Comparison of nutrient profiling models for assessing the nutritional quality of foods: a validation study

The British Journal of Nutrition
Theresa PoonMary R L'Abbé

Abstract

Nutrient profiling (NP) is a method for evaluating the healthfulness of foods. Although many NP models exist, most have not been validated. This study aimed to examine the content and construct/convergent validity of five models from different regions: Australia/New Zealand (FSANZ), France (Nutri-Score), Canada (HCST), Europe (EURO) and Americas (PAHO). Using data from the 2013 UofT Food Label Information Program (n15342 foods/beverages), construct/convergent validity was assessed by comparing the classifications of foods determined by each model to a previously validated model, which served as the reference (Ofcom). The parameters assessed included associations (Cochran-Armitage trend test), agreement (κ statistic) and discordant classifications (McNemar's test). Analyses were conducted across all foods and by food category. On the basis of the nutrients/components considered by each model, all models exhibited moderate content validity. Although positive associations were observed between each model and Ofcom (all P trend<0·001), agreement with Ofcom was 'near perfect' for FSANZ (κ=0·89) and Nutri-Score (κ=0·83), 'moderate' for EURO (κ=0·54) and 'fair' for PAHO (κ=0·28) and HCST (κ=0·26). There were discordant classifications...Continue Reading

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Citations

Feb 24, 2019·International Journal of Environmental Research and Public Health·Charlene Elliott, Natalie V Scime
Apr 3, 2020·International Journal of Environmental Research and Public Health·Mireia Montaña Blasco, Mònika Jiménez-Morales
Jun 20, 2020·Current Atherosclerosis Reports·Naglaa H El-AbbadiJeffrey B Blumberg
Jan 31, 2020·European Journal of Clinical Nutrition·Mariaan WicksEdelweiss Wentzel-Viljoen
Apr 30, 2021·Health Psychology Review·Deborah HillDaryl B O'Connor
Feb 18, 2021·Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquée, Nutrition Et Métabolisme·Christine MulliganMary R L'Abbé

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Software Mentioned

Score
Ofcom
Nutri
SAS

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