Brazilian Front-of-Package Labeling: A Product Compliance Analysis 12 Months after Implementation of Regulations
Abstract
:1. Introduction
2. Materials and Methods
2.1. Selection of Establishments
2.2. Selection of Products
2.3. Data Collection and Classification
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Brasil, Ministério da Saúde. Resolução-Rdc No 263, de 22 de Setembro de 2005; Ministério da Saúde: Brasília, Brasil, 2005; pp. 9–12.
- Mais, L.A.; Borges, C.A.; Khandpur, N.; Duran, A.C.; Martins, A.P.B. Brazil’s Nutrition Labeling Regulation: Challenges Ahead on the Path to Guaranteeing Consumer’s Right to Adequate Information. Front. Nutr. 2022, 9, 921519. [Google Scholar] [CrossRef]
- European Parliament. Regulation of the European Parliament and of the Council of 25 October 2011 on the Provision of Food Information to Consumers. Off. J. Eur. Union 2011, 1, 1–13. [Google Scholar]
- Brasil, Ministério da Saúde (Ed.) Política Nacional de Alimentação e Nutrição, 3rd ed.; Ministério da Saúde: Brasília, Brasil, 2013; Volume 1, ISBN 978-85-334-1911-7.
- Cavada, G.d.S.; Paiva, F.F.; Helbig, E.; Borges, L.R. Rotulagem Nutricional: Você Sabe o Que Está Comendo? Braz. J. Food Technol. 2012, 15, 84–88. [Google Scholar] [CrossRef]
- Brasil Resolução RDC No 360, de 23 de Dezembro de 2003. Aprova o Regulamento Técnico Sobre Rotulagem Nutricional de Alimentos Embalados, Tornando Obrigatória a Rotulagem Nutricional. Agencia Nac. Vigilância Sanitária (ANVISA) 2003, 1, 1–9. [Google Scholar]
- Giuberti Coutinho, J.; Feldenheimer da Silva, A.C.; de Castro, I.R.R.; Recine, E.G.I.G.; Makuta, G.; Rocha, N.C.; Johns, P.; Barbosa, R.B.d.C. The Challenges of Front-of-Package Labeling in Brazil. Front. Nutr. 2022, 9, 921421. [Google Scholar] [CrossRef]
- Relatório de Análise de Impacto Regulatório Sobre Rotulagem Nutricional.Pdf—Agência Nacional de Vigilância Sanitária-Anvisa. Available online: https://www.gov.br/anvisa/pt-br/assuntos/regulamentacao/air/analises-de-impacto-regulatorio/2019/relatorio-de-analise-de-impacto-regulatorio-sobre-rotulagem-nutricional.pdf/view (accessed on 6 December 2023).
- Mais, L.A.; Mialon, M.; Hassan, B.K.; Peres, J.M.D.; dos Santos, M.G.; Martins, A.P.B.; Coutinho, J.G.; de Carvalho, C.M.P. Do They Really Support “Your Freedom of Choice”? FoPNL and the Food Industry in Brazil. Front. Nutr. 2023, 9, 921498. [Google Scholar] [CrossRef]
- Van der Bend, D.L.M.; Lissner, L. Differences and Similarities between Front-of-Pack Nutrition Labels in Europe: A Comparison of Functional and Visual Aspects. Nutrients 2019, 11, 626. [Google Scholar] [CrossRef]
- Brasil, Ministério da Saúde; Agência Nacional de Vigilância Sanitária. Resolução Da Diretoria Colegiada-RDC 429 de 8 de Outubro de 2020; Ministério da Saúde: Brasília, Brasil, 2020; pp. 1–13.
