| Autor: |
Tognon G; Choices International Foundation, 2501 HE The Hague, The Netherlands.; School of Health Sciences, University of Skövde, 541 28 Skövde, Sweden., Beltramo B; Choices International Foundation, 2501 HE The Hague, The Netherlands., Schilpzand R; Choices International Foundation, 2501 HE The Hague, The Netherlands., Lissner L; Institute of Medicine, School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden., Roodenburg AJC; Department of Nutrition and Health HAS, University of Applied Sciences, 5200 MA 's-Hertogenbosch, The Netherlands., Don R; Nutrition and Dietetics Division, International Medical University, Kuala Lumpur 57000, Malaysia., Nair KM; Former Scientist, National Institute of Nutrition (ICMR), Choices International Scientific Committee, Hyderabad 500007, India., Nnam N; Department of Nutrition & Dietetics, University of Nigeria, Nsukka 410001, Nigeria., Hamaker B; Department of Food Science, Purdue University, West Lafayette, IN 47907, USA., Smorenburg H; Choices International Foundation, 2501 HE The Hague, The Netherlands. |
| Abstrakt: |
In 2008, the Choices International Foundation developed its logo criteria, identifying best-in-class food products. More advanced, global and graded nutrient profiling systems (NPSs) are needed to substantiate different national nutrition policies. The objective of this work was to extend Choices NPS to identify five levels of the healthiness of food products, so that the Choices NPS can also be used to support other nutrition policies, next to front-of-pack labelling. Based on the same principles as the previous logo criteria, four sets of threshold criteria were determined using a combination of compliance levels, calculated from a large international food group-specific database, the Choices logo criteria, and WHO-NPSs developed to restrict marketing to children. Validation consisted of a comparison with indicator foods from food-based dietary guidelines from various countries. Some thresholds were adjusted after the validation, e.g., because intermediate thresholds were too lenient. This resulted in a new international NPS that can be applied to different contexts and to support a variety of health policies, to prevent both undernutrition and obesity. It can efficiently evaluate mixed food products and represents a flexible tool, applicable in various settings and populations. |
