Front-of-pack (FOP) labelling systems, nutrition education, and obesity prevention: nutri-score and nutrinform battery need more research

Carruba, Michele O.; Malavazos, Alexis Elias; Valerio, Alessandra; Nisoli, Enzo

doi:10.1007/s40519-021-01342-x

Cited by 5 publications

(3 citation statements)

References 8 publications

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“…We should also mention that NS2023 is still calculated per 100 g or mL (and not by portion), which was also one of the reported limitations. Therefore, many energy‐dense foods eaten in smaller portions get lower grades (Carruba et al., 2022; Katsouri et al., 2021). However, one of the main reasons why NS is calculated per 100 g is standardization.…”

Section: Discussionmentioning

confidence: 99%

“…Our literature review captured 30 papers: 24 original research (Angelino et al, 2023;Braesco et al, 2022;Bryngelsson et al, 2022;Cutroneo et al, 2022;de las Heras-Delgado et al, 2023;Dickie et al, 2022;Ebner et al, 2022;Fedde et al, 2022;Ferreiro et al, 2021;Fialon et al, 2022;Hafner & Pravst, 2021, 2023Huybers & Roodenburg, 2023;Katsouri et al, 2021;Kissock et al, 2022;Konings et al, 2022;Panczyk et al, 2023;Pitt et al, 2023;Pointke & Pawelzik, 2022;Rodriguez-Martin et al, 2023;Septia Irawan et al, 2022;Stiletto & Trestini, 2022;Borg et al, 2021;Valenzuela et al, 2022), 3 communication/correspondence (Carruba et al, 2022;Drewnowski et al, 2021;Hau & Lange, 2023), and 3 review papers (Peonides et al, 2022;van der Bend et al, 2022;Włodarek & Dobrowolski, 2022), originating from 19 countries (including 12 EU member states). The list of reported limitations (n = 20), their connections, and the numbers of mentions are presented in Figure 2.…”

Section: Reported Limitations Of Ns2021 Algorithmmentioning

confidence: 99%

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A systematic assessment of the revised Nutri‐Score algorithm: Potentials for the implementation of front‐of‐package nutrition labeling across Europe

Hafner,

Pravst

2024

Food Frontiers

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Front‐of‐package nutrition labeling (FOPNL) is an important public health tool, and the introduction of harmonized FOPNL in Europe is one of the most ambitious food labeling changes in decades. Nutri‐Score (NS) has been considered for implementation across Europe. However, NS is subject to strong opposition, particularly from the food industry and some agricultural sectors (such as cheese and cured meat), but also from some nutrition scientists and public health professionals, which highlights that the system is not sufficiently aligned with food‐based dietary guidelines and the latest scientific literature. These concerns were recently addressed in a revised version of NS (NS2023), aiming to overcome the limitations of its predecessor (NS2021). Our aim was to assess whether these limitations were addressed and to investigate their alignment with dietary guidelines. A systematic literature review identified 20 limitations of NS, assigned to 3 groups (Food‐based, Component‐based, and Other Dimensions of Food Quality). Subsequent assessment of NS employed a large representative branded food database of 19,510 pre‐packed foods. Alignment with dietary guidelines was assessed based on agreement with the WHO Europe nutrient profile (WHOE). NS2023 was shown as notably stricter compared to NS2021 (7% fewer products received the higher grades A or B) and more aligned with WHOE (κNS2021 = .59, κNS2023 = .65). Overall, most (65%) of the limitations were addressed to some extent; these were mostly Food‐based limitations, followed by Component‐based, whereas the Other Dimension of Food Quality (processing, sustainability, portion sizes) remained mostly unaddressed. We can conclude that the revised NS2023 increased its potential for implementation across Europe. Our review identified all limitations, relevant or not, which were mentioned in the scientific literature. Therefore, some mentioned limitations may never be solvable in the scope of nutrient profiling. Others could be further addressed by adaptation of the visual presentation, but increased complexity of the labeling message would also reduce the potential of the FOPNL to support consumers in healthier food choices. Additional research is also necessary to explore the potential impact of the revised NS2023 on food reformulation and its perception among consumers.

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Section: Discussionmentioning

confidence: 99%

Section: Reported Limitations Of Ns2021 Algorithmmentioning

confidence: 99%

A systematic assessment of the revised Nutri‐Score algorithm: Potentials for the implementation of front‐of‐package nutrition labeling across Europe

Hafner,

Pravst

2024

Food Frontiers

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“…Other recent research contends that the Nutri-Score is the most attacked label for economic or ideological interests [154] and is involved in an unfair tug-of-war even if constantly associated with high effectiveness in several studies and settings [133,155]. The Nutri-Score label is also associated with several comments' letters produced in response to research evidence and articles to protect its superiority [136,138,[156][157][158][159][160], as well as to higher levels of online citations [161].…”

Section: What's Next With the Most Recent Contributions?mentioning

confidence: 99%

Uncovering the Effect of European Policy-Making Initiatives in Addressing Nutrition-Related Issues: A Systematic Literature Review and Bibliometric Analysis on Front-of-Pack Labels

2022

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The last decades have been marked by the introduction of front-of-pack labels (FoPL) as an institutional corrective action against obesity and nutrition-related illnesses. However, FoPL-related policy-making initiatives issued by the European Union evolved over time and led to a diversity of labels with different effects on consumers’ decisions. As a result, the extant literature adapted to the regulative scenario over the years and investigated the effects of the labels, creating consensus on some topics while being fragmented on others. Similarly, policy-makers adapted some regulations to the evidence supported by the research. With the aim to systematize the overall structure and evolution of the literature on FoPL, investigate the presence of a consensus on specific topics through a co-citation analysis, and examine the evolution of the consensus and co-citation networks over the years and potential research gaps, we report the results of bibliometric and co-citation analyses and a systematic literature review involving 170 papers and a selection of 49 articles published in the last months, for a total of 219 articles, analysed according to three timespans (Period 1 (1989–2011); Period 2 (2012–2016) and Period 3 (2017–2022)). Our findings highlight the interplay of policy development and FoPL research, the presence of few self-reinforcing and well-established co-citation networks based on validated evidence in the literature and the presence of alternative emerging theories that offer different and valid perspectives overlooked by mainstream co-citation research networks.

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Nutri‑Score vs NutrInform Battery front‑of‑pack labelling systems: weight of scientific evidence matters

2021

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Front-of-pack (FOP) labelling systems, nutrition education, and obesity prevention: nutri-score and nutrinform battery need more research

Cited by 5 publications

References 8 publications

A systematic assessment of the revised Nutri‐Score algorithm: Potentials for the implementation of front‐of‐package nutrition labeling across Europe

A systematic assessment of the revised Nutri‐Score algorithm: Potentials for the implementation of front‐of‐package nutrition labeling across Europe

Uncovering the Effect of European Policy-Making Initiatives in Addressing Nutrition-Related Issues: A Systematic Literature Review and Bibliometric Analysis on Front-of-Pack Labels

Nutri‑Score vs NutrInform Battery front‑of‑pack labelling systems: weight of scientific evidence matters

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