Evidence map›Paper›PMID 41599871›Full record

ReviewNutrients2026

Revision of the Choices Nutrient Profiling System.

Herbert Smorenburg, Katrina R Kissock, Eleanor J Beck, Pulkit Mathur, Bruce Hamaker, Lauren Lissner, Mario R Marostica, Ngozi Nnam, Hidemi Takimoto, Annet J C Roodenburg

Abstract readReview
In one paragraph

Review in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Herbert SmorenburgChoices International Foundation, 6981 CH Doesburg, The Netherlands.
Katrina R KissockThe George Institute for Global Health, University of New South Wales, Randwick, NSW 2031, Australia.ORCID 0000-0001-6665-2106
Eleanor J BeckSchool of Health Sciences, Faculty of Medicine & Health, University of New South Wales, Sydney, NSW 2052, Australia.ORCID 0000-0002-3448-6534
Pulkit MathurDepartment of Food & Nutrition and Food Technology, Lady Irwin College, University of Delhi, New Delhi 110001, India.
Bruce HamakerDepartment of Food Science, Purdue University, West Lafayette, IN 47907, USA.
Lauren LissnerInstitute of Medicine, School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, P.O. Box 469, 405 30 Gothenburg, Sweden.ORCID 0000-0002-8296-2849
Mario R MarosticaDepartment of Food Science and Nutrition, School of Engineering, Universidade Estadual de Campinas, Campinas, São Paulo 13083-862, Brazil.ORCID 0000-0001-8877-3160
Ngozi NnamDepartment of Nutrition & Dietetics, University of Nigeria, Nsukka 410001, Nigeria.
Hidemi TakimotoNational Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Osaka 566-0002, Japan.ORCID 0000-0002-2751-8710
Annet J C RoodenburgDepartment of Nutrition and Health, HAS University of Applied Sciences, 5200 MA's-Hertogenbosch, The Netherlands.ORCID 0000-0003-2320-8229

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesPoor dietary habits are a major contributor to non-communicable diseases (NCDs), the leading cause of mortality worldwide. To promote healthier eating, governments and stakeholders have implemented various nutrition policies, including front-of-pack nutrition labeling (FOPNL). The Choices International Foundation (Choices), through its criteria, supports these efforts through its standardized nutrient profiling system (NPS). Originally developed to underpin a positive FOPNL logo, in 2021, the criteria were expanded into a globally oriented five-level profiling system covering 23 basic and 10 discretionary food groups, addressing key nutrients such as trans-fatty acids, saturated fat, sodium, sugar, fiber, and energy. To ensure continued scientific relevance, the Choices criteria are periodically reviewed by an independent International Scientific Committee (ISC).

methodsThis paper presents the 2025 revision of the Choices criteria, focusing on priority areas identified through stakeholder consultation and recent scientific developments.

resultsKey updates include the introduction of nutrient-based equivalence criteria for plant-based alternatives to meat and dairy, based on protein and selected micronutrient thresholds. Non-sugar sweeteners (NSSs) were newly included as a factor that lowers a product's health classification and makes it ineligible for a positive FOPNL. Additionally, the industrially produced trans-fatty acid (iTFA) criteria were revised and aligned with the latest World Health Organization (WHO) recommendations, improving both technical feasibility and policy coherence. While options for incorporating whole-grain and micronutrient criteria were explored, these were not included in the current revision.

conclusionsThe 2025 update system enhances the scientific rigor, policy alignment, and global applicability of the Choices system. By providing a harmonized and evidence-based tool, it aims to support national policies that foster healthier food environments and, ultimately, improve public health outcomes worldwide.

Indexed as

Choice BehaviorDiet, HealthyFood LabelingNutrition PolicyNutritive ValueGuidelines as TopicHumansNutrientsTrans Fatty AcidsTrans Fatty Acidschoices 5-level criteriadairy alternativesfood policyfront-of-pack nutrition labelingmeat alternativesmilk alternatives equivalence criterianon-nutritive sweetenersnon-sugar sweetenersnutrient profilingnutrition policyplant-based alternatives

Identifiers

PMID41599871
PMCPMC12844751

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.