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    New Front-of-Box Rating System Highlights Calories, Fat, and Salt

    Oct. 13, 2010 -- A proposed "front of the box" nutrition labeling system for packaged foods will likely include information on calories, saturated fats, trans fats, and sodium content, but not added sugar.

    In a report released today, a committee formed by the Institute of Medicine (IOM) concluded that while added sugar clearly has an impact on health, there is insufficient evidence that the impact is independent of the calories it adds to the diet.

    The IOM will not make formal recommendations on labeling to government officials until its next report is published, following its review of research exploring how consumers use different types of nutritional information on packaged foods.

    It will then be up to the FDA to decide whether to adopt the proposed labeling system and to determine what other front-of-package nutrition claims manufacturers can make.

    Hard to Quantify Added Sugar

    Nutrition experts who served on the IOM committee presented their findings at a Wednesday morning news conference.

    They said calories, saturated fats, trans fats, and sodium were the four items of greatest concern because they are routinely overeaten and are strongly associated with diet-related diseases like obesity, heart disease, type 2 diabetes, high blood pressure, and certain cancers.

    The committee review included 20 nutritional rating systems that have been used in the U.S. and in Europe.

    Another reason added sugar might not be included in the IOM committee’s final recommendations is that it is difficult to distinguish between these sugars in processed foods and sugars that occur naturally in foods like raisins, said committee member Mary T. Story, PhD.

    Story is a professor of epidemiology and community health at the University of Minnesota at Minneapolis.

    “Without an approved analytic method to make the distinction between total sugar and added sugar, it is really impossible right now to verify the amount of sugar added to food products,” she said.

    The IOM panel did recommend exploring whether added sugar content can or should be included in the existing Nutrition Facts guidelines that appear on food packaging. Those guidelines include only a product’s total per serving sugar content.

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