{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T21:36:27Z","timestamp":1767908187041,"version":"3.49.0"},"reference-count":44,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T00:00:00Z","timestamp":1706054400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"national funds through the FCT\u2014Foundation for Science and Technology, I.P.","award":["UIDB\/05507\/2020 and UIDB\/00681\/202"],"award-info":[{"award-number":["UIDB\/05507\/2020 and UIDB\/00681\/202"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>This study investigated the presence of front-of-package labeling on food products in major retailers in Brazil after its implementation in 2022. Carried out from May to October 2023, we analyzed 2145 products of brands present in five Brazilian states. A total of 541 products presented front-of-package warnings. The categories varied in their adherence to front-of-package labeling, highlighting a prevalence of combined warnings, such as high in added sugar and high in saturated fat on sweet biscuits and chocolates. Sausages showed a high prevalence of high in sodium and high in saturated fat warnings. Beverages stood out as high in added sugar, while fats, dairy products, frozen preparations, seasonings, and sauces presented diversity in the warnings. Other products, such as panettone, showed a high presence of alerts. The study demonstrated the widespread presence of front-of-package labeling on ultra-processed products highly consumed by the Brazilian population. Considering the alarming presence of these foods in the Brazilian diet, it is concluded that front-of-package nutrition labeling is crucial to inform and raise awareness among consumers, allowing healthier choices and potentially contributing to a reduction in chronic diseases and the costs associated with treatment in the health system.<\/jats:p>","DOI":"10.3390\/nu16030343","type":"journal-article","created":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T07:42:16Z","timestamp":1706082136000},"page":"343","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Brazilian Front-of-Package Labeling: A Product Compliance Analysis 12 Months after Implementation of Regulations"],"prefix":"10.3390","volume":"16","author":[{"given":"Marcos Vin\u00edcius Garcia","family":"Senda","sequence":"first","affiliation":[{"name":"IESB University Center, Instituto de Educa\u00e7\u00e3o Superior de Brasilia, Bras\u00edlia 70200-730, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5286-2249","authenticated-orcid":false,"given":"Ant\u00f3nio","family":"Raposo","sequence":"additional","affiliation":[{"name":"CBIOS (Research Center for Biosciences and Health Technologies), Universidade Lus\u00f3fona de Humanidades e Tecnologias, Campo Grande 376, 1749-024 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6346-8319","authenticated-orcid":false,"given":"Edite","family":"Teixeira-Lemos","sequence":"additional","affiliation":[{"name":"CERNAS Research Centre, Polytechnic University of Viseu, 3504-510 Viseu, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8103-7221","authenticated-orcid":false,"given":"Cl\u00e1udia","family":"Chaves","sequence":"additional","affiliation":[{"name":"ESSV, Centre for Studies in Education and Innovation (CI&DEI), Polytechnic University of Viseu, 3504-510 Viseu, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4359-063X","authenticated-orcid":false,"given":"Hmidan A.","family":"Alturki","sequence":"additional","affiliation":[{"name":"King Abdulaziz City for Science & Technology, Wellness and Preventive Medicine Institute\u2014Health Sector, Riyadh 11442, Saudi Arabia"}]},{"given":"Zayed D.","family":"Alsharari","sequence":"additional","affiliation":[{"name":"Department of Clinical Nutrition, Faculty of Applied Medical Sciences, University of Tabuk, P.O. Box 741, Tabuk 71491, Saudi Arabia"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5257-2586","authenticated-orcid":false,"given":"Bernardo","family":"Rom\u00e3o","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Department of Nutrition, University of Bras\u00edlia, Bras\u00edlia 70910-900, Brazil"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,24]]},"reference":[{"key":"ref_1","unstructured":"Brasil, Minist\u00e9rio da Sa\u00fade (2005). Resolu\u00e7\u00e3o-Rdc No 263, de 22 de Setembro de 2005."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"921519","DOI":"10.3389\/fnut.2022.921519","article-title":"Brazil\u2019s Nutrition Labeling Regulation: Challenges Ahead on the Path to Guaranteeing Consumer\u2019s Right to Adequate Information","volume":"9","author":"Mais","year":"2022","journal-title":"Front. Nutr."},{"key":"ref_3","unstructured":"European Parliament (2011). Regulation of the European Parliament and of the Council of 25 October 2011 on the Provision of Food Information to Consumers. Off. J. Eur. Union, 1, 1\u201313."},{"key":"ref_4","unstructured":"Brasil, Minist\u00e9rio da Sa\u00fade (2013). Pol\u00edtica Nacional de Alimenta\u00e7\u00e3o e Nutri\u00e7\u00e3o."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1590\/S1981-67232012005000043","article-title":"Rotulagem Nutricional: Voc\u00ea Sabe o Que Est\u00e1 Comendo?","volume":"15","author":"Cavada","year":"2012","journal-title":"Braz. J. Food Technol."