDs Guideline Daily Amounts would claim tocontribute to improving consumers nutritional awareness, however, these labelling

    systems were originally designed for pre-packed foods and are unlikely to be effectivein a restaurant environment (Kuhn, 2007).

    Food labelling is a phenomenon which continues to evolve through changes in thelaw and public demand. With eating out on the increase (Guthrie et al., 2002; BoroVeiros et al., 2006; Walton, 2008), the future of food labelling will lie in systems whichthe hospitality industry can adopt easily and cheaply (Kozup et al., 2003; Douglas,2007). Without such initiatives it may be challenging for restaurants to provide suchinformation.

    Food labelling in restaurantsIn the USA, since the mid-1990s, the US Congress has been under pressure to rule it

    compulsory for restaurants to provide nutritional information to customers (Boger,1995). Kozup et al. (2003, p. 33) argued that if restaurants were required to disclosenutrition levels for at least very unhealthy items, it would affect purchase behaviourfor many consumers and probably motivate restaurants to improve the nutritionalquality of such items. Their research concludes that consumers are capable of usinghealth claims and nutritional information to select healthy options; however, they maylack the necessary information and motivation especially when in restaurants.Finkelstein et al. (2004) agree that mandatory nutritional labelling on restaurant menuscould have an impact on health but stress that its effects will not be significant ifconsumers do not know how to use the information effectively. Awareness of thehealth effects of the specific attributes listed, as well as consumers having the time, orthe inclination, to read these labels will also impact on their success in the reduction of

    obesity and disease (Finkelstein et al., 2004).In 2008 a judge ruled that over 15 New York City restaurants including McDonalds,

    Burger King and TGI Fridays, must display the calorific value of each food item ontheir menus (Hamblett, 2008). Consumer research, reported in the New York Times,indicated that the majority of New Yorkers welcomed the new law [New York HealthCode 81.50 (NYCHC 81.50)] (Saul, 2008). However, the local Restaurant Associationattempted to block this decision (Paton, 2008b). Their rearguard action was eventuallydismissed on the grounds that the provision of calorific data related to thegovernmental policy of providing consumers with accurate nutritional information(Hamblett, 2008). More surprisingly, perhaps, the President of the New York ObesitySociety, Dr David B. Allison, also voiced his concerns (Saul, 2008). He warned thatdisplaying nutritional information could increase the temptation of forbidden foodsor prevent consumers from dining at all thus, encouraging them to binge later (Saul,2008).

    In the UK, nutritional labelling on restaurant menus is equally controversial. Areport in The Daily Telegraph in November 2007 claimed the FSA could forcerestaurants to adopt their traffic light labelling system to inform consumers of levels ofsugar, salt and fat in their offerings (Sibun, 2007). The FSA swiftly denied the claim,explaining that although they had talked with restaurants about introducing healthiermenu options they had not discussed the implementation of the traffic light scheme

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    (Kuhn, 2007). The FSA verified their stance by stating that although they supportedNYCHC 81.50, there were no immediate plans to introduce a similar law to the UK(Paton, 2008a). They admitted that their traffic light scheme is not entirely suitable foruse within the hospitality industry stating that there isnt a one-size-fits-all approach

    for what is a very diverse sector (Paton, 2008a, p. 8). This attitude could bemisinterpreted as ducking the issue. If New York policy makers have devised alabelling system which works in their restaurants, it is unlikely that there is noappropriate solution available to the UK.

    Without appropriate legislation, encouraging the hospitality industry to displaysuch information will be challenging. Glanz et al.s (2007) investigation of how chainrestaurants plan their menus found that increasing sales and profits were their mainobjectives. Amongst the 41 casual dining restaurants investigated, there wereindications that healthier menus and nutritional information were only made availableif there was sufficient consumer demand (Glanz et al., 2007; Stockley et al., 2007). Thissuggests that an understanding of consumers needs in terms of healthy options andnutritional labelling on restaurant menus is important.

    The National Restaurant Association of America revealed in a survey that 25 percent of consumers had, at one point, restricted their diet, whilst 40 per cent looked forlow fat items in restaurants (Palmer and Leontos, 1995). Indeed, as customer awarenessof the importance of healthier eating increases (Glanz et al., 2007), desire for moreinformation regarding meals on sale has also increased (Boger, 1995). Chainsmarketing themselves as a healthy alternative have grown at a greater rate thancompanies without this overt approach (Wansink and Chandon, 2007).

    Nutritional information available to consumers varies substantially betweenrestaurants (Kozup et al., 2003). In establishments where the information is found, itspresentation and content are diverse (Kozup et al., 2003) with most chain restaurantsproviding this data on leaflets or company web pages rather than menus (Yamamoto

    et al., 2005). Yamamoto et al. (2005) assert that restaurateurs fear nutritionalinformation may affect ordering behaviour and have a detrimental effect on revenue.Glanz et al. (2007, p. 386) suggest that consumers are more likely to pick items brandedlow fat or low calorie rather than checking statistics relating to hydrogenated fats,carbohydrate and sodium. These labels are enough to persuade consumers that theyare eating healthily.

