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January 2004

The Latest on Labeling
By Lauren Swann, MS, RD, LDN

Vol. 6 No. 1 p. 40

The food product label informs consumers, promotes the product, and is a point-of-purchase reference piece like no other because it stays on the product right into the home. It’s advertising and disclosure all in one and can serve as an integral resource in nutrition education. Yet, it is also subject to myriad complex, in-depth laws and regulations that shape the nature of how the facts are actually expressed.

Two federal bodies regulate the majority of labeling compliance: Meat and poultry is governed by the U.S. Department of Agriculture (USDA) Food Safety and Inspection Service (FSIS); all other foods and supplements are governed by the FDA Center for Food Safety and Applied Nutrition (CFSAN). However, other agencies have authority over certain aspects of labeling. For example, the USDA Agricultural Marketing Service handles grading seals for vegetables, fruit, meat, dairy, and eggs and rules over the organic labeling seal via the National Organic Standards Board. Some labeling requirements, such as storage instructions for refrigerated foods, are subject to state-level authority.

Recent Labeling Developments
Regulatory affairs activities and decisions that result in food labeling requirements are dynamic and continuous, particularly amidst today’s aggressive marketing from industry and the countering efforts of ever-vigilant watchdog activist groups. Here are some highlights of recent developments on the labeling scene.

Health Claims
To encourage current and better information for consumers about their food choices and motivate manufacturers to competitively market more healthful products, the FDA has implemented a more relaxed review process for the health claims desired by food companies for product labels. An interim ranking system is now in place to evaluate the scientific evidence supporting qualified health claims. The FDA is using a four-point scale—“A” is the highest grade and is for unqualified claims with evidence of “significant scientific agreement.” The remaining levels require qualifiers that communicate the strength of the evidence to avoid misleading consumers:
· “B” — Scientific evidence exists but is inconclusive
· “C” — Evidence is limited and inconclusive
· “D” — Little scientific evidence

Health claims are prioritized for review relative to evidence and chronic health conditions. Top priorities include the benefits of eating at least several servings per week of foods high in omega-3 fatty acids, including certain oily fish such as ocean salmon, tuna, and mackerel, for reducing the risk of heart disease and the benefits of substituting nuts for other sources of saturated fat-containing protein to help reduce the risk of heart disease. Companies may now include messages about the benefits of eating five to nine servings per day of fruits and vegetables for reducing the risk of some cancers and other chronic illnesses and the benefits of replacing solid fats that are high in saturated and trans fats with vegetable oils containing unsaturated fats for reducing the risk of heart disease. Qualified health claims are currently permitted for the following:
· selenium and cancer;
· antioxidant vitamins and cancer;
· nuts and heart disease;
· walnuts and heart disease;
· omega-3 fatty acids and coronary heart disease;
· B vitamins and vascular disease;
· phosphatidylserine and cognitive dysfunction and dementia; and
· 0.8 milligrams folic acid and neural tube birth defects.

The FDA is exploring consumer comprehension of the evidence for varying description levels of qualified claims to ensure that words, symbols, or other means used to express differences are understood. In the November 25 Federal Register, the agency requested public comment on qualified health claim issues, including three alternative options: 1) turning the current interim procedure into a regulation; 2) requiring the traditional rulemaking procedure; or 3) considering them outside of existing regulations—after they appear on labels—only as false and misleading if they lack substantiation.

The Federal Register announcement also solicits comments on other issues related to health claims, including data and research on a substance/disease relationship, including how to provide incentives for manufacturers to develop the data needed to obtain significant scientific agreement; use of phrases such as “FDA authorized” in qualified and unqualified health claims; and consumer education about qualified health claims.

Feedback is also sought on defining dietary guidance statements on conventional food and dietary supplement labels to distinguish them from health claims; determine the value of statements referencing the substance vs. the food (ie, calcium vs. yogurt in an osteoporosis claim); and clear ways to use food category recommendations for healthier dietary replacements such as “choose seafood, lean meat and poultry, beans or nuts” instead of “reduce your intake of saturated fat and cholesterol.” Deadline for comment submission, which can be done electronically at www.fda.gov/dockets/ecomments, is January 26, 2004.

