Advertisement

“Front-of-pack” nutrition labeling

      Abstract

      Excess intake of energy, sugars, salt and saturated fats is an important causal factor of obesity and related non-communicable diseases. In order to help consumers to make healthy food choices, many European countries have developed proposals for “front-of-pack” food labeling, intended as an integration to the nutritional information provided by the mandatory nutritional declaration. Based on the European strategic program “Farm to Fork”, the intention is to achieve a harmonized front-of-pack label proposal by Q4 2022.
      Among the different proposals, the one which received most attention by experts and greater feedback by the EU member countries is the Nutri-Score, a tool based on an algorithm whereby a “quality” category ranging from A to E is assigned to each single food on a background colored from dark green to dark orange. As an alternative to Nutri-Score, the NutrInform Battery has been developed by Italy in association with a few other EU member states: this proposal is objectively alternative to the Nutri-Score proposal due to a different underlying philosophy, in particular for its informative and educational intent rather than purchase orientation.
      The present document, prepared by the Scientific Board and reviewed by the Scientific Council of the Italian Society of Human Nutrition, represents the scientific-based position of the Society in relation to the general theme of front-of-pack labeling and in particular to the dualism created between the Nutri-Score and NutrInform Battery proposals.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Nutrition, Metabolism and Cardiovascular Diseases
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • GBD 2019 Diseases and Injuries Collaborators
        Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019.
        Lancet. 2020; 396: 1204-1222
        • GBD 2017 Diet Collaborators
        Health effects of dietary risks in 195 countries, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017.
        Lancet. 2019; 393: 1958-1972
        • Martini D.
        • Tucci M.
        • Bradfield J.
        • Di Giorgio A.
        • Marino M.
        • Del Bo C.
        • et al.
        Principles of sustainable healthy diets in worldwide dietary guidelines: efforts so far and future perspectives.
        Nutrients. 2021; 13: 1827
        • Farm to Fork strategy
        For a fair, healthy and environmentally friendly food system.
        EU Commission, 2020 ((Available at:)
        • Julia C.
        • Hercberg S.
        Development of a new front-of-pack nutrition label in France: the 5-Colour Nutri-Score.
        Public Health Panorama. 2017; 3: 712-725
        • Mazzù M.F.
        • Romani S.
        • Baccelloni A.
        • Gambicorti A.
        A cross-country experimental study on consumers' subjective understanding and liking on front-of-pack nutrition labels.
        Int J Food Sci Nutr. 2021 Mar 3; : 1-15
        • Mazzù M.F.
        • Romani S.
        • Gambicorti A.
        Effects on consumers' subjective understanding of a new front-of-pack nutritional label: a study on Italian consumers.
        Int J Food Sci Nutr. 2021; 72: 357-366
      1. Linee Guida per una Sana Alimentazione. CREA Centro di Ricerca Alimenti e Nutrizione. Revisione. 2018 (Available at)
        • An R.
        • Shi Y.
        • Shen J.
        • Bullard T.
        • Liu G.
        • Yang Q.
        • et al.
        Effect of front-of-package nutrition labeling on food purchases: a systematic review.
        Publ Health. 2021; 191: 59-67
      2. Ministère des Solidarités et de la Santé. Scientific articles and papers published on the Nutri-Score. (Available at: https://solidarites-sante.gouv.fr/prevention-en-sante/preserver-sa-sante/nutrition/article/articles-scientifiques-et-documents-publies-relatifs-au-nutri-score).

        • Dubois P.
        • Albuquerque P.
        • Allais O.
        • Bonnet C.
        • Bertail P.
        • Combris P.
        • et al.
        Effects of front-of-pack labels on the nutritional quality of supermarket food purchase: evidence from a large-scale randomized controlled trial.
        J Acad Market Sci. 2021; 49: 119-138
        • Società Italiana di Nutrizione Umana
        Larn – livelli di riferimento di nutrienti ed energia per la popolazione italiana, IV revisione.
        Ed. SICS, 2014
        • EFSA Panel on Nutrition
        • Turck D.
        • Castenmiller J.
        • de Henauw S.
        • Hirsch-Ernst K.I.
        • et al.
        • Novel Foods and Food Allergens (NDA)
        Dietary reference values for sodium.
        EFSA J. 2019; 17e05778
      3. NCD global monitoring framework. World Health Organization, Geneva2013
        • Guideline
        Sugars intake for adults and children.
        World Health Organization, Geneva2015 (Available at:)