- Prates, S.M.S.; Reis, I.A.; Rojas, C.F.U.; Spinillo, C.G.; Anastácio, L.R. Influence of Nutrition Claims on Different Models of Front-of-Package Nutritional Labeling in Supposedly Healthy Foods: Impact on the Understanding of Nutritional Information, Healthfulness Perception, and Purchase Intention of Brazilian Consumers. Front. Nutr. 2022, 9, 2120. [Google Scholar] [CrossRef]
- Romão, B.; Botelho, R.B.A.; Nakano, E.Y.; Raposo, A.; Han, H.; Vega-Muñoz, A.; Ariza-Montes, A.; Zandonadi, R.P. Are Vegan Alternatives to Meat Products Healthy? A Study on Nutrients and Main Ingredients of Products Commercialized in Brazil. Front. Public Health 2022, 10, 1565. [Google Scholar] [CrossRef]
- Romão, B.; Botelho, R.B.A.; Nakano, E.Y.; Borges, V.R.P.; de Holanda, M.E.M.; Raposo, A.; Han, H.; Gil-Marín, M.; Ariza-Montes, A.; Zandonadi, R.P. Vegan Milk and Egg Alternatives Commercialized in Brazil: A Study of the Nutritional Composition and Main Ingredients. Front. Public Health 2022, 10, 4143. [Google Scholar] [CrossRef]
- Amine, E.K.; Baba, N.H.; Belhadj, M.; Deurenberg-Yap, M.; Djazayery, A.; Forrestre, T.; Galuska, D.A.; Herman, S.; James, W.P.T.; M’Buyamba Kabangu, J.R.; et al. Diet, Nutrition and the Prevention of Chronic Diseases. WHO Tech. Rep. Ser. 2003, 916, 1–149. [Google Scholar]
- WHO; FAO. Diet, Nutrition, and the Prevention of Chronic Diseases (Report of a Joint WHO and FAO Expert Consulation). WHO Tech. Rep. Ser. 2003, 916, 1–160. [Google Scholar]
- Moubarac, J.C.; Batal, M.; Louzada, M.L.; Martinez Steele, E.; Monteiro, C.A. Consumption of Ultra-Processed Foods Predicts Diet Quality in Canada. Appetite 2017, 108, 512–520. [Google Scholar] [CrossRef] [PubMed]
- Da Costa Louzada, M.L.; da Cruz, G.L.; Silva, K.A.A.N.; Grassi, A.G.F.; Andrade, G.C.; Rauber, F.; Levy, R.B.; Monteiro, C.A. Consumption of Ultra-Processed Foods in Brazil: Distribution and Temporal Evolution 2008–2018. Rev. Saude Publica 2023, 57, 12. [Google Scholar] [CrossRef] [PubMed]
- Aziz, A.; Dumais, L.; Barber, J. Health Canada’s Evaluation of the Use of Glycemic Index Claims on Food Labels. Am. J. Clin. Nutr. 2013, 98, 269–274. [Google Scholar] [CrossRef]
- Kumar, N.; Kapoor, S. Do Labels Influence Purchase Decisions of Food Products? Study of Young Consumers of an Emerging Market. Br. Food J. 2017, 119, 218–229. [Google Scholar] [CrossRef]
- Wanselius, J.; Larsson, C.; Berg, C.; Öhrvik, V.; Lindroos, A.K.; Lissner, L. Consumption of Foods with the Keyhole Front-of-Pack Nutrition Label: Potential Impact on Energy and Nutrient Intakes of Swedish Adolescents. Public Health Nutr. 2022, 25, 3279–3290. [Google Scholar] [CrossRef]
- Larsson, I.; Lissner, L.; Wilhelmsen, L. The ‘Green Keyhole’ Revisited: Nutritional Knowledge May Influence Food Selection. Eur. J. Clin. Nutr. 1999, 53, 776–780. [Google Scholar] [CrossRef]
- Mørk, T.; Tsalis, G.; Grunert, K. Campaigning for a Healthier Diet: Evaluating the Case of the Nordic “Keyhole” Label 2014T: Trine Mørk. Eur. J. Public Health 2015, 25, ckv172-100. [Google Scholar] [CrossRef]
- Pettigrew, S.; Pescud, M.; Donovan, R.J. Traffic Light Food Labelling in Schools and Beyond. Health Educ. J. 2011, 71, 746–753. [Google Scholar] [CrossRef]
- Cecchini, M.; Warin, L. Impact of Food Labelling Systems on Food Choices and Eating Behaviours: A Systematic Review and Meta-Analysis of Randomized Studies. Obes. Rev. 2016, 17, 201–210. [Google Scholar] [CrossRef] [PubMed]
- Freire, W.B.; Waters, W.F.; Rivas-Mariño, G.; Nguyen, T.; Rivas, P. A Qualitative Study of Consumer Perceptions and Use of Traffic Light Food Labelling in Ecuador. Public Health Nutr. 2017, 20, 805–813. [Google Scholar] [CrossRef]
- Ministerio de Salud, Gobierno de Chile. Informe de Evaluación de la Implementación de la Ley sobre Composición Nutricional de los Alimentos y su Publicidad; Ministerio de Salud, Gobierno de Chile: Santiago de Chile, Chile, 2017.
