The Nutri-Score algorithm: Evaluation of its validation process

The Nutri-Score front-of-pack label, which classifies the nutritional quality of products in one of 5 classes (A to E), is one of the main candidates for standardized front-of-pack labeling in the EU. The algorithm underpinning the Nutri-Score label is derived from the Food Standard Agency (FSA) nut...

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Main Authors: Daphne L. M. van der Bend, Manon van Eijsden, Michelle H. I. van Roost, Kees de Graaf, Annet J. C. Roodenburg
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2022.974003/full
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author Daphne L. M. van der Bend
Manon van Eijsden
Michelle H. I. van Roost
Kees de Graaf
Annet J. C. Roodenburg
author_facet Daphne L. M. van der Bend
Manon van Eijsden
Michelle H. I. van Roost
Kees de Graaf
Annet J. C. Roodenburg
author_sort Daphne L. M. van der Bend
collection DOAJ
description The Nutri-Score front-of-pack label, which classifies the nutritional quality of products in one of 5 classes (A to E), is one of the main candidates for standardized front-of-pack labeling in the EU. The algorithm underpinning the Nutri-Score label is derived from the Food Standard Agency (FSA) nutrient profile model, originally a binary model developed to regulate the marketing of foods to children in the UK. This review describes the development and validation process of the Nutri-Score algorithm. While the Nutri-Score label is one of the most studied front-of-pack labels in the EU, its validity and applicability in the European context is still undetermined. For several European countries, content validity (i.e., ability to rank foods according to healthfulness) has been evaluated. Studies showed Nutri-Score's ability to classify foods across the board of the total food supply, but did not show the actual healthfulness of products within different classes. Convergent validity (i.e., ability to categorize products in a similar way as other systems such as dietary guidelines) was assessed with the French dietary guidelines; further adaptations of the Nutri-Score algorithm seem needed to ensure alignment with food-based dietary guidelines across the EU. Predictive validity (i.e., ability to predict disease risk when applied to population dietary data) could be re-assessed after adaptations are made to the algorithm. Currently, seven countries have implemented or aim to implement Nutri-Score. These countries appointed an international scientific committee to evaluate Nutri-Score, its underlying algorithm and its applicability in a European context. With this review, we hope to contribute to the scientific and political discussions with respect to nutrition labeling in the EU.
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spelling doaj.art-47d4759c76924044a179b87fb048160c2022-12-22T01:35:48ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2022-08-01910.3389/fnut.2022.974003974003The Nutri-Score algorithm: Evaluation of its validation processDaphne L. M. van der Bend0Manon van Eijsden1Michelle H. I. van Roost2Kees de Graaf3Annet J. C. Roodenburg4Marketing and Consumer Behaviour Group, Wageningen University, Wageningen, NetherlandsVoedingsjungle, Amersfoort, NetherlandsVoedingsjungle, Amersfoort, NetherlandsDivision of Human Nutrition, Wageningen University, Wageningen, NetherlandsDepartment of Food and Industry, HAS University of Applied Sciences, ‘s-Hertogenbosch, NetherlandsThe Nutri-Score front-of-pack label, which classifies the nutritional quality of products in one of 5 classes (A to E), is one of the main candidates for standardized front-of-pack labeling in the EU. The algorithm underpinning the Nutri-Score label is derived from the Food Standard Agency (FSA) nutrient profile model, originally a binary model developed to regulate the marketing of foods to children in the UK. This review describes the development and validation process of the Nutri-Score algorithm. While the Nutri-Score label is one of the most studied front-of-pack labels in the EU, its validity and applicability in the European context is still undetermined. For several European countries, content validity (i.e., ability to rank foods according to healthfulness) has been evaluated. Studies showed Nutri-Score's ability to classify foods across the board of the total food supply, but did not show the actual healthfulness of products within different classes. Convergent validity (i.e., ability to categorize products in a similar way as other systems such as dietary guidelines) was assessed with the French dietary guidelines; further adaptations of the Nutri-Score algorithm seem needed to ensure alignment with food-based dietary guidelines across the EU. Predictive validity (i.e., ability to predict disease risk when applied to population dietary data) could be re-assessed after adaptations are made to the algorithm. Currently, seven countries have implemented or aim to implement Nutri-Score. These countries appointed an international scientific committee to evaluate Nutri-Score, its underlying algorithm and its applicability in a European context. With this review, we hope to contribute to the scientific and political discussions with respect to nutrition labeling in the EU.https://www.frontiersin.org/articles/10.3389/fnut.2022.974003/fullNutri-Scorenutrient profile modelsfront-of-pack labelingvalidityreview
spellingShingle Daphne L. M. van der Bend
Manon van Eijsden
Michelle H. I. van Roost
Kees de Graaf
Annet J. C. Roodenburg
The Nutri-Score algorithm: Evaluation of its validation process
Frontiers in Nutrition
Nutri-Score
nutrient profile models
front-of-pack labeling
validity
review
title The Nutri-Score algorithm: Evaluation of its validation process
title_full The Nutri-Score algorithm: Evaluation of its validation process
title_fullStr The Nutri-Score algorithm: Evaluation of its validation process
title_full_unstemmed The Nutri-Score algorithm: Evaluation of its validation process
title_short The Nutri-Score algorithm: Evaluation of its validation process
title_sort nutri score algorithm evaluation of its validation process
topic Nutri-Score
nutrient profile models
front-of-pack labeling
validity
review
url https://www.frontiersin.org/articles/10.3389/fnut.2022.974003/full
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