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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Nutr.</journal-id>
<journal-title-group>
<journal-title>Frontiers in Nutrition</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Nutr.</abbrev-journal-title>
</journal-title-group>
<issn pub-type="epub">2296-861X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnut.2025.1619842</article-id>
<article-version article-version-type="Version of Record" vocab="NISO-RP-8-2008"/>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Review</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Implementing climate menu labels in university settings: a narrative review</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Hey</surname> <given-names>Mei-Li</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
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<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Crespi</surname> <given-names>Elizabeth</given-names></name>
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<contrib contrib-type="author">
<name><surname>Yett</surname> <given-names>Ariana</given-names></name>
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<contrib contrib-type="author">
<name><surname>Altema-Johnson</surname> <given-names>Daphene</given-names></name>
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<contrib contrib-type="author">
<name><surname>Wolfson</surname> <given-names>Julia</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
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<contrib contrib-type="author" corresp="yes">
<name><surname>Ramsing</surname> <given-names>Rebecca</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
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<aff id="aff1"><label>1</label><institution>Center for a Livable Future, Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health</institution>, <city>Baltimore, MD</city>, <country country="us">United States</country></aff>
<aff id="aff2"><label>2</label><institution>Department of International Health, Johns Hopkins Bloomberg School of Public Health</institution>, <city>Baltimore, MD</city>, <country country="us">United States</country></aff>
<aff id="aff3"><label>3</label><institution>Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health</institution>, <city>Baltimore, MD</city>, <country country="us">United States</country></aff>
<author-notes>
<corresp id="c001"><label>&#x0002A;</label>Correspondence: Rebecca Ramsing, <email xlink:href="mailto:rramsin2@jhu.edu">rramsin2@jhu.edu</email></corresp>
<fn fn-type="equal" id="fn001"><label>&#x02020;</label><p>These authors have contributed equally to this work and share first authorship</p></fn></author-notes>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2025-11-21">
<day>21</day>
<month>11</month>
<year>2025</year>
</pub-date>
<pub-date publication-format="electronic" date-type="collection">
<year>2025</year>
</pub-date>
<volume>12</volume>
<elocation-id>1619842</elocation-id>
<history>
<date date-type="received">
<day>28</day>
<month>04</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>29</day>
<month>09</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2025 Hey, Crespi, Yett, Altema-Johnson, Wolfson and Ramsing.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Hey, Crespi, Yett, Altema-Johnson, Wolfson and Ramsing</copyright-holder>
<license>
<ali:license_ref start_date="2025-11-21">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<abstract>
<p>Global food systems are a major contributor to climate change, accounting for more than 30% of greenhouse gas emissions (GHGEs). This review synthesizes current evidence on the potential of climate labels (which we define as labels attached to menus or food items with climate impact information) in university dining settings to encourage climate-friendly food decisions. In April 2024, we searched Scopus, ProQuest, Web of Science, and PubMed using developed terms related to climate labels and universities. We identified 280 articles and narrowed down the review to 14 articles based on study setting, language, and scope. Of the 14 studies, 86% (12 articles) observed a decrease in the consumption of foods researchers classified as high emissions, 60% (8 articles) observed a decrease in the consumption of foods classified as medium-emission foods, and 63% (9 articles) observed an increase in the consumption of foods classified as low-emission food. Effects varied by gender and age, with women appearing to experience a greater response to the climate labels, but no observable differences were evident by ethnicity or socio-economic class. Studies that supplemented climate labeling initiatives with sales promotions or resources encouraging consumers to conduct their own emission research also saw favorable results. The studies suggest a small yet detectable shift in consumer behavior in response to climate labels in university dining settings; however, further research is needed on: (1) improving climate label effectiveness, (2) the effect of climate labels among different demographic attributes (e.g., income, ethnicity), and (3) the long-term and spillover effects of the labels on the healthiness of consumer diets, and institutional sourcing practices.</p></abstract>
<kwd-group>
<kwd>climate</kwd>
<kwd>carbon emissions</kwd>
<kwd>label</kwd>
<kwd>university dining</kwd>
<kwd>greenhouse gases</kwd>
</kwd-group>
<funding-group>
<funding-statement>The author(s) declare that financial support was received for the research and/or publication of this article. This research received funding from the Silicon Valley Community Foundation.</funding-statement>
</funding-group>
<counts>
<fig-count count="1"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="58"/>
<page-count count="14"/>
<word-count count="9203"/>
</counts>
<custom-meta-group>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Food Policy and Economics</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
<body>
<sec id="s1">
<label>1</label>
<title>Introduction</title>
<p>Climate change is increasingly recognized as one of the most pressing issues of our time, with severe implications for the environment and health. Food systems are both impacted by and contribute to climate change. An estimated 34% (18 GT) of total annual global greenhouse gas emissions (GHGEs) are attributed to food supply chains (<xref ref-type="bibr" rid="B1">1</xref>).<xref ref-type="fn" rid="fn0003"><sup>1</sup></xref> Substantial reductions in food system GHGEs are needed to limit global average temperature increases to 1.5&#x02013;2 &#x000B0;C (<xref ref-type="bibr" rid="B3">3</xref>) as outlined in the Paris Agreement, and to remain within food system planetary boundaries (<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B5">5</xref>).</p>
<p>The amounts of GHGEs generated from food supply chains vary by several orders of magnitude across food groups, for example, a mean of 1.0 kg CO<sub>2</sub>e<xref ref-type="fn" rid="fn0004"><sup>2</sup></xref> per 100 g peas compared to 99.5 kg CO<sub>2</sub>e per 100 g beef (<xref ref-type="bibr" rid="B6">6</xref>). Thus, diets can produce widely different amounts of GHGEs depending, in large part, on the amounts and composition of animal source foods included (<xref ref-type="bibr" rid="B7">7</xref>). Compared to the status quo, a shift toward diets with lower amounts of GHGE-intensive foods, such as red meat, has the potential to reduce food system GHGEs by 29&#x02013;56% by 2050 (<xref ref-type="bibr" rid="B5">5</xref>).</p>
<p>Over the last few decades, labels highlighting the climate impacts of products (usually the item&#x00027;s GHGEs or other climate indicators) emerged as a key strategy to shift consumers toward more sustainable behaviors and help meet climate mitigation goals (<xref ref-type="bibr" rid="B8">8</xref>&#x02013;<xref ref-type="bibr" rid="B10">10</xref>). Prior evidence supports the effectiveness of labels in shifting consumer behavior (<xref ref-type="bibr" rid="B11">11</xref>). For example, a 2018 meta-analysis found that nutrition labeling reduced consumer energy (kilocalorie) and fat consumption and increased vegetable consumption (<xref ref-type="bibr" rid="B12">12</xref>). The U.S. Energy Star label on appliances reduced CO<sub>2</sub>e emissions associated with household energy use in 2020 by an estimated 400 metric tons (5% of US total GHGEs) (<xref ref-type="bibr" rid="B13">13</xref>).<xref ref-type="fn" rid="fn0005"><sup>3</sup></xref> Even in cases when consumers have little to gain personally from a more environmentally friendly choice, as in the example of dolphin-safe labeling on tuna, labeling can shift consumer behaviors (<xref ref-type="bibr" rid="B14">14</xref>). Some consumers are also willing to pay more for environmentally labeled food products (<xref ref-type="bibr" rid="B15">15</xref>). A 2024 review found that environmental labels on food are particularly effective for individuals who clearly understand the labels or are already concerned about the environmental impact of their food (<xref ref-type="bibr" rid="B16">16</xref>). A 2022 Intergovernmental Panel on Climate Change report similarly concluded that food labeling can be effective in shifting behaviors that lead to positive environmental impacts (<xref ref-type="bibr" rid="B17">17</xref>).</p>
<p>Previous studies have concluded that not all labels are equally effective in changing consumer behavior, and certain design characteristics work better than others for promoting climate friendly food options (<xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B19">19</xref>). These studies vary in setting, label design, classification of GHGE intensity, and messaging about the label and its purpose (<xref ref-type="bibr" rid="B20">20</xref>&#x02013;<xref ref-type="bibr" rid="B22">22</xref>). One popular design for climate labels, for example, is a traffic light label (TLL), a type of ordinal rating label which uses red, yellow, and green labels corresponding to high, medium, and low GHGEs, respectively (<xref ref-type="bibr" rid="B20">20</xref>&#x02013;<xref ref-type="bibr" rid="B22">22</xref>). Labels based on traffic light colors that are simple and easy to read have been shown to be particularly effective at changing consumer behavior (<xref ref-type="bibr" rid="B19">19</xref>).</p>