- Olszewski, P.K.; Wood, E.L.; Klockars, A.; Levine, A.S. Excessive Consumption of Sugar: An Insatiable Drive for Reward. Curr. Nutr. Rep. 2019, 8, 120–128. [Google Scholar] [CrossRef] [PubMed]
- WHO. World Health Organization Guideline: Sugars Intake for Adults and Children; World Health Organization: Geneva, Switzerland, 2015; Volume 57, pp. 1716–1722.
- Usda, H. 2015 Dietary Guidelines Advisory Committee Report; U.S. Department of Agriculture, Agricultural Research Service: Washington, DC, USA, 2015.
- Brant, L.C.C.; Nascimento, B.R.; Passos, V.M.A.; Duncan, B.B.; Bensenõr, I.J.M.; Malta, D.C.; de Souza, M.d.F.M.; Ishitani, L.H.; França, E.; Oliveira, M.S.; et al. Variações e Diferenciais Da Mortalidade Por Doença Cardiovascular No Brasil e Em Seus Estados, Em 1990 e 2015: Estimativas Do Estudo Carga Global de Doença. Rev. Bras. Epidemiol. 2017, 20, 116–128. [Google Scholar] [CrossRef]
- Food and Agriculture Organization of the United Nations. Fats and Fatty Acids in Human Nutrition: Report of an Expert Consultation: 10–14 November 2008, Geneva; Food and Agriculture Organization of the United Nations: Rome, Italy, 2010; ISBN 9789251067338. [Google Scholar]
- WHO. World Health Organization Guideline: Sodium Intake for Adults and Children; World Health Organization: Geneva, Switzerland, 2012; Volume 14, pp. 113–129.
- Brasil, Ministério da Saúde. Vigilância de Fatores de Risco e Proteção para Doenças por Inquérito Telefônico—Vigitel; Ministério da Saúde: Brasília, Brasil, 2020.
- Monteiro, C.A.; Moubarac, J.C.; Cannon, G.; Ng, S.W.; Popkin, B. Ultra-Processed Products Are Becoming Dominant in the Global Food System. Obes. Rev. 2013, 14, 21–28. [Google Scholar] [CrossRef] [PubMed]
- Nilson, E.A.F.; Ferrari, G.; Louzada, M.L.C.; Levy, R.B.; Monteiro, C.A.; Rezende, L.F.M. Premature Deaths Attributable to the Consumption of Ultraprocessed Foods in Brazil. Am. J. Prev. Med. 2023, 64, 129–136. [Google Scholar] [CrossRef] [PubMed]
- Victor, A.; Silva, R.d.C.R.; Silva, N.d.J.; Ferreira, A.; Barreto, M.L.; Campello, T. Influence of Unhealthy Food Environment on Premature Cardiovascular Disease Mortality in Brazil: An Ecologic Approach. Am. J. Prev. Med. 2023, 64, 285–292. [Google Scholar] [CrossRef] [PubMed]
- Lordan, R.; Tsoupras, A.; Mitra, B.; Zabetakis, I. Dairy Fats and Cardiovascular Disease: Do We Really Need to Be Concerned? Foods 2018, 7, 29. [Google Scholar] [CrossRef]
- Lice, A.; Ichtenstein, H.L.; Ynne, L.; Usman, M.A.; Usan, S.; Albert, M.J.; Rnst, E.; Chaefer, J.S. Effects of Different Forms of Dietary Hydrogenated Fats on Serum Lipoprotein Cholesterol Levels. N. Engl. J. Med. 2008, 340, 1933–1940. [Google Scholar] [CrossRef]
