Claims on Ready-to-Eat Cereals: Are Those With Claims Healthier?

Background: The use of advertising content strategies that suggest consuming a product will confer nutrient- and health-related benefits influences household food purchasing decisions, which increases consumption of energy-dense, nutrient-poor products. We examined the presence of marketing claims regarding nutrient content, health and nature in ready-to-eat (RTE) cereal packages in relation to the products' nutritional quality.Methods: A cross-sectional content analysis was conducted on 178 RTE cereal packages available in the six largest supermarket chains in four Colombian cities from August to November 2018. The nutritional quality of products was assessed through the nutrient profile model established by the Chilean Law of Food Labeling and Advertising law.Results: All products sampled exceeded the regulation threshold for at least one nutrient of concern (e.g., high-in calories and/or sugar). The majority (66.3%) of packages had claims related to nature, 57.3% had nutrient-content claims, and 15.7% had health benefit or risk avoidance claims. Most products with nature, nutrient-content, and health claims were high in energy (99.2, 98.0, and 92.9%, respectively) and sugar (88.1, 87.3, and 92.9%, respectively).Conclusion: RTE cereal products offered in major Colombian supermarket chains are heavily marketed using nutrition- and nature-related claims. Nearly all products with claims are high in energy and sugar, despite the messages conveyed by the claims to consumers. Results support the implementation of mandatory regulations restricting claims on food and beverage products high in nutrients of concern.

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Declaration of nutrition information on and nutritional quality of Thai ready-to-eat packaged food products

Public Health Nutrition ◽

10.1017/s1368980017003792 ◽

2018 ◽

Vol 21 (8) ◽

pp. 1409-1417 ◽

Cited By ~ 7

Author(s):

Suladda Pongutta ◽

Pitipa Chongwatpol ◽

Parwin Tantayapirak ◽

Stefanie Vandevijvere

Keyword(s):

Nutritional Quality ◽

Food Products ◽

Health Claims ◽

Nutrition Information ◽

Nutrient Profile ◽

Profile Model ◽

Health Related ◽

Packaged Foods ◽

Packaged Food

AbstractObjectiveThe present study assessed the nutrition information displayed on ready-to-eat packaged foods and the nutritional quality of those food products in Thailand.DesignIn March 2015, the nutrition information panels and nutrition and health claims on ready-to-eat packaged foods were collected from the biggest store of each of the twelve major retailers, using protocols developed by the International Network for Food and Obesity/Non-communicable Diseases Research, Monitoring and Action Support (INFORMAS). The Thai Nutrient Profile Model was used to classify food products according to their nutritional quality as ‘healthier’ or ‘less healthy’.ResultsIn total, information from 7205 food products was collected across five broad food categories. Out of those products, 5707 (79·2 %), 2536 (35·2 %) and 1487 (20·6 %) carried a nutrition facts panel, a Guideline Daily Amount (GDA) label and health-related claims, respectively. Only 4691 (65·1 %) and 2484 (34·5 %) of the products that displayed the nutrition facts or a GDA label, respectively, followed the guidelines of the Thai Food and Drug Administration. In total, 4689 products (65·1 %) could be classified according to the Thai Nutrient Profile Model, of which 432 products (9·2 %) were classified as healthier. Moreover, among the 1487 products carrying health-related claims, 1219 (82·0 %) were classified as less healthy. Allowing less healthy food products to carry claims could mislead consumers and result in overconsumption of ready-to-eat food products.ConclusionsThe findings suggest effective policies should be implemented to increase the relative availability of healthier ready-to-eat packaged foods, as well as to improve the provision of nutrition information on labels in Thailand.

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Modelling the dietary impact of health-related claims on food labels in the UK

Proceedings of The Nutrition Society ◽

10.1017/s0029665120002748 ◽

2020 ◽

Vol 79 (OCE2) ◽

Author(s):

Asha Kaur ◽

Peter Scarborough ◽

Mike Rayner

Keyword(s):

