British Nutrition Foundation, 15-19 Kingsway, London WC2B 6UN, UK.
Proc Nutr Soc. 2013 Feb;72(1):61-9. doi: 10.1017/S0029665112002868. Epub 2012 Dec 11.
The role of the food industry (retailers, manufacturers and food service) in helping consumers eat healthily and sustainably has been receiving considerable attention in recent years. This paper focuses on the challenges facing the food industry and the role of food reformulation in meeting these challenges, through the lens of a public health nutritionist. Attention has been heightened by the Government's Responsibility Deal, launched in early 2011 by the Department of Health (England), by the UK's engagement with the global food security and food supply sustainability agendas and by the Government Office of Science's Foresight report. The Responsibility Deal's food network has to date focused on reduction of trans fatty acids, salt and calories and out-of-home calorie labelling (in food service settings). New pledges are expected soon on increasing fruit and vegetable intakes. Reformulation is a major feature of the Responsibility Deal's approach, and along with other approaches such as portion control, choice editing and information provision, there is potential to increase the breadth of healthier choices available to the public. With the exception of fruit and vegetables, the emphasis has been almost exclusively on aspects of the diet that are in excess for many of the population (e.g. energy and salt). Evidence of low consumption of some key micronutrients by some groups of the population, particularly adolescents and young adults, often alongside excess energy intake compared with expenditure, is all too often overlooked. This paper summarises the progress made to date, the challenges faced and the opportunities that exist, with particular focus on reformulation. One of the biggest challenges is the relatively poor understanding of how to effect positive and long-term dietary behaviour change. The paper concludes that, in isolation, reformulation is unlikely to provide a complete solution to the challenge of improving eating patterns and nutrient provision, although it is a contributor.
近年来,食品行业(零售商、制造商和餐饮服务)在帮助消费者健康饮食和可持续饮食方面的作用备受关注。本文从公共卫生营养学家的角度出发,重点关注食品行业面临的挑战以及食品配方调整在应对这些挑战中的作用。政府的责任协议、英国参与全球食品安全和食品供应可持续性议程以及政府科学办公室的前瞻性报告都提高了人们对这一问题的关注。责任协议的食品网络迄今为止一直专注于减少反式脂肪酸、盐和卡路里,以及在餐饮场所进行外带食品的卡路里标签标注。预计很快就会有新的承诺来增加水果和蔬菜的摄入量。配方调整是责任协议方法的主要特征,与其他方法(如控制份量、选择编辑和信息提供)一起,有可能增加公众可获得的更健康选择的范围。除了水果和蔬菜之外,重点几乎完全放在了许多人饮食中过量的方面(例如能量和盐)。人们经常忽视一些关键微量营养素在某些人群(例如青少年和年轻人)中的低消耗,而这些人群的能量摄入往往超过支出。本文总结了迄今为止取得的进展、面临的挑战和存在的机会,特别关注配方调整。最大的挑战之一是,人们对如何实现积极和长期的饮食行为改变的理解相对较差。本文得出的结论是,配方调整本身不太可能为改善饮食模式和营养供应提供完整的解决方案,尽管它是一个贡献因素。