<p>The potential effectiveness of labeling interventions in influencing consumer behavior can be attributed to two different known mechanisms. First, consumers are often unaware of the environmental costs of food production (<xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B20">20</xref>). Providing clear information about the climate footprint of food items enhances consumer awareness and understanding of the environmental impact associated with their choices (<xref ref-type="bibr" rid="B23">23</xref>, <xref ref-type="bibr" rid="B24">24</xref>), thus allowing consumers to compare products and make more informed decisions aligned with their environmental values (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B23">23</xref>). Second, labels can serve as timely reminders that prompt consumers to consider sustainability factors in their decision-making process, without restricting their freedom of choice (<xref ref-type="bibr" rid="B25">25</xref>). Together, these mechanisms underscore the potential of labeling interventions to foster significant shifts toward sustainable consumption patterns that contribute to broader environmental goals.</p>
<p>While climate labels are used in a range of contexts, for this narrative review, we focus on studies on the use of climate labels in university dining settings, as they offer a unique opportunity to explore behavioral and social dynamics in a controlled yet real-world environment. Universities can operate as living-laboratories that test strategies and facilitate ongoing implementation studies. Universities also serve as environments in which students can influence each other thorough social interactions and group dynamics, which allows researchers to study how climate labeling affects both individual and group behaviors and norms within a community. Finally, behaviors formed during college can persist later in life (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B27">27</xref>), presenting an opportunity to instill long-term habits in diners related to sustainable eating.</p>
<p>To compare studies on the design, implementation, and effect of climate labels in university settings, we conducted a narrative review of the existing literature. There is a range of existing research on climate labels in university settings which, to the best of our knowledge, no other literature review (systematic or otherwise) has summarized to date. Thus, the aim of this study is to address this gap in the current literature, and to contribute to greater understanding of the potential effects of climate labels, best practices in their implementation, and potential areas for future research on climate labels in university settings.</p>
</sec>
<sec id="s2">
<label>2</label>
<title>Methods</title>
<p>We searched Scopus, ProQuest, Web of Science, and PubMed databases in April 2024. We used the following search string, developed in consultation with a university librarian: [(&#x0201C;climate<sup>&#x0002A;</sup>&#x0201D; OR &#x0201C;carbon<sup>&#x0002A;</sup>&#x0201D;) AND (&#x0201C;food<sup>&#x0002A;</sup>&#x0201D; OR &#x0201C;dine&#x0201D; OR &#x0201C;dining&#x0201D; OR &#x0201C;dined&#x0201D; OR &#x0201C;meal<sup>&#x0002A;</sup>&#x0201D;) AND (&#x0201C;college<sup>&#x0002A;</sup>&#x0201D; OR &#x0201C;universit<sup>&#x0002A;</sup>&#x0201D; OR &#x0201C;graduate student<sup>&#x0002A;</sup>&#x0201D; OR &#x0201C;undergraduate student<sup>&#x0002A;</sup>&#x0201D;) AND (&#x0201C;label<sup>&#x0002A;</sup>&#x0201D; OR &#x0201C;nudg<sup>&#x0002A;</sup>&#x0201D; OR &#x0201C;information disclosure<sup>&#x0002A;</sup>&#x0201D; OR &#x0201C;intervention<sup>&#x0002A;</sup>&#x0201D;)]. The search methodology resulted in 451 articles. After removing duplicates identified by Covidence, two researchers reviewed the remaining 280 papers to determine eligibility based on the following inclusion criteria:</p>
<list list-type="order">
<list-item><p>Study is available in English;</p></list-item>
<list-item><p>Study includes primarily university students in the sample and/or takes place in a university setting (e.g., dining hall, cafeteria, or a campus grocery store);</p></list-item>
<list-item><p>Study tests perceptions, effectiveness, or implementation of a menu and/or food item label representing metrics specific to climate change (e.g., carbon or GHG footprint);</p></list-item>
<list-item><p>Study presents new data (e.g., not commentaries).</p></list-item>
</list>
<p>Twenty-one full-text articles were assessed for eligibility, with seven subsequently excluded. <xref ref-type="fig" rid="F1">Figure 1</xref> depicts a PRISMA diagram that outlines this study selection process. This process yielded a final 14 studies from which relevant content (<xref ref-type="table" rid="T1">Table 1</xref>) was then extracted.</p>
<fig position="float" id="F1">
<label>Figure 1</label>
<caption><p>PRISMA diagram.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-12-1619842-g0001.tif">
<alt-text content-type="machine-generated">Flowchart outlining a study selection process. The identification phase begins with 451 studies, reduced to 280 after removing 171 duplicates. During screening, 259 studies are excluded for various reasons. Twenty-one studies are sought for retrieval, with none unavailable. After assessing eligibility, seven are excluded, resulting in 14 studies included in the final review.</alt-text>
</graphic>
</fig>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Summary of studies.</p></caption>
<table frame="box" rules="all">
<thead>
<tr>
<th valign="top" align="left"><bold>Author</bold></th>
<th valign="top" align="center"><bold>Year</bold></th>
<th valign="top" align="left"><bold>Country</bold></th>
<th valign="top" align="left"><bold>Study time frame</bold></th>
<th valign="top" align="left"><bold>Study type</bold></th>
<th valign="top" align="left"><bold>Type of data collection</bold></th>
<th valign="top" align="left"><bold>University setting</bold></th>
<th valign="top" align="left"><bold>Sample size</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Kimura et al. (<xref ref-type="bibr" rid="B39">39</xref>)</td>
<td valign="top" align="center">2010</td>
<td valign="top" align="left">Japan</td>
<td valign="top" align="left">2009</td>
<td valign="top" align="left">Cross-sectional</td>
<td valign="top" align="left">Survey based on a hypothetical scenario</td>
<td valign="top" align="left">Simulation designed to replicate food purchases</td>
<td valign="top" align="left">Survey: <italic>n</italic> = 151</td>
</tr>
<tr>
<td valign="top" align="left">Cholette et al. (<xref ref-type="bibr" rid="B40">40</xref>)</td>
<td valign="top" align="center">2013</td>
<td valign="top" align="left">United States</td>
<td valign="top" align="left">April 2010</td>
<td valign="top" align="left">Cross-sectional</td>
<td valign="top" align="left">Survey based on a hypothetical scenario</td>
<td valign="top" align="left">Simulation designed to replicate food purchases</td>
<td valign="top" align="left">Survey: <italic>n</italic> = 428</td>
</tr>
<tr>
<td valign="top" align="left">Brunner et al. (<xref ref-type="bibr" rid="B30">30</xref>)</td>
<td valign="top" align="center">2018</td>
<td valign="top" align="left">Sweden</td>
<td valign="top" align="left">Two phases from February 1st to March 11th (control) and April 11th to May 27th of 2016 (exposed)</td>
<td valign="top" align="left">Quantitative pre-/post- intervention studies supplemented by an education and outreach campaign with poster and flyers</td>
<td valign="top" align="left">Sales data on number/type of dishes sold</td>
<td valign="top" align="left">Cafeteria with pre-set meal options</td>
<td valign="top" align="left">Control &#x00026; Treatment: 300&#x02013;600 servings</td>
</tr>
<tr>
<td valign="top" align="left">Slap&#x000F8; and Karevold (<xref ref-type="bibr" rid="B32">32</xref>)</td>
<td valign="top" align="center">2019</td>
<td valign="top" align="left">Norway</td>
<td valign="top" align="left">Not reported</td>
<td valign="top" align="left">Quantitative pre-/post- intervention studies with no control supplemented with posters placed in public locations.</td>
<td valign="top" align="left">Sales data on the number/type of dishes sold</td>
<td valign="top" align="left">Cafeteria with pre-set meal options</td>
<td valign="top" align="left">177</td>
</tr>
<tr>
<td valign="top" align="left">Zhao et al. (<xref ref-type="bibr" rid="B37">37</xref>)</td>
<td valign="top" align="center">2020</td>
<td valign="top" align="left">China</td>
<td valign="top" align="left">2015&#x02013;2016</td>
<td valign="top" align="left">Quantitative intervention study; auction experiment; interviews</td>
<td valign="top" align="left">Sales volume; price assigned during bidding; qualitative data</td>
<td valign="top" align="left">Campus grocery store; simulated auction</td>
<td valign="top" align="left">Interviews: <italic>n</italic> = 24; Auction Experiment: <italic>n</italic> = 50; Sales experiment: <italic>n</italic> = 192.</td>
</tr>
<tr>
<td valign="top" align="left">Piester et al. (<xref ref-type="bibr" rid="B35">35</xref>)</td>
<td valign="top" align="center">2020</td>
<td valign="top" align="left">United States</td>
<td valign="top" align="left">Not reported</td>
<td valign="top" align="left">Single-timepoint randomized control trial</td>
<td valign="top" align="left">Survey data, sales data on the number/type of dishes sold</td>
<td valign="top" align="left">Campus cafeteria</td>
<td valign="top" align="left">Study 1: 176; Study 2: 228</td>
</tr>
<tr>
<td valign="top" align="left">Larner et al. (<xref ref-type="bibr" rid="B31">31</xref>)</td>
<td valign="top" align="center">2021</td>
<td valign="top" align="left">England</td>
<td valign="top" align="left">Label intervention: May&#x02013;June 2019.</td>
<td valign="top" align="left">Quantitative pre-/post- intervention studies with no control supplemented with explanatory posters</td>
