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SPECIAL SECTION: Proceedings of the 2009 Cereals & Europe

Meeting: Whole Grain Global Summit

Regulatory Aspects for Whole Grain and Whole Grain Food


An EU Perspective

Nino M. Binns1

ABSTRACT Cereal Chem. 87(2):162–166

Whole grain and whole grain foods enjoy recommendation as part of ease or a disease risk factor or 3) referring to children’s development and
many national and international dietary guidelines. However, if the food health or 4) claims that have been rejected by the EU regulatory proce-
industry makes claims for the health benefits of whole grain foods, then a dure. Claims under 2) or 3) require submission of a dossier. Once the
raft of regulatory requirements must be met in the European Union (EU). Community list of health Article 13 claims is published, then only those
Under the relatively recent EU Regulation on nutrition and health claims claims included in the list or those claims approved following submission
made on foods, any nutrition claims about the energy, nutrients, fiber, or of a dossier to the European Food Safety Authority may be used. Whole
other beneficial substances the food contains need to comply with the grain foods making nutrition and health claims will also ultimately have
Annex of that Regulation. As far as health claims are concerned, until the to respect the nutrient profiles that will be established under Article 4 of
Community list of approved so-called Article 13 claims is published, food the Regulation. Various definitions of what counts as a whole grain food
businesses may use any health claims that can be validated by scientific have been proposed but none has regulatory standing in EU. The condi-
evidence, providing that they meet any specific requirements of the Regu- tions of use that will be documented as part of the EU-approved list of
lation that are applicable prior to that date and providing they are not 1) health claims may in essence establish a definition.
prohibited claims or 2) claims referring to a reduction in the risk of dis-

Whole grain and whole grain foods enjoy recommendation as of approved health claims under Articles 13 and 14 (Fig. 1). The
part of many dietary guidelines. For example, one of the U.K. legal framework under which claims can be made is overlaid by a
Food Standard’s Agency’s eight “eatwell” guidelines recommends requirement for consumer understanding which is not itself de-
consumers base their meals on starchy foods and additionally fined in the Regulation; nor is there any procedure described for
states “Try to choose whole grain varieties of starchy foods when- its assessment. There are also specific additional labelling re-
ever you can.” (FSA 2009). The United States Department of Ag- quirements when nutrition and health claims are used and fur-
riculture consumer guidance (USDA 2005) also emphasises thermore, a proposed requirement for nutrient profiles. Nutrition
whole grains based on a joint policy document from the U.S. De- claims, health claims, and nutrient profiles are discussed here but
partment of Health and Human Services and USDA (HSS/USDA a more complete discussion of the regulation and its development
2005) and, from a worldwide perspective, the World Health Or- is reported by Binns (2009). There is also much information avail-
ganization expert report (WHO 2004) finds “probable” evidence able on various websites. Rather than provide a link to individual
that whole grain cereals reduce the risk of cardiovascular dis- web pages (which may change over time), readers are advised to
eases. However, in spite of this impressive science base, if the search for links to the main institutions mentioned and search for
food industry makes claims in the European Union for the health the appropriate pages.
benefits of whole grain foods, then a raft of regulatory require-
ments must be met (or at least will have to be met in the coming
years). This report (written in mid 2009) describes the current EU
regulations on nutrition and health claims and how they affect
whole grain foods now and how they will affect them in coming
years.

EU Regulation of Claims
The Regulation on nutrition and health claims made on foods
(EC 2006) came into force in early 2007 but will be gradually
implemented up to 2010 and beyond. The Regulation applies to
any commercial communication about any food whether sold in a
supermarket or at a restaurant. Commercial communications in-
clude the label, advertising, point of sale information, leaflets,
websites, and so on. The Regulation limits nutrition claims to
those listed in the Annex to the Regulation and health claims to
those that will appear in one of the (European) Community lists

1 Corresponding author. Nino Binns Consulting, Grange Rath, Drogheda, Ireland.


E-mail: nino.binns@nbconsulting.eu

doi:10.1094 / CCHEM-87-2-0162 Fig. 1. Schematic summary of Regulation EC No 1924/2006 on nutrition


© 2010 AACC International, Inc. and health claims made on foods (EC 2006).

