ArticleThe Journal of nutrition2025
Does the Inclusion of Free Sugars as Opposed to Total Sugars in Nutrient Profiling Models Improve Their Performance? A Cross-sectional Analysis From the PREDISE Study.
Article in The Journal of nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Article
- Evolution of the nutritional quality of packaged food supply in low- and middle-income countries following the implementation of a front-of-pack labeling scheme.Frontiers in nutrition · 2025Article
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Authors and funding
5 authors.
Funding
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Abstract
backgroundNutrient profiling (NP) models characterize the healthfulness of foods. Few NP models have been validated, and nutrients included in their algorithm do not always reflect the most recent scientific evidence.
objectivesThis study aimed 1) to evaluate the validity of NP models against a diet quality measure and cardiometabolic risk factors in French-Canadians and 2) to compare the validity of each model when replacing total sugars by free sugars in their algorithm.
methodsThe PRÉDicteurs Individuels, Sociaux et Environnementaux cross-sectional study was used to test original and modified versions (i.e., including total or free sugars, respectively) of 3 NP models: Health Star Rating (HSR) system, Nutri-Score, and Nutrient-Rich Food index 6.3. Data from web-based self-administered 24-h recalls completed by 1019 adults were used to calculate energy-weighted NP-derived individual scores for both versions of each model. Associations between individual scores and the Healthy Eating Food Index 2019, as well as 14 biomarkers covering anthropometry, blood pressure, blood lipids, glucose homeostasis, and inflammatory biomarkers, were assessed using multivariable linear models.
resultsHigher quality of foods consumed, as assessed by all 3 original models, was associated with higher Healthy Eating Food Index 2019 (adjusted R
conclusionsAll 3 models are associated with diet quality and some biomarkers of health status in French-Canadians, although no model outranks the others. Replacing total sugars by free sugars has little to no effect on NP models' performance, therefore not supporting this approach for now.
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