<td valign="top" align="left">Sales and purchasing data on the number/type of dishes sold</td>
<td valign="top" align="left">Four different campus dining spots: salad bar, coffee shop, caf&#x000E9;, and restaurant</td>
<td valign="top" align="left">Survey: <italic>n</italic> = 643; Interviews: <italic>n</italic> = 66</td>
</tr>
<tr>
<td valign="top" align="left">Malan et al. (<xref ref-type="bibr" rid="B28">28</xref>)</td>
<td valign="top" align="center">2022</td>
<td valign="top" align="left">United States</td>
<td valign="top" align="left">Fall 2019</td>
<td valign="top" align="left">Quantitative pre/post intervention study with non-randomized controls supplemented by posters, table tents and physical signs explaining the study</td>
<td valign="top" align="left">Sales data on the number/type of dishes sold</td>
<td valign="top" align="left">Campus quick service restaurants</td>
<td valign="top" align="left">Intervention = 325,250 entrees; Control = 320,572 entrees</td>
</tr>
<tr>
<td valign="top" align="left">Castellanos et al. (<xref ref-type="bibr" rid="B36">36</xref>)</td>
<td valign="top" align="center">2022</td>
<td valign="top" align="left">United States</td>
<td valign="top" align="left">Study does not mention specific dates, only indicates that CO<sub>2</sub> emissions data was calculated from 6 months of sales data.</td>
<td valign="top" align="left">Qualitative post-intervention interviews supplemented by an education campaign on sustainability.</td>
<td valign="top" align="left">Sales data on dining halls; descriptive qualitative data</td>
<td valign="top" align="left">Campus dining hall</td>
<td valign="top" align="left">Surveys: <italic>n</italic> = 41; Interviews: <italic>n</italic> = 8</td>
</tr>
<tr>
<td valign="top" align="left">Isham et al. (<xref ref-type="bibr" rid="B38">38</xref>)</td>
<td valign="top" align="center">2022</td>
<td valign="top" align="left">England</td>
<td valign="top" align="left">Not reported</td>
<td valign="top" align="left">Cross-sectional online survey</td>
<td valign="top" align="left">Survey based on a hypothetical scenario</td>
<td valign="top" align="left">Simulation designed to replicate liking/willingness to pay</td>
<td valign="top" align="left">Survey: <italic>n</italic> = 100</td>
</tr>
<tr>
<td valign="top" align="left">Lohmann et al. (<xref ref-type="bibr" rid="B29">29</xref>)</td>
<td valign="top" align="center">2022</td>
<td valign="top" align="left">England</td>
<td valign="top" align="left">October 7-December 8, 2019 and Jan 13-March 15 2020</td>
<td valign="top" align="left">Quantitative pre/post intervention study with non-randomized controls</td>
<td valign="top" align="left">Individual-level, meals sales data</td>
<td valign="top" align="left">Campus cafeteria</td>
<td valign="top" align="left">Treatment: 39,053 purchases; Control: 42,348 purchases</td>
</tr>
<tr>
<td valign="top" align="left">Suchier et al. (<xref ref-type="bibr" rid="B41">41</xref>)</td>
<td valign="top" align="center">2023</td>
<td valign="top" align="left">France</td>
<td valign="top" align="left">Not reported</td>
<td valign="top" align="left">Single-timepoint randomized control trial</td>
<td valign="top" align="left">Sales data per &#x0201C;shopping basket&#x0201D;</td>
<td valign="top" align="left">Simulated campus grocery store</td>
<td valign="top" align="left">Survey: <italic>n</italic> = 288</td>
</tr>
<tr>
<td valign="top" align="left">Sun et al. (<xref ref-type="bibr" rid="B33">33</xref>)</td>
<td valign="top" align="center">2024</td>
<td valign="top" align="left">China</td>
<td valign="top" align="left">Control: 12/9&#x02013;12/31/2020. Treatment: 3/8&#x02013;3/31/2021</td>
<td valign="top" align="left">Quantitative pre-/post- intervention studies</td>
<td valign="top" align="left">Sales data on number/type of dish sold</td>
<td valign="top" align="left">Campus canteens</td>
<td valign="top" align="left">Control = 8,755; Treatment = 9,492 participants</td>
</tr>
<tr>
<td valign="top" align="left">Thamer et al. (<xref ref-type="bibr" rid="B34">34</xref>)</td>
<td valign="top" align="center">2024</td>
<td valign="top" align="left">Germany</td>
<td valign="top" align="left">Not reported</td>
<td valign="top" align="left">Quantitative pre-/post- intervention studies with no control</td>
<td valign="top" align="left">Reported number/type of dishes sold</td>
<td valign="top" align="left">Campus cafeteria</td>
<td valign="top" align="left">Participants = 129; Meals = 645</td>
</tr></tbody>
</table>
</table-wrap>
</sec>
<sec id="s3">
<label>3</label>
<title>Results</title>
<sec>
<label>3.1</label>
<title>Overview of included studies</title>
<p>Among the studies reviewed, seven were conducted in Europe, four in the United States, and three in Asia (<xref ref-type="table" rid="T1">Table 1</xref>). All studies were published between 2010 and 2024. Across all studies, the primary objective of labeling was to communicate climate-related information to consumers. Of the 14 studies, 10 implemented actual climate label interventions in campus dining facilities. These 10 studies were conducted in a number of different ways: seven studies compared pre-/post-intervention data with (<italic>n</italic> = 2) (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B29">29</xref>) or without (<italic>n</italic> = 5) (<xref ref-type="bibr" rid="B30">30</xref>&#x02013;<xref ref-type="bibr" rid="B34">34</xref>) control groups; one study conducted a single-timepoint randomized controlled trial comparing treatment and control groups (<italic>n</italic> = 1) (<xref ref-type="bibr" rid="B35">35</xref>), another exclusively focused on collecting qualitative data post-intervention (<italic>n</italic> = 1) (<xref ref-type="bibr" rid="B36">36</xref>), and the last real-world study collected quantitative data pre-intervention, and supplemented this with a live auction experiment and qualitative interviews (<italic>n</italic> = 1) (<xref ref-type="bibr" rid="B37">37</xref>). The remaining four studies included this review utilized online survey experiments, focused on consumer willingness to pay (<xref ref-type="bibr" rid="B38">38</xref>, <xref ref-type="bibr" rid="B39">39</xref>) or hypothetical purchase behaviors (<xref ref-type="table" rid="T1">Table 1</xref>) (<xref ref-type="bibr" rid="B40">40</xref>, <xref ref-type="bibr" rid="B41">41</xref>).</p>
<p>The 10 intervention studies also had varying study lengths and follow-up periods with consumers after labeling. Some studies were sustained for a few days (<xref ref-type="bibr" rid="B31">31</xref>), while others several months (<xref ref-type="bibr" rid="B29">29</xref>). In addition, some of the studies had a follow-up period several months after the intervention (<xref ref-type="table" rid="T1">Table 1</xref>) (<xref ref-type="bibr" rid="B37">37</xref>).</p>
</sec>
<sec>
<label>3.2</label>
<title>Climate label naming, design, placement, and implementation</title>
<p>Across the 14 studies, the climate labels were used to convey information about the GHGE intensity of the menu items. However, the label, design, placement, and implementation all differed. In addition to referring to the labels as &#x0201C;climate labels,&#x0201D; the authors also called them carbon, environmental, or eco labels. Beyond just naming, the specific metrics, calculation methods, groupings, and label designs also varied across studies (<xref ref-type="table" rid="T2">Table 2</xref>).</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p>Label definition, design, and placement in included studies.</p></caption>
<table frame="box" rules="all">
<thead>
<tr>
<th valign="top" align="left"><bold>Author and publication year</bold></th>
<th valign="top" align="left"><bold>Label metric</bold></th>
<th valign="top" align="left"><bold>Label metric calculation</bold></th>
<th valign="top" align="left"><bold>Label categories</bold></th>
<th valign="top" align="left"><bold>Label design (from study)</bold></th>
<th valign="top" align="left"><bold>Label placement</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Kimura et al. (<xref ref-type="bibr" rid="B39">39</xref>)</td>
<td valign="top" align="left">CO<sub>2</sub> emissions per product in grams</td>
<td valign="top" align="left">Fictional CO<sub>2</sub> emission scores estimating industry average for each food product category</td>
<td valign="top" align="left">Low: 10 g below average CO<sub>2</sub> emissions for product category <break/>Medium: average CO<sub>2</sub> emissions <break/>High: 10 g above average CO<sub>2</sub> emissions</td>
<td valign="top" align="left">The black and white image depicts the CO<sub>2</sub>e of a product in a circle (e.g. &#x0201C;60g&#x0201D; for the low CO<sub>2</sub>e condition), with option to click view a breakdown of the carbon emissions. After a user clicks, the product&#x00027;s carbon emissions (by %) is shown, including growth of ingredients, production, packing, transportation, and waste.</td>
<td valign="top" align="left">Underneath a picture of the food item on the online survey</td>
</tr>
<tr>
<td valign="top" align="left">Cholette et al. (<xref ref-type="bibr" rid="B40">40</xref>)</td>
<td valign="top" align="left">CO<sub>2</sub>e emissions of apple</td>
<td valign="top" align="left">No formal calculations</td>
<td valign="top" align="left">Low CO<sub>2</sub>e footprint</td>
<td valign="top" align="left">No design created</td>
<td valign="top" align="left">Hypothetically on the apple</td>
</tr>
<tr>
<td valign="top" align="left">Brunner et al. (<xref ref-type="bibr" rid="B30">30</xref>)</td>
<td valign="top" align="left">kgCO<sub>2</sub>e emissions of entire meal</td>
<td valign="top" align="left">Emissions data from Bryngelsson 2016 (<xref ref-type="bibr" rid="B51">51</xref>), Winther 2009 (<xref ref-type="bibr" rid="B52">52</xref>), Head 2011 (<xref ref-type="bibr" rid="B53">53</xref>)</td>
<td valign="top" align="left">Green: &#x02264; 0.9 kg CO<sub>2</sub>e <break/>Yellow-orange: 0.9&#x02013;2 kgCO<sub>2</sub>e <break/>Red: &#x0003E;2 kgCO<sub>2</sub>e</td>
