Validation of a Nutrient Profiling System for Reformulation

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

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.

Study Overview

• Status: Completed
• Conditions: Nutrition Poor
• Intervention / Treatment: Other: Diet and socio-demographic questionnaires

Detailed Description

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).

• Study Type: Observational
• Enrollment (Actual): 6991

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

Representative samples of the US and French adult populations

Description

Inclusion Criteria:

• All participants of INCA2 and NHANES 2011-12 surveys

Exclusion Criteria:

• Missing dietary intake data

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
INCA2 2006-07; 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; 24-hr recall or food diary questionnaires; socio-demographic questionnaires
NHANES 2011-12; 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; 24-hr recall or food diary questionnaires; socio-demographic questionnaires

What is the study measuring?

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

Collaborators and Investigators

• Sponsor: Société des Produits Nestlé (SPN)
• Investigators: Study Director: Kathryn Porter, Centers for Disease Control and Prevention

Publications and helpful links

Helpful Links

• NHANES website
• Details of French dietary surveys. ANSES website

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2006
• Primary Completion (Actual): December 31, 2012
• Study Completion (Actual): December 1, 2017

Study Registration Dates

• First Submitted: January 11, 2018
• First Submitted That Met QC Criteria: January 25, 2018
• First Posted (Actual): January 26, 2018

Study Record Updates

• Last Update Posted (Actual): January 26, 2018
• Last Update Submitted That Met QC Criteria: January 25, 2018
• Last Verified: January 1, 2018

More Information

Terms related to this study

• Keywords: nutrient profiling
• Additional Relevant MeSH Terms: Nutrition Disorders; Malnutrition
• Other Study ID Numbers: AJCN/2017/172213

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: The NHANES 2011-12 and INCA2 data are available to other researchers via the respective websites.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No