Nutritional Quality ◽

Meta Analysis ◽

Saturated Fat ◽

Nutritional Composition ◽

Health Claims ◽

Baseline Scenario ◽

Health Related ◽

Mathematical Equations ◽

The Impact

AbstractHealth-related claims (HRCs) are statements found on food packets that convey the nutritional quality of a food (nutrition claims) and/or its impact on a health outcome (health claims). Foods carrying HRCs have a slightly improved nutritional profile than foods without HRCs, however, it's unclear whether this translates into dietary improvements. We conducted a modelling study to measure the effect of HRCs on diet. As HRCs are already present on foods it is assumed that any impact that they have upon diet are already in effect. We modelled the impact on food purchases of removing HRCs, by assuming that the sales boost they receive is neutralised. These results can be inverted to estimate the current dietary impact of HRCs. Using the Living Costs Food (LCF) survey data, we calculate the average purchases and nutrient intake per person, per day. The LCF data is divided into sales of products with HRCs and sales of products without HRCs through solving mathematical equations combining LCF sales data with odds ratios from a meta-analysis examining the impact of HRCs on choices and data from a survey of foods examining the prevalence of HRCs and the nutritional quality of foods that carry them so that the sum of the sales of products with HRCs and without HRCs is equal to the total sales of products. Similarly, mathematical equations are solved that combine nutritional composition data with the sales of foods carrying and not carrying HRCs. In the baseline scenario foods carrying HRCs made-up 37% of the total purchases, and contributed 29% (559kcal) of the total kcals purchased (1907kcal). When HRCs are removed from foods there is an average increase of 18kcal/d (95% Uncertainty Intervals [UI] -15, 52), + 2g/d increase in total fat (95% UI -1, 4) and saturated fat (95% UI 1, 3), smaller changes are seen for protein (+ 0.5g/d, 95% UI -1, 2), total sugar (+ 0.5g/d, 95% UI -4, 7) and carbohydrate (-0.5g/d, 95% UI -5, 7). There is reduction in the amount of fruit (-11g/d, 95% UI -34, 26) but an increase in vegetables (+ 6g/d, 95% UI -6, 19). These results should be interpreted with caution due to the large uncertainty intervals. When HRCs are removed, we see a small deterioration in the quality of the average diet. If we invert these findings we can assume HRCs currently have a positive, albeit small, impact on diet.

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Evaluation of nutritional quality of biscuits and sweet snacks sold on the Italian market: the Food Labelling of Italian Products (FLIP) study

Public Health Nutrition ◽

10.1017/s1368980020000853 ◽

2020 ◽

Vol 23 (15) ◽

pp. 2811-2818 ◽

Cited By ~ 2

Author(s):

M Dall’Asta ◽

A Rosi ◽

D Angelino ◽

N Pellegrini ◽

D Martini

Keyword(s):

Nutritional Quality ◽

Salt Content ◽

Product Type ◽

Food Labelling ◽

Cereal Products ◽

Italian Market ◽

Other Information ◽

Quality Of Products ◽

Different Characteristics

AbstractObjective:The present study aimed at surveying the nutritional quality of prepacked biscuits and sweet snacks sold on the Italian market, and at identifying whether the product type and other information reported on the pack could discriminate the overall quality of products analysed.Design:Data on energy, nutrient and salt content of the products from two different categories of prepacked sweet cereal products (i.e. biscuits and sweet snacks) were collected from thirteen retailers present on the Italian market. Based on the product type, nutrition and health claim (NHC) and gluten-free (GF) declaration, a comparison of nutrient profile within each category was performed.Setting:This work is part of the Food Labelling of Italian Products (FLIP) study that aims at systematically investigating the overall quality of the prepacked foods sold on the Italian market.Results:A total of 1290 products were analysed (63 % biscuits and 37 % sweet snacks). After comparing different product types within each category, a high intra-type product variability was evidenced, which was more pronounced for biscuits. Overall, NHC-carrying products seemed to have a better nutrition profile than those without claims, except for salt content. Conversely, a comparison between GF and gluten-containing products did not show consistent results within the two categories analysed.Conclusions:Due to the high intra-type variability within each category, the different characteristics and regulated information reported on the pack do not seem to be a clear marker of the overall nutritional quality of biscuits and snacks.

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Are campus food environments healthy? A novel perspective for qualitatively evaluating the nutritional quality of food sold at foodservice facilities at a Brazilian university

Perspectives in Public Health ◽

10.1177/1757913916636414 ◽

2016 ◽

Vol 137 (2) ◽

pp. 122-135 ◽

Cited By ~ 9

Author(s):

Isadora Santos Pulz ◽

Paula Andréa Martins ◽

Charles Feldman ◽

Marcela Boro Veiros

Keyword(s):