Other recent health claim regulatory action includes the following:
· amending authorization—unchanged from the interim decision—of a health claim on the relationship between beta-glucan soluble fiber from whole oat sources and reduced risk of coronary heart disease (CHD) to include an additional eligible source of whole oat beta-glucan soluble fiber, oatrim, the soluble fraction of alpha-amylase hydrolyzed oat bran or whole oat flour; and
· developing a final rule that may differ from the broadened criteria initially listed, requiring manufacturers to change their labels for compliance for health claims for phytosterols or plant stanol esters and reduced risk of CHD.

Trans Fat Labeling
Beginning on January 1, 2006, nonmeat and nonpoultry food and some dietary supplement labels—products containing 0.5 grams or more of trans fat, such as energy and nutrition bars—must show the amount of trans fat on a separate line immediately under saturated fat in the Nutrition Facts label. For regulatory purposes, the FDA’s chemical definition for trans fatty acids is all unsaturated fatty acids that contain one or more isolated (ie, nonconjugated) double bonds in a trans configuration; conjugated linoleic acid is excluded. The FDA is also pursuing the possibility of the following:
· establishing new nutrient content claims regarding trans fat, considering the need for qualifying criteria for and disclosure of trans fat in current nutrient content claims for saturated fat and cholesterol, lean and extra lean claims, and health claims that contain a message about cholesterol-raising lipids; and
· considering statements about trans fat, either alone or in combination with saturated fat and cholesterol, as a footnote in the Nutrition Facts panel or as a disclosure statement in conjunction with claims to enhance consumers’ understanding about such cholesterol-raising lipids and how to use the information to make healthy food choices.

The USDA plans to propose regulations consistent with the FDA’s rules on trans fat declarations in the Nutrition Facts panel for meat and poultry labeling and does not object to voluntary trans fat declaration in Nutrition Facts panels on meat and poultry food labels now if the declaration is in compliance with published FDA regulations.

“Healthy” Claim and Sodium Levels
To bear the claim “healthy,” the FDA is proposing to retain the current “first-tier” maximum sodium level of 600 milligrams—instead of implementing the preestablished 480 milligrams that was to be required by January 1, 2006—for meal and main dish products.

Olestra
Manufacturers are no longer required to display the 1996 label statement regarding digestive disturbances on products containing Olestra. The FDA has concluded that the label statement is no longer warranted.

Hormone-Free Milk
Several manufacturers of milk and ice cream bearing “No Hormones” or “Hormone Free” labeling statements have received warning letters from the FDA. The administration considers these to be false claims because all milk contains naturally occurring hormones and cannot be processed in a manner that makes them hormone-free. The FDA advises that milk from cows that is not treated with recombinant bovine somatotropin can label that on their products.

New Chocolate Standard of Identity
“White chocolate’’ can now be used on labels as the common or usual name of products made from cacao fat (ie, cocoa butter), milk solids, nutritive carbohydrate sweeteners, and other safe and suitable ingredients, but containing no nonfat cacao solids.

Country of Origin Labeling
Under the proposed rule for the mandatory country of origin labeling (COOL) program, the following food must be labeled at retail to indicate their country of origin: muscle cuts of beef (including veal), lamb, and pork; ground beef, ground lamb, and ground pork; farm-raised fish and shellfish; wild fish and shellfish; perishable agricultural commodities (fresh and frozen fruits and vegetables); and peanuts. Additionally, the COOL for fish and shellfish must include and distinguish between wild and farm-raised fish and shellfish.

Poultry Class Standards of Identity
The FSIS proposes to amend the official poultry definitions and standards of identity to more accurately describe poultry sold in the marketplace today. Revised classifications are intended to more clearly reflect current poultry characteristics, such as age and breeding, to ensure truthful, nonmisleading label claims.

Dietary Supplements
To help consumers get accurately labeled and unadulterated dietary supplements, the FDA has proposed a new regulation to require current good manufacturing practice in manufacturing, packaging, and holding by establishing minimum requirements that ensure that dietary supplements and ingredients are unadulterated and accurately labeled based on the product ingredients.

The FDA recently announced that its latest initiatives against dietary supplements that bear unsubstantiated or misleading claims about health benefits resulted in more than triple the comparative efforts in 2001, including the following:
· 73 warning letters and cyber letters to dietary supplements marketers;
· nearly $9 million worth of product seizures;
· refusal of 368 imported dietary supplements shipments; and
· supervision of the voluntary destruction of more than $500,000 worth of dietary supplements promoted with unsubstantiated structure/function claims.

