U.S. Food and Drug Administration Updates in Nutrition Labeling: What Clinicians Need to Know
Authors: Haider J. Warraich, Laura Carroll, Robin A. McKinnon, Claudine Kavanaugh, Robert M. Califf
Journal: Annals of Internal Medicine (2024)

Ideas and Opinions12 March 2024U.S. Food and Drug Administration Updates in Nutrition Labeling: What Clinicians Need to KnowHaider J. Warraich, MD, Laura Carroll, MS, MPH, Robin A. McKinnon, PhD, MPA, Claudine Kavanaugh, PhD, MPH, RD, and Robert M. Califf, MDHaider J. Warraich, MDU.S. Food and Drug Administration, Silver Spring, Maryland (H.J.W., L.C., R.M.C.), Laura Carroll, MS, MPHU.S. Food and Drug Administration, Silver Spring, Maryland (H.J.W., L.C., R.M.C.), Robin A. McKinnon, PhD, MPAU.S. Food and Drug Administration, College Park, Maryland (R.A.M., C.K.)., Claudine Kavanaugh, PhD, MPH, RDU.S. Food and Drug Administration, College Park, Maryland (R.A.M., C.K.)., and Robert M. Califf, MDU.S. Food and Drug Administration, Silver Spring, Maryland (H.J.W., L.C., R.M.C.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M23-3266 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Diet-related chronic diseases constitute one of the greatest threats to public health, especially in the United States. Poor nutrition is a risk factor for cardiovascular disease, diabetes, hypertension, obesity, and certain types of cancer (1).Empowering consumers to make more informed food choices is a powerful way to help improve dietary patterns. Clinicians can play a central role in educating patients and encouraging improvements in their diet. In 2022, the White House issued a National Strategy on Hunger, Nutrition, and Health, and the U.S. Food and Drug Administration (FDA) has several initiatives focused on updating the information found on food ...References1. U.S. Department of Agriculture; U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2020-2025. 2023. Accessed at http://dietaryguidelines.gov on 7 February 2024. Google Scholar2. Shangguan S, Afshin A, Shulkin M, et al; Food PRICE (Policy Review and Intervention Cost-Effectiveness) Project. A meta-analysis of food labeling effects on consumer diet behaviors and industry practices. Am J Prev Med. 2019;56:300-314. [PMID: 30573335] doi:10.1016/j.amepre.2018.09.024 CrossrefMedlineGoogle Scholar3. Doell D, Folmer D, Lee H, et al. Updated estimate of trans fat intake by the US population. Food Addit Contam Part A Chem Anal Control Expo Risk Assess. 2012;29:861-874. [PMID: 22439632] doi:10.1080/19440049.2012.664570 CrossrefMedlineGoogle Scholar4. Food labeling: revision of the nutrition and supplement facts labels. Fed Regist. 2016;81:33742-33999. Google Scholar5. Sriperumbuduri S, Welling P, Ruzicka M, et al. Potassium and hypertension: a state-of-the-art review. Am J Hypertens. 2024;37:91-100. [PMID: 37772757] doi:10.1093/ajh/hpad094 CrossrefMedlineGoogle Scholar6. Institute of Medicine. Dietary, functional, and total fiber. In: Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. National Academies Pr; 2002:339-421. Google Scholar7. Verrill L, Wu F, Weingaertner D, et al. Front of Package Labeling Literature Review. U.S. Food and Drug Administration; 2023. Accessed at www.regulations.gov/document/FDA-2023-N-0155-0031 on 7 February 2024. Google Scholar8. Food labeling: nutrient content claims; definition of term "healthy". Fed Regist. 2022;87:59168-59202. Google Scholar Author, Article, and Disclosure InformationAuthors: Haider J. Warraich, MD; Laura Carroll, MS, MPH; Robin A. McKinnon, PhD, MPA; Claudine Kavanaugh, PhD, MPH, RD; Robert M. Califf, MDAffiliations: U.S. Food and Drug Administration, Silver Spring, Maryland (H.J.W., L.C., R.M.C.)U.S. Food and Drug Administration, College Park, Maryland (R.A.M., C.K.).Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M23-3266.Corresponding Author: Haider J. Warraich, MD, Office of the Commissioner, Building 1, White Oak Campus, U.S. Food and Drug Administration, 10903 New Hampshire Avenue, Silver Spring, MD 20903; e-mail, haider.warraich@fda.hhs.gov.Author Contributions: Conception and design: R.M. Califf, L. Carroll, R.A. McKinnon, H.J. Warraich.Analysis and interpretation of the data: R.M. Califf, C. Kavanaugh.Drafting of the article: R.M. Califf, L. Carroll, C. Kavanaugh, R.A. McKinnon, H.J. Warraich.Critical revision for important intellectual content: R.M. Califf, R.A. McKinnon, H.J. Warraich.Final approval of the article: R.M. Califf, L. Carroll, C. Kavanaugh, R.A. McKinnon, H.J. Warraich.Administrative, technical, or logistic support: R.M. Califf, R.A. McKinnon, H.J. Warraich.This article was published at Annals.org on 12 March 2024. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics LatestKeywordsDietEatingFoodFood and Drug AdministrationNutrientsNutritionObesityPotassiumPrevention, policy, and public healthVitamin D ePublished: 12 March 2024 PDF downloadLoading ...