Respective contribution of ultra-processing and nutritional quality of foods to the overall diet quality : results from the NutriNet-Santé study
Julia C, Baudry J, Fialon M, Hercberg S, Galan P, Srour B, Andreeva VA, Touvier M, Kesse-Guyot E.
Eur J Nutr. 2022 Aug 4
doi : 10.1007/s00394-022-02970-4. Epub ahead of print. PMID : 35925444
The Nutri-Score nutrition label
Hercberg S, Touvier M, Salas-Salvado J, On Behalf Of The Group Of European Scientists Supporting The Implementation Of Nutri-Score In Europe.
Int J Vitam Nutr Res. 2021 Jul 27. doi : 10.1024/0300-9831/a000722
Front-of-package food labels : A narrative review
Appetite. 2020 Jan 1 ;144:104485. doi : 10.1016/j.appet.2019.104485. Epub 2019 Oct 9
Nutri-Score : the results 3 years after its official adoption In France
PubMed 2021 Feb ;71(2):151-154
Serge Hercberg, Pilar Galan, Emmanuelle Kesse-Guyot, Mathilde Touvier, Mélanie Deschasaux, Bernard Srour, Morgane Fialon, Chantal Julia
Nutri-score : results 3 years after its official adoption in franc Since its adoption 3 years ago, we have witnessed a strong dynamic of Nutri-Score both in France and in several European countries. Scientific work demonstrating its effectiveness has accumulated. More and more manufacturers and retailers are committed to displaying the Nutri-Score on their products, which is the subject of strong consumer support. A battle against powerful lobbies is underway at the level of the European Commission for it to be chosen in 2022 as the harmonised and mandatory nutritional logo for Europe. But right now, healthcare professionals, especially medical doctors, can use this tool as part of the nutritional care of their patients to help them improve the nutritional quality of their food choices at the point of purchase.
The Nutri-Score nutrition label : A public health tool based on rigorous scientific evidence aiming to improve the nutritional status of the population
econtent hogrefe, July 27, 2021
Serge Hercberg, Mathilde Touvier, Jordi Salas-Salvado
Nutri-Score is a front-of-pack nutrition label with summary graded colour-coding, which aims to inform consumers, in a simple and understandable way, of the overall nutritional value of foods, in order to help them to make healthier choices at the point of purchase and to encourage manufacturers to improve the nutritional quality of their products. It is based on a five-colour scale (from dark green to dark orange) associated with letters, from A to E, to optimize logo accessibility and understanding by the consumer. Nutri-Score does not merely characterize foods as “healthy” or “unhealthy”. Rather, the graded logo provides semi-quantitative information, depending on the colour/ letter, of the relative overall nutritional composition of a food product compared to other similar products as to whether it is more or less favourable to health. Nutri-Score is the only proposed labelling scheme that adheres entirely to the concepts and processes that were published by the World Health Organisation (WHO) Europe concerning the validation studies that are required to select and evaluate a front-of-pack nutrition label. The aim of the present paper is to present the scientific basis for the design of the Nutri-Score and to summarize the various studies to validate its calculation method and its graphic format. We explore its effectiveness and superiority compared to other labelling schemes that have been implemented in other countries or supported by pressure groups. The necessity for objective, impartial consideration of how best to use Nutri-Score and avoid misunderstandings is highlighted.
Development of a new front-of-pack nutrition label in France : the five-colour Nutri-Score
Public Health Panorama 3, no 4 (2017) : 712 25.
Julia C et Hercberg S
Background : The French Government recently announced the implementation of a novel Front-of-Pack (FOP) nutrition label at national level. The selected system, the Nutri-Score, is a five coloured label developed by the Nutritional Epidemiology Research Team (EREN), an academic public research unit, and has been the object of scientific research for validation purposes.
Methods : The objective of the present narrative review is to examine the existing literature on the development, validation and testing of the Nutri-Score. Elements of the validity of the nutrient profiling system underlying the label as well as the format of the label were investigated.
Results : Scientific evidence suggests that the Food Standards Agency nutrient profiling system (FSA score) underlying the Nutri-Score FOP label can adequately characterize the nutritional quality of foods, and that an individual score based on the weighted mean of the FSA score of the foods consumed (the FSA-NPS dietary index, FSA-NPS DI) can adequately summarize the nutritional quality of the diet. Moreover, the FSA-NPS DI is associated with chronic diseases onset. Finally, the format of the Nutri-Score (and its former version, the 5-Colour Nutrition Label, 5-CNL) appears to be well-perceived and understood. The Nutri-Score was associated with a higher nutritional quality of purchases in experimental and large scale trials.
Conclusion : Altogether, these elements provide evidence-based support for the implementation of the Nutri-Score in France. The research steps undertaken to examine the effects of the Nutri-Score could be used in other settings to help policymakers considering the implementation of FOP labels as a public health nutrition measure.
Nutri-Score : Effectiveness of the Nutrition Label introduced in France
Ernhahrung Umschau 64, no 12 (2017) : M685 91.
Julia C et Hercberg S
France recently decided to implement a newly developed 5 colour Front-of-Pack (FOP) nutrition labelling, “Nutri-Score” to orient consumers towards healthier food choices at the point of purchase and as an incentive for manufacturers to reformulate their products towards healthier compositions. Results of validation studies suggest that the Food Standards Agency nutrient profiling system (FSA-NPS) underlying the Nutri-Score can adequately characterize the nutritional quality of foods, and that an individual score (FSA-NPS dietary index, FSA-NPS DI) based on the FSA score of the foods consumed can adequately summarize the nutritional quality of the diet. Moreover, the FSA-NPS DI is associated with chronic diseases onset. The format of the Nutri-Score appears well-perceived and understood. Finally, the Nutri-Score was associated with a higher nutritional quality of purchases in experimental and large scale trials. Altogether, these elements tend to corroborate the Nutri-Score as an efficient tool in public health nutrition.