Presenting at the Food & Drug Law Institute (FDLI) January 2003 conference, Robert Moore, PhD, chief of the Dietary Supplements Branch Division of Compliance and Enforcement, Office of Nutritional Products, Labeling and Dietary Supplements (ONPLDS), CFSAN, FDA, stated that the agency has identified certain products that are clearly problematic and warrant close scrutiny, including treatments for life-threatening diseases, weight loss, autism, behavioral disorders, mental retardation, and Down Syndrome, along with colloidal minerals for fibromyalgia, breast cancer, Alzheimer’s, and ovarian cancer, supplements for smokers and drinkers, and colloidal silver products as alternatives to antibiotics intended for serious infectious diseases and anthrax.

On the Horizon
The following items are gaining momentum that could soon result in regulatory action.

Menu Education and Labeling Act
If successful, a restaurant labeling bill—intended to help curb obesity—would ultimately extend nutrition labeling beyond packaged products to include foods from quick-service and other chain restaurants for calorie, saturated and trans fat, carbohydrate, and sodium disclosure on printed menus or boards. Introduced by Rep Rosa L. DeLauro (D-Conn.), who was joined by the Center for Science and the Public Interest (CSPI), and Sen Tom Harkin (D-Iowa), who plans to introduce a companion bill in the Senate, the bill applies only to standard menu items in chains of at least 20 outlets. Several states are pursuing similar requirements.

Allergen Labeling
Speaking at the American Dietetic Association (ADA) 2003 Food & Nutrition Conference & Exhibition (FNCE) session “Allergens: Recent Developments in an Emerging Food Safety Issue,” Kathleen J. Pompliano, MS, RD, manager, new business development, NSF International, cited allergen labeling problems from ambiguity with words such as “may” or “might contain.” Yet, Felicia Satchell, director of the Division of Standards and Labeling Regulations, ONPLDS, CFSAN, reported at the FDLI conference that this is something that the FDA “is aware of but doesn’t condone.” Pompliano also pointed out a lack of clarity when allergens are listed with all ingredients but not addressed in a distinctly separate warning underneath, asserting that specific ingredients and separate “contains…” and “processed on lines...” statements are examples of what’s needed for clear disclosure. She also noted that “may contain” labeling can create problems if the list includes many ingredients—when manufacturers are trying to cover themselves from liability—because this can result in a child’s diet becoming too restrictive. As was stressed by Jeff Canavan, FSIS, USDA, at the FDLI conference, “Voluntary ‘may contain’ labeling does not replace Standard Sanitation Operating Procedure.”

The Food Allergen Labeling and Consumer Protection Act (HR 467) introduced by Rep Nita M. Lowey (D-N.Y.) would amend the Federal Food, Drug, and Cosmetic Act to require that foods containing spices, flavoring, or coloring derived from meat, poultry, other animal products (including insects), or known allergens bear labeling stating that fact and their names.

Nutrition Labeling
To examine available data and identify options for making food labels more valuable to consumers in managing their weight, the FDA’s Obesity Working Group held an “Exploring the Link Between Food Labeling and Weight Management” workshop in Bethesda, Md., on November 20 and anticipates making recommendations around mid-February 2004 on nutrition labeling improvements. Officials are considering requiring calorie declarations for the entire package as well as revisions that reflect contemporary nutrition research updates that have evolved since the Nutrition Labeling and Education Act of 1990.

Low-Carb Buzz
Unlike the Atkins blitz of the ’70s, this time around, carb-conscious products have exploded into the marketplace, even creating their own stores. During the ADA FNCE session “Emerging Role of Glycemic Index and Glycemic Response: A Useful Tool?” several attendees questioned the “Net Carbs”-type labeling that commonly appears on such product packages. Low-Carb claims are not currently defined in the regulations so they cannot be made, and the FDA has issued numerous violation warning letters for the use of “low carb” often noting that the Total Carbohydrate declaration within the Nutrition Facts panel cannot exclude that which comes from sugar alcohol, glycerin, or polydextrose ingredients. The National Nutritional Foods Association unsuccessfully petitioned the FDA a few years ago for carbohydrate nutrient content claims. The Grocery Manufacturers Association has announced its intent to pursue this area in 2004. A push for regulatory action in the carb-less labeling game is likely heating up again, so stay tuned.

— Lauren Swann, MS, RD, LDN, is president and CEO of Concept Nutrition, Inc., a consulting business in a Philadelphia specializing in food and dietary supplement labeling and regulatory issues, marketing communications and freelance writing, and cultural and ethnic foodways.

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