Search results: front-of-package

I signed a letter organized by the Center for Science in the Public Interest calling on the FDA to do more to research front-of-package labels.

This is in response to the FDA’s announcement of what it plans to test in developing a front-of-package labeling scheme.

We asked the FDA for specific additions to the research proposals, among them this one:

• Consider testing additional High In scheme designs with attention-grabbing features like these:

We noted that the FDA states three goals for the research:

1. Participants’ ability to correctly interpret the nutritional profile of the product
2. The speed at which participants make their decisions
3. Whether or not participants search for more information to answer the question (i.e., whether they click a link to view the Nutrition Facts label)

We argued that

Of the three outcomes, we believe that participants’ ability to correctly interpret the nutritional profile of the product is the most important [because it is the only one that is independently and objectively desirable. In contrast, the desirability of faster decision-making is dependent on whether the decision is correct, and it is unclear what would be the more desirable outcome with respect to searching for the Nutrition Facts label. Searching for the Nutrition Facts label could be positive (if the labeling scheme spurs consumers to learn more about the product’s nutrition information and ingredients) or negative (if the labeling scheme is not noticeable or confusing and thus participants need to seek more information).

Front-of-package labeling has been in the works for a long time.  It’s great the FDA is getting to it.

The FDA is asking for public feedback on an updated research study to decide which front-of-package labeling design will work best to help the public choose healthy fpackaged foods.

To submit comments, go here.  They are due by July 17.

I’ve written about this issue previously.

The FDA tried to do this a decade ago.  But the Grocery Manufacturers Association (now Consumer Brands Association) did an end run and volunteered to use Facts Up Front/Guideline Daily Amounts, which nobody understands or pays attention to.  The FDA caved in and let that happen.

Now countries all over the world are putting warning labels on foods high in calories, fat, salt, and sugar, most of them ultra-processed.

The FDA says it will  test 8 front-of-package label designs to see which work best in conveying healthfulness. The study materials are here and here.

Earlier, if those links don’t work, it proposed to test all of these designs.

I don’t think any of the choices is as compelling as Chile’s warning labels, which can be understood easily by children and people who cannot read.

Among the FDA’s choices, here’s my preference (it’s most like the labels from Canada and Brazil).

This still requires people to figure out what it means if the colors differ, as they do here, but surely everyone will understand that the more red boxes, the worse.

One other complaint: Since this effort started, the concept of ultra-processed has become much more prominent and is backed up by a tremendous amount of research.

Avoiding ultra-processed foods is the key message needed now.

The FDA’s proposals will take care of most ultra-processed foods, but miss the point.  Whatever the FDA chooses will be out of date no matter when it appears.

Never mind.  This is a step in the right direction.  Food industry opposition to any of it is strong.

It’s important to tell the FDA to get busy on this, and to strengthen the warning.

Write the FDA NOW!

Serge Hercberg, who originated the NutriScore front-of-package labeling system used in France and several other European countries send me a link to this review by several Italian investigators.   To refresh memory, this is how NutriScore works.

It’s a bit complicated but this paper is even more so.  Its writing seems obfuscating, but judge for yourself.

The review: Uncovering the Effect of European Policy-Making Initiatives in Addressing Nutrition-Related Issues: A Systematic Literature Review and Bibliometric Analysis on Front-of-Pack Labels.  Nutrients2022, 14(16), 3423; https://doi.org/10.3390/nu14163423

Conclusions: “The most recent goal of EU policy-makers is to find a harmonized and universal labelling system to adapt in all European countries. However, observing the structure of the extant literature, there might be two current risks that should be avoided. The first risk is to outline a labelling scheme that is not fully supported by converging evidence as derived from multiple different constructs. The second one refers to the risk of implementing a labelling scheme grounded on valid results and high levels of citations, supported by a network of authors, but overlooking the fragmentation of other valid positions in the literature that together contribute to depicting an environment in which the different and still valid results reflect the diversity of alternatives that are equally effective, but less supported. In conclusion, the right choice of FoPL would benefit both consumers and the food industry, but there are still additional knowledge and usage gaps that must be fulfilled to define the proper universal option that supports consumers toward healthier and more informed food choices.”

Funding: The research received non-conditional funding from Federalimentare.

Conflicts of Interest: The authors declare no conflict of interest.

Comment: Federalimentare is the Federazione Italiana dell’Industria Alimentare, the major Italian food trade association.  It strongly opposes use of NutriScorre (no surprise).  The authors do have a conflict of interest, but either do not recognize it or are denying it.

I think what they are saying that NutriScore and other front-of-pack systems are not “fully supported by converging evidence,” suggesting that better alternatives would “benefit both consumers and the food industry.”

But what’s really going on here is that front-of-pack labels discourage puchases of ultra-processed foods.  It is understandable that the food industry dislikes them.

This paper is part of a concerted effort by the Italian food industry to discredit NutriScore.

Serge Hercberg, a professor of nutrition at the University of Paris, is under intense personal attack from Italian Twitter trolls, who have been posting insulting and threatening anti-Semitic tweets about his background (Polish Jewish) and his work with NutriScore.

Nutri-Score is not perfect (no such scheme can be) but the only explanation for these attacks must be that it is working.  The attacks are strong evidence for its effectiveness.

Who would ever imagine that a front-of-package food label would elicit anti-semitic vitriol.

