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The Updated Algorithm of Front-of-Pack Label Nutri-Score Is Not in Line with Dutch Food-Based Dietary Guidelines: Results of Calculations with Dutch Food Composition Database

Authors:
Jacco Gerritsen at Dutch Dairy Association
Jacco Gerritsen
  • Dutch Dairy Association
Hans Verhagen at Food Safety & Nutrition Consultancy
Hans Verhagen
  • Food Safety & Nutrition Consultancy
Stephan Peters at Dutch Dairy Association
Stephan Peters
  • Dutch Dairy Association
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Background and objectives: The front-of-pack label Nutri-Score has met a lot of scientific opposition. In the Netherlands, these were major concerns that Nutri-Score was not in line with the Dutch food-based dietary guidelines. In 2022, the algorithm behind the Nutri-Score was updated with the intention to bring it more in line with the general European food-based dietary guidelines. Methods: In this study, the renewed 2022 algorithm for solid foods is applied to the Dutch Food Composition Database (NEVO) to calculate the Nutri-Score values. Subsequently, the Nutri-Score values of all-solid foods were compared to the Dutch food-based dietary guidelines (the Wheel of Five). The foods that are included in the Wheel of Five are considered as “healthy”, i.e., would qualify for labels A or B, while the foods that receive labels C/D/E are considered “unhealthy”. Results: In total, 1980 solid foods were selected from NEVO. Despite the intended outcome, 19% of the unhealthy (non-Wheel of Five) products still received a Nutri-Score A or B. In addition, 25% of the healthy products in the Wheel of Five were scored as “unhealthy’, i.e., Nutri-Scores C/D/E. So grossly, circa one quarter of the foods will be wrongly labelled if the new algorithm is applied. Discussion: If the Nutri-Score is applied with the updated algorithm, this will mean that an average supermarket in the Netherlands will contain thousands of products with an inappropriate score. These results confirm the worries of the >200 Dutch food scientists and the associations of dietitians, life style coaches and weight councilors that the Nutri-Score will confuse Dutch consumers upon introduction. In their request to the Dutch Ministry of Health, they suggest to first bring the Nutri-Score essentially in line with our Wheel of Five before introducing the Nutri-Score system in the Netherlands. The full details of this work can be found at doi 10.13140/RG.2.2.23262.31043.
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Citation: Gerritsen, J.; Verhagen, H.;
Peters, S. The Updated Algorithm of
Front-of-Pack Label Nutri-Score Is
Not in Line with Dutch Food-Based
Dietary Guidelines: Results of
Calculations with Dutch Food
Composition Database. Proceedings
2023,91, 326. https://doi.org/
10.3390/proceedings2023091326
Academic Editors: Sladjana Sobajic
and Philip Calder
Published: 18 February 2024
Copyright: © 2024 by the authors.
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://
creativecommons.org/licenses/by/
4.0/).
proceedings
Abstract
The Updated Algorithm of Front-of-Pack Label Nutri-Score Is
Not in Line with Dutch Food-Based Dietary Guidelines: Results
of Calculations with Dutch Food Composition Database †
Jacco Gerritsen 1, Hans Verhagen 2and Stephan Peters 1,*
1Nederlandse Zuivel Organisatie (NZO)/Dutch Dairy Association, 2596 BC The Hague, The Netherlands;
gerritsen@nzo.nl
2Food Safety & Nutrition Consultancy, 3703 EE Zeist, The Netherlands; hans.verhagen@hotmail.com
*Correspondence: peters@nzo.nl
†Presented at the 14th European Nutrition Conference FENS 2023, Belgrade, Serbia, 14–17 November 2023.
