儿童预包装食品质量评估
  • 应用四种营养素质量法模型来评估2013年多伦多大学食品标签信息项目的数据,其中包括15342种预包装食品,并计算出向儿童销售的食品数量和比例。
  • 泛美卫生组织的修改版本和泛美卫生组织得出的数据分别为9.8%和15.8%;世卫组织欧洲区域模型的结果为29.8%。
  • 与此相反,澳大利亚新西兰营养分析评分标准认为49.0%的预包装食品符合儿童市场需求。
  • 交叉分类分析显示,只有8.1%的食品符合所有模型的标准。
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Comparison of global nutrient profiling systems for restricting the commercial marketing of foods and beverages of low nutritional quality to children in Canada

通过全球营养分析系统的比较来限制加拿大儿童低营养质量食品和饮品的商业营销

10.3945/ajcn.117.161356

2017-12-01, Article

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Background: The Canadian government recently committed to introduce legislation to restrict the commercial marketing of unhealthy foods and beverages to children.Objective: We compared the degree of strictness and agreement between nutrient profile (NP) models relevant to marketing restrictions by applying them in the Canadian context.Design: With the use of data from the University of Toronto 2013 Food Label Information Program (n = 15,342 prepackaged foods), 4 NP models were evaluated: the Food Standards Australia New Zealand-Nutrient Profiling Scoring Criterion (FSANZ-NPSC), the WHO Regional Office for Europe (EURO) model, the Pan American Health Organization (PAHO) model, and a modified version of the PAHO model (Modified-PAHO), which did not consider the extent of food processing because the application of this characteristic was prone to ambiguity. The number and proportion of foods that would be eligible for marketing to children was calculated with the use of each model, overall and by food category.Results: The Modified-PAHO and PAHO models would permit only 9.8% (95% CI: 9.4%, 10.3%) and 15.8% (95% CI: 15.3%, 16.4%) of foods, respectively, followed by the EURO model [29.8% (95% CI: 29.0%, 30.5%)]. In contrast, the FSANZ-NPSC would consider almost half of prepackaged foods as eligible for marketing to children [49.0% (95% CI: 48.2%, 49.8%)]. Cross-classification analyses showed that only 8.1% of foods would be eligible based on all models (e.g., most pastas without sauce). Subanalyses showed that each model would be more stringent when evaluating food items that specifically target children on their package (n = 747; from 1.9% of foods eligible under Modified-PAHO to 24.2% under FSANZ-NPSC).Conclusions: The degree of strictness and agreement vary greatly between NP models applicable to marketing restrictions. The discrepancies between models highlight the importance for policy makers to carefully evaluate the characteristics underlying such models when trying to identify a suitable model to underpin regulations restricting the marketing of unhealthy foods to children.

First Authors:
Marie-Ève Labonté

Correspondence Authors:
Mary R L'Abbé

All Authors:
Marie-Ève Labonté,Theresa Poon,Christine Mulligan,Jodi T Bernstein,Beatriz Franco-Arellano,Mary R L'Abbé

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