    Financial and operational obstacles play a major role in the reluctance of manyrestaurants, particularly small and medium enterprises, to publish nutritionalinformation on their menus. Almanza et al. (1997) highlight that once a company hascommitted to such a scheme it faces difficulties in its implementation, for examplelimited space on the menu or loss of flexibility. More recently restaurants have alsoexpressed concerns about libel risks as estimates of nutritional information in

    restaurants are prone to error (Yamamoto, 2005).As acknowledged by the FSA, the primary difficulty for restaurants is that no

    appropriate labelling system exists (Paton, 2008b). Some foodservices believe itunfeasible to meet the required three grams of fat or less per serving which allows anitem to be labelled low fat (Boger, 1995, p. 67). For example, packaged food can bedesigned so that it is sold in serving sizes of three or more. However, if a restaurantpromoted large serving sizes it would be ridiculous for them to label one meal assuitable for three or more customers. Almanza et al. (1997) suggests consumers must

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    what the individual had eaten earlier. One member of FGB claimed that the more sheate out, the more conscious she became of the choices she made and, when trying to behealthy, knew never to pick deep-fried dishes or those containing cream.

    There was less enthusiasm toward nutritional labelling in more exclusive eateries

    with the expectation that this would detract from the dining experience. One participant(FGB) was horrified at the thought of looking at nutritional labelling on restaurantsmenus counting calories . . . thats an anti-social thing you do individually. If youreeating out . . . it seems less appropriate. In FGA one participant searched for calorieinformation on internet web sites before dining out, but did not want to see it on themenu. One member of FGA was concerned that forcing restaurants to reveal nutritionalinformation, would reduce creativity in the kitchen and food would become boring. InFGC one participant was concerned that everything suddenly becomes low calorie,dressings with all their artificial additives and it tastes a bit unpleasant.

    On the menu used in the exercise some, seemingly, healthy options on the menu hadlarge calorie counts, e.g. Goats Cheese Salad at 1,300 calories. Participants in bothFGA and FGC were annoyed at being misled by this. One participant stated that shewould rather have steak than salad when there was only 50 calories between them.Most of the participants agreed that if nutritional information had been presented withthe menus they would have chosen different items.

    The question of responsibility to ensure effective schemes are implemented was metwith a mixed response. One participant in FGB had a strong opinion that theresponsibly to provide consumers with food of a nutritionally high quality lay with thegovernment and sympathy for restaurants was evident in the focus groups with oneparticipant in FGB suggesting that compulsory labelling would create an unfairadvantage for large corporation with greater capital and small restaurants without themeans to comply with guidelines would struggle.

    All three groups suggested that the onus was on the individual. However, FGC felt

    that in order to assume responsibility, consumers must be provided with the correcttools, e.g. menu labelling.

    ConclusionsThe significant growth in food labelling does not, in itself, give consumers theknowledge to make informed choices. Without a clear understanding of how thisinformation can improve ones health, the advantages are lost. Nutritional labelling onrestaurant menus is more likely to be accepted in popular catering and fast foodestablishments where consumers eat regularly and predominantly for sustenance and,where such information is available. Similar schemes in fine-dining restaurants may beviewed less-favourably by customers. Given the economic considerations, New Yorkhas, perhaps, targeted larger restaurant chains because these establishments canafford it, and because their customers may need it most.

    Whether the restaurant industry has a role to play in improving the health of thenation is not resolved by this paper. Restaurants have many obstacles to overcome inorder to produce accurate nutritional information for each menu item and there is noevidence that consumers in fine-dining desire nutritional labelling anyway. In the focusgroups, some participants seemed to be satisfied with information which gave a generalimpression of nutritional value rather than precise figures and others felt that too muchinformation was confusing, and, that counting calories was anti-social. There is also a

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    risk to creativity if chefs are forced to declare every ingredient used and follow stricternutritional guidelines. Equally though, there is a need for a nutritionally balancedapproach to menu creation and it is this, rather than rigorously analysed calorificchoices, that may be beneficial to both public health and the restaurant industry.

    No labelling system or legislation can control the choices made by individuals andtherefore the responsibility to select nutritional balanced food is personal. Thedifficulties of standardisation and the high costs involved in providing precisenutritional information suggest it would difficult for small businesses to achieve andthese may be put at risk of closure if forced to scientifically calculate nutritional values.Without an appropriate, holistic, restaurant nutritional labelling system, there appearsto be little point in the hospitality industry endeavouring to provide information thatmany customers may ignore or not understand.

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    Corresponding authorMatthew Alexander can be contacted at: [email protected]

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