Skip to main content Skip to main navigation menu Skip to site footer
Review
Published: 07-03-2022

Associação Brasileira de Nutrologia recomenda o sistema Nutri-Score como modelo de avaliação do perfil nutricional de alimentos industrializados

Departamento de Medicina, Universidade Federal de São Carlos, São Carlos, SP, Brasil
Departamento de Nutrologia, Faculdade de Medicina, Fundação Padre Albino (FAMECA), Catanduva, São Paulo, Brasil
nutri-Score food labeling nutrition profile position paper

Abstract

Organized societies, government and industry have sought ways to ensure they can provide consumers with reliable and easy-to-interpret nutritional information. One of the aspects that has been discussed refers to the possibility of offering a greater number of data, in relation to critical aspects of health, which can decode, without replacing, those already present in the list of ingredients and in the nutritional information table, in order to allow rapid interpretation. In this sense, the Brazilian Association of Nutrology is seeking to collaborate with this initiative by proposing the use of the Nutri-Score model, in an adapted form, as a method of informing the nutritional profile. This document reviews this model, demonstrates its scientific validation and suggests adaptations in order to make it more informative.

Metrics

Metrics Loading ...

References

  1. Marton RM, Wang X, Barabási A-L, Ioannidis JPA. Science, advocacy, and quackery in nutritional books: an analysis of conflicting advice and purported claims of nutritional best-sellers. Palgrave Commun 2020; 6: 43
  2. Brasil. Guia alimentar para a população brasileira. Brasília: Ministério da Saúde. Secretaria de atenção à Saúde. Departamento de Atenção Básica; 2014
  3. ANVISA. Rotulagem Nutricional 2017 [Available from: http://portal.anvisa.gov.br/documents/33880/4712786/Relat%C3%B3rio+do+grupo+de+trabalho/1857cf12-246b-4a0a-846e-23e66632e684
  4. Organization WH. Guiding principles and framework manual for front-of-pack labelling for promoting healthy diet. Geneva, Switzerland: 2019
  5. Nogueira-de-Almeida CA. Ribas FIlho D. Nutri-Score – modelo de rotulagem frontal defendido pela Abran. Int J Nutrology. 2018; 11: 1
  6. Julia CH, Nutri-Score S. Evidence of the e ectiveness of the French front-of-pack nutrition label. Science & Research. 2017; 64: 7
  7. FSA. Food Standards Agency (2009) Minutes of the Board Meeting, 25th March 2009. London: FSA; 2009. [Available from: http://tna.europarchive.org/20120807115418/http://food.gov.uk/about-us/how-we-work/our-board/board-meetings/boardmeetings2009/090325/boadmins090325
  8. France SP. Nutri-Score frequently asked questions. Paris: Santé Publique France; 2019
  9. WHO. 2017 [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. Julia C, Ducrot P, Péneau S. et al Discriminating nutritional quality of foods using the 5-Color nutrition label in the French food market: consistency with nutritional recommendations. Nutr J 2015; 14: 100
  11. Julia C, Kesse-Guyot E, Ducrot P. et al Performance of a five category front-of-pack labelling system - the 5-colour nutrition label - to differentiate nutritional quality of breakfast cereals in France. BMC Public Health 2015; 15: 179
  12. Julia C, Kesse-Guyot E, Touvier M, Méjean C, Fezeu L, Hercberg S. Application of the British Food Standards Agency nutrient profiling system in a French food composition database. Br J Nutr 2014; 112 (10) 1699-1705
  13. Julia C, Hercberg S. Research and lobbying conflicting on the issue of a front-of-pack nutrition labelling in France. Arch Public Health 2016; 74: 51
  14. Julia C, Hercberg S. Big Food's Opposition to the French Nutri-Score Front-of-Pack Labeling Warrants a Global Reaction. Am J Public Health 2018; 108 (03) 318-320
  15. Hercberg S, Galan P, Julia C. [Nutri-Score: multinationals are still opposed to scientific evidence]. Rev Prat 2018; 68 (01) 3
  16. 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 (03) 396-397
  17. Hercberg S, Galan P, Julia C. [Nutri-Score: towards a victory of public health?]. Rev Prat 2019; 69 (02) 133-134
  18. Julia C, Méjean C, Touvier M. et al Validation of the FSA nutrient profiling system dietary index in French adults-findings from SUVIMAX study. Eur J Nutr 2016; 55 (05) 1901-1910
  19. Julia C, Touvier M, Méjean C. 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) 2009-2017
  20. Ducrot P, Méjean C, Julia C. et al Effectiveness of Front-Of-Pack Nutrition Labels in French Adults: Results from the NutriNet-Santé Cohort Study. PLoS One 2015; 10 (10) e0140898
  21. Ducrot P, Méjean C, Julia C. et al Objective Understanding of Front-of-Package Nutrition Labels among Nutritionally At-Risk Individuals. Nutrients 2015; 7 (08) 7106-7125
  22. Julia C, Péneau S, Buscail C. et al Perception of different formats of front-of-pack nutrition labels according to sociodemographic, lifestyle and dietary factors in a French population: cross-sectional study among the NutriNet-Santé cohort participants. BMJ Open 2017; 7 (06) e016108