Keywords: Nutri-Score; front-of-pack label; algorithm; food-based dietary guidelines; wheel of five
Background and objectives: The front-of-pack label Nutri-Score has met a lot of
scientific opposition. In the Netherlands, these were major concerns that Nutri-Score
was not in line with the Dutch food-based dietary guidelines. In 2022, the algorithm
behind the Nutri-Score was updated with the intention to bring it more in line with the
general European food-based dietary guidelines. Methods: In this study, the renewed 2022
algorithm for solid foods is applied to the Dutch Food Composition Database (NEVO) to
calculate the Nutri-Score values. Subsequently, the Nutri-Score values of all-solid foods
were compared to the Dutch food-based dietary guidelines (the Wheel of Five). The foods
that are included in the Wheel of Five are considered as “healthy”, i.e., would qualify
for labels A or B, while the foods that receive labels C/D/E are considered “unhealthy”.
Results: In total, 1980 solid foods were selected from NEVO. Despite the intended outcome,
19% of the unhealthy (non-Wheel of Five) products still received a Nutri-Score A or B. In
addition, 25% of the healthy products in the Wheel of Five were scored as “unhealthy’, i.e.,
Nutri-Scores C/D/E. So grossly, circa one quarter of the foods will be wrongly labelled if
the new algorithm is applied. Discussion: If the Nutri-Score is applied with the updated
algorithm, this will mean that an average supermarket in the Netherlands will contain
thousands of products with an inappropriate score. These results confirm the worries of
the >200 Dutch food scientists and the associations of dietitians, life style coaches and
weight councilors that the Nutri-Score will confuse Dutch consumers upon introduction.
In their request to the Dutch Ministry of Health, they suggest to first bring the Nutri-Score
essentially in line with our Wheel of Five before introducing the Nutri-Score system in the
Netherlands. The full details of this work can be found at doi 10.13140/RG.2.2.23262.31043.
Author Contributions: J.G.: Conceptualization; Data curation; Formal analysis; Methodology;
Validation; Visualization; Roles/Writing—original draft; Writing—review & editing. H.V. and S.P.:
Methodology; Validation; Visualization; Roles/Writing—original draft; Writing—review & editing.
All authors have read and agreed to the published version of the manuscript.
Funding: This work was supported by the Nederlandse Zuivel Organisatie (NZO)/Dutch Dairy
Association, 2596 BC The Hague, The Netherlands.
Institutional Review Board Statement: Not applicable.
Informed Consent Statement: Not applicable.
Data Availability Statement: The data that support the findings of this study are available from the
corresponding author upon reasonable request.
Proceedings 2023,91, 326. https://doi.org/10.3390/proceedings2023091326 https://www.mdpi.com/journal/proceedings
Proceedings 2023,91, 326 2 of 2
Conflicts of Interest: J.G. and S.P. are employed at the Dutch Dairy Association. H.V. is an in-
dependent consultant at the Food Safety & Nutrition Consultancy (The Netherlands) and holds
professorships at the Technical University of Denmark (Denmark) and the University of Ulster
(Northern Ireland). No author has a past or current collaboration with the Nutri-Score. H.V. is a mem-
ber of the international board of the Choices International Foundation since 2023. Until 2015, Both S.P.
and H.V. were members of the independent scientific committee in the Netherlands supporting the
former front-of-pack logo “het Vinkje”. The authors declare that the research was conducted in the
absence of any commercial or financial relationships that could be construed as a potential conflict of
interest. The Dutch Dairy Association is involved in the national discussion in the Netherlands about
front-of-pack logos by submitting inputs into product reformulations and front-of-pack consultations
of the Dutch Ministry of Health, Welfare and Sport.
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual
author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to
people or property resulting from any ideas, methods, instructions or products referred to in the content.
... auch mit den Abschnitten zur Methodik und den Ergebnissen. Wie in unseren Artikeln [1,2,21] zu sehen ist, stehen wir der aktuellen wissenschaftlichen Begründung, die dem Nutri-Score zugrunde liegt, kritisch gegenüber. Wir schlussfolgern nicht gegen den Nutri-Score oder "disqualifizieren ihn", sondern zeigen die Notwendigkeit einer Verbesserung seiner wissenschaftlichen Begründung auf, bei der zwei wesentliche Teile fehlen. ...
