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Merz B, Temme E, Alexiou H, Beulens JWJ, Buyken AE, Bohn T, Ducrot P, Falquet MN, Solano MG, Haidar H, Infanger E, Kühnelt C, Rodríguez-Artalejo F, Sarda B, Steenbergen E, Vandevijvere S, Julia C. Nutri-Score 2023 update. Nat Food 2024; 5:102-110. [PMID: 38356074 DOI: 10.1038/s43016-024-00920-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Accepted: 12/20/2023] [Indexed: 02/16/2024]
Abstract
In 2023, the algorithm underlying the Nutri-Score front-of-pack label was updated to better align with food-based dietary guidelines (FBDGs) across countries engaged in the system. On the basis of a comparison of FBDGs and literature reviews with the current Nutri-Score classification, modification scenarios were developed and tested in nutritional composition databases of branded products in four countries. The updated Nutri-Score nutrient profile model allows a better discrimination between products, in closer alignment with FBDGs, while the updated algorithm adopts a stricter approach for products that are high in components of concern (including non-nutritive sweeteners) and low in favourable dietary components. The updated Nutri-Score algorithm increases the alignment between the front-of-pack label system and FBDGs, strengthening its potential as a complementary public health tool in an international perspective.
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Affiliation(s)
- Benedikt Merz
- Department of Physiology and Biochemistry of Nutrition, Max Rubner-Institut, Federal Research Institute of Nutrition and Food, Karlsruhe, Germany
| | - Elisabeth Temme
- National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands
| | - Hélène Alexiou
- Haute Ecole Leonard de Vinci, Health Sector, Dietetics Department, Brussels, Belgium
| | - Joline Wilhelma Johanna Beulens
- Department of Epidemiology and Data Science, Amsterdam UMC, location Vrije Universiteit, Amsterdam, the Netherlands
- Amsterdam Public Health, Amsterdam Cardiovascular Sciences, Amsterdam, the Netherlands
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands
| | - Anette Elisabeth Buyken
- Paderborn University, Institute of Nutrition, Consumption and Health, Faculty of Natural Science, Paderborn, Germany
| | - Torsten Bohn
- Nutrition and Health Research Group, Department of Precision Health, Luxembourg Institute of Health, Strassen, Luxembourg
| | - Pauline Ducrot
- Santé publique France, French National Public Health Agency, Saint-Maurice, France
| | - Marie-Noëlle Falquet
- Department of Agricultural, Forest and Food Sciences, Bern University of Applied Sciences, Zollikofen, Switzerland
| | - Marta García Solano
- Observatory of Nutrition and Study of Obesity in Spanish Agency for Food Safety and Nutrition, Madrid, Spain
| | - Hanna Haidar
- Department of Physiology and Biochemistry of Nutrition, Max Rubner-Institut, Federal Research Institute of Nutrition and Food, Karlsruhe, Germany
| | | | - Charlotte Kühnelt
- Department of Physiology and Biochemistry of Nutrition, Max Rubner-Institut, Federal Research Institute of Nutrition and Food, Karlsruhe, Germany
- Department of Epidemiology and Health Monitoring, Robert Koch-Institut, Berlin, Germany
| | - Fernando Rodríguez-Artalejo
- Universidad Autónoma de Madrid, CIBER of Epidemiology and Public Health, and IMDEA-Food (CEI UAM+CSIC), Madrid, Spain
| | - Barthélémy Sarda
- Nutritional Epidemiology Research Team - Sorbonne Paris Nord University, INSERM U1153, INRAE U1125, CNAM, Epidemiology and Statistics Research Center - University of Paris (CRESS), Bobigny, France
| | - Elly Steenbergen
- National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands
| | | | - Chantal Julia
- Nutritional Epidemiology Research Team - Sorbonne Paris Nord University, INSERM U1153, INRAE U1125, CNAM, Epidemiology and Statistics Research Center - University of Paris (CRESS), Bobigny, France.
- Public Health Department, Paris-Seine-Saint-Denis University Hospitals (AP-HP), Bobigny, France.
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Kühnelt C, Starker A, Varnaccia G, Schienkiewitz A. School entrance examinations as a small-scale data source for health monitoring of children using obesity as an example. J Health Monit 2023; 8:6-19. [PMID: 37408710 PMCID: PMC10318559 DOI: 10.25646/11435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Figures] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Accepted: 03/07/2023] [Indexed: 07/07/2023]
Abstract
Background In the scope of the nationwide obligatory school entrance examinations (SEE), a standardised assessment of the preparedness for school of preschool children takes place in the federal states of Germany. For this purpose, height and weight of the children are determined. These data are available in aggregated form at county level, but are not yet being regularly compiled and processed at national level for use in policy and research. Methods In a pilot project, the indexing and merging of SEE data from 2015-2019 was tested in collaboration with six federal states. This was done using obesity prevalence at the time of the school entrance examination. In addition, prevalences were linked to small-scale indicators on settlement structure and sociodemographics from public databases, differences in obesity prevalence at county level were identified, and correlations to regional influencing factors were visualised. Results It was feasible to merge SEE data from the federal states with little effort. The majority of the selected indicators were freely available in public databases. In an interactive, easily comprehensible and user-friendly Tableau dashboard for visualising the SEE data, it can be seen that obesity prevalences differ significantly between counties that are similar in terms of settlement structure or sociodemographics. Conclusions Providing federal state SEE data and linking them to small-scale indicators enables region-based analyses and cross-state comparisons of similar counties and provides a data basis for continuous monitoring of the prevalence of obesity in early childhood.
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Affiliation(s)
- Charlotte Kühnelt
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | - Anne Starker
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | - Gianni Varnaccia
- Formerly Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | - Anja Schienkiewitz
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
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