How far can reformulation participate in improving the nutritional quality of diets at population level? A modelling study using real food market data in France
Background Food reformulation is promoted as a tool to improve the nutritional quality of population diets. However, the potential impact of industry-wide reformulation on dietary intake has been investigated minimally.Objectives The aim was to estimate the impact on the French population nutrient i...
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BMJ Publishing Group
2024-03-01
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| Series: | BMJ Global Health |
| Online Access: | https://gh.bmj.com/content/9/3/e014162.full |
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| author | Pilar Galan Serge Hercberg Chantal Julia Bernard Srour Léopold K Fezeu Emmanuelle Kesse-Guyot Mathilde Touvier Mélanie Deschasaux-Tanguy Morgane Fialon Barthélémy Sarda |
| author_facet | Pilar Galan Serge Hercberg Chantal Julia Bernard Srour Léopold K Fezeu Emmanuelle Kesse-Guyot Mathilde Touvier Mélanie Deschasaux-Tanguy Morgane Fialon Barthélémy Sarda |
| author_sort | Pilar Galan |
| collection | DOAJ |
| description | Background Food reformulation is promoted as a tool to improve the nutritional quality of population diets. However, the potential impact of industry-wide reformulation on dietary intake has been investigated minimally.Objectives The aim was to estimate the impact on the French population nutrient intakes of industry-wide reformulation towards healthier products using the updated nutrient profiling system underpinning the front-of-pack nutrition label Nutri-Score (uNS-NPS).Methods Dietary data were retrieved from the Nutrinet-Santé cohort at baseline (N=100 418), providing detailed information regarding participants’ food choices (N>3000 generic food items). Each individual food from 24 hours dietary record was matched with French food market data from OpenFoodFacts database (N=119 073 products). Three scenarios were constructed using nutrient content of currently existing food products: (1) all products available (baseline situation); (2) only existing products of better nutritional quality were available as potential substitutes and (3) only existing products of poorer quality were available. The assessment of the nutritional quality was based on the uNS-NPS score. Finally, dietary intakes were calculated for each scenario after random attribution of healthier/less healthy products as dietary choices. Monte-Carlo iterations (n=300) were conducted to generate uncertainty intervals.Results After simulation of reformulation using scenario 2, reduction in daily intake in comparison with the baseline situation was observed for energy (–55 kcal/day, –2.9%), saturated fat (–2.4g/day, –7.6%), sugar (–4.8g/day, –5.3%) and salt (–0.54g/day, –8.3%) and increase was observed for fibre (+1.0g/day, +4.9%). Improvements in diet quality were observed regardless of the overall quality of diet. The most important contributors to diet improvement were the followings: (1) sugars: sugary products, sweet bakery products and dairy products; (2) saturated fat: sweet bakery products, dairy products and prepared dishes and (3) salt: bread, prepared dishes, vegetable preparations and soups.Conclusion Widespread reformulation of food offer appeared to be an opportunity for improving nutritional status at population level in France. |
| format | Article |
| id | doaj-art-2d944e71511e4b2082fa606a13624344 |
| institution | Kabale University |
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| language | English |
| publishDate | 2024-03-01 |
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| series | BMJ Global Health |
| spelling | doaj-art-2d944e71511e4b2082fa606a136243442024-12-28T10:15:09ZengBMJ Publishing GroupBMJ Global Health2059-79082024-03-019310.1136/bmjgh-2023-014162How far can reformulation participate in improving the nutritional quality of diets at population level? A modelling study using real food market data in FrancePilar Galan0Serge Hercberg1Chantal Julia2Bernard Srour3Léopold K Fezeu4Emmanuelle Kesse-Guyot5Mathilde Touvier6Mélanie Deschasaux-Tanguy7Morgane Fialon8Barthélémy Sarda9Université Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Nutritional Epidemiology Research Team (EREN), Center of Research in Epidemiology and StatisticS (CRESS), 74 rue Marcel Cachin, Bobigny, FranceUniversité Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Nutritional Epidemiology Research Team (EREN), Center of Research in Epidemiology and StatisticS (CRESS), 74 rue Marcel Cachin, Bobigny, FrancePublic health Department, Hôpital Avicenne, Assistance Publique-Hôpitaux de Paris (AP-HP), Bobigny, FranceUniversité Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Nutritional Epidemiology Research Team (EREN), Center of Research in Epidemiology and StatisticS (CRESS), 74 rue Marcel Cachin, Bobigny, FranceUniversité Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Nutritional