The NOVA system and ultra-processed foods in relation to consumer decision-making in foods choice
DOI:
https://doi.org/10.5219/1358Keywords:
NOVA food classification system, specific item, methodology, ultra-processed food, strawberry yogurtAbstract
The purpose of the study was to investigate strawberry yogurt according to the NOVA food classification system. The object of research were strawberry yogurts from 6 different manufacturers, which are commonly available to food consumers, were randomly selected to investigate food samples under the NOVA food classification system. Based on this food, we present a methodology for assessing food safety with the application of the procedure. At the same time, we justify the classified food to Group 4, i.e. one of the 4 groups according to the NOVA system of food classification on a scientific basis, knowledge from the scientific literature. The evaluated results of the labeling of strawberry yogurt from various producers indicate that they are all classified as ultra-processed foods. Their characteristic feature is that they are industrial products with five or more, and usually many, items. Strawberry yogurt samples from various manufacturers evaluated contained 7 to 12 specific items that are not basic raw material, i.e. unprocessed or minimally processed food of Group 1.
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Brazilian Ministry of Health. 2014. Dietary Guidelines For the Brazilian Population. Available in Portuguese, and in Spanish and English translations. Brasília : Ministério da Saúde. Available at: http://189.28. 128.100/dab/docs/portaldab/publicacoes/guia_alimentar_populacao_ingles.pdf.
Cediel, G., Reyes, M., Da Costa Louzada, M. L., Martinez Steele, E., Monteiro, C. A., Corvalán, C., Uauy, R. 2018. Ultra-processed foods and added sugars in the Chilean diet (2010). Public Health Nutrition, vol. 21, p. 125-133. https://doi.org/10.1017/s1368980017001161 DOI: https://doi.org/10.1017/S1368980017001161
Cespedes, E. M., Hu, F. B. 2015. Dietary patterns: from nutritional epidemiologic analysis to national guidelines. The American Journal of Clinical Nutrition, vol. 101, p. 899-900. https://doi.org/10.3945/ajcn.115.110213 DOI: https://doi.org/10.3945/ajcn.115.110213
Costa Louzada, M. L., Martins, A. P., Canella, D. S., Baraldi, L. D., Levy, R. B., Claro, R. M., Moubarac, J. C., Cannon, G., Monteiro, C. A. 2015c. Ultra-processed foods and the nutritional dietary profile in Brazil. Revista de Saúde Pública, vol. 49, p. 38. https://doi.org/10.1590/s0034-8910.2015049006132
Costa Louzada, M. L., Martins, A. P., Canella, D. S., Baraldi, L. G., Levy, R. B., Claro, R. M., Moubarac, J-C., Cannon, G., Monteiro, C. A. 2015b. Impact of ultra-processed foods on micronutrient content in the Brazilian diet. Revista Saude Publica, vol. 49, p. 1-8. https://doi.org/10.1590/s0034-8910.2015049006211 DOI: https://doi.org/10.1590/S0034-8910.2015049006211
Costa Louzada, M. L., Martins, A. P., Canella, D., Baraldi, L. G., Levy, R., B., Claro, R., M., Moubarac, J-C., Cannon, G., Monteiro, C. A. 2015a. Alimentos ultraprocessados e perfil nutricional da dieta no Brasil. Revista Saude Publica, vol. 49, no. 38, p. 1-11. https://doi.org/10.1590/S0034-8910.2015049006132 DOI: https://doi.org/10.1590/S0034-8910.2015049006132
DiMeglio, D. P., Mattes, R. D. 2000. Liquid versus solid carbohydrate: effects on food intake and body weight. International Journal of Obesity, vol. 24, p. 794-800. https://doi.org/10.1038/sj.ijo.0801229 DOI: https://doi.org/10.1038/sj.ijo.0801229
European Chemical Agency (ECHA). 2016. Member State Committee support document for identification of 4,4’-isopropylidenediphenol (bisphenol a) as a substance of very high concern because of its toxic for reproduction (Article 57 c) properties.