<td valign="top" align="left"><inline-graphic xlink:href="fnut-12-1619842-i0001.tif"><alt-text content-type="machine-generated">Bar chart displaying different carbon footprint categories. Ranges include: less than or equal to 0.3 kg, 0.3-0.6 kg, 0.6-0.9 kg, 0.9-1.2 kg, 1.2-1.5 kg, 1.5-2 kg, 2-10 kg, and more than 10 kg CO? equivalent, with colors from green to red indicating increasing emissions.</alt-text></inline-graphic></td>
<td valign="top" align="left">Underneath each dish on online and printed menus</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td/>
<td valign="top" align="left">[A breakout of the different emissions ranges associated with specific dishes]. Reproduced from (<xref ref-type="bibr" rid="B30">30</xref>) with permission from Elsevier.</td>
<td/>
</tr>
<tr>
<td valign="top" align="left">Slap&#x000F8; and Karevold (<xref ref-type="bibr" rid="B32">32</xref>)</td>
<td valign="top" align="left">CO<sub>2</sub> footprint of meal</td>
<td valign="top" align="left">No formal calculations</td>
<td valign="top" align="left">Low: vegetarian <break/>Medium: fish <break/>High: meat other than fish</td>
<td valign="top" align="left"><inline-graphic xlink:href="fnut-12-1619842-i0002.tif"><alt-text content-type="machine-generated">Three menu labeling styles for carbon emissions are shown: Traffic-light labeling with red for high and green for low CO2; Single-green labeling with green for low CO2; Single-red labeling with red for high CO2. Each lists a meat, fish, and vegetarian dish.</alt-text></inline-graphic></td>
<td valign="top" align="left">To the left of the meal on the menu board</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td/>
<td valign="top" align="left">[A snapshot of the different ways climate labels was used in the study: TLL labeling, single-green labeling, and single red labeling]. Reproduced from (<xref ref-type="bibr" rid="B32">32</xref>), licensed under <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/deed.en">CC BY 4.0</ext-link>.</td>
<td/>
</tr>
<tr>
<td valign="top" align="left">Piester et al. (<xref ref-type="bibr" rid="B35">35</xref>)</td>
<td valign="top" align="left">Sustainability of entire menu item based on carbon, nitrogen, and water footprints</td>
<td valign="top" align="left">Methods from Leach 2016 (<xref ref-type="bibr" rid="B54">54</xref>)</td>
<td valign="top" align="left">Five groups representing relative environmental impact of menu item</td>
<td valign="top" align="left"><inline-graphic xlink:href="fnut-12-1619842-i0003.tif"><alt-text content-type="machine-generated">Menu section labeled "Entrees" with three dishes: Pad Thai (chicken or tofu) with five green leaves, Nood Sampler (pork or veggie) with four leaves, and Chicken and Broccoli Alfredo (chicken or tofu) with four leaves. The leaves likely represent a vegetarian or health-related indication.</alt-text></inline-graphic></td>
<td valign="top" align="left">Study 1: To right of meal name on menu. Study 2: Had a separate screen with picture of veggie burger and label.</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td/>
<td valign="top" align="left">[Example of a menu with different entrees containing different sustainability scores designated by the different numbers of colored leaves. The more leaves = better environmental impact]. Reproduced from (<xref ref-type="bibr" rid="B35">35</xref>) with permission from Elsevier.</td>
<td/>
</tr>
<tr>
<td valign="top" align="left">Zhao et al. (<xref ref-type="bibr" rid="B37">37</xref>)</td>
<td valign="top" align="left">CO<sub>2</sub>e emissions of milk</td>
<td valign="top" align="left">Emissions data from Zhao 2012 (<xref ref-type="bibr" rid="B55">55</xref>) and Zhao 2018/8/25</td>
<td valign="top" align="left">Low emissions: 200 g CO<sub>2</sub>e emissions</td>
<td valign="top" align="left"><inline-graphic xlink:href="fnut-12-1619842-i0004.tif"><alt-text content-type="machine-generated">The image features the chemical symbol &#x0201C;CO2&#x0201D; with a bright green leaf representing the letter &#x0201C;O&#x0201D;. The leaf signifies environmental focus, and &#x0201C;200g&#x0201D; is written in smaller green font above, indicating weight.</alt-text></inline-graphic></td>
<td valign="top" align="left">On the milk packaging</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td/>
<td valign="top" align="left">[The letter C, next to a leaf with the number 200 g above it]. Reproduced from (<xref ref-type="bibr" rid="B37">37</xref>), licensed under <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/deed.en">CC BY 4.0</ext-link>.</td>
<td/>
</tr>
<tr>
<td valign="top" align="left">Larner et al. (<xref ref-type="bibr" rid="B31">31</xref>)</td>
<td valign="top" align="left">kg CO<sub>2</sub>e of prominent ingredients</td>
<td valign="top" align="left">Methods from Graham 2018 (<xref ref-type="bibr" rid="B56">56</xref>); Emissions data from Clune 2017 (<xref ref-type="bibr" rid="B57">57</xref>).</td>
<td valign="top" align="left">Low emissions: all ingredient kgCO<sub>2</sub>e emissions &#x0003C;4.44</td>
<td valign="top" align="left"><inline-graphic xlink:href="fnut-12-1619842-i0005.tif"><alt-text content-type="machine-generated">Green circular logo featuring a footprint in the center with two curved arrows surrounding it. The words &#x0201C;Low Impact&#x0201D; are written twice, one on each side of the circle.</alt-text></inline-graphic></td>
<td valign="top" align="left">Varied based on venue (e.g., on &#x02018;Low impact foods below&#x00027; magnet in salad bar, on &#x02018;Milk guide&#x00027; in caf&#x000E9; and restaurant)</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td/>
<td valign="top" align="left">[An example of a low impact label: a footprint inside a cycle diagram]. Reproduced from (<xref ref-type="bibr" rid="B31">31</xref>), licensed under <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/deed.en">CC BY 4.0</ext-link>.</td>
<td/>
</tr>
<tr>
<td valign="top" align="left">Castellanos et al. (<xref ref-type="bibr" rid="B36">36</xref>)</td>
<td valign="top" align="left">kgCO<sub>2</sub>e emissions per kg of meal</td>
<td valign="top" align="left">Emissions data from Food Carbon Emissions Calculator</td>
<td valign="top" align="left">Green: bottom 50% kgCO<sub>2</sub>e emissions <break/>Yellow: 50&#x02013;75% <break/>Red: top 25%</td>
<td valign="top" align="left">Menu items or ingredients at the build-your-own meal stations highlighted in colors corresponding to kgCO<sub>2</sub>e</td>
<td valign="top" align="left">On the menu</td>
</tr>
<tr>
<td valign="top" align="left">Isham et al. (<xref ref-type="bibr" rid="B38">38</xref>)</td>
<td valign="top" align="left">Ecological or health impact</td>
<td valign="top" align="left">Research on existing products in the same category</td>
<td valign="top" align="left">Eight groups</td>
<td valign="top" align="left"><inline-graphic xlink:href="fnut-12-1619842-i0006.tif"><alt-text content-type="machine-generated">Illustration of a falafel wrap with text promoting it as a sustainable meal. A nutrition label shows low levels of calories, sugar, fat, and salt. An &#x0201C;Eco Impact&#x0201D; score of A is highlighted.</alt-text></inline-graphic></td>
<td valign="top" align="left">Next to a picture of the food item on the survey</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td/>
<td valign="top" align="left">[A climate label for falafel detailing it&#x00027;s eco impact score, and the carbon, water, land, energy, and earth impact of production]. Reproduced from (<xref ref-type="bibr" rid="B38">38</xref>), licensed under <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/deed.en">CC BY 4.0</ext-link>.</td>
<td/>
</tr>
<tr>
<td valign="top" align="left">Lohmann et al. (<xref ref-type="bibr" rid="B29">29</xref>)</td>
<td valign="top" align="left">gCO<sub>2</sub>e per 100 g of meal</td>
<td valign="top" align="left">Emissions data from Clune 2017 (<xref ref-type="bibr" rid="B57">57</xref>), Poore 2018 (<xref ref-type="bibr" rid="B6">6</xref>), Hilborn 2018 (<xref ref-type="bibr" rid="B58">58</xref>), adapted to British food procurement system</td>
<td valign="top" align="left">Quintiles (per 100 g of meal, lowest 20% had gCO2e &#x0003C;150 and highest 20% had gCO2e &#x0003E;800)</td>
<td valign="top" align="left"><inline-graphic xlink:href="fnut-12-1619842-i0007.tif"><alt-text content-type="machine-generated">A semi-circular gauge displays CO2 footprint per 100 grams. It ranges from green to red, indicating levels: under 150, 250, 500, 800, and over 800. The current value is 142 grams, highlighted in green.</alt-text></inline-graphic></td>
<td valign="top" align="left">Directly above the meal where it is served</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td/>
<td valign="top" align="left">[Emissions data for a specific meal, depicting the CO<sub>2</sub>e and the color coded quantile the emissions fall into]. Reproduced from (<xref ref-type="bibr" rid="B29">29</xref>), licensed under <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/deed.en">CC BY 4.0</ext-link>.</td>
<td/>
</tr>
<tr>
<td valign="top" align="left">Malan et al. (<xref ref-type="bibr" rid="B28">28</xref>)</td>
<td valign="top" align="left">Percent kgCO<sub>2</sub>e contribution of main ingredients to daily footprint of reference diet</td>
<td valign="top" align="left">Methods from Leach 2016 (<xref ref-type="bibr" rid="B54">54</xref>)</td>
<td valign="top" align="left">Low emissions: &#x02264; 25% contribution to CO<sub>2</sub>e of reference diet</td>
<td valign="top" align="left"><inline-graphic xlink:href="fnut-12-1619842-i0008.tif"><alt-text content-type="machine-generated">Icon of a green Earth next to the text &#x0201C;Low Carbon Foodprint&#x0201D; on a light background, representing eco-friendly or sustainable food practices.</alt-text></inline-graphic></td>
<td valign="top" align="left">Next to menu items on online and in-person menus</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td/>
<td valign="top" align="left"><italic>[Depiction of the low carbon footprint label]</italic></td>
<td/>
</tr>
<tr>
<td valign="top" align="left">Suchier et al. (<xref ref-type="bibr" rid="B41">41</xref>)</td>
<td valign="top" align="left">gCO<sub>2</sub>e per 100 g serving</td>
