Validation of a Nutrient Profiling System for Reformulation

Study Overview
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Brief Summary
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The objectives of the study are to assess the validity of Nestlé reformulation criteria in two national dietary surveys: the US NHANES 2011, and the French INCA2 2006-07.

Detailed Description
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Background: The Nestlé Nutritional Profiling System (NNPS) has been developed to guide food and beverage reformulation. It is not known whether products passing the NNPS standards have a higher overall nutritional density, and whether the higher consumption of NNPS Pass products is associated with a higher dietary quality. Objective: The objectives were (i) to compare the classifications derived from the NNPS and the validated UK Ofcom nutrient profiling system; and (ii) to assess the NNPS construct validity against healthy and unhealthy diets in French (Individual and National Survey on food Consumption 2006-2007) and the US (National Health and Nutrition Examination Surveys 2011-2012) nationally representative dietary surveys. Design: NNPS outcomes (PASS, FAIL, Out-of-scope) of foods were compared to UK Ofcom outcomes. Contributions of NNPS outcomes to energy intakes were compared between diets nutritional quality classes defined by two methods: based on a food-based quality indicator (PNNS-GS in France, HEI-2010 in the US), or on a combination of three nutrient-based indicators (MAR, MER, energy density).

Official Title
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Food and Diet Based Validations of a Nutrient Profiling System for Reformulation in Two Nationally Representative Surveys

Conditions
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Nutrition Poor

Intervention / Treatment
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* Other: Diet and socio-demographic questionnaires


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All participants of INCA2 and NHANES 2011-12 surveys Exclusion Criteria: Missing dietary intake data

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| INCA2 2006-07<br>French National Dietary Intake Survey, conducted in 2006-2007 by the French Agency for Food, Environmental and Occupational Health Safety. Adults aged 18y and over, n=1918 included in the analyses. | Other: Diet and socio-demographic questionnaires<br>* 24-hr recall or food diary questionnaires; socio-demographic questionnaires<br>|
| NHANES 2011-12<br>Wave 2011-12 of the National Health and Nutrition Examination Survey, the US national dietary intake Survey, conducted by the Centers for Disease Control and Prevention (CDC) Adults aged 18y and over, n=5073 included in the analyses. | Other: Diet and socio-demographic questionnaires<br>* 24-hr recall or food diary questionnaires; socio-demographic questionnaires<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Healthy Eating Index 2010 | Measure of dietary quality for the NHANES Survey, based on reported dietary intakes | 2011-12 | 
| PNNS-GS diet score | Measure of dietary quality for the French INCA2 Survey, based on reported dietary intakes | 2006-07 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mean Adequacy Ratio | Measure of individuals nutrient adequacy based on reported food intakes | 2006-07 and 2011-12 | 
| Mean Excess Ratio | Measure of excessive nutrient consumption, based on reported food intakes | 2006-07 and 2011-12 | 
| Energy density | Solid energy density of diets, based on reported food intakes | 2006-07 and 2011-12 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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nutrient profiling