- Fats and Fatty Acids in Human Nutrition. Report of an Expert Consultation. FAO Food Nutr. Pap. 2010, 91, 1–166. [Google Scholar]
- Trumbo, P.; Schlicker, S.; Yates, A.A.; Poos, M. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein and Amino Acids. J. Am. Diet. Assoc. 2002, 102, 1621–1630. [Google Scholar] [CrossRef] [PubMed]
- Dupont, J.; White, P.J.; Feldman, E.B. Saturated and Hydrogenated Fats in Food in Relation to Health. J. Am. Coll. Nutr. 2013, 10, 577–592. [Google Scholar] [CrossRef] [PubMed]
- Arshad, S.; Rehman, T.; Saif, S.; Shahid, M.; Rajoka, R.; Modassar, M.; Ranjha, A.N.; Hassoun, A.; Cropotova, J.; Trif, M.; et al. Replacement of Refined Sugar by Natural Sweeteners: Focus on Potential Health Benefits. Heliyon 2017, 8, e10711. [Google Scholar] [CrossRef] [PubMed]
- Veitch, J.; Singh, A.; Van Stralen, M.M.; Van Mechelen, W.; Brug, J.; Chinapaw, M.J. Reduction in Sugar-Sweetened Beverages Is Not Associated with More Water or Diet Drinks. Public Health Nutr. 2011, 14, 1388–1393. [Google Scholar] [CrossRef]
Total | HS | HSF | HAS | HSF + HAS | HS + HSF | HAS + HS | Without Warning | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Category of Product | n | n | % | n | % | n | % | n | % | n | % | n | % | n | % |
Biscuits and Snacks | |||||||||||||||
Filled Sweet Biscuits | 135 | - | - | - | - | 21 | 15.6 | 30 | 22.2 | - | - | - | - | 84 | 62.2 |
Sweet Biscuits without Filling | 108 | - | - | - | - | 16 | 14.8 | 5 | 4.6 | - | - | - | - | 87 | 80.6 |
Wafer with Filling and Topping | 21 | - | - | - | - | - | - | 6 | 28.6 | - | - | - | - | 15 | 71.4 |
Wafer without Filling | 51 | - | - | - | - | - | - | 14 | 27.5 | - | - | - | - | 37 | 72.5 |
Cookies | 31 | - | - | - | - | - | - | 5 | 16.1 | - | - | - | - | 26 | 83.9 |
Salty Crackers | 101 | 15 | 14.8 | 3 | 3.0 | - | - | - | - | 3 | 3 | - | - | 80 | 79.2 |
Appetizer | 155 | 13 | 8.4 | 6 | 3.9 | - | - | - | - | 6 | 3.9 | - | - | 130 | 83.9 |
Tapioca Biscuit | 5 | - | - | - | - | - | - | - | - | 2 | 40 | - | - | 3 | 60 |
Straw Potatoes | 25 | - | - | 11 | 44 | - | - | - | - | - | - | - | - | 14 | 56 |
Salted Peanuts | 19 | 1 | 5.3 | 1 | 5.3 | - | - | - | - | - | - | - | - | 17 | 89.5 |
Sweets and Chocolates | |||||||||||||||
Chocolate Bars | 305 | - | - | - | - | - | - | 81 | 26.6 | - | - | - | - | 224 | 73.4 |
Chocolate Powder | 5 | - | - | - | - | 2 | 40 | - | - | - | - | - | - | 3 | 60 |
Cacao Powder | 2 | - | - | 1 | 50.0 | - | - | - | - | - | - | - | - | 1 | 50 |
Cocoa Powder | 10 | - | - | - | - | 1 | 10 | - | - | - | - | - | - | 9 | 90 |
Peanut Candy | 14 | - | - | - | - | 5 | 35.7 | - | - | - | - | - | - | 9 | 64.3 |
Sweet Peanuts | 5 | - | - | - | - | 3 | 60 | - | - | - | - | - | - | 2 | 40 |
Cake Mixes | 75 | - | - | - | - | 15 | 20 | - | - | - | - | - | - | 60 | 80 |