Food Environment ◽

Nutritional Quality ◽

Food Choices ◽

Healthy Food ◽

Food Environments ◽

Cross Sectional ◽

Food Ingredients ◽

Nutrition Environment ◽

Food And Beverage

Aims: The purpose of this novel study was to evaluate the food environment at a Brazilian university, encompassing 6 restaurants and 13 snack bars. The investigation uniquely analyses the food environment (barriers, facilitators, type of foods and prices). This was a food-based analysis of the nutritional quality of the products sold on campus. Methods: A cross-sectional descriptive design was used, applying the classic Nutrition Environment Measures Survey–Restaurants (NEMS-R) adapted for Brazil and an original methodology to evaluate and classify qualitatively the nutritional quality and characteristics of the food. A census of all campus food environments was applied. Results: The main results show most food and beverage products were made with processed ingredients and had a lower nutritional quality and price when compared with similar products made on premises, that is, processed iced tea compared with fresh tea ( p < .001), fried refined flour salgados compared with baked wholegrain flour salgados ( p < .001) and refined flour biscuits compared with those made with whole grains ( p = .028). Only 16% of the outlets provided food ingredients or nutritional information of products available. Conclusion: The overall options for healthy food choices and good nutritional quality on campus were mostly limited by the availability and higher prices of products. These findings could be used to develop new policy perspectives for the offering of healthy food items and to facilitate better food choices among students in a healthier food environment.

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Nutritional quality of prepackaged food that carry health or nutritional claims and their compliance with SFDA regulations in Saudi Arabia

10.21203/rs.3.rs-19252/v1 ◽

2020 ◽

Author(s):

Amal Almughthim ◽

Hoda Jr

Keyword(s):

Saudi Arabia ◽

Nutritional Quality ◽

Saturated Fat ◽

Health Claims ◽

Accurate Information ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Nutrition Claims ◽

The Uk

Abstract Background Products that carry health or nutrition claims may be perceived by consumers as healthier than those that do not carry claims. Therefore, they will have a more favorable attitude towards it and may also be easily misled about the nutritional proﬁle and may misinterpret it. Nutritional quality of those products should be assessed to protect consumers against being misled and ensuring that they receive accurate information about food products carrying a claim.Methods a cross-sectional survey for a total of 1153 foods were randomly sampled from fourteen stores in Riyadh, Saudi Arabia. The data were collected from nutritional facts present on food labels and evaluated by comparing the mean level of nutrients between products that carried claims and those that did not using the UK nutrient profile model (UKNPM).Results Overall, 29% of products carried either health or nutritional claims. Only 19.2% of foods that carried health claims met SFDA requirements, while 28.9% of all products that carried nutritional claims met SFDA criteria. The results indicate that products that carried health or nutritional claims were significantly lower in sugar (9.67 g/100 g), fat (9.2 g/100 g), saturated fat (3.2 g/100 g), and sodium (371.36 mg/100 g). According to the UK nutrient profiling model, 46.9% of the products carrying claims were less healthy than those not carrying claims, and statistically significant differences were observed by product origin and category (p=0.005 and p=0.000, respectively).Conclusion a great need for the regulation and monitoring of claims on food packages for the optimal protection of the population’s health.

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Confused health and nutrition claims in food marketing to children could adversely affect food choice and increase risk of obesity

Archives of Disease in Childhood ◽

10.1136/archdischild-2018-315870 ◽

2019 ◽

Vol 104 (6) ◽

pp. 541-546 ◽

Cited By ~ 6

Author(s):

Ada L García ◽

Gabriela Morillo-Santander ◽

Alison Parrett ◽

Antonina N Mutoro

Keyword(s):

Nutritional Quality ◽

Sugar Content ◽

Health Claims ◽

Online Information ◽

Cross Sectional ◽

Product Packaging ◽

Nutrition Claims ◽

Health And Nutrition ◽

Wide Range

ObjectivesTo investigate the nutritional quality of foods marketed to children in the UK and to explore the use of health and nutrition claims.DesignThis cross-sectional study was carried out in a wide range of UK food retailers. Products marketed to children above the age of 1 year containing any of a range of child friendly themes (i.e. cartoons, toys and promotions), and terms suggesting a nutritious or healthy attribute such as ‘one of 5-a-day’, on product packaging were identified both in stores and online. Information on sugar, salt and fat content, as well as health and nutrition claims, was recorded. The Ofcom nutrient profiling model (NPM) was used to assess if products were healthy.ResultsThree hundred and thirty-two products, including breakfast cereals, fruit snacks, fruit-based drinks, dairy products and ready meals, were sampled. The use of cartoon characters (91.6%), nutrition claims (41.6%) and health claims (19.6%) was a common marketing technique. The one of 5-a-day claim was also common (41.6%), but 75.4% (103) of products which made this claim were made up of less than 80 g of fruit and vegetables. Sugar content (mean±SD per 100 g) was high in fruit snacks (48.4±16.2 g), cereal bars (28.9±7.5 g) and cereals (22.9±8.0 g). Overall, 41.0% of the products were classified as less healthy according to the Ofcom NPM.ConclusionA large proportion of products marketed to children through product packaging are less healthy, and claims used on product packaging are confusing. Uniform guidance would avoid confusion on nutritional quality of many popular foods.

