After more than two decades, the U.S. Food and Drug Administration is proposing sweeping changes to the nutrition labels on packaged foods.
The proposals would require food manufacturers to list added sugars, nutrition counts for more-realistic portion sizes and total nutrition information for multiple servings of food within a single package. The government also wants to require potassium and vitamin D to be listed.
The changes are being released on Thursday during a critical time in the U.S. A third of all adults in the nation are obese, increasing the risk for high blood pressure, Type 2 diabetes, heart disease and stroke. Another third of Americans are overweight.
“Eating healthy is a habit all Americans need to have and the FDA’s new nutrition labels will help put that goal within reach,” American Heart Association CEO Nancy Brown said. “By arming consumers with more knowledge about nutritional content, calories and serving sizes, the new labeling information proposed by the FDA takes an important step toward improving the health of all Americans.”
Despite the recent news from the Centers for Disease Control and Prevention that obesity has declined by 43 percent for children ages 2 to 5, it has not changed significantly for adults or the larger pool of kids ages 2 to 19.
Children who are overweight or obese are more likely to be overweight or obese as adults. And obesity in children is causing a health problems that used to be seen only in adults, like high blood pressure, Type 2 diabetes and high cholesterol.
Changes to nutrition labels will take time. The FDA will collect comments for 90 days on its proposed new rules from food manufacturers, the general public and nutrition and health advocates. It will consider clarifications or changes based on the comments, then give food manufacturers time to reprint their labels and replace existing inventory.
“These new labels will empower consumers with a valuable source of nutrition information, and the American Heart Association commends the FDA for proposing these changes,” Brown said.
Proposed changes include:
Added sugars: for the first time, added sugars will be on the nutrition facts panel. Previously, naturally-occurring and added sugars were combined into a single listing of “total sugars.” This will allow consumers to know how much sugar has been added by the manufacturer. The AHA recommends that women consume a maximum of 100 calories a day from added sugars, or 25 grams, and men consume 150 calories a day, or 37.5 grams.
“The addition of added sugars to the Nutrition Facts Panel is a giant step forward,” said Rachel K. Johnson, Ph.D., R.D., chair of the AHA’s nutrition committee and professor of nutrition and medicine at the University of Vermont in Burlington. “High intakes of added sugars are associated with many risk factors for heart disease including obesity, high blood pressure, inflammation and elevated triglyceride levels. A recent study demonstrated an association between high intakes of added sugars and death from cardiovascular disease. Consumers want to know how much sugar has been added during the processing or preparation of foods so they can make wise decisions about the foods they eat.”
Serving sizes: Adjusted for 17 categories of foods to better reflect what people are actually consuming. For example, ice cream will go from ½ cup to 1 cup; muffins and bagels will go from ½ to 1; and beverages will go from 8 ounces to 12 oz. This gives people a more realistic idea of what they’re actually consuming in a single sitting, so they can better monitor what they’re eating and make healthier choices.
Sodium: This will be adjusted slightly to reflect a 2,300 milligram daily value, which is the maximum amount per day recommended in the dietary guidelines for someone consuming a 2,000 calorie-a-day diet. The American Heart Association recommends that the ideal sodium consumption, especially for people trying to lower their blood pressure, is 1,500 mg. per day. “There is strong scientific evidence that indicates lowering sodium reduction can result in significant reductions in blood pressure,” Brown said. ”Therefore, the association will continue to recommend sodium intake to be limited to 1,500 milligrams a day. We intend to work with the FDA, during this 90-day comment period and beyond if need be, to highlight the increased benefits from further sodium reductions and to advocate for stronger action.”
Package size: Like serving sizes, package sizes will be labeled more accurately. So a large muffin or bottle of soda will have nutrition information for the entire package.
Per serving and per package: If a package has 2-4 servings in it, the label will be required to show nutrition information per serving and per package. This helps make it clear when the package has multiple servings inside.
Calories bigger and bolder: Although the format of the label won’t change dramatically, calories and serving sizes will be emphasized with a bigger and bolder font. This may help people make healthier choices by knowing what they’re consuming.
Nutrient listings: The amount of potassium and vitamin D will now be required, calcium and iron will remain and vitamins A and C will be optional. When the nutrition label was last updated 20 years ago, health officials were more concerned about people getting enough of vitamins A and C, but attention now is on potassium and D.
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For more information:
AHA CEO Nancy Brown's Statement
Understanding food nutrition labels
American Heart Association Nutrition Center