Consuming a diet complying with front-of-pack label criteria may reduce cholesterol levels: a modeling study
- 16 November 2011
- journal article
- Published by Springer Science and Business Media LLC in European Journal of Clinical Nutrition
- Vol. 66 (4), 510-516
- https://doi.org/10.1038/ejcn.2011.193
Abstract
Background/Objectives: Front-of-pack nutrition labels can help consumers to make healthier choices and stimulate healthier product development. This is the first modeling study to investigate the potential impact on cholesterol levels of consuming a diet consisting of products that comply with the criteria for a ‘healthier choice logo’. Subjects/Methods: National food consumption and food composition data were used to estimate the nutrient intake of the Dutch adult population (18–70 years) before and after replacing foods that did not comply with the Choices front-of-pack label criteria. Different scenarios were established. The difference in cholesterol levels in the Dutch population was assessed before and after replacement by means of equations from meta-analyses that calculate how blood lipids change when diet composition changes. Results: After replacing non-complying products with products, which comply with the label's criteria (maximum scenario), saturated fatty acids median intake reduced from 14.5 to 9.8 en%. Trans-fatty acids reduced from 0.95 to 0.57 en%. The average predicted changes in low-density lipoprotein and total cholesterol levels were −0.25 and −0.31 mmol/l, respectively. Because high-density lipoprotein (HDL) cholesterol levels reduced as well (−0.05 mmol/l), overall, the result was a slightly positive change in the total cholesterol/HDL ratio (−0.03). Conclusions: Our findings suggest that the consumption of foods complying with the criteria for a front-of-pack label could contribute moderately to cardiovascular risk reduction via influencing blood lipids. These findings were independent of other potential effects on related health outcomes.Keywords
This publication has 23 references indexed in Scilit:
- The role of reducing intakes of saturated fat in the prevention of cardiovascular disease: where does the evidence stand in 2010?The American Journal of Clinical Nutrition, 2011
- Influence of Placement of a Nutrition Logo on Cafeteria Menu Items on Lunchtime Food Choices at Dutch Work SitesJournal of the American Dietetic Association, 2011
- ‘Traffic-light’ nutrition labelling and ‘junk-food’ tax: a modelled comparison of cost-effectiveness for obesity preventionInternational Journal of Obesity, 2010
- Impact of foods with health logo on saturated fat, sodium and sugar intake of young Dutch adultsPublic Health Nutrition, 2010
- Effects on Coronary Heart Disease of Increasing Polyunsaturated Fat in Place of Saturated Fat: A Systematic Review and Meta-Analysis of Randomized Controlled TrialsPLoS Medicine, 2010
- Front-of-pack nutrition label stimulates healthier product development: a quantitative analysisInternational Journal of Behavioral Nutrition and Physical Activity, 2010
- Potential impact of the Choices Programme on nutrient intakes in the Dutch populationNutrition Bulletin, 2009
- Major types of dietary fat and risk of coronary heart disease: a pooled analysis of 11 cohort studiesThe American Journal of Clinical Nutrition, 2009
- Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III)JAMA, 2001
- The Strategy of Preventive MedicineJournal of Public Health Policy, 1994