... Wir schlussfolgern nicht gegen den Nutri-Score oder "disqualifizieren ihn", sondern zeigen die Notwendigkeit einer Verbesserung seiner wissenschaftlichen Begründung auf, bei der zwei wesentliche Teile fehlen. Erstens gibt es keine Beweise für die Wirksamkeit des Nutri-Scores im wirklichen Leben [1,2] und zweitens steht der Nutri-Score zu sehr im Widerspruch zu lebensmittelbasierten Ernährungsrichtlinien [21]. Darüber hinaus empfehlen wir, wie im Artikel in PharmaNutrition dargelegt, dass der Nutri-Score vor der Einführung in Europa von einer unabhängigen wissenschaftlichen Lebensmittelbehörde wie z.B. ...
Nutri-Score und Publikationsbias: Aus entgegengesetzten Teilen des Spektrums der Interpretation von Studien zum Nutri-Score: Der Hinweis auf eine Publikationbias kann nicht geleugnet werden.
Article
Full-text available
  • Apr 2024
Kurzer Hintergrund. Im Februar verö8entlichten Peters und Verhagen in der Fachzeitschrift PharmaNutrition eine Literaturstudie zur Validierung und Wirksamkeit des Nutri-Score-Choice-Logos. Diese zeigt, dass die Wirksamkeit von Nutri-Score theoretisch gut belegt ist, es jedoch keine Beweise dafür gibt, dass Nutri-Score ist wirksam bei der Anpassung des Kaufverhaltens der Verbraucher. Darüber hinaus haben wir festgestellt, dass es einen Publikationsbias gibt: Die meisten positiven Studien zu Nutri-Score wurden von seinen französischen Entwicklern durchgeführt. Unabhängig von den französischen Entwicklern durchgeführte Studien zeigen jedoch ein gemischtes Bild [1]. Die Entwickler von Nutri-Score haben eine Antwort auf unseren Artikel geschrieben und diese an PharmaNutrition übermittelt. Diese Antwort kann auch im Nutri-Score-Blog gelesen werden: https://nutriscore.blog/2024/02/19/rebuttal-of-the-claims-against-the-nutri-score-made-by-two-lobbyists-in-pharmanutrition-in-an-event-to-discredit-academic-research/. Dieser Artikel ist unsere Antwort auf den Blog des Nutri-Score-Teams. Fazit: Wie auch immer man es betrachtet: Die wissenschaftliche Grundlage des Nutri-Score unterliegt einem Publikationsbias.
View
... Como pode ser visto em nossos artigos [1,2,21], somos críticos quanto à atual fundamentação científica subjacente ao Nutri-Score. Não concluímos contra ou 'desqualificamos' o Nutri-Score mas mostramos a necessidade de uma melhoria da sua fundamentação científica na qual faltam duas partes essenciais. ...
... Não concluímos contra ou 'desqualificamos' o Nutri-Score mas mostramos a necessidade de uma melhoria da sua fundamentação científica na qual faltam duas partes essenciais. Em primeiro lugar, que não há evidências da eficácia do Nutri-Score na vida real [1,2] e, em segundo lugar, que o Nutri-Score contrasta muito com as diretrizes dietéticas baseadas em alimentos [21]. Além disso, conforme afirmado no artigo da PharmaNutrition, recomendamos que antes da introdução na Europa, o Nutri-Score seja avaliado por uma autoridade alimentar científica independente, como, por exemplo, o Nutri-Score. ...
