Labeling and classification of breads, biscuits and toasts sold as wholegrain in Brazil

Authors

DOI:

https://doi.org/10.33448/rsd-v9i10.7350

Keywords:

Whole grains; Food labeling; Dietary fiber.

Abstract

The objective of this study was to evaluate the labeling and classification of breads, biscuits and toasts declared as wholegrain and to compare them. The cross-sectional and descriptive study was carried in Uberaba, in 2016. Products sold in five supermarkets were classified as processed or ultra-processed according to the NOVA system, which considers the industrial processing employed. The Pan American Health Organization Nutritional Profile Model was used to classify products with excessive amounts of critical nutrients. The products were evaluated for the carbohydrate:fiber ratio recommended by the American Heart Association. A total of 147 products were analyzed: 99 biscuits, 36 breads and 12 toasts. The average number of ingredients in the formulations was 17.3±5.4, so that 100% of the products were classified as ultra-processed. The majority, 64.6%, did not present wholegrain flour as the first ingredient. The declaration of supplementary nutritional information on dietary fiber was present in 49% of the products and 100% complied with the mandatory requirements. Despite that, 53.7% presented excessive levels of sodium and 22.4% and 56.5% had excessive levels of total and saturated fat, respectively. For the criterion of carbohydrate:fiber ratio, 38.7% had a ratio of ≥10:1, mainly biscuits, which is undesirable. All biscuits, breads and toasts sold as "wholegrain" were ultra-processed, with excessive sodium content (breads and toast in general) and fats (most biscuits). Wholegrain flours only accounted for 35.4% of the products and half of the toasts, and most of the biscuits (66.7%) could not be considered a source of fiber.

References

Asioli, D., Aschemann-Witzel, J., Caputo, V., Vecchio, R., Annunziata, A., Næs, T., & Varela, P. (2017). Making sense of the “clean label” trends: A review of consumer food choice behavior and discussion of industry implications. Food Research International, 99, 58–71. https://doi.org/10.1016/j.foodres.2017.07.022

Aune, D., Keum, N. N., Giovannucci, E., Fadnes, L. T., Boffetta, P., Greenwood, D. C., … Norat, T. (2016). Nut consumption and risk of cardiovascular disease, total cancer, all-cause and cause-specific mortality: A systematic review and dose-response meta-analysis of prospective studies. BMC Medicine, 14(1), 207. https://doi.org/10.1186/s12916-016-0730-3

Brasil. Agência Nacional de Vigilância Sanitária - Anvisa. (2002). Resolução RDC no 259, de 20 de setembro de 2002. Dispõe sobre o Regulamento Técnico sobre Rotulagem de Alimentos Embalados. Acesso em 31 de julho de 2020, em: http://portal.anvisa.gov.br/documents/10181/2718376/%281%29RDC_259_2002_COMP.pdf/556a749c-50ea-45e1-9416-eff2676c4b22

Brasil. Agência Nacional de Vigilância Sanitária - Anvisa. (2003a). Resolução RDC no 359, de 23 de dezembro de 2003. Dispõe sobre o Regulamento Técnico de Porções de Alimentos Embalados para Fins de Rotulagem Nutricional. Acesso em 31 de julho de 2020, em: http://portal.anvisa.gov.br/documents/10181/2718376/RDC_359_2003_COMP.pdf/1e860ef6-10e6-404b-81e2-87aae8cfd53a

Brasil. Agência Nacional de Vigilância Sanitária - Anvisa. (2003b). Resolução RDC no 360, de 23 de dezembro de 2003. Dispõe sobre o Regulamento Técnico sobre Rotulagem Nutricional de Alimentos Embalados, tornando obrigatória a rotulagem nutricional. Acesso em 31 de julho de 2020, em: http://portal.anvisa.gov.br/documents/10181/2718376/RDC_360_2003_COMP.pdf/caab87a1-e912-459f-8bc0-831a48b95da9

Brasil. Agência Nacional de Vigilância Sanitária - Anvisa. (2012). Resolução RDC no 54, de 12 de novembro de 2012. Dispõe sobre o Regulamento Técnico sobre Informação Nutricional Complementar. Acesso em 31 de julho de 2020, em: http://portal.anvisa.gov.br/documents/10181/4825974/%281%29RDC_54_2012_.pdf/921d3c25-cef9-40d8-9b3f-7861eb7b8235

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. (2014). Guia alimentar para a população brasileira. 2. ed., 1. reimpr. Brasília: Ministério da Saúde. Acesso em 31 de julho de 2020, em: https://bvsms.saude.gov.br/bvs/publicacoes/guia_alimentar_populacao_brasileira_2ed.pdf

Cecchini, M., & Warin, L. (2016). Impact of food labelling systems on food choices and eating behaviours: a systematic review and meta-analysis of randomized studies. Obesity Reviews, 17(3), 201–210. https://doi.org/10.1111/obr.12364

