Choices International Foundation, 2501 HE The Hague, The Netherlands.
School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, 405 30 Gothenburg, Sweden.
Nutrients. 2020 Sep 11;12(9):2774. doi: 10.3390/nu12092774.
Unhealthy diets contribute to an increased risk of non-communicable diseases, which are the leading causes of deaths worldwide. Nutrition policies such as front-of-pack labeling have been developed and implemented globally in different countries to stimulate healthier diets. The Choices Programme, including the International Choices criteria, is an established tool to support the implementation of such policies. The Choices criteria were developed to define the healthier choices per product group, taking saturated fatty acids, trans fatty acids, sodium, sugars, energy, and fiber into account. To keep these criteria updated, they are periodically revised by an independent international scientific committee. This paper explains the most important changes resulting from revisions between 2010 and 2016 and describes the process of the latest revision, resulting in the International Choices criteria version 2019. Revisions were based on national and international nutrition and dietary recommendations, large food composition databases, and stakeholders' feedback. Other nutrient profiling systems served as benchmarks. The product group classification was adapted and new criteria were determined in order to enhance global applicability and form a credible, intuitively logical system for users. These newly developed criteria will serve as an international standard for healthier products and provide a guiding framework for food and nutrition policies.
不健康的饮食会增加罹患非传染性疾病的风险，此类疾病是目前全球的主要死因。为了促进更健康的饮食，全球各国都制定并实施了营养政策，例如在包装正面进行标签标注。选择计划（包括国际选择标准）是支持此类政策实施的既定工具。选择标准是为了确定每个产品组中更健康的选择，同时考虑到饱和脂肪酸、反式脂肪酸、钠、糖、能量和纤维的含量。为了保持这些标准的更新，一个独立的国际科学委员会会定期对其进行修订。本文解释了 2010 年至 2016 年修订版中产生的最重要的变化，并描述了最新修订版的过程，由此产生了 2019 年版的国际选择标准。修订版的依据是国家和国际营养和饮食建议、大型食品成分数据库以及利益相关者的反馈。其他营养成分分析系统则作为基准。为了提高全球适用性并为用户提供一个可信、直观逻辑的系统，对产品组分类进行了调整，并确定了新的标准。这些新制定的标准将作为更健康产品的国际标准，并为食品和营养政策提供指导框架。