Sugar Candies | 71 | - | - | - | - | 14 | 19.7 | - | - | - | - | - | - | 57 | 80.3 |
Hazelnut Spread | 7 | - | - | - | - | - | - | 2 | 28.6 | - | - | - | - | 5 | 71.4 |
Ice Cream Topping | 5 | - | - | - | - | 2 | 40 | - | - | - | - | - | - | 3 | 60 |
Ice Cream Powdered Mixture | 4 | - | - | - | - | 3 | 75 | - | - | - | - | - | - | 1 | 25 |
Chewing Gum | 31 | - | - | - | - | 12 | 38.7 | - | - | - | - | - | - | 19 | 61.3 |
Honey Bun | 5 | - | - | - | - | - | - | 1 | 20.0 | - | - | - | - | 4 | 80 |
Sweet Popcorn | 2 | - | - | - | - | 2 | 100 | - | - | - | - | - | - | 0 | 0 |
Jam | 32 | - | - | - | - | 3 | 9.4 | - | - | - | - | - | - | 29 | 90.6 |
Dulce de Leche | 6 | - | - | - | - | 1 | 16.7 | - | - | - | - | - | - | 5 | 83.3 |
Guava Candy (Brazilian goiabada) | 9 | - | - | - | - | 5 | 55.6 | - | - | - | - | - | - | 4 | 44.4 |
Marshmallow | 4 | - | - | - | - | 1 | 25 | - | - | - | - | - | - | 3 | 75 |
Sausages and Processed Meats | |||||||||||||||
Smoked Sausage | 33 | - | - | - | - | - | - | - | - | 15 | 45.5 | - | - | 18 | 54.5 |
Raw Sausage | 65 | 18 | 27.7 | 1 | 1.5 | - | - | - | - | 10 | 15.4 | - | - | 36 | 55.4 |
Hot Dog Sausage | 23 | 3 | 13.0 | - | - | - | - | - | - | 5 | 21.7 | - | - | 15 | 65.2 |
Bacon | 23 | - | - | - | - | - | - | - | - | 11 | 47.8 | - | - | 12 | 52.2 |
Salami | 38 | 1 | 2.6 | - | - | - | - | - | - | 17 | 44.7 | - | - | 20 | 52.6 |
Hamburger | 33 | 2 | 6.1 | 10 | 30.3 | - | - | - | - | 2 | 6.1 | - | - | 19 | 57.6 |
Canned Ham | 3 | 1 | 33.3 | - | - | - | - | - | - | - | - | - | - | 2 | 66.7 |
Cooked Ham | 9 | 4 | 44.4 | - | - | - | - | - | - | - | - | - | - | 5 | 55.6 |
Raw Ham | 7 | 3 | 42.9 | - | - | - | - | - | - | - | - | - | - | 4 | 57.1 |
Mortadella | 23 | 1 | 4.3 | - | - | - | - | - | - | 9 | 39.1 | - | - | 13 | 56.5 |
Beverages | |||||||||||||||
Soft Drinks | 58 | - | - | - | - | 11 | 19 | - | - | - | - | - | - | 47 | 81 |
Energy Drinks | 37 | - | - | - | - | 3 | 8.1 | - | - | - | - | - | - | 34 | 91.9 |
Refresher Syrup | 7 | - | - | - | - | 2 | 28.6 | - | - | - | - | - | - | 5 | 71.4 |
Fats | |||||||||||||||
Lard | 1 | - | - | 1 | 100 | - | - | - | - | - | - | - | - | 0 | 0 |
Butter | 60 | - | - | 10 | 16.7 | - | - | - | - | 1 | 1.7 | - | - | 49 | 81.7 |
Margarine | 32 | - | - | 8 | 25 | - | - | - | - | - | - | - | - | 24 | 75 |
Dairy | |||||||||||||||
Cream Cheese | 39 | - | - | 6 | 15.4 | - | - | - | - | - | - | - | - | 33 | 84.6 |
Canned Whipped Cream | 10 | - | - | 5 | 50 | - | - | 1 | 10.0 | - | - | - | - | 4 | 40 |
Milk Cream | 18 | - | - | 6 | 33.3 | - | - | - | - | - | - | - | - | 12 | 66.7 |
Sweet Condensed Milk | 21 | - | - | - | - | 5 | 23.8 | - | - | - | - | - | - | 16 | 76.2 |