Cho, S. S., Qi, L., Fahey, G. C., & Klurfeld, D. M. (2013). Consumption of cereal fiber, mixtures of whole grains and bran, and whole grains and risk reduction in type 2 diabetes, obesity, and cardiovascular disease. The American Journal of Clinical Nutrition, 98(2), 594–619. https://doi.org/10.3945/ajcn.113.067629

Ferraz, E. C., Cruz, M. M., & Freitas, E. do C. (2016). Avaliação dos rótulos de diferentes marcas de pães integrais versus pães sem glúten comercializados no município de Vitória da Conquista – BA. C&D-Revista Eletrônica Da Fainor, 9(1), 46–55.

Ferruzzi, M. G., Jonnalagadda, S. S., Liu, S., Marquart, L., McKeown, N., Reicks, M., … Webb, D. (2014). Developing a Standard Definition of Whole-Grain Foods for Dietary Recommendations: Summary Report of a Multidisciplinary Expert Roundtable Discussion. Advances in Nutrition: An International Review Journal, 5(2), 164–176. https://doi.org/10.3945/an.113.005223

Ghodsian, B., & Madden, A. M. (2018). Evaluating the ≤10:1 wholegrain criterion in identifying nutrient quality and health implications of UK breads and breakfast cereals. Public Health Nutrition, 21(6), 1186–1193. https://doi.org/10.1017/S1368980017003718

Instituto Brasileiro de Geografia e Estatística - IBGE. (2010). Pesquisa de Orçamentos Familiares 2008-2009 – Análise do Consumo Alimentar Pessoal no Brasil. Acesso em 25 de maio de 2020, em: https://biblioteca.ibge.gov.br/visualizacao/livros/liv50063.pdf

Jonnalagadda, S. S., Harnack, L., Hai Liu, R., McKeown, N., Seal, C., Liu, S., & Fahey, G. C. (2011). Putting the Whole Grain Puzzle Together: Health Benefits Associated with Whole Grains—Summary of American Society for Nutrition 2010 Satellite Symposium. The Journal of Nutrition, 141(5), 1011S-1022S. https://doi.org/10.3945/jn.110.132944

Juul, F., & Hemmingsson, E. (2015). Trends in consumption of ultra-processed foods and obesity in Sweden between 1960 and 2010. Public Health Nutrition, 18(17), 3096–3107. https://doi.org/10.1017/S1368980015000506

Karl, J. P., Meydani, M., Barnett, J. B., Vanegas, S. M., Goldin, B., Kane, A., … Roberts, S. B. (2017). Substituting whole grains for refined grains in a 6-wk randomized trial favorably affects energy-balance metrics in healthy men and postmenopausal women. The American Journal of Clinical Nutrition, 105, 589–599. https://doi.org/10.3945/ajcn.116.139683.1

Kopf, J. C., Suhr, M. J., Clarke, J., Eyun, S. Il, Riethoven, J. J. M., Ramer-Tait, A. E., & Rose, D. J. (2018). Role of whole grains versus fruits and vegetables in reducing subclinical inflammation and promoting gastrointestinal health in individuals affected by overweight and obesity: A randomized controlled trial. Nutrition Journal, 17(1), 72. https://doi.org/10.1186/s12937-018-0381-7

Lloyd-jones, D. M., Hong, Y., Labarthe, D., Mozaffarian, D., Appel, L. J., Horn, L. Van, … Yancy, C. W. (2010). Defining and Setting National Goals for Cardiovascular Health Promotion and Disease Reduction The American Heart Association ’ s Strategic Impact Goal Through 2020, 121(4), 586–613. https://doi.org/10.1161/CIRCULATIONAHA.109.192703

Louzada, M. L. da C., Baraldi, L. G., Steele, E. M., Martins, A. P. B., Canella, D. S., Moubarac, J. C., … Monteiro, C. A. (2015). Consumption of ultra-processed foods and obesity in Brazilian adolescents and adults. Preventive Medicine, 81, 9–15. https://doi.org/10.1016/j.ypmed.2015.07.018

Machado, P. P., Claro, R. M., Martins, A. P. B., Costa, J. C., & Levy, R. B. (2018). Is food store type associated with the consumption of ultra-processed food and drink products in Brazil? Public Health Nutrition, 21(1), 201–209. https://doi.org/10.1017/S1368980017001410

Martins, Z. E., Pinho, O., & Ferreira, I. M. P. L. V. O. (2017). Food industry by-products used as functional ingredients of bakery products. Trends in Food Science and Technology, 67, 106–128. https://doi.org/10.1016/j.tifs.2017.07.003