Fiolet, T., Srour, B., Sellem, L., Kesse-Guyot, E., Allès, B., Méjean, C., Deschasaux, M., Fassier, F., Latino-Martel, P., Beslay, M., Hercberg, S., Lavalette, C., Monteiro, C. A., Julia, C., Touvier, M. 2018. Consumption of ultra-processed foods and cancer risk: results from NutriNet-Santé prospective cohort. BMJ, vol. 360, p. k322. https://doi.org/10.1136/bmj.k322 DOI: https://doi.org/10.1136/bmj.k322
Hall, K. D., Ayuketah, A., Brychtaet, R., Cai, H., Cassimatis, T., Chen, K. Y., Chung, S. T., Costa, E., Courville, A., Darcey, V., Fletcher, L. A., Forde, C. G., Gharib, A. M., Guo, J., Howard, R., Joseph, P. V., McGehee, S., Ouwerkerk, R., Raisinger, K., Rozga, I., Stagliano, M., Walter, M., Walter, P. J., Yang, S., Zhou, M. 2019. Ultra-Processed Diets Cause Excess CalorieIntake and Weight Gain: An Inpatient Randomized Controlled Trial of Ad Libitum Food Intake. Cell Metabolism, vol. 30, p. 67-77 https://doi.org/10.1016/j.cmet.2019.05.008 DOI: https://doi.org/10.1016/j.cmet.2019.05.008
Chassaing, B., Koren, O., Goodrich, J. K., Poole, A. C., Srinivasan, S., Ley, R. E., Gewirtz, A. T. 2015. Dietary emulsifiers impact the mouse gut microbiota promoting colitis and metabolic syndrome. Nature, vol. 519, p. 92-96. https://doi.org/10.1038/nature14232 DOI: https://doi.org/10.1038/nature14232
Juul, F., Martinez-Steele, E., Parekh, N., Monteiro, C. A., Chang, W. V. 2018. Ultra-processed food consumption and excess weight among US adults. British Journal of Nutrition, vol. 120, p. 90-100. https://doi.org/10.1017/s0007114518001046 DOI: https://doi.org/10.1017/S0007114518001046
Ludwig, D. S. 2011. Technology, diet, and the burden of chronic disease. Journal of the American Medical Association, vol. 305, p. 1352-1353. DOI: https://doi.org/10.1001/jama.2011.380
Luiten, C. M., Steenhuis, I. H., Eyles, H., Mhurchu, C. N., Waterlander, W. E. 2016. Ultra-processed foods have the worst nutrient profile, yet they are the most available packaged products in a sample of New Zealand supermarkets-CORRIGENDUM. Public Health Nutrition, vol. 19, p. 539. https://doi.org/10.1017/s1368980015002840 DOI: https://doi.org/10.1017/S1368980015002840
Martínez Steele, E., Baraldi, L. G., Louzada, M. L., Moubarac, J-C., Mozaffarian, D., Monteiro, C. A. 2016. Ultra-processed foods and added sugars in the US diet: evidence from a nationally representative cross-sectional study. BMJ Open, vol. 6, p. e009892. https://doi.org/10.1136/bmjopen-2015-009892
Mendonça, R. D., Lopes, A. C., Pimenta, A. M., Gea, A., Martinez-Gonzalez, M. A., Bes-Rastrollo, M. 2017. Ultra-processed food consumption and the incidence of hypertension in a mediterranean cohort: The seguimiento universidad de navarra project. American Journal of Hypertension, vol. 30, p. 358-366. https://doi.org/10.1093/ajh/hpw137 DOI: https://doi.org/10.1093/ajh/hpw137
Monteiro, C. A. 2009. Nutrition and health. The issue is not food, nor nutrients, so much as processing. Public Health Nutrition, vol. 12, p. 729-731. https://doi.org/10.1017/s1368980009005291 DOI: https://doi.org/10.1017/S1368980009005291
Monteiro, C. A., Cannon, G., Levy, R. B., Moubarac, J-C., Jaime, P., Martins, A. P., Canella, D., Louzada, M., Parra, D., Ricardo, C., Calixto, G., Machado, P., Martins, C., Martinez, E., Baraldi, L., Garzillo, J., Sattamini, I. 2016. NOVA. The star shines bright. [Food classification. Public health]. World Nutrition, vol. 7, no. 1-3, p. 28-38.
Monteiro, C. A., Cannon, G., Levy, R. B., Moubarac, J-C., Jaime, P., Martins, A. P., Canella, D., Louzada, M., Parra, D., Ricardo, C., Calixto, G., Machado, P., Martins, C., Martinez, E., Baraldi, L., Garzillo, J., Sattamini, I. 2012. The Food System. Ultra-processing. The big issue for nutrition, disease, health, well-being. Position paper 2. World Nutrition, vol. 3, no. 12, p. 527-569.
