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