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应对肥胖和非传染性疾病流行的结构反应:智利食品标签和广告法的最新情况。

Structural responses to the obesity and non-communicable diseases epidemic: Update on the Chilean law of food labelling and advertising.

机构信息

Institute of Nutrition and Food Technology (INTA), University of Chile, Santiago, Chile.

Department of Pediatrics, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.

出版信息

Obes Rev. 2019 Mar;20(3):367-374. doi: 10.1111/obr.12802. Epub 2018 Dec 13.

Abstract

Chile approved the law of food labelling and advertising in 2012; this law aims to address the obesity epidemic, particularly in children. The implementation details were published in 2015, and the law was implemented finally in 2016, as described in the current article. Regulated foods were defined based on a specially developed nutrient profiling, which considered natural foods as gold standard. For liquid foods, amounts of energy, sugars, saturated fats, and sodium in 100 mL of cow's milk were used as cut-offs. For solid foods, values within the 90th - 99th percentile range for energy and critical nutrients were selected as cut-off within a list of natural foods. A stop sign stating "High in " was chosen as warning label for packaged regulated foods. Regulated foods were also forbidden to be sold or offered for free at kiosks, cafeterias, and feeding programme at schools and nurseries. Besides, regulated foods cannot be promoted to children under 14 years. A staggered implementation of the regulation was decided, with nutrients cut-offs becoming increasingly stricter over a 3-year period. These regulatory efforts are in the right direction but will have to be sustained and complemented with other actions to achieve their ultimate impact of halting the obesity epidemic.

摘要

2012 年,智利批准了食品标签和广告法;该法律旨在解决肥胖问题,尤其是儿童肥胖问题。2015 年公布了实施细则,本文所述,该法律最终于 2016 年实施。根据专门制定的营养成分分析,对管制食品进行了定义,将天然食品作为黄金标准。对于液体食品,以每 100 毫升牛奶中的能量、糖、饱和脂肪和钠含量作为牛乳制品的截断值。对于固体食品,在天然食品清单中,选择能量和关键营养素第 90-99 百分位数范围内的值作为截断值。管制食品的包装上还选择了一个停止标志,上面写着“<营养物>含量高”,作为警示标签。管制食品也禁止在售货亭、自助餐厅以及学校和托儿所的供餐计划中销售或免费提供。此外,禁止向 14 岁以下儿童推销管制食品。该法规的实施是分阶段进行的,在 3 年内,营养截断值变得越来越严格。这些监管工作方向正确,但必须持续并辅以其他行动,以实现其遏制肥胖流行的最终影响。

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