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预包装食品健康度排名指数：开发预包装食品的包装正面标签，以促进对中国预包装食品健康度排名的评估和验证。

Prepackaged foods healthiness ranking index: developing front-of-pack labeling to facilitate the assessment and validation of healthiness rankings of prepackaged foods in China.

机构信息

School of Public Health and Center of Clinical Big Data and Analytics of The Second Affiliated Hospital, Zhejiang University School of Medicine, 866 Yuhangtang Road, Hangzhou, 310058, Zhejiang, China.

School of Design, Shanghai Jiao Tong University, Shanghai, China.

出版信息

BMC Med. 2024 Sep 19;22(1):402. doi: 10.1186/s12916-024-03600-y.

DOI:10.1186/s12916-024-03600-y
PMID:39300429
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11414037/
Abstract

BACKGROUND

The Medium and Long-Term Plan for the Prevention and Treatment of Chronic Diseases (2017-2025) in China has highlighted the importance of reducing fat, sodium, and sugar in foods. However, front-of-pack labeling, which enables consumers to assess the health levels of prepackaged foods, is lacking in China. In response to the Zhejiang Provincial Health Commission's request, we sought to develop a method for efficiently evaluating the health level of prepackaged foods.

METHODS

Through a comprehensive literature review, we established a systematic framework: the Prepackaged Foods Healthiness Ranking Index (PHRI). We determined specific threshold values and grading criteria and conducted two rounds of Delphi survey to refine the index. Using a measurement dataset, we aimed to determine the optimal limit values for assessing the health level of prepackaged foods in real-world settings.

RESULTS

After two rounds of Delphi surveys, the PHRI underwent multiple revisions until consensus among experts was reached. The final decision regarding the upper limit values set 30% Nutrient Reference Values as the limit for solid foods and 15% Nutrient Reference Values for liquid foods. The calculation of PHRI values was successfully implemented with the dataset, in accord with current nutrition awareness and real-world conditions.

CONCLUSIONS

The PHRI provides a valuable tool for assessing the healthiness of prepackaged foods. This front-of-pack labeling system provides a convenient method for evaluating the nutritional quality of prepackaged foods. Ultimately, the PHRI has the potential to contribute to advancements in health policy, practice, and education in China.

摘要

背景

中国《慢性病防治中长期规划（2017-2025 年）》强调了减少食品中脂肪、盐和糖的重要性。然而，中国缺乏能够让消费者评估预包装食品健康水平的标签。应浙江省卫生健康委员会的要求，我们旨在开发一种用于有效评估预包装食品健康水平的方法。

方法

通过全面的文献回顾，我们建立了一个系统框架：预包装食品健康排名指数（PHRI）。我们确定了具体的阈值和分级标准，并进行了两轮 Delphi 调查以完善该指数。使用测量数据集，我们旨在确定评估实际环境中预包装食品健康水平的最佳限值。

结果

经过两轮 Delphi 调查，PHRI 经历了多次修订，直到专家达成共识。最终决定将 30%营养素参考值作为固体食品的上限值，15%营养素参考值作为液体食品的上限值。使用数据集成功实施了 PHRI 值的计算，符合当前的营养意识和实际情况。

结论

PHRI 为评估预包装食品的健康性提供了有价值的工具。这种预包装食品标签系统为评估预包装食品的营养质量提供了一种便捷的方法。最终，PHRI 有可能为中国的健康政策、实践和教育做出贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd8/11414037/dbf66e55c3fe/12916_2024_3600_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd8/11414037/680c693f7a19/12916_2024_3600_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd8/11414037/1f44684e076c/12916_2024_3600_Fig2_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd8/11414037/18865825303d/12916_2024_3600_Fig5_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd8/11414037/dbf66e55c3fe/12916_2024_3600_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd8/11414037/680c693f7a19/12916_2024_3600_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd8/11414037/1f44684e076c/12916_2024_3600_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd8/11414037/393f675c46fb/12916_2024_3600_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd8/11414037/a78080651310/12916_2024_3600_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd8/11414037/18865825303d/12916_2024_3600_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd8/11414037/3b6903f57c2f/12916_2024_3600_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd8/11414037/dbf66e55c3fe/12916_2024_3600_Fig7_HTML.jpg

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