Julia Chantal, Péneau Sandrine, Buscail Camille, Gonzalez Rebeca, Touvier Mathilde, Hercberg Serge, Kesse-Guyot Emmanuelle
Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre d'Epidemiologie et Biostatistiques Sorbonne Paris Cité (CRESS), Inserm U1153, Inra U1125, Cnam, COMUE Sorbonne-Paris-Cité, Bobigny, France.
Département de Santé Publique, Hôpital Avicenne (AP-HP), Bobigny, France.
BMJ Open. 2017 Jun 15;7(6):e016108. doi: 10.1136/bmjopen-2017-016108.
Four formats for a front-of-pack (FOP) nutrition label are currently considered in France: the Nutriscore (or 5-Colour Nutrition Label, developed by a public research team), the SENS (supported by retailers), Multiple Traffic Lights (MTL, currently used in UK) and a modified version of the Reference Intakes (mRIs, supported by industry). Our objective was to investigate the perception of these FOP labels, according to sociodemographic, lifestyle and dietary factors.
Cross-sectional study.
Web-based French cohort.
FOP labels perception.
Participants in the NutriNet-Santé cohort received a specific questionnaire on the perceptions of the four label formats identified. Sociodemographic, lifestyle and dietary data (three 24-hours dietary records) were collected through self-administered questionnaires. Mutually exclusive clusters of FOP labels perception were identified through a multiple correspondence analysis followed by a hierarchical clustering procedure. Sociodemographic, lifestyle and dietary factors associated with the clusters were explored using multivariable multinomial logistic regression. All analyses were weighted according to 2009 French census data.
Among the 21,702 participants in the study, the Nutriscore received the most important number of favourable responses on positive perception dimensions by participants, followed by MTL and SENS. The five identified clusters were characterised by marked preferences for Nutriscore (cluster 1, 43.2% of participants, crude n=9,399), MTL (cluster 2, 27.3%, crude n=6,163), SENS (cluster 3, 17.05%, crude n=3,546), mRIs (cluster 4, 7.31%, crude n=1,632) and none of the presented formats (cluster 5, 5.10%, crude n=965). The cluster 1 (Nutriscore) was associated with lower adherence to nutritional recommendations, while cluster 2 (MTL) was associated with younger age and higher level of education.
The Nutriscore appears to have a wide reach in the population and to appeal to subjects with lower adherence to nutritional recommendations.
目前法国正在考虑四种包装正面（FOP）营养标签格式：营养评分（或由一个公共研究团队开发的五色营养标签）、SENS（由零售商支持）、多色交通灯标签（MTL，目前在英国使用）以及参考摄入量的修改版本（mRIs，由行业支持）。我们的目的是根据社会人口统计学、生活方式和饮食因素，调查对这些FOP标签的认知情况。
横断面研究。
基于网络的法国队列。
FOP标签认知情况。
NutriNet-Santé队列的参与者收到了一份关于对所确定的四种标签格式认知情况的特定问卷。社会人口统计学、生活方式和饮食数据（三份24小时饮食记录）通过自填问卷收集。通过多重对应分析，随后进行层次聚类程序，确定了FOP标签认知情况的相互排斥的类别。使用多变量多项逻辑回归探索与这些类别相关的社会人口统计学、生活方式和饮食因素。所有分析均根据2009年法国人口普查数据进行加权。
在该研究的21,702名参与者中，营养评分在参与者对积极认知维度的正面回应数量方面获得最多，其次是MTL和SENS。所确定的五个类别具有对营养评分（类别1，43.2%的参与者，原始n = 9,399）、MTL（类别2，27.3%，原始n = 6,163）、SENS（类别3，17.05%，原始n = 3,546）、mRIs（类别4，7.31%，原始n = 1,632）以及未展示的任何格式（类别5，5.10%，原始n = 965）的明显偏好。类别1（营养评分）与较低的营养建议依从性相关，而类别2（MTL）与较年轻的年龄和较高的教育水平相关。
营养评分似乎在人群中具有广泛影响，并吸引了对营养建议依从性较低的人群。