<td valign="top" align="left">Emissions data from Tesco 2012 (<xref ref-type="bibr" rid="B41">41</xref>) and French Agency for Ecological Transition ADEME 2020</td>
<td valign="top" align="left">Inter-TLL: gCO<sub>2</sub>e of all products in the shop or in the same food category <break/>Intra-TLL: <break/>Low: bottom third <break/>Medium: middle third <break/>High: top third</td>
<td valign="top" align="left"><inline-graphic xlink:href="fnut-12-1619842-i0009.tif"><alt-text content-type="machine-generated">Three panels with the text &#x0201C;Information environnementale&#x0201D; each featuring a colored circle: green, yellow, and red from left to right.</alt-text></inline-graphic></td>
<td valign="top" align="left">In the bottom left corner of the icon for each food item on the online store</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td/>
<td valign="top" align="left">[Depiction of the TLL used for both inter and intra-TLL analysis]. Reproduced from (<xref ref-type="bibr" rid="B41">41</xref>), licensed under <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc/4.0/">CC BY-NC 4.0</ext-link>.</td>
<td/>
</tr>
<tr>
<td valign="top" align="left">Sun et al. (<xref ref-type="bibr" rid="B33">33</xref>)</td>
<td valign="top" align="left">kgCO<sub>2</sub>e of dumplings (excluding salts, MSG, soy sauce, vinegar, spices, cooking wine)</td>
<td valign="top" align="left">Emissions data from Xu 2016 and Clune 2017 (<xref ref-type="bibr" rid="B57">57</xref>)</td>
<td valign="top" align="left">Low: bottom 25% kgCO<sub>2</sub>e <break/>Medium: 25-75% kgCO<sub>2</sub>e <break/>High: top 25% kgCO<sub>2</sub>e</td>
<td valign="top" align="left">The label depicts the carbon footprint of 5 different dishes arranged from lowest to highest carbon footprint per kcal. Each number next to the dish is color-coded green, yellow or red based on the carbon footprint. A horizontal scale at the bottom of the label with a color gradient from green to red is provided to show the magnitude of the difference in the carbon footprint across all 5 dishes.</td>
<td valign="top" align="left">On the menu, which was next to the point of sale</td>
</tr>
<tr>
<td valign="top" align="left">Thamer et al. (<xref ref-type="bibr" rid="B34">34</xref>)</td>
<td valign="top" align="left">Presence or absence of meat</td>
<td valign="top" align="left">No formal calculations</td>
<td valign="top" align="left">Single label for vegetarian items</td>
<td valign="top" align="left"><inline-graphic xlink:href="fnut-12-1619842-i0010.tif"><alt-text content-type="machine-generated">A stylized graphic of three green leaves arranged symmetrically, enclosed within a white circle against a teal background.</alt-text></inline-graphic></td>
<td valign="top" align="left">Directly above meal and salad bar and next to items on menu blackboard</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td/>
<td valign="top" align="left">[Example of the vegetarian label applied to menu items]. Reproduced from (<xref ref-type="bibr" rid="B34">34</xref>), licensed under <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/deed.en">CC BY 4.0</ext-link>.</td>
<td/>
</tr></tbody>
</table>
</table-wrap>
<p>Nine of the 14 studies calculated the GHGE intensity of each food item using pre-existing emissions intensity data and/or methodologies from academic papers (<italic>n</italic> = 7) (<xref ref-type="bibr" rid="B28">28</xref>&#x02013;<xref ref-type="bibr" rid="B31">31</xref>, <xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B35">35</xref>, <xref ref-type="bibr" rid="B37">37</xref>) or other online sources (<italic>n</italic> = 2); e.g., Food Carbon Emissions Calculator, French Agency for Ecological Transition (<xref ref-type="bibr" rid="B36">36</xref>, <xref ref-type="bibr" rid="B41">41</xref>). For these nine studies, the label often depicted the g or kg CO<sub>2</sub>e associated with the prominent ingredients in a meal, the entire food item or meal, per 100 g of the meal, or as a percent contribution to the CO<sub>2</sub>e emissions of healthy reference diet (<italic>n</italic> = 8) (<xref ref-type="bibr" rid="B28">28</xref>&#x02013;<xref ref-type="bibr" rid="B31">31</xref>, <xref ref-type="bibr" rid="B36">36</xref>, <xref ref-type="bibr" rid="B37">37</xref>, <xref ref-type="bibr" rid="B41">41</xref>). One study also incorporated nitrogen and water footprints in the label metric (<xref ref-type="bibr" rid="B35">35</xref>). The five studies which did not calculate the GHGE intensity associated with food items, instead labeled dishes based on the general meal type (e.g., vegetarian/non-vegetarian or vegetarian/fish/meat) (<xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B34">34</xref>), randomized use of the label on a uniform product (<xref ref-type="bibr" rid="B40">40</xref>), or used fictional CO<sub>2</sub>e emissions (<xref ref-type="bibr" rid="B39">39</xref>) and ecological impacts (<xref ref-type="bibr" rid="B38">38</xref>) based on data collected on other products in the same category (<xref ref-type="table" rid="T2">Table 2</xref>).</p>
<p>Across the board, the studies were heterogeneous in how the labels categorized and depicted GHGE intensity. Five studies only differentiated food items classified as having low carbon emissions, (<xref ref-type="bibr" rid="B31">31</xref>, <xref ref-type="bibr" rid="B34">34</xref>, <xref ref-type="bibr" rid="B37">37</xref>, <xref ref-type="bibr" rid="B40">40</xref>) five studies created three categories (low, medium, high) (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B36">36</xref>, <xref ref-type="bibr" rid="B39">39</xref>, <xref ref-type="bibr" rid="B41">41</xref>) and four studies depicted a scale (low-high) on their label to convey GHGE intensity (<xref ref-type="bibr" rid="B29">29</xref>, <xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B35">35</xref>, <xref ref-type="bibr" rid="B38">38</xref>). Specific strategies for determining cutoffs for the groupings varied but were often based on GHGE intensity of the food/ingredient being labeled compared to all food items or meals in the study. Throughout this review, we use the authors&#x00027; classifications of labels for our reporting.</p>
<p>Of the 14 studies, 12 employed a color scheme to visually communicate GHG emissions. For the five studies with a single low emissions label, green was generally used as the label color (<xref ref-type="bibr" rid="B31">31</xref>, <xref ref-type="bibr" rid="B34">34</xref>, <xref ref-type="bibr" rid="B37">37</xref>), though one involved no color scheme (<xref ref-type="bibr" rid="B40">40</xref>). For studies with three or more emissions groups (<xref ref-type="bibr" rid="B29">29</xref>, <xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B36">36</xref>, <xref ref-type="bibr" rid="B38">38</xref>, <xref ref-type="bibr" rid="B41">41</xref>), a scale of green for low emissions to red for high emissions items was generally used; however, two used just green (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B35">35</xref>) and one (40) did not include a color scheme (<xref ref-type="table" rid="T2">Table 2</xref>).</p>
<p>For the 10 intervention studies (<xref ref-type="bibr" rid="B28">28</xref>&#x02013;<xref ref-type="bibr" rid="B37">37</xref>), labels were displayed physically on menus (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B35">35</xref>, <xref ref-type="bibr" rid="B36">36</xref>), in the immediate area near where the food was served (<xref ref-type="bibr" rid="B29">29</xref>, <xref ref-type="bibr" rid="B34">34</xref>), on the food item packaging (<xref ref-type="bibr" rid="B37">37</xref>), or next to food items on a digital menu (<xref ref-type="bibr" rid="B35">35</xref>). For the hypothetical survey studies, labels appeared near a photo of the food item (<xref ref-type="bibr" rid="B38">38</xref>, <xref ref-type="bibr" rid="B39">39</xref>, <xref ref-type="bibr" rid="B41">41</xref>) or were described as placed on the food item itself (e.g., a produce sticker) (<xref ref-type="table" rid="T2">Table 2</xref>) (<xref ref-type="bibr" rid="B40">40</xref>).</p>
<p>Five of the 10 intervention studies incorporated additional interventions alongside label implementation for the purpose of enhancing label effectiveness (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B30">30</xref>&#x02013;<xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B36">36</xref>). The supplemental interventions were often informational posters displayed at strategic locations within the dining hall to explain the labeling system and/or sustainability information (e.g., the importance of reducing GHGEs) (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B30">30</xref>&#x02013;<xref ref-type="bibr" rid="B32">32</xref>). Castellanos et al. introduced a secondary intervention involving an educational program aimed at enhancing general sustainability knowledge, though this was the only study of these five studies that found no behavioral effect from the labels (<xref ref-type="bibr" rid="B36">36</xref>). Notably, only the Castellanos et al. study explicitly discussed fidelity, which they use as an implementation outcome to measure whether the intervention was delivered as intended. Based on the results of our narrative review, there are research gaps in understanding the effectiveness of combining labels with other interventions in university dining halls.</p>
</sec>
<sec>
<label>3.3</label>
<title>Climate label impacts</title>
<p>Of the 14 included studies, most tested the effectiveness of climate labels in changing real-world consumer behavior (<italic>n</italic> = 10) or hypothetical behavior changes (<italic>n</italic> = 3). Four of the 13 studies also tested group-level differences in climate label effect. The remaining study tested group-level differences in consumers&#x00027; hypothetical responses to climate labels (<xref ref-type="table" rid="T1">Table 1</xref>). Of the 13 included studies that assessed whether climate labels change consumer behavior, 11 found them to be effective in at least one circumstance; the remaining two, one post-intervention qualitative study of eight students (<xref ref-type="bibr" rid="B36">36</xref>) and one online hypothetical willingness-to-pay (WTP) study of 100 students (<xref ref-type="bibr" rid="B38">38</xref>), found no effect. The following sections describe the studies and the corresponding results in further detail (<xref ref-type="table" rid="T3">Table 3</xref>).</p>
