Validation of a Nutrient Profiling System for Reformulation

Completed

• Conditions: Nutrition Poor

• Registration Number: NCT03411603
• Lead Sponsor: Société des Produits Nestlé (SPN)

Brief Summary

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

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 Timeline

• Study Start: 2006-01-01
• Primary Completion: 2012-12-31
• Study Completion: 2017-12-01
• Status Verified: 2018-01
• Study First Submitted: 2018-01-11
• Study First Submitted QC: 2018-01-25
• Last Update Submitted: 2018-01-25
• Study First Posted: 2018-01-26
• Last Update Posted: 2018-01-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 6991

Inclusion Criteria

• All participants of INCA2 and NHANES 2011-12 surveys

Exclusion Criteria

• Missing dietary intake data

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

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

Secondary Outcome Measures

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