Viés de publicação e Nutri-Score. Vindo de partes opostas do espectro de interpretação de estudos sobre o Nutri-Score: a sugestão de viés de publicação não pode ser negada
Article
Full-text available
  • Apr 2024
Antecedentes - O sistema de rotulagem nutricional Nutri-Score é atualmente proposto como o sistema de escolha em sete países da UE. Desde Abril Portugal é o 8.º país a introduzir o polémico logótipo. No entanto, ainda há muito debate científico sobre a validação e eficácia do Nutri-Score e há muita discussão sobre a afiliação dos autores e o resultado do estudo. - Métodos - Recentemente publicamos nosso artigo: Nutri-Score e viés de publicação: uma revisão completa da literatura sobre a comprovação da eficácia do logotipo da frente da embalagem Nutri-Score Peters & Verhagen, PharmaNutrition 27C (2024) 100380. Este artigo recebeu um artigo comentado pelos desenvolvedores do Nutri-Score: M. Touvier et al. 2024 “Refutação ao artigo publicado por S. Peters e H. Verhagen”. Fornecemos aqui um comentário convidado a esse artigo de refutação, que apoia ainda mais o viés de publicação observado. - Resultados - Nesta resposta à refutação, respondemos principalmente às questões científicas levantadas na refutação e explicamos mais sobre o nosso alegado conflito de interesses e a nossa motivação para escrever o artigo. Além disso, agradecemos basicamente aos autores do artigo de refutação por, talvez ironicamente, mas essencialmente, confirmarem a nossa análise: há um viés de publicação versus afiliação. - Discussão - No geral, as evidências disponíveis são claramente limitadas e tendenciosas, e são necessárias mais pesquisas para substanciar ou refutar a eficácia do Nutri-Score. Questionamos a situação atual de que o desenvolvimento científico, a avaliação do desenvolvimento científico e a atualização de erros de algoritmos devam ser realizados por apenas um grupo. Conforme afirmado no artigo da PharmaNutrition, recomendamos que antes de o Nutri-Score ser introduzido na Europa, seja avaliado por uma autoridade alimentar científica independente, como: EFSA.
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... Zoals blijkt uit onze artikelen [1,2,21] staan wij kritisch tegenover de huidige wetenschappelijke onderbouwing die ten grondslag ligt aan Nutri-Score. Wij concluderen niet tegen Nutri-Score en 'diskwalificeren' dit ook niet, maar tonen de noodzaak aan van een verbetering van de wetenschappelijke onderbouwing waarin twee essentiële onderdelen ontbreken. ...
... Wij concluderen niet tegen Nutri-Score en 'diskwalificeren' dit ook niet, maar tonen de noodzaak aan van een verbetering van de wetenschappelijke onderbouwing waarin twee essentiële onderdelen ontbreken. In de eerste plaats dat er geen bewijs is van de e9ectiviteit van Nutri-Score in de praktijk [1,2] en, in de tweede plaats, dat Nutri-Score te veel in contrast staat met de voedingsrichtlijnen [21]. Bovendien adviseren wij, zoals vermeld in het artikel in PharmaNutrition, dat Nutri-Score vóór introductie in Europa wordt geëvalueerd door een onafhankelijke wetenschappelijke voedselautoriteit zoals b.v. ...
Nutri-Score en publicatie-bias. Vanuit welke kant je het ook bekijkt: de suggestie van publicatiebias achter de wetenschap van Nutri-Score kan niet worden ontkend.
Article
Full-text available
  • Apr 2024
Nutri-Score en publicatie-bias. Vanuit welke kant je het ook bekijkt: de suggestie van publicatiebias achter de wetenschap van Nutri-Score kan niet worden ontkend. Korte achtergrond. In februari publiceerden Peters en Verhagen een literatuurstudie naar de validatie en de effectiviteit van het keuzelogo Nutri-Score in het wetenschappelijke journal PharmaNutrition. Hieruit blijkt dat de effectiviteit van Nutri-Score theoretisch goed onderbouwd is, maar dat er geen bewijs is dat Nutri-Score effectief is in het bijsturen aankoopgedrag van de consument. Bovendien vonden we dat er sprake is van publicatie-bias: de meeste positieve studies van Nutri-Score zijn uitgevoerd door de Franse ontwikkelaars ervan. Echter, studies die onafhankelijk van de Franse ontwikkelaars zijn uitgevoerd, laten een wisselend beeld zien. De ontwikkelaars van Nutri-Score hebben een reactie geschreven op ons artikel en deze ingediend bij PharmaNutrition. Deze reactie is ook op de Nutri-Score blog te lezen https://nutriscore.blog/2024/02/19/rebuttal-of-the-claims-against-the-nutri-score-made-by-two-lobbyists-in-pharmanutrition-in-an-e9ort-to-discredit-academic-research/. Dit artikel is onze reactie op de blog van het Nutri-Score team. Conclusie: van welke kant je het ook bekijkt: de wetenschappelijke onderbouwing van Nutri-Score is onderhevig aan publicatie-bias. Deze tekst is de Nederlandse vertaling van onze reactie op die van het team van Nutri-Score.