},{"key":"ref_6","unstructured":"Brasil Resolu\u00e7\u00e3o RDC No 360, de 23 de Dezembro de 2003 (2003). Aprova o Regulamento T\u00e9cnico Sobre Rotulagem Nutricional de Alimentos Embalados, Tornando Obrigat\u00f3ria a Rotulagem Nutricional. Agencia Nac. Vigil\u00e2ncia Sanit\u00e1ria (ANVISA), 1, 1\u20139."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"921421","DOI":"10.3389\/fnut.2022.921421","article-title":"The Challenges of Front-of-Package Labeling in Brazil","volume":"9","author":"Recine","year":"2022","journal-title":"Front. Nutr."},{"key":"ref_8","unstructured":"(2023, December 06). Relat\u00f3rio de An\u00e1lise de Impacto Regulat\u00f3rio Sobre Rotulagem Nutricional.Pdf\u2014Ag\u00eancia Nacional de Vigil\u00e2ncia Sanit\u00e1ria-Anvisa, Available online: https:\/\/www.gov.br\/anvisa\/pt-br\/assuntos\/regulamentacao\/air\/analises-de-impacto-regulatorio\/2019\/relatorio-de-analise-de-impacto-regulatorio-sobre-rotulagem-nutricional.pdf\/view."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"921498","DOI":"10.3389\/fnut.2022.921498","article-title":"Do They Really Support \u201cYour Freedom of Choice\u201d? FoPNL and the Food Industry in Brazil","volume":"9","author":"Mais","year":"2023","journal-title":"Front. Nutr."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Van der Bend, D.L.M., and Lissner, L. (2019). Differences and Similarities between Front-of-Pack Nutrition Labels in Europe: A Comparison of Functional and Visual Aspects. Nutrients, 11.","DOI":"10.3390\/nu11030626"},{"key":"ref_11","unstructured":"Brasil, Minist\u00e9rio da Sa\u00fade, and Ag\u00eancia Nacional de Vigil\u00e2ncia Sanit\u00e1ria (2020). Resolu\u00e7\u00e3o Da Diretoria Colegiada-RDC 429 de 8 de Outubro de 2020."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2120","DOI":"10.3389\/fnut.2022.921065","article-title":"Influence of Nutrition Claims on Different Models of Front-of-Package Nutritional Labeling in Supposedly Healthy Foods: Impact on the Understanding of Nutritional Information, Healthfulness Perception, and Purchase Intention of Brazilian Consumers","volume":"9","author":"Prates","year":"2022","journal-title":"Front. Nutr."},{"key":"ref_13","first-page":"1565","article-title":"Are Vegan Alternatives to Meat Products Healthy? A Study on Nutrients and Main Ingredients of Products Commercialized in Brazil","volume":"10","author":"Botelho","year":"2022","journal-title":"Front. Public Health"},{"key":"ref_14","first-page":"4143","article-title":"Vegan Milk and Egg Alternatives Commercialized in Brazil: A Study of the Nutritional Composition and Main Ingredients","volume":"10","author":"Botelho","year":"2022","journal-title":"Front. Public Health"},{"key":"ref_15","first-page":"1","article-title":"Diet, Nutrition and the Prevention of Chronic Diseases","volume":"916","author":"Amine","year":"2003","journal-title":"WHO Tech. Rep. Ser."},{"key":"ref_16","unstructured":"WHO, and FAO (2003). Diet, Nutrition, and the Prevention of Chronic Diseases (Report of a Joint WHO and FAO Expert Consulation). WHO Tech. Rep. Ser., 916, 1\u2013160."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1016\/j.appet.2016.11.006","article-title":"Consumption of Ultra-Processed Foods Predicts Diet Quality in Canada","volume":"108","author":"Moubarac","year":"2017","journal-title":"Appetite"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"12","DOI":"10.11606\/s1518-8787.2023057004744","article-title":"Consumption of Ultra-Processed Foods in Brazil: Distribution and Temporal Evolution 2008\u20132018","volume":"57","author":"Silva","year":"2023","journal-title":"Rev. Saude Publica"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"269","DOI":"10.3945\/ajcn.113.061770","article-title":"Health Canada\u2019s Evaluation of the Use of Glycemic Index Claims on Food Labels","volume":"98","author":"Aziz","year":"2013","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1108\/BFJ-06-2016-0249","article-title":"Do Labels Influence Purchase Decisions of Food Products? Study of Young Consumers of an Emerging Market","volume":"119","author":"Kumar","year":"2017","journal-title":"Br. Food J."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"3279","DOI":"10.1017\/S1368980022002178","article-title":"Consumption of Foods with the Keyhole Front-of-Pack Nutrition Label: Potential Impact on Energy and Nutrient Intakes of Swedish Adolescents","volume":"25","author":"Wanselius","year":"2022","journal-title":"Public Health Nutr."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1038\/sj.ejcn.1600839","article-title":"The \u2018Green Keyhole\u2019 Revisited: Nutritional Knowledge May Influence Food Selection","volume":"53","author":"Larsson","year":"1999","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_23","first-page":"ckv172-100","article-title":"Campaigning for a Healthier Diet: Evaluating the Case of the Nordic \u201cKeyhole\u201d Label 2014T: Trine M\u00f8rk","volume":"25","author":"Tsalis","year":"2015","journal-title":"Eur. J. Public Health"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1177\/0017896911424659","article-title":"Traffic Light Food Labelling in Schools and Beyond","volume":"71","author":"Pettigrew","year":"2011","journal-title":"Health Educ. J."