Frozen Ready-Made Preparations | |||||||||||||||
Frozen Meatballs | 1 | - | - | 1 | 100 | - | - | - | - | - | - | - | - | 0 | 0 |
Frozen Sandwich | 19 | 8 | 42.1 | - | - | - | - | - | - | - | - | - | - | 11 | 57.9 |
Frozen Pizza | 51 | 1 | 2 | - | - | - | - | - | - | 2 | 3.9 | - | - | 48 | 94.1 |
Ready-Made Seasonings | |||||||||||||||
Ready-Made Seasoning in Tablets | 26 | 7 | 26.9 | - | - | - | - | - | - | - | - | - | - | 19 | 73.1 |
Ready-Made Seasoning Powder | 32 | 7 | 21.9 | - | - | - | - | - | - | - | - | - | - | 25 | 78.1 |
Salad Dressing | 12 | - | - | - | - | - | - | - | - | 2 | 16.7 | - | - | 10 | 83.3 |
Sauces | |||||||||||||||
Mayonnaise | 19 | 1 | 5.3 | - | - | - | - | - | - | - | - | - | - | 18 | 94.7 |
Ketchup | 12 | - | - | - | - | - | - | - | - | - | - | 1 | 8.3 | 11 | 91.7 |
Barbecue | 7 | - | - | - | - | - | - | - | - | - | - | 1 | 14.3 | 6 | 85.7 |
Soy Sauce | 8 | 1 | 12.5 | - | - | - | - | - | - | - | - | 1 | 12.5 | 6 | 75 |
Others | |||||||||||||||
Pastry Dough | 7 | 1 | 14.3 | - | - | - | - | - | - | - | - | - | - | 6 | 85.7 |
Fresh Ravioli Pasta | 12 | 4 | 33.3 | - | - | - | - | - | - | - | - | - | - | 8 | 66.7 |
Morning Cereal (e.g., Sugared Corn Flakes) | 41 | - | - | - | - | 10 | 24.4 | - | - | - | - | - | - | 31 | 75.6 |
Olives | 16 | 4 | 25 | - | - | - | - | - | - | - | - | - | - | 12 | 75 |
Soup Powder | 52 | 2 | 3.8 | - | - | - | - | - | - | - | - | - | - | 50 | 96.2 |
Panettone | 45 | - | - | - | - | 10 | 22.2 | 25 | 55.6 | - | - | - | - | 10 | 22.2 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Senda, M.V.G.; Raposo, A.; Teixeira-Lemos, E.; Chaves, C.; Alturki, H.A.; Alsharari, Z.D.; Romão, B. Brazilian Front-of-Package Labeling: A Product Compliance Analysis 12 Months after Implementation of Regulations. Nutrients 2024, 16, 343. https://doi.org/10.3390/nu16030343
Senda MVG, Raposo A, Teixeira-Lemos E, Chaves C, Alturki HA, Alsharari ZD, Romão B. Brazilian Front-of-Package Labeling: A Product Compliance Analysis 12 Months after Implementation of Regulations. Nutrients. 2024; 16(3):343. https://doi.org/10.3390/nu16030343
Chicago/Turabian StyleSenda, Marcos Vinícius Garcia, António Raposo, Edite Teixeira-Lemos, Cláudia Chaves, Hmidan A. Alturki, Zayed D. Alsharari, and Bernardo Romão. 2024. "Brazilian Front-of-Package Labeling: A Product Compliance Analysis 12 Months after Implementation of Regulations" Nutrients 16, no. 3: 343. https://doi.org/10.3390/nu16030343
APA StyleSenda, M. V. G., Raposo, A., Teixeira-Lemos, E., Chaves, C., Alturki, H. A., Alsharari, Z. D., & Romão, B. (2024). Brazilian Front-of-Package Labeling: A Product Compliance Analysis 12 Months after Implementation of Regulations. Nutrients, 16(3), 343. https://doi.org/10.3390/nu16030343