Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Jan 25;11(2):268.
doi: 10.3390/nu11020268.

Global Governance of Front-of-Pack Nutrition Labelling: A Qualitative Analysis

Affiliations

Global Governance of Front-of-Pack Nutrition Labelling: A Qualitative Analysis

Anne Marie Thow et al. Nutrients. .

Abstract

The Codex Alimentarius has approved ongoing work for international guidance on front-of-pack (FoP) nutrition labelling, which is a core intervention for prevention of diet-related noncommunicable disease. This guidance will have implications for national policy decision-making regarding this important public health issue. However, FoP nutrition labelling is also a trade and commerce policy issue. In this study, we analyze the global governance of FoP nutrition labelling and current policy processes, to inform public health policy and advocacy. We present findings from a qualitative governance and institutional analysis, based on key informant interviews with 28 global actors. The study found that Codex guidance was perceived as likely to have a high impact on FoP nutrition labelling globally. However, a small and highly interconnected "regime complex" of international institutions surrounds FoP nutrition labelling at the global level, and influence on Codex discussions is being exerted differentially by actors at the national and global level, particularly by government and industry actors. There are thus risks associated with conflicts of interests in the development of global guidance on FoP nutrition labelling. There are also opportunities for more strategic and coordinated public health engagement.

Keywords: codex; noncommunicable disease prevention; nutrition labelling; policy.

PubMed Disclaimer

Conflict of interest statement

The authors declare they have no conflicts of interest.

Figures

Figure 1
Figure 1
Summary of institutional relationships relevant to FoP nutrition labelling. Abbreviations: WTO–World Trade Organization, WHO–World Health Organization, FAO–Food and Agriculture Organization of the United Nations, eWG–electronic Working Group, FoP–Front of Pack.

References

    1. WHO . Report of the Commission on Ending Childhood Obesity. World Health Organization; Geneva, Switzerland: 2016.
    1. Lim S.S., Vos T., Flaxman A.D., Danaei G., Shibuya K., Adair-Rohani H., AlMazroa M.A., Amann M., Anderson H.R., Andrews K.G., et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2013;380:2224–2260. doi: 10.1016/S0140-6736(12)61766-8. - DOI - PMC - PubMed
    1. Cecchini M., Warin L. Impact of food labelling systems on food choices and eating behaviours: A systematic review and meta-analysis of randomized studies. Obes. Rev. 2016;17:201–210. doi: 10.1111/obr.12364. - DOI - PubMed
    1. Neal B., Crino M., Dunford E., Gao A., Greenland R., Li N., Ngai J., Ni Mhurchu C., Pettigrew S., Sacks G., et al. Effects of Different Types of Front-of-Pack Labelling Information on the Healthiness of Food Purchases—A Randomised Controlled Trial. Nutrients. 2017;9:1284. doi: 10.3390/nu9121284. - DOI - PMC - PubMed
    1. Vyth E.L., Steenhuis I.H., Roodenburg A.J., Brug J., Seidell J.C. Front-of-pack nutrition label stimulates healthier product development: A quantitative analysis. Int. J. Behav. Nutr. Phys. Act. 2010;7:65. doi: 10.1186/1479-5868-7-65. - DOI - PMC - PubMed