View
... Come si può vedere nei nostri articoli [1,2,21] siamo critici nei confronti dell'attuale fondatezza scientifica alla base del Nutri-Score. Non concludiamo contro o "squalifichiamo" il Nutri-Score, ma mostriamo la necessità di un miglioramento della sua fondatezza scientifica in cui mancano due parti essenziali. ...
... Non concludiamo contro o "squalifichiamo" il Nutri-Score, ma mostriamo la necessità di un miglioramento della sua fondatezza scientifica in cui mancano due parti essenziali. In primo luogo, che non vi è alcuna prova dell'eCicacia del Nutri-Score nella vita reale [1,2] e, in secondo luogo, che il Nutri-Score è troppo in contrasto con le linee guida dietetiche basate sugli alimenti [21]. Inoltre, come aCermato nell'articolo su PharmaNutrition, raccomandiamo che prima dell'introduzione in Europa, il Nutri-Score venga valutato da un'autorità scientifica alimentare indipendente come, ad es. ...
Nutri-Score e bias di pubblicazione: Provenendo da parti opposte dello spettro di interpretazione degli studi sul Nutri-Score: il suggerimento di un bias di pubblicazione non può essere negato
Article
Full-text available
  • Mar 2024
Questo articolo è una risposta alla risposta degli sviluppatori di Nutri-Score che cercano disqualificare il nostro articolo 'Publication bias and Nutri-Score: A complete literature review of the substantiation of the eCectiveness of the front-of-pack logo Nutri-Score [1]. Questa è la traduzione italiana della nostra risposta pubblicata su PharmaNutrition [22]. La risposta degli sviluppatori di Nutri-Score può essere letta anche sul loro blog a supporto di Nutri-Score. Così come le accuse contro il direttore della rivista scientifica PharmaNutrition: https://nutriscore.blog/2024/02/19/rebuttal-of-the-claims-against-the-nutri-score-made-by-two-lobbyists-in-pharmanutrition-in-an-eCort-to-discredit-academic-research/ Astratto grafico. - Contesto - l’etichetta frontale Nutri-Score è attualmente proposta come sistema di scelta in sette paesi dell’UE. Tuttavia, c'è ancora molto dibattito scientifico sulla validazione e sull'efficacia del Nutri-Score e c'è molta discussione sull'eliminazione dell'autore e sui risultati dello studio. - Metodi - Recentemente abbiamo pubblicato il nostro articolo: Nutri-Score e bias di pubblicazione: una revisione completa della letteratura sulla fondatezza dell'efficacia del logo sulla parte anteriore della confezione Nutri-Score Peters & Verhagen, PharmaNutrition 27C (2024) 100380 [1]. Questo articolo ha ricevuto un documento di commento degli sviluppatori di Nutri-Score: M. Touvier et al. 2024 “Confutazione all'articolo pubblicato da S. Peters e H. Verhagen”. Con la presente forniamo un commento invitato a tale documento di confutazione, che supporta ulteriormente il bias di pubblicazione osservato. - Risultati - In questa risposta alla confutazione, rispondiamo principalmente alle questioni scientifiche sollevate nella confutazione e spieghiamo di più sul nostro presunto conflitto di interessi e sulla nostra motivazione per scrivere l'articolo. Inoltre, ringraziamo sostanzialmente gli autori del documento di confutazione per aver confermato, forse ironicamente ma essenzialmente, la nostra analisi: esiste un bias di pubblicazione rispetto a affiliazione. - Discussione - nel complesso, le prove disponibili sono chiaramente limitate e distorte e sono necessarie ulteriori ricerche per dimostrare o confutare l'efficacia del Nutri-Score.
