Front-of-Pack Nutrition Labels: Comparing the Nordic Keyhole and Nutri-Score in a Swedish Context

Author:

Pitt Stephanie1ORCID,Julin Bettina2,Øvrebø Bente3ORCID,Wolk Alicja1

Affiliation:

1. Institute of Environmental Medicine, Karolinska Institutet, 17177 Stockholm, Sweden

2. Department for Sustainable Diets, Swedish Food Agency, 75126 Uppsala, Sweden

3. Department of Food Safety, Norwegian Institute of Public Health, 0456 Oslo, Norway

Abstract

The extent to which different front-of-pack nutrition labels (FOPNLs) agree or contradict each other has been insufficiently investigated. Considering the 2020 proposal from the European Commission to create a harmonized FOPNL, the aim of this study was to assess agreements and disagreements between two FOPNL schemes—the Keyhole and the Nutri-Score—in a Swedish context. The current Keyhole criteria and the updated Nutri-Score 2022 algorithm were applied to 984 food items and their nutrient compositions, obtained from the food database of the Swedish Food Agency. Agreements (Keyhole-eligible and Nutri-Score A or B; or not Keyhole-eligible and Nutri-Score C, D, or E) and disagreements (Keyhole-eligible and Nutri-Score C, D, or E, or not Keyhole-eligible and Nutri-Score A or B) were calculated as percentages for all items and by food group. An agreement was found for 81% of included items. The lowest level of agreement was found for the groups of flour, grains, and rice (62% agreement) and for plant-based meat and fish analogues (33% agreement). There is generally a good level of agreement between the Keyhole and the Nutri-Score for food items on the Swedish market. Large disagreements found for plant-based meat and fish analogues, and products based on cereals/grains, highlight important considerations for the development of a harmonized FOPNL within Europe.

Funder

Swedish Research Council for Environment Agricultural Sciences and Spatial Planning

Publisher

MDPI AG

Subject

Food Science,Nutrition and Dietetics

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