medigraphic.com
SPANISH

Salud Pública de México

Instituto Nacional de Salud Pública
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2025, Number 2

<< Back Next >>

salud publica mex 2025; 67 (2)

Nutritional quality and use of claims in products with added micronutrients

Cruz-Casarrubias C, Sagaceta-Mejía J, Delgado-Ordaz C, Munguía A, Contreras-Manzano A, Tolentino-Mayo L, Barquera S
Full text How to cite this article

Language: English
References: 26
Page: 144-152
PDF size: 262.67 Kb.


Key words:

ultra-processed foods, health claims, nutrition claims, micronutrients.

ABSTRACT

Objective. To analyze the association between the addition of micronutrients and the use of health and nutrition claims (HNC) in processed and ultra-processed products, and to evaluate whether this association differs according to the nutritional quality. Materials and methods. This cross-sectional study utilized data from 17 264 packaged foods and beverages available in major supermarket chains in Mexico City in 2017. Information was obtained from the front-of-packages (for HNC), nutrition facts table (energy and nutrients of concern), and ingredient lists (sources of micronutrients). Results. 25% (95%CI: 26.8,28.3%) of products reported added micronutrients. In this group, the use of HNC was higher compared to those without added micronutrients (55.1 vs. 27.5%). Finally, the proportion of products classified as excess energy (PR 1.11, 95%CI: 1.07,1.16), free sugars (PR 1.09, 95%CI: 1.04,1.15), and with non-sugar sweeteners (PR 4.05, 95%CI: 3.64,4.50) were higher in products that displayed HNC and with micronutrients added compared to products without HNC and micronutrients. Conclusion. The addition of micronutrients was more frequent in ultra-processed products that displayed HNC and products excessive in energy, free sugars or those containing non-sugar sweeteners.


REFERENCES

  1. Harvey KJ, Diug BO. The value of food fortification as a public healthintervention. Med J Aust. 2018;208(3):111-2. https://doi.org/10.5694/mja17.01095

  2. Das JK, Salam RA, Mahmood SB, Moin A, Kumar R, Mukhtar K, et al. Foodfortification with multiple micronutrients: impact on health outcomes ingeneral population. Cochrane Database Syst Rev. 2019;(12):CD011400.https://doi.org/10.1002/14651858.CD011400.pub2

  3. De la Cruz-Góngora V, Martínez-Tapia B, Shamah-Levy T, VillalpandoS. Nutritional status of iron, vitamin B12, vitamin A and anemia inMexican children: results from the Ensanut 2018-19. Salud Publica Mex.2021;63(3):359-70. https://doi.org/10.21149/12158

  4. Cornwell B, Villamor E, Mora-Plazas M, Marin C, Monteiro CA, BaylinA. Processed and ultra-processed foods are associated with lowerqualitynutrient profiles in children from Colombia. Public Health Nutr.2018;21(1):142-7. https://doi.org/10.1017/S1368980017000891

  5. Shim JS, Shim SY, Cha HJ, Kim J, Kim HC. Association between ultraprocessedfood consumption and dietary intake and diet quality in Koreanadults. J Acad Nutr Diet. 2022;122(3):583-94. https://doi.org/10.1016/j.jand.2021.07.012

  6. Monteiro CA, Cannon G, Levy RB, Moubarac JC, Louzada MLC,Rauber F, et al. Ultra-processed foods: what they are and how to identifythem. Public Health Nutr. 2019;22(5):936-41. https://doi.org/10.1017/S1368980018003762

  7. Marrón-Ponce JA, Flores M, Cediel G, Monteiro CA, Batis C. Associationsbetween consumption of ultra-processed foods and intakeof nutrients related to chronic non-communicable diseases in Mexico.J Acad Nutr Diet. 2019;119(11):1852-65. https://doi.org/10.1016/j.jand.2019.04.020

  8. Rauber F, da Costa-Louzada ML, Martínez-Steele E, Millett C, MonteiroCA, Levy RB. Ultra-processed food consumption and chronic non-communicablediseases-related dietary nutrient profile in the UK (2008-2014).Nutrients. 2018;10(5):587. https://doi.org/10.3390/nu10050587

  9. Jafari F, Yarmand S, Nouri M, Nejad ET, Ramezani A, Sohrabi Z, et al.Ultra-processed food intake and risk of colorectal cancer: a matchedcase-control study. Nutr Cancer. 2023;75(2):532-41. https://doi.org/10.1080/01635581.2022.2125990

  10. Jones A, Neal B, Reeve B, Ni Mhurchu C, Thow AM. Front-of-packnutrition labelling to promote healthier diets: current practice and opportunitiesto strengthen regulation worldwide. BMJ Glob Heal. 2019;4(6):1-16. https://doi.org/10.1136/bmjgh-2019-001882

