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Milk-and-Dairy-Products-in-Human-Nutrition-FAO

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222<br />

<strong>Milk</strong> <strong>and</strong> dairy products <strong>in</strong> human nutrition<br />

<strong>in</strong> calories because sugar is substituted for fat <strong>in</strong> them. This means that some low-fat<br />

yoghurts can conta<strong>in</strong> more calories than the full-fat varieties, mak<strong>in</strong>g them a poorer<br />

food choice than consumers are led to believe. This is not to imply that recommendations<br />

for dietary changes should not be made, but, as discussed <strong>in</strong> Chapter 4,<br />

it is imperative to consider the impact of nutrient reduction on the diet as a whole<br />

(Maziak, Ward <strong>and</strong> Stockton, 2008).<br />

In recent times, <strong>in</strong>novations <strong>in</strong> dairy products have exp<strong>and</strong>ed beyond low-fat<br />

milk to encompass dairy <strong>in</strong>gredients, flavoured milks <strong>and</strong> dr<strong>in</strong>k<strong>in</strong>g yoghurts<br />

enriched with multiple nutrients. Recent <strong>in</strong>novative food products have received<br />

mixed response but the will<strong>in</strong>gness of the consumer to adopt or reject such products<br />

is critical to their success (de Barcellos et al., 2009). As noted by Falguera, Aliguer<br />

<strong>and</strong> Falguera (2012) “many of the <strong>in</strong>novative products have failed…the majority of<br />

people are unsure of their benefits…<strong>and</strong> consumers tend to prefer food products<br />

that br<strong>in</strong>g a simple but clear health benefit <strong>and</strong> even those that are more concerned<br />

about health issues perceive products that are <strong>in</strong>tr<strong>in</strong>sically healthy as preferable”.<br />

5.4.1 Regulatory health <strong>and</strong> nutrition claim framework <strong>and</strong> recent<br />

legislative developments<br />

Consumers use nutrition labell<strong>in</strong>g to make an <strong>in</strong>formed food choice. It is therefore<br />

critical that the regulatory framework on labell<strong>in</strong>g ensures that the consumer receives<br />

accurate <strong>in</strong>formation <strong>and</strong> provides protection from mislead<strong>in</strong>g nutrition <strong>and</strong> health<br />

claims (Capacci et al., 2012). Codex Alimentarius has developed global st<strong>and</strong>ards<br />

<strong>and</strong> guidel<strong>in</strong>es on food labell<strong>in</strong>g. National regulations still vary <strong>and</strong> <strong>in</strong>ternational<br />

trade has meant that dairy companies may be required to adhere to a number of<br />

regulations. In particular, the subject of health <strong>and</strong> nutrition claims has received<br />

considerable attention from both <strong>in</strong>dustry <strong>and</strong> the regulators. The approach to the<br />

use of health claims may differ around the world but a common theme is that any<br />

claim must be substantiated by scientific evidence. The general consensus amongst<br />

legislators is that the regulatory framework should protect the consumer from false<br />

<strong>in</strong>formation, promote fair trade <strong>and</strong> encourage <strong>in</strong>novation <strong>in</strong> the food <strong>in</strong>dustry that<br />

can ultimately translate <strong>in</strong>to healthier lifestyles (Roupas, Williams <strong>and</strong> Margetts,<br />

2009). Codex Alimentarius def<strong>in</strong>es a health claim as “any representation that states,<br />

suggests, or implies that a relationship exists between a food or a constituent of that<br />

food <strong>and</strong> health”; <strong>in</strong> other words, it is any statement used on labels, <strong>in</strong> market<strong>in</strong>g or<br />

advertis<strong>in</strong>g that states or implies a health benefit can result from consum<strong>in</strong>g a food<br />

or food components. Some examples of these are given <strong>in</strong> Table 5.1.<br />

Legislation concern<strong>in</strong>g health <strong>and</strong> nutrition claims has progressed slowly <strong>in</strong><br />

many countries (Roupas, Williams <strong>and</strong> Margetts, 2009). The debate over the validity<br />

of health claims has been particularly active <strong>in</strong> Europe <strong>and</strong> the EU framework<br />

now <strong>in</strong>cludes regulations (Reg. No. 1924/2006; Reg. No. 1925/2006) on the use of<br />

nutrition claims (such as “low fat” or “no added sugar”) <strong>and</strong> health claims (such as<br />

“reduces blood cholesterol”). Scientifically sound evidence is fundamental to the<br />

approval <strong>and</strong> overall credibility of a claim, with particular reference to r<strong>and</strong>omized,<br />

placebo-controlled <strong>in</strong>tervention studies <strong>in</strong> humans. As part of these regulations,<br />

EFSA is responsible for evaluat<strong>in</strong>g the scientific evidence for any claims. Between<br />

2008 <strong>and</strong> 2011, approximately 3 000 food-related generic (Article 13) health claims<br />

were assessed <strong>and</strong> 443 scientific op<strong>in</strong>ions were released, with the vast majority of

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