The calorie counter-intuitive effect of restaurant menu calorie labelling

  • Laura McGeownEmail author


As of January 1, 2017, the Healthy Menu Choices Act mandates that food service premises with 20 or more locations in Ontario must display the number of calories in every food item sold on menus. The impetus for this legislation was to enable Ontarians to become aware of the calorie content of foods and beverages consumed outside the home, and make healthier dietary choices while dining out. Though arising as an initiative to attenuate the development of obesity and current obesity rates, evidence suggests menu labelling does not significantly alter individuals’ food choices. Moreover, focusing primarily on caloric content may be an ineffective, and perhaps detrimental, strategy to effect change in the obesity epidemic. Beyond the initiative’s questionable utility, there has been a lack of consideration as of yet to the unintended negative implications this initiative may have on eating disorder (ED) symptomatology in the general population and those attempting to recover from an ED. The objective of the current commentary is thus to argue that in light of evidence of minimal benefit and the potential for harm, nutrition labelling on menus may be a misguided public health initiative.


Eating disorder Obesity Calorie Public health Nutrition labelling Food choices 


Depuis le 1er janvier 2017, selon la Loi pour des choix santé dans les menus, les chaînes de restauration qui comptent 20 établissements ou plus en Ontario sont tenues d’afficher le nombre de calories de chaque aliment au menu. La loi vise à permettre à la population ontarienne de se familiariser avec la teneur calorique des aliments et des boissons consommés à l’extérieur du foyer et de faire des choix alimentaires plus sains dans les restaurants. L’intention de l’initiative était de freiner la montée de l’obésité et de réduire les taux d’obésité actuels, mais les données semblent indiquer que l’étiquetage nutritionnel des menus ne modifie pas sensiblement les choix d’aliments des particuliers. De plus, la polarisation sur la teneur calorique pourrait être une stratégie inefficace ou même nuisible pour endiguer l’épidémie d’obésité. Outre l’utilité contestable de l’initiative, il n’a pas été tenu compte jusqu’à maintenant des conséquences négatives imprévues qu’elle pourrait avoir sur la symptomatologie des troubles alimentaires (TA) dans la population générale et chez les personnes qui tentent de se remettre d’un TA. Dans notre commentaire, nous faisons valoir que vu les preuves de ses bienfaits minimes et de ses préjudices possibles, l’étiquetage nutritionnel des menus pourrait être une initiative de santé publique malavisée.


Troubles alimentaires Obésité Calorie Santé publique Étiquetage nutritionnel Choix d’aliments 


Compliance with ethical standards

Conflict of interest

The author declares she has no conflict of interest.


  1. Block, J. P., & Roberto, C. A. (2014). Potential benefits of calorie labeling in restaurants. JAMA, 312(9), 887–888. Scholar
  2. Camacho, S., & Ruppel, A. (2017). Is the calorie concept a real solution to the obesity epidemic? Global Health Action, 10(1), 1–12. Scholar
  3. Cantu-Jungles, T. M., McCormack, L. A., Slaven, J. E., Slebodnik, M., & Eicher-Miller, H. A. (2017). A meta-analysis to determine the impact of restaurant menu labelling on calories and nutrients (ordered or consumed) in U.S. adults. Nutrients, 9(10), 1–18. Scholar
  4. Fairburn, C. G. (2008). Cognitive behavior therapy and eating disorders. New York: The Guilford Press.Google Scholar
  5. Government of Ontario. (2017). Health Menu Choices Act, 2015 (S.O. 2015, c.7, Sched. 1). Retrieved from Accessed 17 Sept 2018.
  6. Haynos, A. F., & Roberto, C. A. (2017). The effects of restaurant menu calorie labelling on hypothetical meal choices of females with disordered eating. International Journal of Eating Disorders, 50(3), 275–283.
  7. Kesby, A., Maguire, S., Brownlow, R., & Grisham, J. R. (2017). Intolerance of uncertainty in eating disorders: an update on the field. Clinical Psychology Review, 56, 94–105. Scholar
  8. Larson, N., Haynos, A. F., Roberto, C. A., Loth, K. A., & Neumark-Sztainer, D. (2018). Calorie labels on the restaurant menu: is the use of weight-control behaviors related to ordering decisions? Journal of the Academy of Nutrition and Dietetics, 118(3), 399–408. Scholar
  9. Levinson, C. A., Fewell, L., & Brosof, L. C. (2017). My fitness pal calorie tracker usage in the eating disorders. Eating Behaviors, 27, 14–16. Scholar
  10. Lillico, H. G., Hanning, R., Findlay, S., & Hammond, D. (2015). The effects of calorie labels on those at high-risk of eating pathologies: a pre-post intervention study in a university cafeteria. Public Health, 129, 732–739. Scholar
  11. Long, M. W., Tobias, D. K., Cradock, A. L., Batchelder, H., & Gortmaker, S. L. (2015). Systematic review and meta-analysis of the impact of restaurant menu calorie labelling. American Journal of Public Health, 105(5), e11–e24. Scholar
  12. Lucan, S. C., & DiNicolantonio, J. J. (2014). How calorie-focused thinking about obesity and related diseases may mislead and harm public health. An alternative. Public Health Nutrition, 18(4), 571–581. Scholar
  13. Public Health Ontario. (2015). Interactive web report: obesity. Retrieved from Accessed 17 Sept 2018.
  14. Roberto, C. A., Haynos, A. F., Schwartz, M. B., Brownell, K. D., & White, M. A. (2013). Calorie estimation accuracy and menu labeling perceptions among individuals with and without binge eating and/or purging disorders. Eating & Weight Disorders, 18(3), 255–261. Scholar
  15. Romano, K. A., Swanbrow Becker, M. A., Colgary, C. D., & Magnuson, A. (2018). Helpful or harmful? The comparative value of self-weighing and calorie counting versus intuitive eating on the eating disorder symptomatology of college students. Eating and Weight Disorders – Studies on Anorexia, Bulimia and Obesity, 1–8.
  16. Sheeran, P., Maki, A., Montanaro, E., Avishai-Yitshak, A., Bryan, A., Klein, W. M. P., Miles, E., & Rothman, A. J. (2016). The impact of changing attitudes, norms, and self-efficacy on health-related intentions and behavior: a meta-analysis. Health Psychology, 35(11), 1178–1188. Scholar
  17. Smith, K. E., Mason, T. B., & Lavender, J. M. (2018). Rumination and eating disorder psychopathology: a meta-analysis. Clinical Psychology Review, 61, 9–23.
  18. Toulany, A., Wong, M., Katzman, D. K., Akseer, N., Steinegger, C., Hancock-Howard, R. L., & Coyte, P. C. (2015). Cost analysis of inpatient treatment of anorexia nervosa in adolescents: hospital and caregiver perspectives. Canadian Medical Association Journal Open, 3(2), E192–E197. Scholar

Copyright information

© The Canadian Public Health Association 2019

Authors and Affiliations

  1. 1.Department of PsychologyLakehead UniversityThunder BayCanada

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