Abstract
Background/objectives
Population´s dietary intake of saturated fat, sodium, and sugars is higher than the current recommendations in Spain and most European countries. Nationwide food reformulation strategies have the potential to improve nutritional quality; however, evaluations are only available in a few countries and are difficult to compare. This study shows the degree of compliance with the nutrient reduction objectives included in a 4-year (2016–2020) Spanish food reformulation initiative.
Methods
In 2016, baseline median nutrient content was established for 57 food subcategories. Agreed reduction (%) expressed as the median content to be reached by 2020 was set as the objective. In 2021, Spanish Food Safety and Nutrition Agency (AESAN) collected mandatory nutritional information from 3118 products belonging to the food subcategories included in the PLAN. Median nutrient content was calculated and compared with baseline data established in 2016 and PLAN objectives.
Results
Median nutrient content reduction was observed in all food subcategories. Relative reductions (%) ranged from 0.6 to 60% for added sugars, 4.8 to 33.3% for salt, 4.5 to 78.3% for saturated fat, and 24.9 to 36% for total fat. PLAN objectives were achieved in all subcategories except for one. The number of products involved, belonging to the highly consumed food categories, shows the potential of national reformulation strategies to improve the nutritional quality of the diet.
Conclusion
Compliance with nutrient reduction agreements was 99%; however, the variability of nutrient content within subcategories shows that there is room for further reduction in selected nutrients and food subcategories.
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Data availability
All data generated or analyzed during this study are included in this published article and its Supplementary Information files.
References
WHO Regional Office for Europe. WHO European Regional Obesity Report 2022. https://apps.who.int/iris/bitstream/handle/10665/353747/9789289057738-eng.pdf.
Spanish Food Safety and Nutrition Agency. Evaluation and monitoring of the NAOS strategy: minimum set of indicators. 2020. https://www.aesan.gob.es/AECOSAN/web/nutricion/subseccion/indicadores.htm.
García-Solano M, Gutiérrez-González E, López-Sobaler AM, Dal Re Saavedra MÁ, Robledo de Dios T, Villar-Villalba C, et al. Weight status of the school population aged 6 to 9 years in Spain: results from the ALADINO 2019 study. An Pediatr. 2021;94:366–76.
Agencia Española de Seguridad Alimentaria y Nutrición. Estudio ALADINO 2019: Estudio sobre la Alimentación, Actividad Física, Desarrollo Infantil y Obesidad en España 2019. https://www.aesan.gob.es/AECOSAN/docs/documentos/nutricion/observatorio/Informe_Aladino_2019.pdf.
Breda J, McColl K, Buoncristiano M, Williams J, Abdrakhmanova S, Abdurrahmonova Z, et al. Methodology and implementation of the WHO European Childhood Obesity Surveillance Initiative (COSI). Obes Rev. 2021;22:e13215.
Aghili SMM, Ebrahimpur M, Arjmand B, Shadman Z, Pejman Sani M, Qorbani M, et al. Obesity in COVID-19 era, implications for mechanisms, comorbidities, and prognosis: a review and meta-analysis. Int J Obes. 2021;45:998–1016.
European Commission. Eurostat. EU Action Plan on Childhood Obesity 2014-2020. LU: Publications Office; 2013. https://data.europa.eu/doi/10.2785/36105.
WHO Regional Office for Europe. European Food and Nutrition Action Plan 2015-2020. 2022. https://apps.who.int/iris/bitstream/handle/10665/329405/9789289051231-eng.pdf?sequence=1&isAllowed=y.
Gressier M, Swinburn B, Frost G, Segal AB, Sassi F. What is the impact of food reformulation on individuals’ behaviour, nutrient intakes and health status? A systematic review of empirical evidence. Obes Rev. 2021;22:e13139.
Kleis LD, Schulte EA, Buyken AE. Reformulation across Europe. An overview on planned and implemented strategies in European countries other than Germany—part 1. Ernahr Umsch. 2020;67:190–9.
Spanish Food Safety and Nutrition Agency. Collaboration Plan for the improvement of food and beverages and other measures 2020. 2018. https://www.aesan.gob.es/AECOSAN/docs/documentos/nutricion/Plan_Colaboracion_INGLES.pdf.
Kleis LD, Schulte EA, Buyken AE. Reformulation across Europe. Results from strategies implemented in European countries other than Germany and identification of factors contributing to their success—part 2. Ernahr Umsch. 2020;67:200–5.
Løvhaug AL, Granheim SI, Djojosoeparto SK, Harrington JM, Kamphuis CBM, Poelman MP, et al. The potential of food environment policies to reduce socioeconomic inequalities in diets and to improve healthy diets among lower socioeconomic groups: an umbrella review. BMC Public Health. 2022;22:433.
European Comission. Annex I saturated fats. EU framework for national initiatives on selected nutrients. 2012. https://ec.europa.eu/health/sites/health/files/nutrition_physical_activity/docs/satured_fat_eufnisn_en.pdf.