  11. Rayner M, Wood A, Lawrence M, Mhurchu CN, Albert J, Barquera S,et al. Monitoring the health-related labelling of foods and non-alcoholicbeverages in retail settings. Obes Rev. 2013;14(suppl 1):70-81. https://doi.org/10.1111/obr.12077

  12. Al-Ani HH, Devi A, Eyles H, Swinburn B, Vandevijvere S. Nutritionand health claims on healthy and less-healthy packaged food products inNew Zealand. Br J Nutr. 2016;116(6):1087-94. https://doi.org/10.1017/s0007114516002981

  13. Williams P. Consumer understanding and use of health claims for foods.Nutr Rev. 2005;63(7):256-64. https://doi.org/10.1111/j.1753-4887.2005.tb00382.x

  14. Kaur A, Scarborough P, Matthews A, Payne S, Mizdrak A, Rayner M.How many foods in the UK carry health and nutrition claims, and are theyhealthier than those that do not? Public Health Nutr. 2016;19(6):988-97.https://doi.org/10.1017/S1368980015002104

  15. Van buul VJ, Brouns FJPH. Nutrition and health claims as marketingtools. Crit Rev Food Sci Nutr. 2015;55(11):1552-60. https://doi.org/10.1080/10408398.2012.754738

  16. Verrill L, Wood D, Cates S, Lando A, Zhang Y. Vitamin-fortified snackfood may lead consumers to make poor dietary decisions. J Acad NutrDiet. 2017;117(3):376-85. https://doi.org/10.1016/j.jand.2016.10.008

  17. Allen L, de Benoist B, Dary O, Hurrell R, eds. Guías para la fortificaciónde alimentos con micronutrientes. Switzerland: WHO, FAO, 2017 [citedFebruary 18, 2024]. Available in: https://apps.who.int/iris/bitstream/handle/10665/255541/9789243594019-spa.pdf

  18. Cruz-Casarrubias C, Tolentino-Mayo L, Vandevijvere S, Barquera S.Estimated effects of the implementation of the Mexican warning labelsregulation on the use of health and nutrition claims on packaged foods.Int J Behav Nutr Phys Act. 2021;18:76. https://doi.org/10.1186/s12966-021-01148-1

  19. Secretaría de Economía. Modificación a la Norma Oficial MexicanaNOM-051-SCFI/SSA1-2010, Especificaciones generales de etiquetadopara alimentos y bebidas no alcohólicas preenvasados-Informacióncomercial y sanitaria, publicada el 5 de abril de 2010. Mexico: DOF, 2020[cited February 2, 2024]. Available in: https://dof.gob.mx/2020/SEECO/NOM_051.pdf

  20. Vandevijvere S, Rayner M. Monitoring health-related labeling and promotionalcharacters/premium offers on foods and non-alcoholic beveragesin retail outlets. Auckland, New Zealand: The University of Auckland,2017 [cited February 2, 2024]. Available in: https://objectext.auckland.ac.nz/figshare/9928063/FoodLabellingProtocolINFORMAS.pdf

  21. Monteiro CA, Cannon G, Levy RB, Moubarac JC, Jaime P, Martins AP,et al. NOVA. The star shines bright. Food clasification. Public Healh. WorldNutr. 2016;7(1-3):28-38 [cited February 2, 2024]. Available in: https://archive.wphna.org/wp-content/uploads/2016/01/WN-2016-7-1-3-28-38-Monteiro-Cannon-Levy-et-al-NOVA.pdf

  22. Organización Panamericana de la Salud. Modelo de perfil de nutrientesde la Organización Panamericana de la Salud. Washington D.C.: PAHO,2016 [cited February 2, 2024]. Available in: https://iris.paho.org/bitstream/handle/10665.2/18622/9789275318737_spa.pdf

  23. Mediano-Stoltze F, Busey E, Taillie LS, Dillman-Carpentier FR. Impact ofwarning labels on reducing health halo effects of nutrient content claimson breakfast cereal packages: a mixed-measures experiment. Appetite.2021;163:105229. https://doi.org/10.1016/j.appet.2021.105229

  24. Secretaría de Salud. Decreto por el que se Reforman, Adicionan yDerogan diversas disposiciones del Reglamento de Control Sanitario deProductos y Servicios y del Reglamento de la Ley General de Salud enMateria de Publicidad. Mexico: SS, 2020 [cited February 4, 2024]. Availablein: https://www.cofemersimir.gob.mx/expedientes/24461

  25. Stanner S, Ashwell M, Williams CM. Why do health professionals needto know about the nutrition and health claims regulation? Summaryof an academy of nutrition sciences’ position paper. J Hum Nutr Diet.2023;36(1):12-6. https://doi.org/10.1111/jhn.13118

  26. Kroker-Lobos MF, Mazariegos M, Guamuch M, Ramirez-Zea M. Ultraprocessedproducts as food fortification alternatives: a critical appraisalfrom Latin America. Nutrients. 2022;14(7):1413. https://doi.org/10.3390/nu14071413




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

salud publica mex. 2025;67