Cent Eur J Public Health 2021, 29(1):76-79 | DOI: 10.21101/cejph.a6239

International evidence for the effectiveness of the front-of-package nutrition label called Nutri-Score

Valentina A. Andreeva1, Manon Egnell1, Mathilde Touvier1, Pilar Galan1, Chantal Julia1, 2, Serge Hercberg1, 2
1 Nutritional Epidemiology Research Group, Sorbonne Paris Nord University, Bobigny, France
2 Department of Public Health, Avicenne Hospital, Bobigny, France

Objectives: Front-of-package nutrition labels are intended to easily convey to consumers comprehensible information about the nutritional composition of pre-packaged food and are thus a tool in the combat against the growing prevalence of nutrition-related disorders, such as obesity, type 2 diabetes, cardiovascular disease, and some types of cancer. The objective of the present narrative review was first to describe Nutri-Score and then to synthesize some of the international scientific evidence for its effectiveness. Guided by scientific data and collective expertise, France formally adopted labelling of pre-packaged food with the 5-colour Nutri-Score label in October 2017 and that move was later followed by Belgium, Spain, Germany, Switzerland, the Netherlands, and Luxembourg.

Methods: This article synthesizes evidence from several countries regarding the effectiveness of Nutri-Score and the associated individual-level diet quality index in terms of attitude/behaviour- and health-related outcomes. It also addresses criticism levied at the label.

Results: The effectiveness of Nutri-Score has been demonstrated in terms of consumer ability to correctly classify food according to its nutritional quality, the nutritional quality of actual and intended food purchases, and portion size choices. In addition, consumption of foods that are less favourably rated on the Nutri-Score scale has been prospectively associated with chronic disease risk (cancer, cardiovascular disease, metabolic syndrome, etc.).

Conclusion: The adoption and implementation of a uniform front-of-package label such as the scientifically validated Nutri-Score on pre-packaged foods/beverages across Europe could be beneficial to consumers at the point of purchase and could help reduce the incidence of diet-related chronic diseases by means of improvement in diet quality.

Klíčová slova: Nutri-Score, nutritional quality, front-of-package labels, chronic disease, nutrition policy, Europe

Vloženo: 1. duben 2020; Revidováno: 13. únor 2021; Přijato: 13. únor 2021; Zveřejněno: 31. březen 2021  Zobrazit citaci

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Andreeva VA, Egnell M, Touvier M, Galan P, Julia C, Hercberg S. International evidence for the effectiveness of the front-of-package nutrition label called Nutri-Score. Cent Eur J Public Health. 2021;29(1):76-79. doi: 10.21101/cejph.a6239. PubMed PMID: 33831290.
Stáhnout citaci