Tough times, these.

Last week, the New York Times published an article about how the US was inserting provisions in NAFTA negotiations to restrict the ability of Mexico to put warning labels—similar to those in Chile and other countries—on ultraprocessed “junk” foods.

Urged on by big American food and soft-drink companies, the Trump administration is using the trade talks with Mexico and Canada to try to limit the ability of the pact’s three members — including the United States — to warn consumers about the dangers of junk food, according to confidential documents outlining the American position.

The American stance reflects an intensifying battle among trade officials, the food industry and governments across the hemisphere. The administration’s position could help insulate American manufacturers from pressure to include more explicit labels on their products, both abroad and in the United States. But health officials worry that it would also impede international efforts to contain a growing health crisis.

In response to questions by Rep. Lloyd Doggett (Dem-Texas), US Trade Representative Robert Lighthizer argues that front-of-package labels are a form of protectionism.

Really?

A more compelling reason is that food companies are worried about the possible spread of front-of-package warning labels like those in Chile, Ecuador, and other countries.

I have a long-standing interest in front-of-package labels and wrote about opposition to the warning-label movement recently in a commentary in the American Journal of Public Health.

The Center for Science in the Public Interest (CSPI) issued a statement:

More countries, and certainly the United States, Canada, and Mexico, should give consumers easy-to-read front-of-package labeling that quickly communicates the information they need to avoid diet-related diseases…This is not an “America First” policy; it is an “Industry First” policy, conducted at the expense of the health of consumers in the U.S. and abroad.

Julia Belluz (Vox) describes the effects of a provision like this on Canada’s front-of-package labeling proposals.

Mexico’s outstanding food advocacy coalition, the Nutritional Health Alliance, argues that this pro-industry effort to block warning labels poses a serious threat to consumer rights and public health.

It held a press conference last week on this issue and has produced background documents (in Spanish, but it’s always fun to try Google Translate):

• Descarga anexo de etiquetados de advertencia aquí (examples of FOP labeling from the Americas region)
• Descarga nota jurídica en torno a la homologación de etiquetados EU-México aquí (legal commentary on how such treaties violate health and consumer rights and are illegal in Mexico)
• Descarga comunicado de prensa respectivo aquí (press release)

The Israeli health ministry has developed a new front-of-package labeling scheme for foods to choose (green) and to avoid (red).  Here are the red labels:

The Israeli food industry, no surprise, does not want labels that might discourage purchases.   According to the Jerusalem Post:

Bowing to pressure from the local food manufacturing industry and importers via their lobbyists,
the Health Ministry on Wednesday decided to postpone implementation of reform it initiated last
year to mark food packages with red or green circles that will indicate whether or not the food is
healthful.
Instead of these designations being required in March 2018 as initially proposed, they will be
mandatory on only some products from January 2020. Requirements will become a bit stricter a
year later.

Here’s my prediction: front-of-package labels will be a big international deal this year and I will be writing about them often.

Hat tip to Bernard Epel of Tel Aviv University for forwarding this information.

The Hartman Group has a handy Infographic on the effects of front-of-package labels on purchasing patterns.  I haven’t seen this summarized so nicely anywhere else.

And here’s the whole thing.  It would make a great poster, no?

Too small to read?  Try this excerpt:

The FDA is responsible for food labeling but in the peculiar way things get done in federal agencies, the USDA governs front-of-package labeling for organics and also gets involved in labels for non-GMO, no-antibiotics and those for country-of-origin.

It has just published a report on all this:

The report is a good place to learn about the labeling laws passed in 1990, and it has an interesting case study on GMO labeling:

It has a lot to say about organic labeling:

Do such labels influence what the public buys?  Yes.  (That’s what the USDA is worried about)

Does the public understand what the labels mean?  Not really. (The USDA worries about this too)

The USDA derives many conclusions from this study, but boils them down to this statement:

There are fundamental tradeoffs in how information is presented to consumers. If it is presented simply, then important nuance or complexity may be missed. On the other hand, if standards and labels attempt to convey complexity, then consumers may just be confused. Policymakers and marketers will need to consider these tradeoffs in the future when developing new process-based labels.

What the USDA does not discuss is the fundamental issue behind fights over food labels.  They work well to discourage people from buying products that may not be good for them or do not meet their values.  That’s why the food industry opposes them so strongly.

A colleague in France, Serge Hercberg, a nutrition professor at the University of Paris writes to say that the French government’s decision on October 31 to support voluntary adoption of a “Nutri-Score” front-of-package label is now under attack by the food industry.

Nutri-Score looks like this (A is nutritious, lower grades less so):

The food industry wants something like this (of course it does, nobody can possibly understand it):

My colleague writes:

However,a powerful trade group, which includes major manufacturers of breakfast cereals, candies and cookies, is encouraging its members to instead select another type of nutrition al label. The trade group’s position is aligned with that of six food conglomerates – Mars, Mondelez, Nestlé, Coca-Cola, Unilever et PepsiCo (known as the “Big 6”) – who announced in March that they intended to develop an alternative system for the European Union.

With his nutritionist colleague, Chantal Julia, he describes in The Conversation what this fight is about.  I particularly like their example of how the two schemes help (or do not help) consumers choose between a yogurt and a fruit puree.

The Conversation article also comes in a French version.