162 CEREAL CHEMISTRY


The EU Regulation on health claims is very complicated; in health claim because of the benefit it might imply to the con-
particular the transition arrangements, which will be in place until sumer. In my view, this takes the Regulation well beyond its in-
the Community lists of claims are available, are potentially con- tended scope, especially since public health messages include
fusing and so those wishing to market products with claims recommendations for whole grain foods, and so industry should
should seek expert advice. be encouraged to flag whole grain foods. There have been several
approaches to the definition of whole grain foods (Table I; also
Nutrition Claims Jones 2010), but so far in Europe, none have been enshrined in
Nutrition claims include those about the nutrients or other law. An agreed definition at the European level would be helpful
physiologically active substances the food contains. For example to ensure a minimum standard for statements such as “contains
contains calcium, a source of protein, high in fiber, rich in vita- whole grain” or “whole grain food”. The conditions of use that
mins and minerals, or contains carotenoids or polyphenols. Also will be documented as part of the EU-approved list of health
those about nutrients that have been removed or reduced. For claims may in essence establish a definition.
example reduced fat or sugar-free. Finally, those comparing the
content or absence of energy or a nutrient with another food from Health Claims
the same category A number of health claims for whole grain have been approved
The list of permitted nutrition claims and the conditions that in various countries (Table II). The first was the health claim al-
have to be met for each claim are listed in the Annex to the Regu- lowed in 1999 by the U.S. Food and Drug Administration (FDA
lation. If a nutrition claim that is in the Annex is used, the condi- 1999) under the provisions of the Food and Drug Administration
tions of use specified in the Annex must be respected. For Modernization Act of 1997 that allows claims based on state-
example, if a claim “rich in fiber” is used, then the food must ments by authoritative bodies, in this case the National Academy
contain at least 6 g of fiber/100 g or 3 g/100 kcal of the food. of Sciences. In the U.K. (JHCI 2002) and in Sweden (SNF 2003),
Note that the definition of fiber is documented in a separate Regu- health claims for whole grain and heart health were also approved
lation (EC 2008) that recently amended the primary rules on nu- under their voluntary codes, while the Australian and New Zea-
trition labeling (EC 1990). Claims about nutrients not listed in the land regulatory authorities decided to reject a health claim for
Annex or about substances such as phytochemicals, polyphenols, whole grain (ANZFA 2006).
or ferulic acid may be made under the provision “contains [name In the EU, “health claim” is defined as any claim that states,
of the nutrient or other substance]” but such claims are limited to suggests, or implies that a relationship exists between a food
“contains” claims; “rich in” claims would not be allowed since category, a food or one of its constituents, and health. However,
there are no established Dietary Reference Values (DRV) for these the subdivision of the claims in the legal text is somewhat com-
substances. Furthermore, content claims can only be made for plicated (Fig. 1). Article 13 claims are those about the effects of
substances that are beneficial (see Article 5 of the Regulation foods or ingredients or nutrients on growth, development, and
1924/2006). functions of the body (including weight control and psychological
If a claim is in use that is not in the Annex and is not possible or cognitive effects). For example, calcium is good for bones;
under the claim “contains [name of the nutrient or other sub- high fiber diets help weight control; caffeine keeps you alert. Ar-
stance]”, for example “cholesterol free” “high energy”, then that ticle 14 claims are those referring to a reduction in the risk of a
claim will be no longer permitted after January 19, 2010. How- disease risk factor (for example: product “X” lowers blood cho-
ever, a number of amendments may be made to the Annex prior to lesterol to reduce the risk of heart disease) or claims referring to
January 2010 and some claims in common usage (especially in child development and health (for example, calcium builds strong
the U.K.) may be included. bones).
The statement “contains whole grain” or “rich in whole grain” Note that the legal definition of “reduction of disease risk
is essentially an indication of ingredients, not a nutrition claim, so claim” requires the involvement of a “risk factor” and it is not
should not covered by the Regulation. However, there is a risk possible currently to make a direct claim for a reduction in dis-
that in future the mention of whole grain is considered an implied ease risk, even if you can demonstrate a direct reduction in risk.

TABLE I
Summary of Some Guidelines on the Compositional Requirements for Whole Grain and Whole-Grain Foods

a The Joint Health Claims Initiative was a UK initiative agreed between industry, consumers, and enforcement authorities for the voluntary approval and use of
health claims.