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1111\/obr.12364","article-title":"Impact of Food Labelling Systems on Food Choices and Eating Behaviours: A Systematic Review and Meta-Analysis of Randomized Studies","volume":"17","author":"Cecchini","year":"2016","journal-title":"Obes. Rev."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1017\/S1368980016002457","article-title":"A Qualitative Study of Consumer Perceptions and Use of Traffic Light Food Labelling in Ecuador","volume":"20","author":"Freire","year":"2017","journal-title":"Public Health Nutr."},{"key":"ref_27","unstructured":"Ministerio de Salud, Gobierno de Chile (2017). Informe de Evaluaci\u00f3n de la Implementaci\u00f3n de la Ley sobre Composici\u00f3n Nutricional de los Alimentos y su Publicidad."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1007\/s13668-019-0270-5","article-title":"Excessive Consumption of Sugar: An Insatiable Drive for Reward","volume":"8","author":"Olszewski","year":"2019","journal-title":"Curr. Nutr. Rep."},{"key":"ref_29","unstructured":"WHO (2015). World Health Organization Guideline: Sugars Intake for Adults and Children."},{"key":"ref_30","unstructured":"Usda, H. (2015). 2015 Dietary Guidelines Advisory Committee Report."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1590\/1980-5497201700050010","article-title":"Varia\u00e7\u00f5es e Diferenciais Da Mortalidade Por Doen\u00e7a Cardiovascular No Brasil e Em Seus Estados, Em 1990 e 2015: Estimativas Do Estudo Carga Global de Doen\u00e7a","volume":"20","author":"Brant","year":"2017","journal-title":"Rev. Bras. Epidemiol."},{"key":"ref_32","unstructured":"Food and Agriculture Organization of the United Nations (2010). Fats and Fatty Acids in Human Nutrition: Report of an Expert Consultation: 10\u201314 November 2008, Geneva, Food and Agriculture Organization of the United Nations."},{"key":"ref_33","unstructured":"WHO (2012). World Health Organization Guideline: Sodium Intake for Adults and Children."},{"key":"ref_34","unstructured":"Brasil, Minist\u00e9rio da Sa\u00fade (2020). Vigil\u00e2ncia de Fatores de Risco e Prote\u00e7\u00e3o para Doen\u00e7as por Inqu\u00e9rito Telef\u00f4nico\u2014Vigitel."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1111\/obr.12107","article-title":"Ultra-Processed Products Are Becoming Dominant in the Global Food System","volume":"14","author":"Monteiro","year":"2013","journal-title":"Obes. Rev."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.amepre.2022.08.013","article-title":"Premature Deaths Attributable to the Consumption of Ultraprocessed Foods in Brazil","volume":"64","author":"Nilson","year":"2023","journal-title":"Am. J. Prev. Med."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/j.amepre.2022.09.018","article-title":"Influence of Unhealthy Food Environment on Premature Cardiovascular Disease Mortality in Brazil: An Ecologic Approach","volume":"64","author":"Victor","year":"2023","journal-title":"Am. J. Prev. Med."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Lordan, R., Tsoupras, A., Mitra, B., and Zabetakis, I. (2018). Dairy Fats and Cardiovascular Disease: Do We Really Need to Be Concerned?. Foods, 7.","DOI":"10.3390\/foods7030029"},{"key":"ref_39","first-page":"1933","article-title":"Effects of Different Forms of Dietary Hydrogenated Fats on Serum Lipoprotein Cholesterol Levels","volume":"340","author":"Lice","year":"2008","journal-title":"N. Engl. J. Med."},{"key":"ref_40","unstructured":"Fats and Fatty Acids in Human Nutrition (2010). Report of an Expert Consultation. FAO Food Nutr. Pap., 91, 1\u2013166."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1621","DOI":"10.1016\/S0002-8223(02)90346-9","article-title":"Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein and Amino Acids","volume":"102","author":"Trumbo","year":"2002","journal-title":"J. Am. Diet. Assoc."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1080\/07315724.1991.10718180","article-title":"Saturated and Hydrogenated Fats in Food in Relation to Health","volume":"10","author":"Dupont","year":"2013","journal-title":"J. Am. Coll. Nutr."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"e10711","DOI":"10.1016\/j.heliyon.2022.e10711","article-title":"Replacement of Refined Sugar by Natural Sweeteners: Focus on Potential Health Benefits","volume":"8","author":"Arshad","year":"2017","journal-title":"Heliyon"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1388","DOI":"10.1017\/S1368980010002727","article-title":"Reduction in Sugar-Sweetened Beverages Is Not Associated with More Water or Diet Drinks","volume":"14","author":"Veitch","year":"2011","journal-title":"Public Health Nutr."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/3\/343\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T13:48:32Z","timestamp":1760104112000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/3\/343"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,24]]},"references-count":44,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,2]]}},"alternative-id":["nu16030343"],"URL":"https:\/\/doi.org\/10.3390\/nu16030343","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,24]]}}}