Monteiro, C. A., Cannon, G., Moubarac, J. C., Levy, R. B., Louzada, M. L. C., Jaime, P. C. 2018. The UN Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing. Public Health Nutrition, vol. 21, no. 1, p. 5-17. https://doi.org/10.1017/s1368980017000234 DOI: https://doi.org/10.1017/S1368980017000234
Monteiro, C. A., Levy, R. B., Claro, R. M., Ribeiro de Castro, I. R., Cannon, G. 2010. A new classification of foods based on the extent and purpose of their processing. Cadernos de Saúde Pública/Reports in Public Health, vol. 26, p. 2039-2049. https://doi.org/10.1590/s0102-311x2010001100005 DOI: https://doi.org/10.1590/S0102-311X2010001100005
Moodie, R., Stuckler, D., Monteiro, C., Sheron, N., Neal, B., Thamarangsi, T., Lincoln, P., Casswell, P. 2013. Profits and pandemics: prevention of harmful effects of tobacco, alcohol, and ultra-processed food and drink industries. Lancet, vol. 381, p. 670-679. https://doi.org/10.1016/s0140-6736(12)62089-3 DOI: https://doi.org/10.1016/S0140-6736(12)62089-3
Moubarac, J. C., Batal, M., Louzad, A. M. L., Steele, E. M., Monteiro, C. A. 2017. Consumption of ultra-processed foods predicts diet quality in Canada. Appetite, vol. 108, p. 512-520. https://doi.org/10.1007/s13679-014-0092-0 DOI: https://doi.org/10.1016/j.appet.2016.11.006
Moubarac, J. C., Martins, A. P. B., Claro, R. M., Levy, R. B., Cannon, G., Monteiro, C. A. 2013. Consumption of ultra-processed foods and likely impact on human health. Public Health Nutrition, vol. 16, p. 2240-2248. https://doi.org/10.1017/s1368980012005009 DOI: https://doi.org/10.1017/S1368980012005009
Moubarac, J. C., Parra, D. C., Cannon, G., Monteiro, C. A. 2014. Food Classification Systems Based on Food Processing: Significance and Implications for Policies and Actions: A Systematic Literature Review and Assessment. Current Obesity Reports, vol. 3, p. 256-272. https://doi.org/10.1016/j.appet.2016.11.006 DOI: https://doi.org/10.1007/s13679-014-0092-0
Mozaffarian, D. 2016. Dietary and Policy Priorities for Cardiovascular Disease, Diabetes, and Obesity: A Comprehensive Review. Circulation, vol. 133, p. 187-225. https://doi.org/10.1161/circulationaha.115.018585 DOI: https://doi.org/10.1161/CIRCULATIONAHA.115.018585
Rancière, F., Lyons, J. G., Loh, V. H. Y., Botton, J., Galloway, T., Wang, T., Shaw, J. E., Magliano, D. 2015. Bisphenol A and the risk of cardiometabolic disorders: a systematic review with meta-analysis of the epidemiological evidence. Environmental Health, vol. 14, p. 46. https://doi.org/10.1186/s12940-015-0036-5 DOI: https://doi.org/10.1186/s12940-015-0036-5
Rauber, F., Campagnolo, P. D. B., Hoffman, D. J., Vitolo, M. R. 2015. Consumption of ultra-processed food products and its effects on children’s lipid profiles: a longitudinal study. Nutrition, Metabolism & Cardiovascular Diseases, vol. 25, p.116-122. https://doi.org/10.1016/j.numecd.2014.08.001 DOI: https://doi.org/10.1016/j.numecd.2014.08.001
Rauber, R. D., Pimenta, A. M., Gea, A., Fuente-Arrillaga, C., Martinez-Gonzalez, M. A., Lopes, A. C. S., Bes-Rastrollo, M. 2016. Ultraprocessed food consumption and risk of overweight and obesity: the University of Navarra Follow-Up (SUN) cohort study. American Journal of Clinical Nutrition, vol. 104, p. 1433-1440. https://doi.org/10.3945/ajcn.116.135004 DOI: https://doi.org/10.3945/ajcn.116.135004
Rico-Campà, A., Martínez-González, M., Alvarez-Alvarez, I., Mendonça, R. D., Fuente-Arrillaga, C., Gómez-Donoso, C., Bes-Rastrollo, M. 2019. Association between consumption of ultra-processed foods and all cause mortality: SUN prospective cohort study. BMJ, vol. 365, p. l19-149. https://doi.org/10.1136/bmj.l1949 DOI: https://doi.org/10.1136/bmj.l1949
Santé Publique France DREES. 2018. Health situation of the French Population in 2017 (Original title in French: L’état de santé de la population en France : Rapport). https://doi.org/10.2307/1535008 DOI: https://doi.org/10.2307/1535008
Srour, B., Fezeu, L. K., Kesse-Guyot, E., Allès, B., Méjean, C., Andrianasolo, R., A., Chazelas, E., Deschasaux, M., Hercberg, S., Galan, P., Monteiro, C. A., Julia, C., Touvier, M. 2019. Ultra-processed food intake and risk of cardiovascular disease: prospective cohort study (NutriNet-Santé). BMJ, vol. 365, p l14-151. https://doi.org/10.1136/bmj.l1451 DOI: https://doi.org/10.1136/bmj.l1451
Steele, E., Baraldi, L. G., Louzada, M. L., Moubarac, J-C., Mozaffarian, D., Monteiro, C. A. 2015. Ultra-processed foods and added sugars in the US diet: evidence from a nationally representative cross-sectional study. BMJ Open, vol. 5, p. e009892. https://doi.org/10.1136/bmjopen-2015-009892 DOI: https://doi.org/10.1136/bmjopen-2015-009892
Stuckler, D., Mckee, M., Ebrahim, S., Basu, S. 2012. Manufacturing epidemics: the role of global producers in increased consumption of unhealthy commodities including processed foods, alcohol, and tobacco. The PLOS Medicine, vol. 9, p. e1001235. https://doi.org/10.1371/journal.pmed.1001235 DOI: https://doi.org/10.1371/journal.pmed.1001235
World Health Organization. 2018. Cardiovascular diseases (CVDs) fact sheet. WHO. Available at: www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds).
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