ArticleInternational journal of health policy and management2022
Legitimacy of Front-of-Pack Nutrition Labels: Controversy Over the Deployment of the Nutri-Score in Italy.
Article in International journal of health policy and management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Nutri-Score and NutrInform Battery: Effects on Performance and Preference in Italian Consumers.Nutrients · 2022Trial
- Understanding power in food policy: a critical scoping review of methods to guide future research.Health promotion international · 2026Article
- Strategic decoupling through legitimacy: the sustainability-innovation gap in the food processing sector and its health implications.Globalization and health · 2025Article
- Strengthening the use of regulatory policy measures for prevention of NCDs in Europe through the JA PreventNCD project.Scandinavian journal of public health · 2025Article
- Directive vs. Reductive Front-of-Pack Labels: Differences in Italian Consumers' Responses to the Nutri-Score and the NutrInform Battery.Foods (Basel, Switzerland) · 2025Article
- Managing engagement among public, private and civil society actors participating in NewTools: a research partnership on food profiling.Public health nutrition · 2025Article
- Understanding the influence of stakeholders on the implementation of front-of-pack nutrition labelling in the absence of public debate: the case of Portugal.Health research policy and systems · 2024Article
- A Little Bird Told Me… Nutri-Score Panoramas from a Flight over Europe, Connecting Science and Society.Nutrients · 2023Article
- Article
- Performance and discriminatory capacity of Nutri-Score in branded foods in Greece.Frontiers in nutrition · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFront-of-pack nutrition labels (FoPLs) aim at increasing transparency and consumers' awareness of the nutritional composition of pre-packed food products in order to improve the nutritional quality of their food choices. Nevertheless, the legitimacy of the Nutri-Score - the FoPL officially adopted in France and several other European countries - is subject to both technical and political controversy, particularly in Italy. In this study, we investigated how and by whom the legitimacy of the Nutri-Score, recognized by several institutional authorities, could be deconstructed within a specific system of norms, values and beliefs among Italian stakeholders.
methodsA netnography completed with qualitative interviews with eight Italian and French nutrition and public health experts were carried out to highlight the dimensions (pragmatic, normative and cognitive) in which the Nutri-Score's legitimacy is being challenged among the stakeholders involved in FoPLs' implementation in Italy. The degree of influence and the position of these stakeholders on the debate around the Nutri-Score were assessed through the Stakeholder Theory (SHT), using their respective level of power, legitimacy and urgency. Furthermore, we compared the Italian and the French contexts on the issue.
resultsThe direct implication of political parties and media outlets in framing the Italian debate around Nutri-Score as well as the high influence of corporate unions, led to a different political outcome than in France. Results also show that the deconstruction of the legitimacy of the Nutri-Score in Italy pertained mainly to its pragmatic dimension according to the Italian public health experts. Nevertheless, its two other dimensions (normative and cognitive) are also questioned by high-influence stakeholders.
conclusionDue to the limited mobilization of scientific expertise over the issue, the debate in Italy stayed centered around the "attack" of the Nutri-Score to the Italian way of life, mixing up concepts such as Made in Italy products and the Mediterranean diet.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.