Original Article | Published:

Interventions and public health nutrition

An assessment of the potential health impacts of food reformulation

European Journal of Clinical Nutrition volume 70, pages 694699 (2016) | Download Citation

Abstract

Background/Objectives:

Policies focused on food quality are intended to facilitate healthy choices by consumers, even those who are not fully informed about the links between food consumption and health. The goal of this paper is to evaluate the potential impact of such a food reformulation scenario on health outcomes.

Subjects/Methods:

We first created reformulation scenarios adapted to the French characteristics of foods. After computing the changes in the nutrient intakes of representative consumers, we determined the health effects of these changes. To do so, we used the DIETRON health assessment model, which calculates the number of deaths avoided by changes in food and nutrient intakes.

Results:

Depending on the reformulation scenario, the total impact of reformulation varies between 2408 and 3597 avoided deaths per year, which amounts to a 3.7–5.5% reduction in mortality linked to diseases considered in the DIETRON model. The impacts are much higher for men than for women and much higher for low-income categories than for high-income categories. These differences result from the differences in consumption patterns and initial disease prevalence among the various income categories.

Conclusions:

Even without any changes in consumers’ behaviors, realistic food reformulation may have significant health outcomes.

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References

  1. 1.

    , , . Potential for improvement of population diet through reformulation of commonly eaten foods. Public Health Nutr 2009; 12: 325–330.

  2. 2.

    . Food reformulation: the challenges to the food industry. Proc Nutr Soc 2013; 72: 61–69.

  3. 3.

    , , . Development of international criteria for a front of package food labelling system: the international Choices Programme. Eur J Clin Nutr 2011; 65: 1190–1200.

  4. 4.

    , . The Choices programme: a simple, front-of-pack stamp making healthy choices easy. Asia Pac J Clin Nutr 2008; 17: 383–386.

  5. 5.

    , , , , , et al. A front-of-pack nutrition logo: a quantitative and qualitative process evaluation in the Netherlands. J Health Commun 2009; 14: 631–645.

  6. 6.

    , , , , . Front-of-pack nutrition label stimulates healthier product development: a quantitative analysis. Int J Behav Nutr Phys Act 2010; 7: 65.

  7. 7.

    , , , , , . Impact of foods with health logo on saturated fat, sodium and sugar intake of young Dutch adults. Public Health Nutr 2011; 14: 635–644.

  8. 8.

    , , , . Potential impact of the Choices Programme on nutrient intakes in the Dutch population. Nutr Bull 2009; 34: 318–323.

  9. 9.

    , , , , . Modelling of usual nutrient intakes: potential impact of the Choices Programme on nutrient intakes in young Dutch adults. PloS One 2013; 8: e72378.

  10. 10.

    , , , , , et al. Consuming a diet complying with front-of-pack label criteria may reduce cholesterol levels: a modeling study. Eur J Clin Nutr 2012; 66: 510–516.

  11. 11.

    , , , . Differences in coronary heart disease, stroke and cancer mortality rates between England, Wales, Scotland and Northern Ireland: the role of diet and nutrition. BMJ Open 2011; 1: e000263.

  12. 12.

    , , , , . Modelling the impact of a healthy diet on cardiovascular disease and cancer mortality. J Epidemiol Community Health 2012; 66: 420–426.

  13. 13.

    , , , , . Modelling the health impact of environmentally sustainable dietary scenarios in the UK. Eur J Clin Nutr. 2012; 66: 710–715.

  14. 14.

    World Health Organization. Policy Brief: producing and promoting more food products consistent with a healthy diet, 2014, 7p. Available at: .

  15. 15.

    , , , , , . The role and challenges of the food industry in addressing chronic disease. Global Health 2010; 6: 10.

  16. 16.

    , , . Reducing the population's sodium intake: the UK Food Standards Agency's salt reduction programme. Public Health Nutr 2011; 15: 254.

  17. 17.

    Oqali (French Observatory of Food Quality). Etude sur l’évolution de la qualité nutritionnelle des produits de charcuterie entre 200 et 2012. Rapport « Etudes sectorielles », 2014. Available at: (accessed 15 March 2015).

  18. 18.

    Oqali (French Observatory of Food Quality). Etude sur l’évolution de la qualité nutritionnelle des chips entre 2009 et 2011. Rapport « Etudes sectorielles », 2013. Available at: (accessed 15 March 2015).

  19. 19.

    Oqali (French Observatory of Food Quality). Etude sur l’impact des chartes de progrès nutritionnels sur les apports en nutriments de la population française. Rapport « Etudes transversales », 2012. Available at: (accessed 15 March 2015).

  20. 20.

    , , . Major multinational food and beverage companies and informal sector contributions to global food consumption: implications for nutrition policy. Global Health 2011; 7: 26.

  21. 21.

    , , , , , . Impact of the UK voluntary sodium reduction targets on the sodium content of processed foods from 2006 to 2011: Analysis of household consumer panel data. Prev Med 2013; 57: 555–560.

  22. 22.

    , , . Food companies' calorie-reduction pledges to improve US diet. Am J Prev Med 2013; 44: 174–184.

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Acknowledgements

This research is an output of the OCAD project, funded by the French ANR (ANR 11 ALID 002 03), the FOODPOL project, funded by ‘INRA metaprogram DID’IT’, and the European SUSFANS project.

Author information

Affiliations

  1. INRA Aliss UR 1303, Ivry sur Seine, France

    • P Leroy
    • , L-G Soler
    •  & G Enderli
  2. Toulouse School of Economics (GREMAQ-INRA), Toulouse, France

    • V Réquillart

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Competing interests

The authors declare no conflict of interest.

Corresponding author

Correspondence to L-G Soler.

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DOI

https://doi.org/10.1038/ejcn.2015.201

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