View
... Como se puede ver en nuestros artículos [1,2,21], somos críticos con la fundamentación científica actual que subyace a Nutri-Score. No concluimos ni "descalificamos" Nutri-Score, pero mostramos la necesidad de mejorar su fundamentación científica, en la que faltan dos partes esenciales. ...
... No concluimos ni "descalificamos" Nutri-Score, pero mostramos la necesidad de mejorar su fundamentación científica, en la que faltan dos partes esenciales. En primer lugar, que no hay pruebas de la eficacia de Nutri-Score en la vida real [1,2] y, en segundo lugar, que Nutri-Score contrasta demasiado con las pautas dietéticas basadas en alimentos [21]. Además, como se indica en el artículo de PharmaNutrition, recomendamos que antes de su introducción en Europa, Nutri-Score sea evaluado por una autoridad alimentaria científica independiente como, por ejemplo, Nutri-Score. ...
No se puede negar. La fundamentación científica de Nutri-Score sigue siendo insuficiente y existe un claro sesgo de publicación detrás de Nutri-Score: Provenientes de partes opuestas del espectro de estudios de interpretación sobre Nutri-Score: no se puede negar la sugerencia de sesgo de publicación.
Article
Full-text available
  • Mar 2024
Esta es una traducción de nuestro artículo en PharmaNutrition [22]. Es nuestra respuesta a la refutación escrita por los desarrolladores de NutriScore en nuestro artículo anterior sobre Nutri-Score y el sesgo de publicación [1]. - Antecedentes - El logotipo nutricional Nutri-Score se propone actualmente como el sistema de elección en siete países de la UE. Sin embargo, todavía hay mucho debate científico sobre la validación y eficacia de Nutri-Score y hay mucha discusión sobre la afiliación de los autores y los resultados del estudio. - Métodos - Recientemente publicamos nuestro artículo: Nutri-Score y sesgo de publicación: una revisión completa de la literatura sobre la fundamentación de la efectividad del logotipo en el frente del paquete Nutri-Score Peters & Verhagen, PharmaNutrition 27C (2024) 100380. Este artículo recibió un artículo de comentario de los desarrolladores de Nutri-Score: M. Touvier et al. 2024 “Refutación al artículo publicado por S. Peters y H. Verhagen”. Adjunto proporcionamos un comentario invitado a ese artículo de refutación, que respalda aún más el sesgo de publicación observado. - Resultados - En esta respuesta a la refutación, respondemos principalmente sobre las cuestiones científicas planteadas en la refutación y explicamos más sobre nuestro supuesto conflicto de intereses y nuestra motivación para escribir el artículo. Además, básicamente agradecemos a los autores del artículo de refutación por confirmar, quizás irónicamente pero esencialmente, nuestro análisis: existe un sesgo de publicación versus afiliación. - Discusión - En general, la evidencia disponible es claramente limitada y sesgada, y se necesita más investigación para fundamentar o refutar la efectividad de Nutri-Score.
View
... Comme le montre nos articles [1,2,21], nous sommes critiques à l'égard de la justification scientifique actuelle sous-jacente au Nutri-Score. Nous ne concluons pas en défaveur ou ne discréditons pas le Nutri-Score, mais nous avons pour objet de montrer la nécessité d'améliorer la justification scientifique dans laquelle il manque deux arguments essentiels. ...