McKeown, N. M., Troy, L. M., Jacques, P. F., Hoffmann, U., O’Donnell, C. J., & Fox, C. S. (2010). Whole- and refined-grain intakes are differentially associated with abdominal visceral and subcutaneous adiposity in healthy adults: The Framingham Heart Study. American Journal of Clinical Nutrition, 92, 1165–1171. https://doi.org/10.3945/ajcn.2009.29106

Monteiro, C. A., Levy, R. B., Claro, R. M., De Castro, I. R. R., & Cannon, G. (2010). Increasing consumption of ultra-processed foods and likely impact on human health: Evidence from Brazil. Public Health Nutrition, 14(1), 5–13. https://doi.org/10.1017/S1368980010003241

Monteiro, C. A., Cannon, G., Lawrence, M., Costa Louzada, M.L., Pereira Machado, P. (2019). Ultra-processed foods, diet quality, and health using the NOVA classification system. Rome, FAO. Acesso em 31 de julho de 2020, em: https://www.researchgate.net/profile/Geoffrey_Cannon/publication/334945695_FAO_Ultra-processed_foods_diet_quality_and_health_using_the_NOVA_classification_system/links/5d45a462a6fdcc370a79b7aa/FAO-Ultra-processed-foods-diet-quality-and-health-using-the-NOVA-classification-system.pdf

Monteiro, C. A., Cannon, G., Levy, R. B., Moubarac, J. C., Jaime, P., Martins, A. P., Canella, D., Louzada, M., Parra, D. (2016). NOVA. The star shines bright. Word Nutrition, 7(1–3), 28–38. Acesso em 31 de julho de 2020, em: http://www.cookie.com.br/site/wp-content/uploads/2016/12/NOVA-Classifica%C3%A7%C3%A3o-dos-Alimentos.pdf

Moubarac, J.C., Martins, A. P. B., Claro, R. M., Levy, R. B., Cannon, G., & Monteiro, C. A. (2013). Consumption of ultra-processed foods and likely impact on human health. Evidence from Canada. Public Health Nutrition, 16(12), 2240–2248. https://doi.org/10.1017/S1368980012005009

Pan American Health Organization - PAHO. (2016). Nutrient Profile Model. Washington, DC: PAHO.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. [e-book]. Santa Maria. Ed. UAB/ NTE / UFSM. Disponível em: https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1

Pelletier, A. L., Chang, W. W., Delzell, J. E., & McCall, J. W. (2004). Patients’ understanding and use of snack food package nutrition labels. Journal of the American Board of Family Practice, 17(5), 319–323. https://doi.org/10.3122/jabfm.17.5.319

Roberto, C. A., & Khandpur, N. (2014). Improving the design of nutrition labels to promote healthier food choices and reasonable portion sizes. International Journal of Obesity, 38, S25–S33. https://doi.org/10.1038/ijo.2014.86

Silva, V. C. P., Gallon, C. W., & Theodoro, H. (2014). Evaluation of labeling and nutritional information of wholemeal breads: fiber, sodium and adequacy with current legislation. Demetra: Alimentação, Nutrição & Saúde, 9(4), 985–1001. https://doi.org/10.12957/demetra.2014.11979

Sumanac, D., Mendelson, R., & Tarasuk, V. (2013). Marketing whole grain breads in Canada via food labels. Appetite, 62, 1–6. https://doi.org/10.1016/j.appet.2012.11.010

Van Der Kamp, J. W., Poutanen, K., Seal, C. J., & Richardson, D. P. (2014). The healthgrain definition of “whole grain.” Food and Nutrition Research, 58(1), 22100. https://doi.org/10.3402/fnr.v58.22100

Vanegas, S. M., Meydani, M., Barnett, J. B., Goldin, B., Kane, A., Rasmussen, H., … Meydani, S. N. (2017). Substituting whole grains for refined grains in a 6-wk randomized trial has a modest effect on gut microbiota and immune and inflammatory markers of healthy adults. The American Journal of Clinical Nutrition, 105(3), 635–650. https://doi.org/10.3945/ajcn.116.146928

World Health Organization - WHO. (2003). Global strategy on diet, physical activity, and health. Geneva: WHO.

Ye, E. Q., Chacko, S. A., Chou, E. L., Kugizaki, M., & Liu, S. (2012). Greater Whole-Grain Intake Is Associated with Lower Risk of Type 2 Diabetes, Cardiovascular Disease, and Weight Gain. The Journal of Nutrition, 142(7), 1304–1313. https://doi.org/10.3945/jn.111.155325

Downloads

Published

20/09/2020

How to Cite

PRATES, S. M. S.; SABION, N. A.; NESPOLO, J. S.; ALVES, L.; ANASTÁCIO, L. R. Labeling and classification of breads, biscuits and toasts sold as wholegrain in Brazil. Research, Society and Development, [S. l.], v. 9, n. 10, p. e1429107350, 2020. DOI: 10.33448/rsd-v9i10.7350. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/7350. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences