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. 2021 Jun 10;18(1):76.
doi: 10.1186/s12966-021-01148-1.

Estimated effects of the implementation of the Mexican warning labels regulation on the use of health and nutrition claims on packaged foods

Carlos Cruz-Casarrubias  1 , Lizbeth Tolentino-Mayo  2 , Stefanie Vandevijvere  3 , Simón Barquera  1
Affiliations

Estimated effects of the implementation of the Mexican warning labels regulation on the use of health and nutrition claims on packaged foods

Carlos Cruz-Casarrubias et al. Int J Behav Nutr Phys Act. .

Abstract

Background: The use of health and nutrition claims on front-of-pack labels may impact consumers' food choices; therefore, many countries have established regulations to avoid misinformation. This study describes the prevalence of health and nutrition claims on the front-of-pack of food products in retail stores in Mexico and estimate the potential effects of the Official Mexican Standards 051 (new regulation that includes specifications for implementing warning labels and other packaging elements such as health and nutrition claims on less healthy foods) on the prevalence of these claims.

Methods: This is a cross-sectional study in which health and nutrition claims, nutrition information panels, and the list of ingredients of all foods and beverages available in the main retail stores in Mexico City were collected. The products were grouped by level of processing according to the NOVA food system classification. Claims were classified using the internationally harmonized INFORMAS taxonomy. According to the criteria of the new Mexican front-of-pack labelling regulation, the effect on the reduction on the prevalence of health and nutrition claims was estimated by type of food and by energy and nutrients of concern thresholds.

Results: Of 17,264 products, 33.8% displayed nutrition claims and 3.4% health claims. In total, 80.8% of all products in the Mexican market were classified as "less healthy"; 48.2% of products had excess calories, 44.6% had excess sodium, and 40.7% excess free sugars. The new regulation would prevent 39.4% of products with claims from displaying health and nutrition claims (P < 0.001); the largest reduction is observed for ultra-processed foods (51.1%, P < 0.001). The regulation thresholds that resulted in the largest reduction of claims were calories (OR 0.62, P < 0.001) and non-sugar sweeteners (OR 0.54, P < 0.001).

Conclusions: The new Mexican front-of-pack labelling regulation will prevent most processed and ultra-processed foods from displaying health and nutrition claims and will potentially improve information on packaging for consumers.

Keywords: Health claims; Nutrient profile; Nutrition claims; Ultra-processed foods.

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Conflict of interest statement

The authors declare that they have no competing interests.

References

    1. Benziger CP, Roth GA, Moran AE. The global burden of disease study and the preventable burden of NCD. Glob Heart 2016;11:393–397. Available from: http://dx.doi.org/10.1016/j.gheart.2016.10.024, 4 - PubMed
    1. Afshin A, Sur PJ, Fay KA, Cornaby L, Ferrara G, Salama JS, Mullany EC, Abate KH, Abbafati C, Abebe Z, Afarideh M, Aggarwal A, Agrawal S, Akinyemiju T, Alahdab F, Bacha U, Bachman VF, Badali H, Badawi A, Bensenor IM, Bernabe E, Biadgilign SKK, Biryukov SH, Cahill LE, Carrero JJ, Cercy KM, Dandona L, Dandona R, Dang AK, Degefa MG, el Sayed Zaki M, Esteghamati A, Esteghamati S, Fanzo J, Farinha CSS, Farvid MS, Farzadfar F, Feigin VL, Fernandes JC, Flor LS, Foigt NA, Forouzanfar MH, Ganji M, Geleijnse JM, Gillum RF, Goulart AC, Grosso G, Guessous I, Hamidi S, Hankey GJ, Harikrishnan S, Hassen HY, Hay SI, Hoang CL, Horino M, Islami F, Jackson MD, James SL, Johansson L, Jonas JB, Kasaeian A, Khader YS, Khalil IA, Khang YH, Kimokoti RW, Kokubo Y, Kumar GA, Lallukka T, Lopez AD, Lorkowski S, Lotufo PA, Lozano R, Malekzadeh R, März W, Meier T, Melaku YA, Mendoza W, Mensink GBM, Micha R, Miller TR, Mirarefin M, Mohan V, Mokdad AH, Mozaffarian D, Nagel G, Naghavi M, Nguyen CT, Nixon MR, Ong KL, Pereira DM, Poustchi H, Qorbani M, Rai RK, Razo-García C, Rehm CD, Rivera JA, Rodríguez-Ramírez S, Roshandel G, Roth GA, Sanabria J, Sánchez-Pimienta TG, Sartorius B, Schmidhuber J, Schutte AE, Sepanlou SG, Shin MJ, Sorensen RJD, Springmann M, Szponar L, Thorne-Lyman AL, Thrift AG, Touvier M, Tran BX, Tyrovolas S, Ukwaja KN, Ullah I, Uthman OA, Vaezghasemi M, Vasankari TJ, Vollset SE, Vos T, Vu GT, Vu LG, Weiderpass E, Werdecker A, Wijeratne T, Willett WC, Wu JH, Xu G, Yonemoto N, Yu C, Murray CJL. Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the global burden of disease study 2017. Lancet. 2019;393(10184):1958–1972. doi: 10.1016/S0140-6736(19)30041-8. - DOI - PMC - PubMed
    1. Instituto Nacional de Salud Pública. Encuesta Nacional de Salud y Nutrición [Internet]. 2018 [cited 2020 Jun 7]. p. 47. Available from: https://ensanut.insp.mx/
    1. Rojas-Martínez R, Basto-Abreu A, Aguilar-Salinas CA, Zárate-Rojas E, Villalpando S, Barrientos-Gutiérrez T. Prevalencia de diabetes por diagnóstico médico previo en México. Salud Publica Mex. 2018;60(3, may-jun):224. doi: 10.21149/8566. - DOI - PubMed
    1. Pan American Health Organization. Nutrient Profile Model [Internet]. Washington, DC; 2016 [cited 2019 Feb 9]. p. 6. Available from: http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/pu...

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