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The nutritional quality of foods carrying health-related claims in Germany, The Netherlands, Spain, Slovenia and the United Kingdom

European Journal of Clinical Nutrition ◽

10.1038/ejcn.2016.114 ◽

2016 ◽

Vol 70 (12) ◽

pp. 1388-1395 ◽

Cited By ~ 28

Author(s):

A Kaur ◽

P Scarborough ◽

S Hieke ◽

A Kusar ◽

I Pravst ◽

...

Keyword(s):

United Kingdom ◽

The Netherlands ◽

Nutritional Quality ◽

Health Claims ◽

Cross Sectional Survey ◽

Nutrition Claims ◽

The United Kingdom ◽

Health Related ◽

Packaged Foods

Abstract Backgroung/Objectives: Compares the nutritional quality of pre-packaged foods carrying health-related claims with foods that do not carry health-related claims. Subject/Methods: Cross-sectional survey of pre-packaged foods available in Germany, The Netherlands, Spain, Slovenia and the United Kingdom in 2013. A total of 2034 foods were randomly sampled from three food store types (a supermarket, a neighbourhood store and a discounter). Nutritional information was taken from nutrient declarations present on food labels and assessed through a comparison of mean levels, regression analyses and the application of a nutrient profile model currently used to regulate health claims in Australia and New Zealand (Food Standards Australia New Zealand’s Nutrient Profiling Scoring Criterion, FSANZ NPSC). Results: Foods carrying health claims had, on average, lower levels, per 100 g, of the following nutrients, energy—29.3 kcal (P<0.05), protein—1.2 g (P<0.01), total sugars—3.1 g (P<0.05), saturated fat—2.4 g (P<0.001), and sodium—842 mg (P<0.001), and higher levels of fibre—0.8 g (P<0.001). A similar pattern was observed for foods carrying nutrition claims. Forty-three percent (confidence interval (CI) 41%, 45%) of foods passed the FSANZ NPSC, with foods carrying health claims more likely to pass (70%, CI 64%, 76%) than foods carrying nutrition claims (61%, CI 57%, 66%) or foods that did not carry either type of claim (36%, CI 34%, 38%). Conclusions: Foods carrying health-related claims have marginally better nutrition profiles than those that do not carry claims; these differences would be increased if the FSANZ NPSC was used to regulate health-related claims. It is unclear whether these relatively small differences have significant impacts on health.

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Nutrition communication: consumer perceptions and predicting intentions

Proceedings of The Nutrition Society ◽

10.1017/s0029665110003964 ◽

2011 ◽

Vol 70 (1) ◽

pp. 19-25 ◽

Cited By ~ 22

Author(s):

Moira Dean ◽

Liisa Lähteenmäki ◽

Richard Shepherd

Keyword(s):

Health Benefit ◽

Public Perceptions ◽

Health Claims ◽

The European Union ◽

Health Claim ◽

The Public ◽

Health Related ◽

Willingness To Use ◽

Nutrition Communication ◽

Main Factor

Health claims on food products, which aim at informing the public about the health benefits of the product, represent one type of nutrition communication; the use of these is regulated by the European Union. This paper provides an overview of the research on health claims, including consumers’ perceptions of such claims and their intention to buy products that carry health-related claims. This is followed by a discussion on the results from some recent studies investigating public perceptions and willingness to use products with health claims. In these studies, claims are presented in the form of messages of different lengths, types, framing, with and without qualifying words and symbols. They also investigate how perceptions and intentions are affected by individual needs and product characteristics. Results show that adding health claims to products does increase their perceived healthiness. Claim structure was found to make a difference to perceptions, but its influence depended on the level of relevance, familiarity and individuals’ need for information. Further, the type of health benefit proposed and the base product used also affected perceptions of healthiness. The paper concludes that while healthiness perceptions relating to products with health claims may vary between men and women, old and young and between countries, the main factor influencing perceived healthiness and intention to buy a product with health claim is personal relevance.