<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption><p>Summary of results and label impact (<italic>n</italic> = 14).</p></caption>
<table frame="box" rules="all">
<thead>
<tr>
<th valign="top" align="left"><bold>Author</bold></th>
<th valign="top" align="left"><bold>Year of publication</bold></th>
<th valign="top" align="left"><bold>Key results</bold></th>
<th valign="top" align="left"><bold>Label impact<sup>&#x0002A;</sup></bold></th>
<th valign="top" align="left"><bold>Were effects heterogenous? If not&#x02014;what group experienced a higher impact?</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Kimura et al. (<xref ref-type="bibr" rid="B39">39</xref>)</td>
<td valign="top" align="left">2010</td>
<td valign="top" align="left">Accessibility of information combined with carbon emissions can affect consumer attitudes. The climate label creates value for the product only when participants actively search for the information.</td>
<td valign="top" align="left">&#x0002B;</td>
<td valign="top" align="left">Not assessed</td>
</tr>
<tr>
<td valign="top" align="left">Cholette et al. (<xref ref-type="bibr" rid="B40">40</xref>)</td>
<td valign="top" align="left">2013</td>
<td valign="top" align="left">Female and older individuals were more likely to select climate-friendly food regardless of their financial situation. The probability of an individual choosing a climate-friendly option regardless of their financial situation was higher among white students than from other ethnic groups. As respondents grow older and gain wealth, they tend to choose climate friendly options more frequently.</td>
<td valign="top" align="left">N/A</td>
<td valign="top" align="left">Female, white, and older participants</td>
</tr>
<tr>
<td valign="top" align="left">Brunner et al. (<xref ref-type="bibr" rid="B30">30</xref>)</td>
<td valign="top" align="left">2018</td>
<td valign="top" align="left">Sales of green labeled (low emission) meat dishes experienced the only significant change, increasing by 11.5% compared to the control phase.</td>
<td valign="top" align="left">&#x0002B;</td>
<td valign="top" align="left">Not assessed</td>
</tr>
<tr>
<td valign="top" align="left">Slap&#x000F8; and Karevold (<xref ref-type="bibr" rid="B32">32</xref>)</td>
<td valign="top" align="left">2019</td>
<td valign="top" align="left">TLL label: Sales of red-labeled dishes fell 9%; green- and yellow- labeled dish sales did not change. Single green or red label: No change in sales for any dish.</td>
<td valign="top" align="left">&#x0002B;</td>
<td valign="top" align="left">Not assessed</td>
</tr>
<tr>
<td valign="top" align="left">Piester et al. (<xref ref-type="bibr" rid="B35">35</xref>)</td>
<td valign="top" align="left">2020</td>
<td valign="top" align="left">A higher percentage of women (females) in the intervention (vs. control) group purchased climate friendly meals (&#x0003E;4 leaves) (38% vs. 6%) and vegetarian items (26% vs. 7%); no difference observed for men.</td>
<td valign="top" align="left">&#x0002B;</td>
<td valign="top" align="left">Females</td>
</tr>
<tr>
<td valign="top" align="left">Zhao et al. (<xref ref-type="bibr" rid="B37">37</xref>)</td>
<td valign="top" align="left">2020</td>
<td valign="top" align="left">Depending on price, 56&#x02013;79% of participants purchased carbon labeled over non-carbon labeled milk; the mean percentage of bidders was 16% higher for carbon-labeled vs. non-carbon labeled milk.</td>
<td valign="top" align="left">&#x0002B;</td>
<td valign="top" align="left">Not assessed</td>
</tr>
<tr>
<td valign="top" align="left">Larner et al. (<xref ref-type="bibr" rid="B31">31</xref>)</td>
<td valign="top" align="left">2021</td>
<td valign="top" align="left">Medium and low emissions ingredient use in the salad bar, dairy milk use in the cafe, and low impact sales values in the burger bar decreased. The use of oat milk in the cafe and medium and high impact sales value in the burger bar increased. With a label and sales promotion, beef burger sales fell 35.5%, chicken burger sales increased 20.3%, and meat-free burger sales increased 15.1%.</td>
<td valign="top" align="left">&#x0002B;</td>
<td valign="top" align="left">Not assessed</td>
</tr>
<tr>
<td valign="top" align="left">Lohmann et al. (<xref ref-type="bibr" rid="B29">29</xref>)</td>
<td valign="top" align="left">2022</td>
<td valign="top" align="left">The market share of high-impact meals fell 2.7%, medium-impact meals increased 2.7%, and low-impact meals did not change; the average meal footprint was reduced 27 g CO<sub>2</sub>e per 100 g serving.</td>
<td valign="top" align="left">&#x0002B;</td>
<td valign="top" align="left">Participants following high-carbon footprint diet</td>
</tr>
<tr>
<td valign="top" align="left">Malan et al. (<xref ref-type="bibr" rid="B28">28</xref>)</td>
<td valign="top" align="left">2022</td>
<td valign="top" align="left">The proportion of low-CO<sub>2</sub>e entree sales increased 54%, medium-CO<sub>2</sub>e increased 8%, and high-CO<sub>2</sub>e decreased 9%. The average entree footprint decreased 117 g CO<sub>2</sub>e</td>
<td valign="top" align="left">&#x0002B;</td>
<td valign="top" align="left">Not Assessed</td>
</tr>
<tr>
<td valign="top" align="left">Isham et al. (<xref ref-type="bibr" rid="B38">38</xref>)</td>
<td valign="top" align="left">2022</td>
<td valign="top" align="left">Environmental framing on food labels does not have a significant effect on consumer choices or willingness to pay, but higher levels of positive wellbeing is associated with a greater willingness to pay for climate friendly options.</td>
<td valign="top" align="left">0</td>
<td valign="top" align="left">Participants with higher levels of positive wellbeing</td>
</tr>
<tr>
<td valign="top" align="left">Castellanos et al. (<xref ref-type="bibr" rid="B36">36</xref>)</td>
<td valign="top" align="left">2022</td>
<td valign="top" align="left">Sustainable diet attitudes were negatively correlated with animal product consumption. Students felt the intervention increased awareness on sustainable eating but reported no change in their behavior.</td>
<td valign="top" align="left">0</td>
<td valign="top" align="left">Not assessed</td>
</tr>
<tr>
<td valign="top" align="left">Suchier et al. (<xref ref-type="bibr" rid="B41">41</xref>)</td>
<td valign="top" align="left">2023</td>
<td valign="top" align="left">With TLLs, purchasing of red-labeled products lower (Intra: &#x02212;18%, Inter: &#x02212;11%) and green-labeled products higher (Intra: &#x0002B;21%, Inter: &#x0002B;14%); no change for yellow-labeled products. The kgCO<sub>2</sub> of baskets was lower for Intra- and Inter-TLL vs. the controls (Intra-TLL: 2.2, Inter-TLL: 2.2, Control 1: 3.1, Control 2: 2.8).</td>
<td valign="top" align="left">&#x0002B;</td>
<td valign="top" align="left">Not assessed</td>
</tr>
<tr>
<td valign="top" align="left">Sun et al. (<xref ref-type="bibr" rid="B33">33</xref>)</td>
<td valign="top" align="left">2024</td>
<td valign="top" align="left">Dumpling sales and average sales per transaction decreased and number of transactions increased for red- vs. yellow- labeled dumplings; no change for green-labeled dumplings.</td>
<td valign="top" align="left">&#x0002B;</td>
<td valign="top" align="left">Females</td>
</tr>
<tr>
<td valign="top" align="left">Thamer et al. (<xref ref-type="bibr" rid="B34">34</xref>)</td>
<td valign="top" align="left">2024</td>
<td valign="top" align="left">Meat demand was reduced (5&#x02013;7%) only when the labeling was paired with an email encouraging reflection on the label; the effect waned when intervention ended.</td>
<td valign="top" align="left">&#x0002B;</td>
<td valign="top" align="left">Not assessed</td>
</tr></tbody>
</table>
<table-wrap-foot>
<p><sup>&#x0002A;</sup>Note: &#x0201C;&#x0002B;&#x0201D; indicates a positive behavior change in the desired direction was observed for any subsection of the study: a decrease in the consumption of high emission foods OR increase in the consumption of low emission foods is reported (11 papers); &#x0201C;&#x02013;&#x0201D; indicates a negative behavior change: an increase in the consumption of high emission foods OR a decrease in the consumption of low emission foods is reported (0 papers); &#x0201C;N/A&#x0201D; indicates that labeling effects were not assessed (0 applicable papers), and &#x0201C;0&#x0201D; indicates no effect on consumer behavior detected (2 applicable papers).</p>
</table-wrap-foot>
</table-wrap>
<sec>
<label>3.3.1</label>
<title>Intervention studies examining the effect of climate labels on real world behavior (<italic>n</italic> = 10)</title>
<p>Of the 10 studies assessing the effect of interventions on real world behavior, seven obtained and compared sales data prior to and following the implementation of a climate label in the university dining facility (<xref ref-type="bibr" rid="B30">30</xref>&#x02013;<xref ref-type="bibr" rid="B34">34</xref>), two of which also included a non-randomized control dining facility for comparison (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B29">29</xref>). The three other studies assessing the effect of interventions on actual behaviors utilized slightly different methods. Piester et al. surveyed students in line at the dining hall, randomly assigning them to view a menu online with or without the climate label and then collected receipts for participants&#x00027; actual purchases (<xref ref-type="bibr" rid="B35">35</xref>). Castellanos et al. assessed the impact of a climate label intervention via post-intervention qualitative interviews with eight students (<xref ref-type="bibr" rid="B36">36</xref>). Zhao et al. assessed the impact of climate labels in three phases: (1) focus group discussions; (2) an experiment designed to emulate an auction to determine the cost consumers will pay for certain items; (3) an intervention in which three milk products were available in versions both with and without a carbon label (<xref ref-type="bibr" rid="B37">37</xref>) (<xref ref-type="table" rid="T3">Table 3</xref>).</p>