Vol. 87, No. 2, 2010 163


TABLE II TABLE III
Examples of Whole Grain Health Claims Allowed Summary of Whole Grain Claims Submitted for Inclusion
and Rejected Around the World in the Community List of Health Claims Under Article 13
of the EU Regulation (see European Food Safety Authority website
www.efsa.europa.eu for details)

However, implementation of the regulation is likely to be an on-


going process for a number of years, so this interpretation may
hopefully change in future. Also, it should be remembered that
reduction of disease risk claims are distinct from medicinal claims
about the prevention, treatment, or cure of disease. Medicinal approved health claim (see Article 10 of Regulation 1924/2006).
claims cannot be used on foods unless the food is also approved At the moment, it looks as if even the heart health claim is too
as a medicine. vague because EFSA is asking for clarification of the endpoints.
The Community list of approved health claims will also include Thus, it remains to be seen what if anything will actually be per-
conditions of use and this is where we may see a definition of mitted.
whole grain as well as a required level of intake. EFSA is also reviewing dossiers that have been submitted under
The European Food Safety Authority (EFSA) is currently re- Article 13.5 and 14 and some claims have received positive opin-
viewing a list of thousands of health claims that will form the ions while many others have been negatively received. The regu-
basis of the Community list of claims under Article 13 (EFSA latory decision on whether or not to permit the claim actually lies
2009). The first EFSA scientific opinions were supposed to be with the member states in the Standing Committee on the Food
ready in July 2009 with the final list adopted in January 2010. Chain and Animal Health, General Food Law under the scrutiny
However, there have been some delays and EFSA may not publish of the European Parliament (the so-called Comitology procedure).
the first opinions until September 2009, unless the whole process Once a claim is approved, a Commission Decision is published in
is delayed (preferred option by Commission, Member States and the Official Journal. At the time of this writing, no dossiers on
industry) such that a list might not be available until 2011. It is whole grain had been submitted.
essential for the reader to get up-to-date information if there are
plans to use health claims! Assessment of the Science
From a regulatory point of view, it is generally accepted that As noted above, all claims must be based on generally accepted
Article 13 claims can be made legally until the list is actually scientific evidence. It is the task of the EFSA NDA panel (panel
published (see Article 28 of the Regulation). However, purveyors on dietetic products, nutrition, and allergies) to assess the evi-
of claims should also be aware that if a decision is published to dence. EFSA has drawn on past work by other regulatory agen-
reject a claim (or a very similar claim) following a submission of cies on the substantiation of claims as well as work by Inter
a dossier under Article 13.5 (that covers “new” claims) or under national Life Sciences Institute (ILSI) Europe (Richardson 2003;
Article 14, then it would be wise not to use that claim once the six Aggett 2005) and by scientists working with national voluntary
month transition period for the relevant decision is over. Note codes such as the Joint Health Claims Initiative (JHCI) in the
that, in theory, Article 14 claims require prior approval, but in U.K.
practice there may be claims on the market that unwittingly turn EFSA has set what is considered to be a very high standard for
into Article 14 claims; for example, “whole grain for heart the level of science required for premarket approval of health
health”. Although this claim is about a healthy heart, the epidemi- claims (EFSA 2007) and this is evident from the requirements
ological evidence on which it is based is actually a reduction in described below and from a review of the opinions on the dossiers
the risk of cardiovascular mortality or events. However, as there is already submitted under Article 13.5 and 14 and mostly rejected
no specific risk factor reduced (other than death), the claim also and published on the EFSA website. In short, to grant approval,
does not meet the Article 14 definition. EFSA expects to see evidence from a randomized controlled trial
For whole grain, there are 11 claims included in the draft list (RCT) on the exact food or ingredient making the claim. The
but these include duplicates and can be reduced to four areas (Ta- same high standard is likely to be applied to claims on the long
ble III). The claims on weight control and blood sugar levels are list of draft Article 13, with the only exceptions being for “text
under review, but at the time of this writing, EFSA were awaiting book” claims such as basic functional claims for the essential
clarity on the claims for gut health and heart health as they want nutrients where RCT are generally not available. Where the line is
to know what endpoints (or biomarkers) are being changed to drawn on what is accepted as text book science is not known.
confer the benefit. Clarifying this may prove challenging for the In evaluating a dossier, EFSA considers five key areas: 1) char-
heart health claim because, as mentioned above, this is based on acterization of the food or ingredient; 2) relevance (benefit) to
observational evidence of a reduced risk of heart disease and not human health; 3) scientific substantiation (data); 4) wording that
on a change in an intermediate endpoint. reflects the scientific evidence; and 5) conditions of use (includ-
Note that a general claim that “whole grain is good for health” ing amount to be consumed). EFSA classifies data in accordance
would not be allowed unless it is accompanied by a more specific with a hierarchy based on study design (see EFSA 2007).