Epidemiology Research Team (EREN), Center of Research in Epidemiology and StatisticS (CRESS), 74 rue Marcel Cachin, Bobigny, FranceUniversité Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Nutritional Epidemiology Research Team (EREN), Center of Research in Epidemiology and StatisticS (CRESS), 74 rue Marcel Cachin, Bobigny, France8 Sorbonne Paris Nord University, Inserm U1153, Inrae U1125, Cnam, Nutritional Epidemiology Research Team (EREN), Centre of Research in Epidemiology and Statistics (CRESS) – Université Paris Cité (CRESS), Bobigny, FranceUniversité Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Nutritional Epidemiology Research Team (EREN), Center of Research in Epidemiology and StatisticS (CRESS), 74 rue Marcel Cachin, Bobigny, FranceUniversité Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Nutritional Epidemiology Research Team (EREN), Center of Research in Epidemiology and StatisticS (CRESS), 74 rue Marcel Cachin, Bobigny, FranceUniversité Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Nutritional Epidemiology Research Team (EREN), Center of Research in Epidemiology and StatisticS (CRESS), 74 rue Marcel Cachin, Bobigny, FranceBackground Food reformulation is promoted as a tool to improve the nutritional quality of population diets. However, the potential impact of industry-wide reformulation on dietary intake has been investigated minimally.Objectives The aim was to estimate the impact on the French population nutrient intakes of industry-wide reformulation towards healthier products using the updated nutrient profiling system underpinning the front-of-pack nutrition label Nutri-Score (uNS-NPS).Methods Dietary data were retrieved from the Nutrinet-Santé cohort at baseline (N=100 418), providing detailed information regarding participants’ food choices (N>3000 generic food items). Each individual food from 24 hours dietary record was matched with French food market data from OpenFoodFacts database (N=119 073 products). Three scenarios were constructed using nutrient content of currently existing food products: (1) all products available (baseline situation); (2) only existing products of better nutritional quality were available as potential substitutes and (3) only existing products of poorer quality were available. The assessment of the nutritional quality was based on the uNS-NPS score. Finally, dietary intakes were calculated for each scenario after random attribution of healthier/less healthy products as dietary choices. Monte-Carlo iterations (n=300) were conducted to generate uncertainty intervals.Results After simulation of reformulation using scenario 2, reduction in daily intake in comparison with the baseline situation was observed for energy (–55 kcal/day, –2.9%), saturated fat (–2.4g/day, –7.6%), sugar (–4.8g/day, –5.3%) and salt (–0.54g/day, –8.3%) and increase was observed for fibre (+1.0g/day, +4.9%). Improvements in diet quality were observed regardless of the overall quality of diet. The most important contributors to diet improvement were the followings: (1) sugars: sugary products, sweet bakery products and dairy products; (2) saturated fat: sweet bakery products, dairy products and prepared dishes and (3) salt: bread, prepared dishes, vegetable preparations and soups.Conclusion Widespread reformulation of food offer appeared to be an opportunity for improving nutritional status at population level in France.https://gh.bmj.com/content/9/3/e014162.full |
| spellingShingle | Pilar Galan Serge Hercberg Chantal Julia Bernard Srour Léopold K Fezeu Emmanuelle Kesse-Guyot Mathilde Touvier Mélanie Deschasaux-Tanguy Morgane Fialon Barthélémy Sarda How far can reformulation participate in improving the nutritional quality of diets at population level? A modelling study using real food market data in France BMJ Global Health |
| title | How far can reformulation participate in improving the nutritional quality of diets at population level? A modelling study using real food market data in France |
| title_full | How far can reformulation participate in improving the nutritional quality of diets at population level? A modelling study using real food market data in France |
| title_fullStr | How far can reformulation participate in improving the nutritional quality of diets at population level? A modelling study using real food market data in France |
| title_full_unstemmed | How far can reformulation participate in improving the nutritional quality of diets at population level? A modelling study using real food market data in France |
| title_short | How far can reformulation participate in improving the nutritional quality of diets at population level? A modelling study using real food market data in France |
| title_sort | how far can reformulation participate in improving the nutritional quality of diets at population level a modelling study using real food market data in france |
| url | https://gh.bmj.com/content/9/3/e014162.full |
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