<p>Of these 10 studies, only Castellanos et al. reported no changes in consumer behavior based on qualitative interviews with eight students (<xref ref-type="bibr" rid="B36">36</xref>); the remaining nine studies found climate labels affected consumer behavior in at least some circumstances. Effect sizes varied substantially across studies. Among the nine studies that reported behavior effects, seven assessed the impact of climate labels on high-emissions food item sales, five assessed the impact on medium-emissions food item sales, and eight assessed the impact on low-emissions food item sales. Of the seven assessing high-emissions food item sales, one observed no change (<xref ref-type="bibr" rid="B30">30</xref>) and six observed reductions (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B29">29</xref>, <xref ref-type="bibr" rid="B31">31</xref>&#x02013;<xref ref-type="bibr" rid="B34">34</xref>) in high-emissions food item sales. Of the five assessing medium-emissions food item sales, two observed no change (<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B32">32</xref>) and three observed increases (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B29">29</xref>, <xref ref-type="bibr" rid="B31">31</xref>) in medium-emissions food item sales. Of the eight studies assessing low-emissions food item sales, three observed no change (<xref ref-type="bibr" rid="B29">29</xref>, <xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B33">33</xref>) and five observed an increase in low-emissions food item sales (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B31">31</xref>, <xref ref-type="bibr" rid="B35">35</xref>, <xref ref-type="bibr" rid="B37">37</xref>) (<xref ref-type="table" rid="T2">Table 2</xref>).</p>
</sec>
<sec>
<label>3.3.2</label>
<title>Online studies examining the effect of climate labels on hypothetical behaviors (<italic>n</italic> = 3)</title>
<p>Of the three online studies examining the effect of climate labels on hypothetical consumer behavior, two found that the labels affected consumer behavior (<xref ref-type="bibr" rid="B39">39</xref>, <xref ref-type="bibr" rid="B41">41</xref>) and one found no effect (<xref ref-type="bibr" rid="B38">38</xref>). Suchier et al. utilized an experimental online grocery store to test the effect of two types of TLLs on hypothetical purchase behaviors: inter- and intra-TLLs (<xref ref-type="bibr" rid="B41">41</xref>). Inter-TLLs compare all foods in the store, while intra-TLLs compare foods within the same category. Notably intra- and inter-TLLs reduced purchasing of high-impact items and increased purchasing of low-impact items. Although the intra-TLL had a more substantial effect on high- and low-impact item purchasing, the kg CO<sub>2</sub>e/kg of participants&#x00027; shopping baskets were identical (<xref ref-type="bibr" rid="B41">41</xref>). There is not sufficient evidence examining the potential difference between intra- and inter-TLLs in the climate label literature (<xref ref-type="bibr" rid="B20">20</xref>), Kimura et al. tested the effect of CO<sub>2</sub>e emissions quantity, CO<sub>2</sub>e emission information accessibility, and product type on willingness to pay and subjective ratings. Kimura et al. ultimately concluded that CO<sub>2</sub>e emissions quantity increased willingness to pay (<xref ref-type="bibr" rid="B39">39</xref>). Isham et al. tested willingness to pay and liking of plant-based products with either an ecological or health impact label and discovered that while the label had no effect on willingness to pay or liking, higher levels of life satisfaction were related to greater willingness to pay and greater liking of plant-based products (<xref ref-type="bibr" rid="B38">38</xref>) (<xref ref-type="table" rid="T2">Table 2</xref>).</p>
</sec>
<sec>
<label>3.3.3</label>
<title>Studies assessing group-level heterogeneity in label effect (<italic>n</italic> = 5)</title>
<p>Five studies examined differences in label effectiveness by participant characteristics, three of which were intervention studies and two of which were online surveys. Across the five included studies, increased label effectiveness was observed for individuals who were female,<xref ref-type="fn" rid="fn0006"><sup>4</sup></xref> (<xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B35">35</xref>, <xref ref-type="bibr" rid="B40">40</xref>) older (<xref ref-type="bibr" rid="B40">40</xref>), or white (<xref ref-type="bibr" rid="B40">40</xref>) in comparison to the other groups in the study, respectively (<xref ref-type="table" rid="T3">Table 3</xref>).</p>
<p>Of note, Piester et al. observed effects only for females (not males) (<xref ref-type="bibr" rid="B35">35</xref>), which is consistent with Isham et al. (<xref ref-type="bibr" rid="B38">38</xref>) and Brunner et al. (<xref ref-type="bibr" rid="B30">30</xref>) that also report that females generally follow a less emission intensive diet and are more responsive to labels. Slapo et al. observed effects only when a TLL was used (not a single red or single green label) (<xref ref-type="bibr" rid="B32">32</xref>). This was the only study that compared different label designs, although most studies that utilized a traffic light color scheme reported behavior changes.</p>
<p>In addition, Thamer et al. observed effects only when the climate label was paired with an email asking participants to reflect on the intervention or their dietary choices (<xref ref-type="bibr" rid="B34">34</xref>). Larner et al. observed effects only for certain items or when paired with a sales promotion (<xref ref-type="bibr" rid="B31">31</xref>), and Kimura et al. concluded that having consumers actively search for emissions information is associated with higher consumer valuation of the product (<xref ref-type="bibr" rid="B39">39</xref>). When taken together, these three studies suggest that additional interventions in the form of a sales promotion or a targeted reflection session can enhance the effects of climate labels.</p>
</sec>
</sec>
</sec>
<sec id="s4">
<label>4</label>
<title>Discussion</title>
<p>This paper provides a review of the use of climate labels to promote climate-friendly food choices within university settings. The literature included in this review suggests consumer behavior can, in certain circumstances, be swayed by climate labels in university environments. Among the studies analyzed, 86% (12 articles) observed a decrease in the consumption of foods researchers classified as high emissions, 60% (8 articles) observed a decrease in the consumption of foods classified as medium-emission foods, and 63% (9 articles) observed an increase in the consumption of foods classified as low-emission food. These findings are consistent with prior reviews, which have similarly found climate labels effective in some, but not all, situations (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B42">42</xref>&#x02013;<xref ref-type="bibr" rid="B44">44</xref>).</p>
<p>The existing literature is limited in its ability to identify best practices in climate labeling implementation and design. All the studies we identified had distinct label placement approaches and varying degrees of supplementary campaigns or messaging about the purpose of the climate label. No study formally tested the effectiveness of various placements, or specific messaging. There is also limited research comparing the efficacy of multiple labeling interventions or tests climate labeling in conjunction with additional interventions. For example, while some included studies also implemented an educational campaign to supplement the climate labels, more research is needed on the combined efficacy of the menu label supplemented by an educational campaign.</p>
<p>The studies included also used a wide variety of design elements (e.g., colors, images), but no clear trends emerged to inform which specific designs are most effective. The importance of label design has been established (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B42">42</xref>&#x02013;<xref ref-type="bibr" rid="B45">45</xref>). For example, when asked, adults indicate they prefer climate labels using scales (i.e., ordinal ratings) to nominal labels [labels with no clear intrinsic (ordering)] (<xref ref-type="bibr" rid="B46">46</xref>). Prior evidence also suggests simple single-metric labels (e.g., a scale displaying information on key environmental factors like carbon emissions or a simple overall eco-score) are effective in changing consumer behaviors (<xref ref-type="bibr" rid="B47">47</xref>). Yet only two studies directly compared the effectiveness of different label designs with mixed findings. Further research comparing specific label designs, intra- vs. inter- label categories, positive vs. negative framing, label placement, and accompanying marketing campaigns is needed to aid institutions in understanding best practices for designing and implementing climate labels.</p>
<p>Only five of the included studies included stratified or effect modification analyses examining the difference in climate label effect by key factors (e.g., income, gender, student status, psychological factors); labels were more effective for individuals who were female, (<xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B35">35</xref>, <xref ref-type="bibr" rid="B40">40</xref>) older (<xref ref-type="bibr" rid="B40">40</xref>), white (<xref ref-type="bibr" rid="B40">40</xref>), followed a high-carbon footprint diet (<xref ref-type="bibr" rid="B29">29</xref>), and had higher levels of wellbeing (<xref ref-type="bibr" rid="B38">38</xref>). While these studies provide insight into how implementers might target certain groups to realize consumer behavior changes, further research may provide additional evidence to support existing studies or examine groups not already considered (e.g., ethnicity). For example, studies should also investigate the role ethnicity plays in impacting food preferences and purchases.</p>