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Health claims and product endorsements on child-oriented beverages in Guatemala

Public Health Nutrition ◽

10.1017/s1368980017003123 ◽

2017 ◽

Vol 21 (03) ◽

pp. 627-631 ◽

Cited By ~ 4

Author(s):

Andrew Perry ◽

Violeta Chacon ◽

Joaquin Barnoya

Keyword(s):

Nutritional Quality ◽

Marketing Strategies ◽

Health Claims ◽

Guatemala City ◽

Carbonated Beverages ◽

Health Related ◽

The Uk ◽

Product Endorsements ◽

Beverage Packaging

AbstractObjectiveWe sought to describe front-of-package marketing strategies and nutritional quality of child-oriented beverages in Guatemala.DesignWe purchased all child-oriented ready-to-drink fruit drinks, milks and carbonated beverages in three convenience stores and one supermarket in Guatemala City. Front-of-package marketing was defined as the presence of spokes-characters, cartoons, celebrities, or health-related images, words, claims or endorsements on beverage packaging. We used the UK Nutrition Profiling Model (NPM) to classify beverages as healthy or less healthy.SettingGuatemala City, Guatemala.ResultsWe purchased eighty-nine beverages; most were fruit drinks (n52, 58 %), milk (15, 17 %), carbonated beverages (5, 17 %), rice/soya products (5, 6·0 %), water (1, 1 %) and energy drinks (1, 1 %). Two-thirds (57, 64 %) had health claims. Of those with a nutrition facts label (85, 96 %), nearly all (76, 89 %) were classified as less healthy. No association between the presence of health claims and NPM score (P=0·26) was found. Eight beverages had health-related endorsements. However, only one beverage was classified as healthy.ConclusionsIn this sample of beverages in Guatemala City, health claims and health-related endorsements are used to promote beverages with poor nutritional quality. Our data support evidence-based policies to regulate the use of front-of-package health claims and endorsements based on nutritional quality.

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The effectiveness of self-regulation in limiting the advertising of unhealthy foods and beverages on children’s preferred websites in Canada

Public Health Nutrition ◽

10.1017/s1368980017004177 ◽

2018 ◽

Vol 21 (9) ◽

pp. 1608-1617 ◽

Cited By ~ 19

Author(s):

Monique Potvin Kent ◽

Elise Pauzé

Keyword(s):

Nutritional Quality ◽

Self Regulation ◽

Nutrient Content ◽

Free Sugars ◽

Food And Beverage ◽

Pan American ◽

Advertising Exposure ◽

Health Organization ◽

The Uk

AbstractObjectiveTo assess the effectiveness of the self-regulatory Canadian Children’s Food and Beverage Advertising Initiative (CAI) in limiting advertising of unhealthy foods and beverages on children’s preferred websites in Canada.Design/Setting/SubjectsSyndicated Internet advertising exposure data were used to identify the ten most popular websites for children (aged 2–11 years) and determine the frequency of food/beverage banner and pop-up ads on these websites from June 2015 to May 2016. Nutrition information for advertised products was collected and their nutrient content per 100 g was calculated. Nutritional quality of all food/beverage ads was assessed using the Pan American Health Organization (PAHO) and UK Nutrient Profile Models (NPM). Nutritional quality of CAI and non-CAI company ads was compared usingχ2analyses and independentttests.ResultsAbout 54 million food/beverage ads were viewed on children’s preferred websites from June 2015 to May 2016. Most (93·4 %) product ads were categorized as excessive in fat, Na or free sugars as per the PAHO NPM and 73·8 % were deemed less healthy according to the UK NPM. CAI-company ads were 2·2 times more likely (OR; 99 % CI) to be excessive in at least one nutrient (2·2; 2·1, 2·2,P<0·001) and 2·5 times more likely to be deemed less healthy (2·5; 2·5, 2·5,P<0·001) than non-CAI ads. On average, CAI-company product ads also contained (mean difference; 99 % CI) more energy (141; 141·1, 141·4 kcal,P<0·001,r=0·55), sugar (18·2; 18·2, 18·2 g,P<0·001,r=0·68) and Na (70·0; 69·7, 70·0 mg,P<0·001,r=0·23) per 100 g serving than non-CAI ads.ConclusionsThe CAI is not limiting unhealthy food and beverage advertising on children’s preferred websites in Canada. Mandatory regulations are needed.

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