对修订后的 Nutri-Score 算法进行系统评估:在全欧洲实施包装前营养标签的潜力

IF 7.4 Q1 FOOD SCIENCE & TECHNOLOGY Food frontiers Pub Date : 2024-03-14 DOI:10.1002/fft2.387
Edvina Hafner, Igor Pravst
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引用次数: 0

摘要

包装前营养标签(FOPNL)是一项重要的公共卫生工具,在欧洲引入统一的包装前营养标签是几十年来最雄心勃勃的食品标签改革之一。营养评分(NS)已被考虑在全欧洲实施。然而,NS 遭到了强烈的反对,特别是来自食品行业和一些农业部门(如奶酪和腌肉),以及一些营养科学家和公共卫生专业人士的反对,他们强调该系统与基于食品的膳食指南和最新科学文献不够一致。最近,NS 修订版(NS2023)解决了这些问题,旨在克服其前身(NS2021)的局限性。我们的目的是评估这些局限性是否得到了解决,并研究它们与膳食指南的一致性。系统性文献综述确定了 20 项 NS 的局限性,并将其分为 3 组(基于食物的局限性、基于成分的局限性和基于食物质量其他方面的局限性)。随后的 NS 评估采用了一个包含 19,510 种预包装食品的大型代表性品牌食品数据库。根据与世界卫生组织欧洲营养成分表(WHOE)的一致性,评估了与膳食指南的一致性。结果表明,与 NS2021 相比,NS2023 更为严格(获得 A 级或 B 级的产品数量减少了 7%),与 WHOE 的一致性更高(κNS2021 = 0.59,κNS2023 = 0.65)。总体而言,大多数(65%)的局限性都在一定程度上得到了解决;这些局限性主要是基于食品的局限性,其次是基于成分的局限性,而食品质量的其他维度(加工、可持续性、份量)大部分仍未得到解决。我们可以得出结论,修订后的 NS2023 提高了在全欧洲实施的可能性。我们的审查确定了科学文献中提到的所有相关或不相关的限制。因此,有些提到的局限性在营养成分分析中可能永远无法解决。其他一些限制可以通过调整视觉表现形式来进一步解决,但标签信息的复杂性增加也会降低 FOPNL 支持消费者选择更健康食品的潜力。此外,还有必要开展更多研究,探讨修订后的 "国家营养标准 2023 "对食品重新配制的潜在影响以及消费者对其的看法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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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

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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