Evidence map›Paper›PMID 36839231›Full record

ArticleNutrients2023

Front-of-Pack Nutrition Labels: Comparing the Nordic Keyhole and Nutri-Score in a Swedish Context.

Stephanie Pitt, Bettina Julin, Bente Øvrebø, Alicja Wolk

Abstract read
In one paragraph

Article in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. How does the updated Nutri-Score discriminate and classify the nutritional quality of foods in a Norwegian setting?The international journal of behavioral nutrition and physical activity · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Stephanie PittInstitute of Environmental Medicine, Karolinska Institutet, 17177 Stockholm, Sweden.ORCID 0000-0003-0789-6148
Bettina JulinDepartment for Sustainable Diets, Swedish Food Agency, 75126 Uppsala, Sweden.
Bente ØvrebøDepartment of Food Safety, Norwegian Institute of Public Health, 0456 Oslo, Norway.ORCID 0000-0002-2928-4575
Alicja WolkInstitute of Environmental Medicine, Karolinska Institutet, 17177 Stockholm, Sweden.

Funding

Swedish Research Council for Environment Agricultural Sciences and Spatial Planning (FORMAS) 2016-00308
6 · The paper itself

Abstract

The extent to which different front-of-pack nutrition labels (FOPNLs) agree or contradict each other has been insufficiently investigated. Considering the 2020 proposal from the European Commission to create a harmonized FOPNL, the aim of this study was to assess agreements and disagreements between two FOPNL schemes-the Keyhole and the Nutri-Score-in a Swedish context. The current Keyhole criteria and the updated Nutri-Score 2022 algorithm were applied to 984 food items and their nutrient compositions, obtained from the food database of the Swedish Food Agency. Agreements (Keyhole-eligible and Nutri-Score A or B; or not Keyhole-eligible and Nutri-Score C, D, or E) and disagreements (Keyhole-eligible and Nutri-Score C, D, or E, or not Keyhole-eligible and Nutri-Score A or B) were calculated as percentages for all items and by food group. An agreement was found for 81% of included items. The lowest level of agreement was found for the groups of flour, grains, and rice (62% agreement) and for plant-based meat and fish analogues (33% agreement). There is generally a good level of agreement between the Keyhole and the Nutri-Score for food items on the Swedish market. Large disagreements found for plant-based meat and fish analogues, and products based on cereals/grains, highlight important considerations for the development of a harmonized FOPNL within Europe.

Indexed as

Edible GrainFood LabelingConsumer BehaviorEuropeFood PreferencesNutritive ValueSwedenEuropeFOPNLfront-of-pack nutrition labelKeyholeNutri-ScoreSweden

Identifiers

PMID36839231
PMCPMC9967491

What OpenQuestion holds

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Registered trials

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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.