Development of the Choices 5-Level Criteria to Support Multiple Food System Actions

Tognon, GianlucaHögskolan i Skövde,Institutionen för hälsovetenskaper,Forskningsmiljön hälsa, hållbarhet och digitalisering,Choices International Foundation, HE The Hague, The Netherlands,Research on Citizen Centered Health, University of Skövde (Reacch US) (author)

CC BY 4.0Correspondence Address: Smorenburg, H.; Choices International Foundation Netherlands; email: herbert.smorenburg@choicesprogramme.org
In 2008, the Choices International Foundation developed its logo criteria, identifying best-in-class food products. More advanced, global and graded nutrient profiling systems (NPSs) are needed to substantiate different national nutrition policies. The objective of this work was to extend Choices NPS to identify five levels of the healthiness of food products, so that the Choices NPS can also be used to support other nutrition policies, next to front-of-pack labelling. Based on the same principles as the previous logo criteria, four sets of threshold criteria were determined using a combination of compliance levels, calculated from a large international food group-specific database, the Choices logo criteria, and WHO-NPSs developed to restrict marketing to children. Validation consisted of a comparison with indicator foods from food-based dietary guidelines from various countries. Some thresholds were adjusted after the validation, e.g., because intermediate thresholds were too lenient. This resulted in a new international NPS that can be applied to different contexts and to support a variety of health policies, to prevent both undernutrition and obesity. It can efficiently evaluate mixed food products and represents a flexible tool, applicable in various settings and populations.

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences hsv//eng
LANTBRUKSVETENSKAPER Lantbruksvetenskap, skogsbruk och fiske Livsmedelsvetenskap hsv//swe
AGRICULTURAL SCIENCES Agriculture, Forestry and Fisheries Food Science hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Näringslära hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nutrition and Dietetics hsv//eng
criteria for healthy food products
front-of-pack labelling FOPL
nutrient profiling
nutrition policy
non-communicable diseases
malnutrition
indicator foods
NUTRIENT PROFILING SYSTEM
DISEASE PREVENTION
INDEX
VALIDATION
QUALITY
MODELS
DIET
Criteria for healthy food products
Research on Citizen Centered Health, University of Skövde (Reacch US)

Beltramo, B.Choices International Foundation, HE The Hague, The Netherlands (author)
Schilpzand, R.Choices International Foundation, HE The Hague, The Netherlands (author)
Lissner, Lauren,1956Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Institute of Medicine, School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden(Swepub:gu)xlisla (author)
Roodenburg, A. J. C.Department of Nutrition and Health HAS, University of Applied Sciences, MA ’s-Hertogenbosch, The Netherlands (author)
Don, R.Nutrition and Dietetics Division, International Medical University, Kuala Lumpur, Malaysia (author)
Nair, K. M.Former Scientist, National Institute of Nutrition (ICMR), Choices International Scientific Committee, Hyderabad, India (author)
Nnam, N.Department of Nutrition & Dietetics, University of Nigeria, Nsukka, Nigeria (author)
Hamaker, B.Department of Food Science, Purdue University, West Lafayette, IN, USA (author)
Smorenburg, H.Choices International Foundation, HE The Hague, The Netherlands (author)
Högskolan i SkövdeInstitutionen för hälsovetenskaper (creator_code:org_t)

By the author/editor: Tognon, Gianluca; Beltramo, B.; Schilpzand, R.; Lissner, Lauren, ...; Roodenburg, A. J ...; Don, R.; show more...; Nair, K. M.; Nnam, N.; Hamaker, B.; Smorenburg, H.; show less...

About the subject

AGRICULTURAL SCIENCES: AGRICULTURAL SCI ...; and Agriculture Fore ...; and Food Science

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nutrition and Di ...

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