European Comission. Annex II added sugars. EU framework for national initiatives on selected nutrients. 2015. https://ec.europa.eu/health/sites/health/files/nutrition_physical_activity/docs/added_sugars_en.pdf.
European Comission. EU framework for national salt initiatives. 2008. https://ec.europa.eu/health/ph_determinants/life_style/nutrition/documents/salt_initiative.pdf.
Yusta-Boyo MJ, Bermejo LM, García-Solano M, López-Sobaler AM, Ortega RM, García-Pérez M, et al. Sugar content in processed foods in Spain and a comparison of mandatory nutrition labelling and laboratory values. Nutrients. 2020;12:1078.
Agencia Española de Seguridad Alimentaria y Nutricion. Mid-term evaluation of the Collaboration Plan for the improvement of the composition of food and beverages and other measures 2020. https://www.aesan.gob.es/AECOSAN/docs/documentos/nutricion/Informe_Plan.pdf.
Official Journal of the European Union. Regulation (EU) No 1169/2011 of the European Parliament and of the Council of 25 October 2011 on the provision of food information to consumers. 2020. https://eur-lex.europa.eu/legal-content/EN/ALL/?uri=CELEX%3A32011R1169.
Feehan O, McElroy K, Clements M, Cronin B, Griffin B, Douglas F, et al. Slicing the salt content of bread in Ireland: a review of reformulation since 2003. Proc Nutr Soc. 2016;75:E90.
Ministry of Health. Italy. Shared objectives for improving the nutritional characteristics of food products, with a particular focus on children (3-12 years). 2022. https://www.salute.gov.it/imgs/C_17_pubblicazioni_2426_ulterioriallegati_ulterioreallegato_0_alleg.pdf.
National Institute for Public Health and the Environment, Ministry of Health, Welfare and Sport. National Agreement leads to small improvement in intake of salt and sugar | RIVM [Internet]. 2022. https://www.rivm.nl/en/news/national-agreement-leads-to-small-improvement-in-intake-of-salt-and-sugar.
Bundesamt für Lebensmittelsicherheit und Veterinärwesen: Genießen und Gesund bleiben. Schweizer Ernährungsstrategien 2017-2024. 2022. https://www.bundespublikationen.admin.ch/cshop_bbl/b2c/start/(carea=2C59E545D7371ED4A59B62F06CBEAADD&citem=2C59E545D7371ED4A59B62F06CBEAADD1402EC761F651ED787D6BF6849D57773)/.do.
Public Health England. Sugar reduction and wider reformulation programme. 2018. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/709008/Sugar_reduction_progress_report.pdf.
Pravst I, Hribar M, Žmitek K, Blažica B, Koroušić Seljak B, Kušar A. Branded foods databases as a tool to support nutrition research and monitoring of the food supply: insights from the Slovenian composition and labeling information system. Front Nutr. 2022;8:798576.
Breda J, Castro LSN, Whiting S, Williams J, Jewell J, Engesveen K, et al. Towards better nutrition in Europe: evaluating progress and defining future directions. Food Policy. 2020;96:101887.
Estruch R, Vendrell E, Ruiz-León AM, Casas R, Castro-Barquero S, Alvarez X. Reformulation of pastry products to improve effects on health. Nutrients. 2020;12:1709.
Spanish Food Safety and Nutrition Agency. Report from the Scientific Committee of the Spanish Agency for Food Safety and Nutrition (AESAN) on sustainable dietary recommendations and physical activity recommendations for the Spanish population. 2022. https://www.aesan.gob.es/AECOSAN/docs/documentos/seguridad_alimentaria/evaluacion_riesgos/informes_comite/INFORME_RECOMENDACIONES_DIETETICAS.pdf.
Spanish Food Safety and Nutrition Agency. Ministry of Consumers Affairs. Healthy and Sustainable Dietary Recommendations supplemented with physical activity recommendations for the Spanish population. 2022. https://www.aesan.gob.es/AECOSAN/docs/documentos/nutricion/RECOMENDACIONES_DIETETICAS_ING.pdf.
Acknowledgements
Sample and data collection for the 2021 food composition study was carried out by the AENOR Laboratory.
Funding
This research was funded by the Spanish Food Safety and Nutrition Agency for sample collection.
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MJYB, EGG, MGS, ARG, IPR and FRA contributed to study concept and design, data interpretation and reviewed the manuscript for important intellectual content. All authors have read and agreed to the published version of the manuscript.
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Yusta-Boyo, M.J., González, E.G., García-Solano, M. et al. Reduction of sugar, salt and fat content in foods over the period 2016–2021 in Spain: the National Food Reformulation Plan. Eur J Clin Nutr 78, 149–154 (2024). https://doi.org/10.1038/s41430-023-01357-w
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DOI: https://doi.org/10.1038/s41430-023-01357-w