Reference

  1. World Health Organization. Obesity and overweight [Internet]. Geneva: WHO; 2020 [cited 2021 Feb 13]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
  2. World Cancer Research Fund International. Lessons on implementing a robust front-of-pack food label [Internet]. London: WCRF International [cited 2021 Feb 13]. Available from: https://www.wcrf.org/int/policy/our-publications/lessons-implementing-front-of-pack-label.
  3. Kanter R, Vanderlee L, Vandevijvere S. Front-of-package nutrition labelling policy: global progress and future directions. Public Health Nutr. 2018;21(8):1399-408. Přejít k původnímu zdroji... Přejít na PubMed...
  4. Santé Publique France. Nutri-Score [Internet]. Paris: Santé Publique France; 2020 [cited 2021 Feb 13]. Available from: https://www.santepubliquefrance.fr/en/nutri-score.
  5. Rayner M, Scarborough P, Boxer A, Stockley L. Nutrient profiles: development of final model. London: Food Standards Agency; 2005.
  6. Haut Conseil de la Santé Publique. Information on the nutritional quality of food products [Internet]. Paris: HCSP; 2015 [cited 2021 Feb 13]. Available from: http://www.hcsp.fr/Explore.cgi/avisrapportsdomaine?clefr=519. (In French.)
  7. Mora-García CA, Tobar LF, Young JC. The effect of randomly providing Nutri-Score information on actual purchases in Colombia. Nutrients. 2019:11(3):491. doi: 10.3390/nu11030491. Přejít k původnímu zdroji... Přejít na PubMed...
  8. Julia C, Touvier M, Méjean C, Ducrot P, Péneau S, Hercberg S, et al. Development and validation of an individual dietary index based on the British Food Standard Agency Nutrient Profiling System in a French context. J Nutr. 2014;144(12):2009-17. Přejít k původnímu zdroji... Přejít na PubMed...
  9. World Health Organization. France becomes one of the first countries in Region to recommend colour-coded front-of-pack nutrition labelling system [Internet]. Copenhagen: WHO Regional Office for Europe; 2017 [cited 2021 Feb 13]. Available from: http://www.euro.who.int/en/countries/france/news/news/2017/03/france-becomes-one-of-the-first-countries-in-region-to-recommend-colour-coded-front-of-pack-nutrition-labelling-system.
  10. Finkelstein EA, Ang FJL, Doble B, Wong WHM, van Dam RM. A randomized controlled trial evaluating the relative effectiveness of the Multiple Traffic Light and Nutri-Score front of package nutrition labels. Nutrients. 2019;11(9):2236. doi: 10.3390/nu11092236. Přejít k původnímu zdroji... Přejít na PubMed...
  11. Crosetto P, Lacroix A, Muller L, Ruffieux B. Modifications of food purchases in response to five nutrition simplified labelling. Cah Nut Diet. 2017;52(3):129-33. (In French.) Přejít k původnímu zdroji...
  12. French Ministry of Social Affairs and Health. Simplified nutrition labelling: implementation of the law on modernising our health system (article 14-II). Report of the steering committee for assessment under actual buying conditions. Paris: French Ministry of Social Affairs and Health; 2017.
  13. Egnell M, Kesse-Guyot E, Galan P, Touvier M, Rayner M, Jewell J, et al. Impact of front-of-pack nutrition labels on portion size selection: an experimental study in a French cohort. Nutrients. 2018;10(9):1268. doi: 10.3390/nu10091268. Přejít k původnímu zdroji... Přejít na PubMed...
  14. Egnell M, Talati Z, Hercberg S, Pettigrew S, Julia C. Objective understanding of front-of-package nutrition labels: an international comparative experimental study across 12 countries. Nutrients. 2018;10(10):1542. doi: 10.3390/nu10101542. Přejít k původnímu zdroji... Přejít na PubMed...
  15. Deschasaux M, Huybrechts I, Murphy N, Julia C, Hercberg S, Srour B, et al. Nutritional quality of food as represented by the FSAm-NPS nutrient profiling system underlying the Nutri-Score label and cancer risk in Europe: results from the EPIC prospective cohort study. PLoS Med. 2018;15(9):e1002651. doi: 10.1371/journal.pmed.1002651. Přejít k původnímu zdroji... Přejít na PubMed...
  16. Donnenfeld M, Julia C, Kesse-Guyot E, Méjean C, Ducrot P, Péneau S, et al. Prospective association between cancer risk and an individual dietary index based on the British Food Standards Agency Nutrient Profiling System. Br J Nutr. 2015;114(10):1702-10. Přejít k původnímu zdroji... Přejít na PubMed...
  17. Adriouch S, Julia C, Kesse-Guyot E, Méjean C, Ducrot P, Péneau S, et al. Prospective association between a dietary quality index based on a nutrient profiling system and cardiovascular disease risk. Eur J Prev Cardiol. 2016;23(15):1669-76. Přejít k původnímu zdroji... Přejít na PubMed...
  18. Julia C, Fezeu LK, Ducrot P, Méjean C, Péneau S, Touvier M, et al. The nutrient profile of foods consumed using the British Food Standards Agency Nutrient Profiling System is associated with metabolic syndrome in the SU.VI.MAX cohort. J Nutr. 2015;145(10):2355-61. Přejít k původnímu zdroji... Přejít na PubMed...
  19. Julia C, Ducrot P, Lassale C, Fezeu L, Méjean C, Péneau S, et al. Prospective associations between a dietary index based on the British Food Standard Agency nutrient profiling system and 13-year weight gain in the SU.VI.MAX cohort. Prev Med. 2015;81:189-94. Přejít k původnímu zdroji... Přejít na PubMed...
  20. Andreeva VA, Egnell M, Galan P, Feron G, Hercberg S, Julia C. Association of the dietary index underpinning the Nutri-Score label with oral health: preliminary evidence from a large, population-based sample. Nutrients. 2019;11(9):1998. doi: 10.3390/nu11091998. Přejít k původnímu zdroji... Přejít na PubMed...
  21. Egnell M, Crosetto P, d'Almeida T, Kesse-Guyot E, Touvier M, Ruffieux B, et al. Modelling the impact of different front-of-package nutrition labels on mortality from non-communicable chronic disease. Int J Behav Nutr Phys Activity. 2019;16(1):56. doi: 10.1186/s12966-019-0817-2. Přejít k původnímu zdroji... Přejít na PubMed...
  22. Julia C, Charpak Y, Rusch E, Lecomte F, Lombrail P, Hercberg S. Promoting public health in nutrition: Nutri-Score and the tug of war between public health and the food industry. Eur J Public Health. 2018;28(3):396-7. Přejít k původnímu zdroji... Přejít na PubMed...
  23. Julia C, Etilé F, Hercberg S. Front-of-pack Nutri-Score labelling in France: an evidence-based policy. Lancet Public Health. 2018;3(4):e164. doi: 10.1016/S2468-2667(18)30009-4. Přejít k původnímu zdroji... Přejít na PubMed...
  24. Chazelas E, Deschasaux M, Srour B, Kesse-Guyot E, Julia C, Alles B, et al. Food additives: distribution and co-occurrence in 126,000 food products of the French market. Sci Rep. 2020;10:3980. doi: 10.1038/s41598-020-60948-w. Přejít k původnímu zdroji... Přejít na PubMed...
  25. Gilden RC, Huffling K, Sattler B. Pesticides and health risks. J Obstet Gynecol Neonatal Nurs. 2010;39(1):103-10. Přejít k původnímu zdroji... Přejít na PubMed...
  26. Bretveld RW, Thomas CMG, Scheepers PTJ, Zielhuis GA, Roeleveld N. Pesticide exposure: the hormonal function of the female reproductive system disrupted? Reprod Biol Endocrinol. 2006;4:30. doi: 10.1186/1477-7827-4-30. Přejít k původnímu zdroji... Přejít na PubMed...
  27. Kelly B, Jewell J. What is the evidence on the policy specifications, development processes and effectiveness of existing front-of-pack food labelling policies in the WHO European Region? Health Evidence Network synthesis report 61. Copenhagen: WHO Regional Office for Europe; 2018.