... Nous ne concluons pas en défaveur ou ne discréditons pas le Nutri-Score, mais nous avons pour objet de montrer la nécessité d'améliorer la justification scientifique dans laquelle il manque deux arguments essentiels. En premier lieu, il n'existe aucune donnée probante relative à l'eIicacité du Nutri-Score en vie réelle [1,2] et, en second lieu, le Nutri-Score présente un contraste trop important par rapport aux recommandations nutritionnelles en termes d'aliments [21]. De plus, comme indiqué dans l'article paru dans PharmaNutrition, nous recommandons donc que le Nutri-Score, avant son lancement en Europe, fasse l'objet d'une évaluation par une autorité scientifique indépendante en matière d'aliments comme l'EFSA. ...
C’est indéniable : il existe un biais de publication dans les études NutriScore. Au vu des éléments issus de parties opposées du spectre d'interprétation des études sur le Nutri-Score : la suggestion de l'existence d'un biais de publication ne peut être niée
Article
Full-text available
  • Mar 2024
-Contexte - Le logo Nutri-Score apposé sur la face avant des emballages alimentaires représente, actuellement, le système d’étiquetage de prédilection appliqué dans sept pays européens. Cependant, le Nutri-Score soulève toujours de nombreux débats scientifiques concernant sa validation et son efficacité. De plus, il existe également de vives discussions relatives à l’affiliation des auteurs et aux résultats d’études. - Méthodes - Nous avons récemment publié notre article intitulé : « Le Nutri-Score et les biais de publication » : une revue complète de la littérature sur la justification de l'efficacité du logo Nutri-Score sur la face avant des emballages (Peters & Verhagen, PharmaNutrition 27C (2024) 100380). Cet article a fait l’objet d’un commentaire rédigé par les développeurs du Nutri-Score : M. Touvier et al. 2024 « Rebuttal to the paper (« Réfutation de l’article ») publiée par S. Peters et H. Verhagen ». Nous fournissons, par la présente, un commentaire invité en réponse à l’article de réfutation, qui soutient en outre les biais de publication observés. - Résultats - Dans cette réponse à l’article de réfutation, nous réagissons principalement aux questions scientifiques soulevées dans cet article en donnant plus d’informations concernant notre conflit d’intérêt allégué et notre motivation pour rédiger l’article. De plus, nous tenons à remercier essentiellement les auteurs de l’article de réfutation d’avoir, peut-être ironiquement, mais essentiellement, confirmé notre analyse : il existe un biais de publication par rapport à l’affiliation. - Discussion - Dans l’ensemble, les données probantes disponibles sont clairement limitées et biaisées. C’est pourquoi, il convient de mener un plus grand nombre de travaux de recherche pour justifier ou réfuter l’efficacité du Nutri-Score.
View
... Deze update heeft tot verbetering geleid, maar heeft niet alle problemen opgelost [3,5]. Zo bleek uit onze berekeningen dat de Nutri-Score voor 20-25% niet in lijn is met de Schijf van Vijf [6]. De Nederlandse voedingswetenschappers die in 2019 na een initiatief van Voedingsjungle hun zorgen hebben geuit over de mismatch tussen de Nutri-Score en de Schijf van Vijf hebben na de update van het algoritme (en in tegenstelling tot de Gezondheidsraad) de staatssecretaris gevraagd de Nutri-Score niet in te voeren totdat de problemen met het algoritme die genoemd zijn in het Gezondheidsraadrapport zijn opgelost. ...
Onafhankelijke evaluatie Nutri-Score hoogste tijd (Voeding Nu 2024 (4) pp 18-20).
Article
Full-text available
  • Jun 2024
Er is op dit moment onvoldoende wetenschappelijk bewijs om het gebruik van Nutri-Score als effectief instrument voor de volksgezondheid te benoemen. Daarnaast is er sprake van publicatiebias in het voordeel van Nutri-Score. Dat stellen Hans Verhagen en Stephan Peters. (Voeding Nu 2024, 4 pag 18-20.
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... Nie wnosimy żadnych wniosków przeciwko Nutri-Score ani go nie "dyskwalifikujemy", ale pokazujemy konieczność poprawy jego naukowego uzasadnienia, w którym brakuje dwóch zasadniczych elementów. Po pierwsze, nie ma dowodów na skuteczność Nutri-Score w prawdziwym życiu [1,2], a po drugie, że Nutri-Score jest rozbieżny z wytycznymi dietetycznymi opartymi na żywności [21]. Ponadto, jak stwierdzono w artykule w PharmaNutrition, zalecamy, aby przed wprowadzeniem do Europy, Nutri-Score został oceniony przez niezależny naukowy organ ds. ...
