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Journal article : Review

Systematic review of nutrient profile models for front-of-pack nutrition labelling

Abstract:
Front-of-pack nutrition labelling (FOPNL) systems, based on underlying nutrient profile models (NPMs) that classify foods according to their nutritional composition, are key policies for tackling diet-related non-communicable diseases. Yet, the growing number of NPMs poses a challenge for policymakers to select appropriate models for FOPNL policies. This systematic review identifies and characterizes the NPMs developed and/or used for FOPNL systems, from both peer-reviewed and grey literature. We identified 42 NPMs, of which 15 were developed for warning labels, 11 for nutrient-specific systems (including traffic-light labelling), 11 for health endorsements, 4 for summary scores and 1 for other systems. All NPMs limited the content of sugar, and most limited sodium and saturated fat. Convergent and criterion validity were demonstrated for nine and three NPMs, respectively. Considerable heterogeneity across NPMs suggests limited consensus on what constitutes the most appropriate NPM for FOPNL, reinforcing the need for greater regional guidance and alignment.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1038/s43016-026-01414-0

Authors

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Institution:
University of Oxford
Division:
MSD
Department:
Nuffield Department of Population Health
Sub department:
Population Health
Role:
Author
ORCID:
0000-0001-6859-5686
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Role:
Author
ORCID:
0000-0002-1218-851X
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Oxford college:
Wolfson College
Role:
Author
ORCID:
0000-0003-0617-2287
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Nuffield Department of Population Health
Sub department:
Population Health
Role:
Author
ORCID:
0000-0002-2314-1039


More from this funder
Funder identifier:
https://ror.org/03d7d0579
Grant:
NIHR133887
Programme:
Public Health Research Programme
More from this funder
Funder identifier:
https://ror.org/029chgv08
Grant:
227132/Z/23/Z
More from this funder
Funder identifier:
https://ror.org/03n0ht308
Grant:
ES/Y00311X/1


Publisher:
Springer Nature
Journal:
Nature Food More from this journal
Volume:
7
Issue:
9
Pages:
845–856
Place of publication:
England
Publication date:
2026-08-28
Acceptance date:
2026-07-28
DOI:
EISSN:
2662-1355
Pmid:
42665731


Language:
English
Subtype:
Review
Pubs id:
2453981
Local pid:
pubs:2453981
Source identifiers:
W7204550697
Deposit date:
2026-09-28
ARK identifier:

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