<p>In addition, among the studies that considered impact of labeling foods as &#x0201C;low,&#x0201D; &#x0201C;medium,&#x0201D; or &#x0201C;high&#x0201D; emissions, studies that included food labeled &#x0201C;high emission&#x0201D; noted the greatest change in consumer demand. Thus, it is possible that labeling a product as &#x0201C;high emissions&#x0201D; has the largest effect on consumer behavior, suggesting consumers respond stronger to negative framing than positive framing. However, additional research is required to validate this theory.</p>
<p>The studies reviewed generally evaluated the impact of climate labels over a few weeks or months. Prior research in other settings suggests repeated exposure increases climate label effectiveness, though their impact may diminish over time (<xref ref-type="bibr" rid="B48">48</xref>). Investigating this in university settings could deepen our understanding of label effectiveness. Additionally, researchers may consider examining how climate labels influence food purchases beyond the university setting, such as when students eat out, buy groceries off campus, travel home, or post- graduation, as well as potential spillover effects on friends and family. Studying the spill-over impact of climate labels will help researchers understand the broader potential for such labels to change behavior on a larger scale.</p>
<p>The included studies focused on outcomes related to liking, willingness to pay, purchasing, or sale of food items; however, if climate labels change consumer behavior, they may also impact other important factors, such as the healthiness of food products consumed or food waste. Prior research has suggested labeling products as eco-friendly may increase individuals&#x00027; perceptions of healthfulness (<xref ref-type="bibr" rid="B49">49</xref>); yet, another study using an online survey to examine the hypothetical effect of climate labels in fast food restaurants showed consumers chose meals that were not only more sustainable, but also healthier (<xref ref-type="bibr" rid="B50">50</xref>). Such research specific to university settings would provide valuable insight into the implementation of climate labels in these settings. For example, if climate labels increase the healthiness of food consumed, it may be possible to garner additional support for and interest in implementing climate labels. On the other hand, if they reduce the healthiness of food consumed, further research could explore ways to mitigate such an effect.</p>
<p>None of the included studies examined the upstream effects of climate labels on institutional purchasing or production, though the goal of climate labeling is likely closely tied to these components. If minor shifts in sales occur, it is possible that institutional purchasing would not change in a manner meaningful enough to reduce the GHG emissions of purchased foods. Even if institutional purchasing did change in a manner that reduced GHG emissions, it is not clear if/how actual sourcing or production practices would change.</p>
<sec>
<label>4.1</label>
<title>Strengths and limitations</title>
<p>This narrative review is strengthened by the systematic protocols employed, and the breadth of databases searched. However, there are several key limitations to this literature review. Notably, the included articles were not formally reviewed for quality as would be done in a systematic literature review. While detailed information was included about each article to allow readers to get a sense of the quality, the included studies were potentially subject to issues with sampling bias, information bias, or insufficient power, which we did not formally assess. Thus, while the protocol used was intended to describe a complete picture of the existing literature regarding climate labels in university settings, it is not intended to and should not be read as a definitive determination as to the effect of climate labels on consumer behavior in university settings. A systematic literature review that includes quality control may be warranted, particularly as the literature in this field of research continues to develop. Additionally, gray literature was not included in this search. It is possible such literature may have additional and/or different information than the included academic articles.</p>
<p>In addition, variations in study design, location, data collection years, time frames, label designs, or label implementation may contribute to the inconsistent effects observed. Additionally, some of the current studies may have been underpowered given their small sample sizes; notably a few studies included less than 100 participants. Future studies may consider including a larger sample of individuals and/or dining halls and formally testing how the factors mentioned above (e.g., label design, time frame) alter label effectiveness.</p>
<p>Furthermore, universities provide controlled and semi-structured environments where the student population remains relatively stable over academic terms. This setting allows researchers to track changes in behavior, enabling longitudinal studies of how climate labels influence purchasing decisions and consumption patterns. While university students offer a convenient and consistent sample, their behaviors may not fully represent the broader population. Students tend to be younger, more educated, and often more environmentally conscious than the public, potentially skewing the results and limiting the external validity of findings. Thus, while this study may provide some guidance on the use of climate-labels outside of this context, additional research will be required to validate the generalizability of our findings.</p>
</sec>
</sec>
<sec id="s5">
<label>5</label>
<title>Conclusion</title>
<p>The current literature suggests climate labels can be an effective way to shift consumer behaviors in university settings away from food items associated with high GHGE and/or toward food items associated with low GHGE in certain circumstances. The key patterns that emerged during this review include (1) a small, yet detectable behavior shift in consumer behavior with the introduction of labeling, (2) negative framing as a more powerful tool in comparison to positive framing, and (3) women appear to have a more significant response to climate labels. There are several key gaps in the existing literature, including but not limited to: (1) how to improve the effectiveness of climate labels (e.g., via label design and/or concurrent complementary interventions and/or messaging campaigns), (2) how the effect of climate labels may vary by subgroup (e.g., income, race, ethnicity, psychological factors), (3) the longer-term and/or spillover effects of climate labels on climate-related outcomes (e.g., the healthiness of consumer diets, group/social dynamics, and broader institutional sourcing practices). While these gaps need to be addressed in subsequent research, this review has demonstrated that climate labels can be a useful tool for helping consumers shift their dietary behavior.</p>
</sec>
</body>
<back>
<sec sec-type="author-contributions" id="s6">
<title>Author contributions</title>
<p>M-LH: Data curation, Methodology, Writing &#x02013; review &#x00026; editing, Formal analysis, Writing &#x02013; original draft. EC: Formal analysis, Writing &#x02013; original draft, Data curation, Writing &#x02013; review &#x00026; editing, Methodology. AY: Methodology, Writing &#x02013; review &#x00026; editing, Formal analysis, Visualization. DA-J: Conceptualization, Methodology, Writing &#x02013; review &#x00026; editing. JW: Writing &#x02013; review &#x00026; editing, Conceptualization. RR: Supervision, Writing &#x02013; review &#x00026; editing, Methodology, Writing &#x02013; original draft, Conceptualization, Project administration.</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="s8">
<title>Generative AI statement</title>
<p>The author(s) declare that no Gen AI was used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec sec-type="disclaimer" id="s9">
<title>Publisher&#x00027;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec sec-type="supplementary-material" id="s10">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fnut.2025.1619842/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fnut.2025.1619842/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Table_1.docx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" xmlns:xlink="http://www.w3.org/1999/xlink"/>
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<fn-group>
<fn fn-type="custom" custom-type="edited-by" id="fn0001">
<p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/545018/overview">Wahyudi David</ext-link>, Bakrie University, Indonesia</p>
</fn>
<fn fn-type="custom" custom-type="reviewed-by" id="fn0002">
<p>Reviewed by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1911143/overview">Ana Ili&#x00107;</ext-link>, University of Zagreb, Croatia</p>
<p><ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3060906/overview">Federica Fiori</ext-link>, University of Udine, Italy</p>
</fn>
</fn-group>
<fn-group>
<fn id="fn0003"><label>1</label><p>While there are other metrics for environmental sustainability (e.g., water pollution, soil health, and land use), GHGE is one of the most widely used based on its direct link to climate change and alignment with environmental policies (<xref ref-type="bibr" rid="B2">2</xref>).</p></fn>
<fn id="fn0004"><label>2</label><p>CO<sub>2</sub>e is a standard unit for measuring the global warming potential of different greenhouse gases, that expresses the impact of various greenhouse gases in terms of the amount of carbon dioxide (CO<sub>2</sub>) that would produce the same warming effect.</p></fn>
<fn id="fn0005"><label>3</label><p>ENERGY STAR Impacts | ENERGY STAR [Internet]. [cited 2025 Mar 27]. Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.energystar.gov/about/impacts">https://www.energystar.gov/about/impacts</ext-link>.</p></fn>
<fn id="fn0006"><label>4</label><p>A note about terminology: throughout this paper, the authors utilize the same demographic language as the source papers.</p></fn>
</fn-group>
</back>
</article>