Wychodząc z przeciwnych stron spektrum interpretacji badań dotyczących Nutri- Score: nie można zaprzeczyć sugestii stronniczości publikacji
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Full-text available
  • Apr 2024
To jest tłumaczenie [22] Peters, S.; Verhagen, H. Pochodzący z przeciwnych stron spektrum interpretacji badań dotyczących Nutri-Score: Nie można odmówić sugestii stronniczości publikacji. PharmaNutrition. - Kontekst - Etykieta Nutri-Score umieszczona na przodzie opakowania jest obecnie proponowana jako system z wyboru w siedmiu krajach UE. Jednakże nadal toczy się szeroka debata naukowa na temat walidacji i skuteczności Nutri-Score, a także na temat przynależności autora i wyników badań. - Metody - Niedawno opublikowaliśmy nasz artykuł: Nutri-Score i błąd publikacji: pełny przegląd literatury dotyczący uzasadnienia skuteczności logo Nutri-Score Peters & Verhagen, PharmaNutrition 27C (2024) 100380. Artykuł ten otrzymał artykuł z komentarzem twórców Nutri-Score: M. Touvier et al. 2024 „Odparcie artykułu opublikowanego przez S. Petersa i H. Verhagena”. Niniejszym przedstawiamy zaproszony komentarz do tego obalającego artykułu, który dodatkowo potwierdza zaobserwowaną stronniczość publikacji. - Wyniki - W tej odpowiedzi na obalenie odpowiadamy przede wszystkim na kwestie naukowe poruszone w odrzuceniu i wyjaśniamy więcej na temat naszego rzekomego konfliktu interesów oraz naszej motywacji do napisania artykułu. Co więcej, w zasadzie dziękujemy autorom artykułu obalającego tę tezę za – być może ironicznie, ale zasadniczo – potwierdzenie naszej analizy: istnieje stronniczość publikacji w stosunku do afiliacji. - Dyskusja - Ogólnie rzecz biorąc, dostępne dowody są wyraźnie ograniczone i stronnicze i potrzebne są dalsze badania, aby potwierdzić lub obalić skuteczność Nutri-Score. Kwestionujemy obecną sytuację, że rozwój naukowy, ocena rozwoju naukowego i aktualizacja błędów w algorytmie powinna być prowadzona tylko przez jedną grupę. Jak stwierdzono w artykule w PharmaNutrition, zalecamy, aby przed wprowadzeniem Nutri-Score do Europy, został on oceniony przez niezależny organ naukowy ds. żywności, taki jak m.in. EFSA.
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Nutri-Score labelling system – selected legal aspectsNutri-Score labelling system – selected legal aspects
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Full-text available
  • Dec 2024
The subject under consideration is the voluntary Nutri-Score labelling system called FOP (front-of-pack) which is an increasingly common method of labelling the nutritional value on the front of the packaging of food products. While it has found recognition in many EU Member States, its use continues to provoke much controversy and doubt. The Nutri-Score system is used quite extensively not only in Poland, but also throughout the EU. Many Member States have regulated its use by law. The aim of this paper is to evaluate the Nutri-Score system and to determine whether it meets the requirements of food law in terms of labelling foodstuffs and, in particular, whether it is likely to mislead consumers. In the author’s opinion, constant modification and updating of the system that has been going on has already allowed for at least some elimination of the earlier reservations. It is also recommended to adapt the Nutri-Score system to the requirements of food law, to develop a modified FOP labelling systems, or consider a development of a completely new solution. However, simplifying the nutritional assessment of food products to a single symbol so that it is clear, not misleading, and respects the generally applicable requirements of food law is extremely difficult to do.
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