  23. Shrivastava SR, Shrivastava PS, Ramasamy J. Adoption of the Nutri-score system in France to reduce the incidence of noncommunicable diseases. J Res Med Sci 2017; 22: 111
  24. Szabo de Edelenyi F, Egnell M, Galan P, Druesne-Pecollo N, Hercberg S, Julia C. Ability of the Nutri-Score front-of-pack nutrition label to discriminate the nutritional quality of foods in the German food market and consistency with nutritional recommendations. Arch Public Health 2019; 77: 28
  25. Mora-García CA, Tobar LF, Young JC. The Effect of Randomly Providing Nutri-Score Information on Actual Purchases in Colombia. Nutrients 2019; 11 (03) 11
  26. Julia C, Méjean C, Péneau S. et al The 5-CNL Front-of-Pack Nutrition Label Appears an Effective Tool to Achieve Food Substitutions towards Healthier Diets across Dietary Profiles. PLoS One 2016; 11 (06) e0157545
  27. Ducrot P, Julia C, Méjean C. et al Impact of Different Front-of-Pack Nutrition Labels on Consumer Purchasing Intentions: A Randomized Controlled Trial. Am J Prev Med 2016; 50 (05) 627-636
  28. Deschasaux M, Julia C, Kesse-Guyot E. et al Are self-reported unhealthy food choices associated with an increased risk of breast cancer? Prospective cohort study using the British Food Standards Agency nutrient profiling system. BMJ Open 2017; 7 (06) e013718
  29. Deschasaux M, Huybrechts I, Murphy N. 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 (09) e1002651
  30. 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 (09) 11
  31. Julia C, Ducrot P, Lassale C. 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: 189-194
  32. Julia C, Fézeu LK, Ducrot P. 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) 2355-2361
  33. Adriouch S, Julia C, Kesse-Guyot E. et al Association between a dietary quality index based on the food standard agency nutrient profiling system and cardiovascular disease risk among French adults. Int J Cardiol 2017; 234: 22-27
  34. Adriouch S, Julia C, Kesse-Guyot E. 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) 1669-1676
  35. Donnenfeld M, Julia C, Kesse-Guyot E. 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) 1702-1710
  36. Julia CHS. Development of a new front-of-pack nutrition label in France: the five- colour Nutri-Score. Pub Health Pan. 2017; 3: 14
  37. 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 (09) 11
  38. Egnell M, Ducrot P, Touvier M. et al Objective understanding of Nutri-Score Front-Of-Package nutrition label according to individual characteristics of subjects: Comparisons with other format labels. PLoS One 2018; 13 (08) e0202095
  39. Egnell M, Galan P, Farpour-Lambert NJ. et al Compared to other front-of-pack nutrition labels, the Nutri-Score emerged as the most efficient to inform Swiss consumers on the nutritional quality of food products. PLoS One 2020; 15 (02) e0228179
  40. Goiana-da-Silva F, Cruz-E-Silva D, Gregório MJ. et al Nutri-Score: A Public Health Tool to Improve Eating Habits in Portugal. Acta Med Port 2019; 32 (03) 175-178
  41. Galan P, Babio N, Salas Salvadó J. [Nutri-Score: front-of-pack nutrition label useful for public heath in Spain which is supported by as strong scientific background]. Nutr Hosp 2019; 36 (05) 1213-1222
  42. Arribas L, Hurtós L, Sendrós MJ. et al NUTRISCORE: A new nutritional screening tool for oncological outpatients. Nutrition 2017; 33: 297-303
  43. Julia C, Blanchet O, Méjean C. et al Impact of the front-of-pack 5-colour nutrition label (5-CNL) on the nutritional quality of purchases: an experimental study. Int J Behav Nutr Phys Act 2016; 13 (01) 101
  44. Julia C, Etilé F, Hercberg S. Front-of-pack Nutri-Score labelling in France: an evidence-based policy. Lancet Public Health 2018; 3 (04) e164
  45. Cornwell B, Villamor E, Mora-Plazas M, Marin C, Monteiro CA, Baylin A. Processed and ultra-processed foods are associated with lower-quality nutrient profiles in children from Colombia. Public Health Nutr 2018; 21 (01) 142-147
  46. Louzada MLDC, Ricardo CZ, Steele EM, Levy RB, Cannon G, Monteiro CA. The share of ultra-processed foods determines the overall nutritional quality of diets in Brazil. Public Health Nutr 2018; 21 (01) 94-102
  47. Louzada ML, Martins AP, Canella DS. et al Impact of ultra-processed foods on micronutrient content in the Brazilian diet. Rev Saude Publica 2015; 49: 45
  48. Monteiro CA, Moubarac JC, Levy RB, Canella DS, Louzada MLDC, Cannon G. Household availability of ultra-processed foods and obesity in nineteen European countries. Public Health Nutr 2018; 21 (01) 18-26
  49. Moubarac JC, Batal M, Louzada ML, Martinez Steele E, Monteiro CA. Consumption of ultra-processed foods predicts diet quality in Canada. Appetite 2017; 108: 512-520
  50. Saúde Md. Guia alimentar para a população brasileira. In: Ministério da saúde sdaaoasd, departamento, Básica daao, editors; Brasília: 2014: 156

How to Cite

Nogueira-de-Almeida, C. A., & Ribas Filho, D. (2022). Associação Brasileira de Nutrologia recomenda o sistema Nutri-Score como modelo de avaliação do perfil nutricional de alimentos industrializados. International Journal of Nutrology, 13(2), 32–41. https://doi.org/10.1055/s-0040-1715576