Research and lobbying conflicting on the issue of a front-of-pack nutrition labelling in France.
Archives of Public Health 74, no 1 (2016) : 51.
Julia C et Hercberg S.
Front-of-pack nutrition labelling has been highlighted as a promising strategy to help consumers making healthier food choices at the point of purchase. In France, a simplified front-of-pack nutrition labelling system was proposed in 2014, the 5-Colour Nutrition Label (5-CNL). It is supported by studies evaluating the various dimensions of the validation of both its underlying classification algorithm and its format. Opposed by agro-industry and retailers, multiples lobbying strategies have been deployed to stop or at least delay the implementation of the 5-CNL. Various alternative nutrition labels were proposed, and a full-scale trial was successfully argued for. This paper retraces the various steps of the opposition between public health and agro-industry lobbies on the topic of front-of-pack nutrition labelling in France.
Agro-industry ; Front-of-pack nutrition labels ; Lobbies ; Public health policies
PMID : 27933143
PMCID : PMC5125039
DOI : 10.1186/s13690-016-0162-8
La bataille de l’étiquetage nutritionnel.
Rev Prat 66, no 9 (2016) : 943 48.
Julia C et Hercberg S.
PMID : 30512355
Promoting public health in nutrition : Nutri-Score and the tug of war between public health and the food industry
The European Journal of Public Health 28, no 3 (2018) : 396 97.
Julia C, Charpak Y, Rusch E, Lecomte F, Lombrail P et Hercberg S.
DOI : 10.1093/eurpub/cky037
The policy dystopia model adapted to the food industry : the example of the Nutri-Score saga in France.
World Nutrition 9, no 2 (2018) : 109 20.
Mialon M, Julia C et Hercberg S.
In October 2017 in France, the government recognized the Nutri-Score front-of-pack labelling system as the only official system to be used on food products. As of July 2018, a total of 70 companies had implemented it voluntarily. There is ample evidence to support its use, and multiple expected benefits in terms of public health. We present here an essay discussing about the Nutri-Score saga. A policy dystopia model, from the literature on tobacco industry tactics, was adapted to classify the corporate political activity of the food industry during the development and implementation of the Nutri-Score. We conclude that, despite public commitments made by some industry actors to implement this system, the food industry is still strongly trying to influence policy and public opinion in the country. There are and will be many hurdles along the way, with food industry members trying to influence regulation at the European level, and building alliances with the media, among others, in France. Hopefully, public health objectives will prevail over commercial interests, in France and abroad.
Big Food’s Opposition to the French Nutri-Score Front-of-Pack Labeling Warrants a Global Reaction
American Journal of Public Health, 2018.
Julia C et Hercberg S.
PMID : 29412720
DOI : 10.2105/AJPH.2017.304284
Front-of-pack Nutri-Score labelling in France : an evidence-based policy
The Lancet Public Health 3, no 4 (2018) : e164.
Julia C, Etilé F et Hercberg S.
PMID : 29483002
DOI : 10.1016/S2468-2667(18)30009-4
Les effets d’alerte et de promotion des logos nutritionnels sur la face-avant des produits agroalimentaires.
Décision Marketing 83, 29-48.
Mérigot P & Nabec L (2016)
Améliorer les comportements alimentaires avec l’étiquetage nutritionnel : vers un agenda de recherche au service du Bien-être des consommateurs.
Recherche et Applications en Marketing (French Edition) 32, 76-104
Nabec L (2016)
Les logos nutritionnels sont-ils légitimes ? Analyse de l’effet de leur format selon l’expertise nutritionnelle des consommateurs.
In 33è Colloque International de l’Association Française du Marketing.
Nabec L, Mérigot P & Julia C (2017)
Les effets du Nutri-Score en France sur le consentement-à-payer des consommateurs à faible revenu. Décisions Mark. 19 déc 2019 ;96:69‑88.
Nabec L, Marette S, Durieux F (2019).
25 février 2021
Front-Of-Pack Nutrition Labelling : A Position Statement of the European Academy of Paediatrics and the European Childhood Obesity Group
Anals of nutrition and Metabolism
Articles publiés dans « The Conversation »
3 juillet 2018
Le NutriScore mesure la qualité nutritionnelle des aliments, et c’est déjà beaucoup
Julia C, Touvier M, Hercberg S
Peut-on reprocher au logo NutriScore de ne pas prendre en compte la présence de substances chimiques dans l’alimentation ? Non, car il est conçu pour évaluer seulement la qualité nutritionnelle.
27 mars 2017
Le NutriScore, un étiquetage nutritionnel pour les aliments enfin reconnu par tous, ou presque…
Julia C, Hercberg S
Des codes couleurs simples vont permettre aux consommateurs de repérer les produits alimentaires les plus sains dans les supermarchés. Sauf que les fabricants font de la résistance.
1 décembre 2017
Logo nutritionnel : pourquoi certains industriels font de la résistance
Hercberg S, Julia C
Les consommateurs peuvent connaître la qualité des aliments d’un point de vue nutritionnel grâce au NutriScore. Une pétition dénonce les tentatives de plusieurs fabricants pour contrer ce logo.