Nutritional quality of packaged foods targeted at children in Brazil: which ones should be eligible to bear nutrient claims?

OBJECTIVES: This study aimed to assess the nutritional quality of food products marketed at children, with and without nutrient claims, using two different approaches. METHODS: Analyses were performed based on a data set with food composition and labelling data from every packaged food marketed at children sold in a major Brazilian supermarket (n=535). Foods were classified as 'healthier' and 'less healthy' according to the UK/Ofcom nutrient profile model and to the NOVA classification based on the level of food processing. Pearson's χ2 test was used to compare proportions between models. Agreement was assessed using Cohen's κ-statistic (P<0.05). RESULTS: The NOVA model was stricter than the UK/Ofcom model, classifying more products as 'less healthy' (91.4%) compared with the nutrient profile-based model (75.0%; P<0.001). Agreement between models was 79.4% (k=0.30), because 72.9% (n=390) of products were categorised as 'less healthy' by both models, and 6.5% (n=35) as 'healthier'. Half of the food products marketed at children from the database (270; 50.5%) bore nutrient claims. From these products with nutrient claims, 95.9% (92.8-98.0) were classified as 'less healthy' by the NOVA model, whereas this percentage was 74.1% (68.4-79.2) according to the UK/Ofcom model (P<0.05). CONCLUSIONS: The high number of foods with low nutritional quality being marketed at children via product packaging and nutrient claims should be of concern to policy makers wanting to improve children's diets and to tackle childhood obesity. The implementation of nutritional quality criteria to ensure that foods targeted at children should be eligible to bear nutrient claims on their labels could avoid a situation where claims mask the overall nutritional status of a food.

Perceptions and choices of Brazilian children as consumers of food products.

In order to identify children's perceptions about food choices and their behavior as consumers and influencers of food purchases, 16 focus groups were conducted with 71 students aged 8-10 years. Transcriptions were submitted to lexical analysis using the Alceste software. The initial contextual unit broke down into 1469 elementary contextual units, 84% of which were retained in the descending hierarchical classification. Results from the larger and more specific classes are reported here. Children were students from public schools where energy-dense nutrient-poor (EDNP) food consumption was severely restricted, but these foods were still bought by the children themselves or requested from their parents. Television shows and advertisements motivated food consumption in general, and consumption of EDNP foods was associated with social events and eating outside the home. Situations that emphasize the pleasure and satisfaction of not eating according to food guidelines are being addressed by traditional educational strategies directed at the individual. Appealing to the senses and employing visual stimuli to get to the affective component of children's attitudes seems to be an alternative tool for promoting healthy eating, instead of the traditional approach based on recommendations and restrictions.