Assessment of the impact of the Belgian and French food industry on obesity and population nutrition

 

Major food industry players make commitments to improve food environments, but it remains unclear how well these commitments translate into practice. This study set out to quantitatively assess the nutrition-related commitments and practices, as well as the correlation between both, of major food companies in Belgium and France. The ‘Business Impact Assessment’ (BIA-Obesity) was applied to evaluate nutrition-related commitments and practices regarding product formulation, labelling, promotion and accessibility. Publicly available commitments were collected and companies given the opportunity to complete the information (2019-2020). Practices were evaluated applying following performance metrics: the proportion of products with Nutri-Score A or B, the percentage of products not-permitted to be marketed to children (World Health Organisation) and the proportion of ultra-processed food products (NOVA). Correlations between commitments and practices were calculated applying the Spearman's rank correlation coefficient. Overall BIA-Obesity scores for commitments were lower in France (median: 28%) than in Belgium (35%). Response rates in France (39%) were lower than in Belgium (56%). Median product portfolios in France contained less ultra-processed products (63%) and contained a higher proportion of products with a Nutri-Score A or B (38%) compared to Belgium (75% and 29%, respectively). In both countries a similar proportion of products was not-permitted to be marketed to children (81% in Belgium and 84% in France). Stronger company commitments did not translate into better performance metrics. Belgian food companies obtained a higher score for their nutrition-related commitments. French companies performed slightly better according to the performance metrics. In both countries there was ample room to improve commitments and practices. To improve food environments it is crucial to ensure that commitments are strengthened and translate into improved company practices.

Key messages

Regulations and fiscal policies

The food environments in which people develop their dietary behaviour and make their food choices have significant influence on what they purchase and, in turn, what they eat. Food prices, food labelling and food marketing are one of the determinants of food choices. They influence, to a certain degree, what and how much food people buy, and policies based on these determinants have been effective in promoting desirable dietary changes. However, these assessments of dietary changes have been exclusively conducted at the adult level, and not at children level. What are the impacts of such policies on children's overall diet? Do these effects substantially differ between European countries? To answer these outstanding questions, the work package will conduct a contextual review looking at (i) fiscal policies (food and non-alcoholic beverages), (ii) the regulation of food labelling and (iii) the regulation of the marketing of food products to children.

Assessment of the impact of the European food industry on obesity and population nutrition

Background

Our food environment is becoming increasingly dominated by ultra-processed foods and big industry players often escape accountability through self-regulation and vague commitments.

Methods

Applying the 'Business Impact Assessment' (BIA-Obesity), as proposed by INFORMAS, the commitments and performance of the biggest companies among packaged food and non-alcoholic beverage manufacturers, quick-service restaurants and supermarkets were assessed at a European level and in Belgium as a case study. The tool consists of six different domains comprising the corporate nutrition strategy, food formulation, labelling, marketing, accessibility of (un)healthy products and relationships with other organisations.

Results

Preliminary results for Belgian companies based on publicly available information show a median score of < 30% and a maximum score of < 60% for comprehensiveness, specificity and transparency of commitments. Hardly any commitments are in place to increase accessibility to healthier products. Even though several commitments are made regarding advertisement towards children below 12 years, on average 36% of sales is for products not-permitted to be marketed to children (WHO) and 71% for products that are ultra-processed (NOVA). Throughout Europe, companies selling ultra-processed foods on average generate 85% (77%-90%) of their sales from ultra-processed foods of which 50% (35%-74%) is not-permitted to be marketed to children.

Conclusions

Even though many commitments are made, they are not sufficiently specific or comprehensive and do not link well with performance. To reach the goals set out by the Sustainable Development goals and to improve the food environment it is crucial to ensure that commitments don't get lost in translation, but are strengthened and transformed into results.

Key messages

Food industry players make several nutrition and health related commitments, but these don’t always translate into performance. The BIA-tool clearly distinguishes between the comprehensiveness, specificity and transparency of nutrition related commitments made by the food industry.

Towards the integration and development of a cross-European research network and infrastructure: the DEterminants of DIet and Physical ACtivity (DEDIPAC) Knowledge Hub

To address major societal challenges and enhance cooperation in research across Europe, the European Commission has initiated and facilitated 'joint programming'. Joint programming is a process by which Member States engage in defining, developing and implementing a common strategic research agenda, based on a shared vision of how to address major societal challenges that no Member State is capable of resolving independently. Setting up a Joint Programming Initiative (JPI) should also contribute to avoiding unnecessary overlap and repetition of research, and enable and enhance the development and use of standardised research methods, procedures and data management. The Determinants of Diet and Physical Activity (DEDIPAC) Knowledge Hub (KH) is the first act of the European JPI 'A Healthy Diet for a Healthy Life'. The objective of DEDIPAC is to contribute to improving understanding of the determinants of dietary, physical activity and sedentary behaviours. DEDIPAC KH is a multi-disciplinary consortium of 46 consortia and organisations supported by joint programming grants from 12 countries across Europe. The work is divided into three thematic areas: (I) assessment and harmonisation of methods for future research, surveillance and monitoring, and for evaluation of interventions and policies; (II) determinants of dietary, physical activity and sedentary behaviours across the life course and in vulnerable groups; and (III) evaluation and benchmarking of public health and policy interventions aimed at improving dietary, physical activity and sedentary behaviours. In the first three years, DEDIPAC KH will organise, develop, share and harmonise expertise, methods, measures, data and other infrastructure. This should further European research and improve the broad multi-disciplinary approach needed to study the interactions between multilevel determinants in influencing dietary, physical activity and sedentary behaviours. Insights will be translated into more effective interventions and policies for the promotion of healthier behaviours and more effective monitoring and evaluation of the impacts of such interventions.