164 CEREAL CHEMISTRY


Note that although EFSA reviews the totality of the evidence TABLE IV
and weighs the evidence, the randomized, placebo-controlled, Extract from An Unoffficial Draft Proposal for Nutrient Profiles
double-blind intervention study is definitely assumed to provide (March 17, 2009) Under Article 4 of Regulation EC No. 1924/2006
(EC 2006) for Foods Containing Cereal Products
the strongest evidence and epidemiological and observational data (not all of the proposed food categories are included below)
are generally accorded a lower weighting. Animal data are only
considered as supportive data and would never be sufficient alone
to substantiate a claim. So far, only Article 13.5 and 14 dossiers
based on human intervention studies have been approved, but
EFSA has not yet considered submissions based solely on epide-
miological data such as that used to support the heart health
claims on whole grain. However, it is expected most claims will
require human intervention studies. In addition, it should be noted
that each health benefit requires an individual dossier and that
EFSA requires that negative and neutral studies be evaluated as
well as positive studies.
EFSA does not grade the evidence but rather adopts a “yes” and
“no” approach, making a judgment about whether a cause and
effect relationship exists between the food and the heath benefit
claimed. As the evidence for whole grain is mainly observational,
cause and effect might not be considered as demonstrated. How-
ever, if the evidence is good enough for public health advice then exceeds the applicable profile (but only if the claim also meets the
it should be good enough to allow industry to claim the benefits requirements in the Annex, which are currently for a reduction in
on appropriate foods. 30% for saturates and sugar and 25% for sodium).
Nutrient Profiles Conclusions
The use of nutrient profiles in the regulation of nutrition and It is clear that the EU Regulation on nutrition and health claims
health claims aims to “avoid a situation where claims could mis- made on foods (EC 2006) is very detailed, complex and prescrip-
lead consumers as to the overall nutritional quality of a food tive and is also in a phase of evolution and transition. It is likely
product when they are trying to make healthy choices in the con- that the regulation will have a significant effect on the marketing
text of a balanced diet”. EFSA stated in their opinion (2008) that of whole grain foods over the coming years and those companies
“The nutrient profile of the overall (habitual) diet is an important seeking to use nutrition and health claims are advised to take ex-
determinant of health and the nutrient profile of a ‘balanced’ diet pert advice before embarking on marketing programs. It remains
is defined by science based recommendations for intakes of en- to be seen if the Regulation will stifle the innovation it was sup-
ergy and nutrients. Because diets are composed of multiple foods, posed to stimulate.
overall dietary balance may be achieved through complementa-
tion of foods with different nutrient profiles so that it is not neces- LITERATURE CITED
sary for individual foods to match the nutrient profile of a
‘balanced’ diet. Nevertheless, individual foods might influence Aggett, P. H., Antoine, J.-M., Asp, N.-G., Bellisle, F., Contor, L., Cum-
the nutrient profile of the overall diet, depending on the nutrient mings, J. H., Howlett, J., Müller, D. J. G., Persin, C., Pijls, L. T. J.,
profile of the particular food and its intake.” Rechkemmer, G., Tuijtelaars, S., and Verhagen, H. 2005. PASSCLAIM
EFSA advised that where there was a need for nutrient profiles, Process for the assessment of scientific support for claims on foods.
they should be based on nutrients of public health concern for the Consensus on criteria. Euro. J. Nutr. 44(Suppl. 1):1/5-1/30.
Binns, N. M. 2009. Challenges facing the food industry in innovating for
EU population, namely saturated fat and sodium and dietary fiber health. Regulatory challenges and opportunities for food innovation
and unsaturated fats as well as sugar for some products. In the Proc. Nutr. Soc. 68:1-10.
event, profiles are being established only for saturates, sodium, EC. 1990. Council Directive 90/496 of 24 September 1990 on nutrition
and sugars. Although a profile was to be set “across the board” labelling for foodstuffs. Pages 0040–0044. Off. J. Eur. Union L 276,
the latest drafts have proposed many exceptions per category of 06/10/1990.
food (a category for cereal products is included) and in general EC. 2006. Regulation (EC) No 1924/2006 of the European Parliament
the profiles are more lenient than was expected (Table IV). and of the Council of 20 December 2006 on nutrition and health claims
Profiles were due to be set by January 2009 but again there are made on foods. Off. J. Eur. Union L12, 18.01.2007. Available at
delays (Table IV). All food products that make nutrition and http://eur-lex.europa.eu/LexUriServ/site/en/oj/2007/l_012/l_01220070
118en00030018.pdf.
health claims will have to comply two years after the profiles are
EC. 2008. Commission Directive 2008/100/EC of 28 October 2008
adopted so there is at least time to adapt. amending Council Directive 90/496/EEC on nutrition labelling for
To make a health claim, a food will have to comply fully with foodstuffs as regards recommended daily allowances, energy con-
whatever nutrient profile applies. For a nutrition claim, the food version factors and definitions. Pages 9–12. Off. J. Eur. Union L285
may fail on one nutrient. However, in that case, the “high” level 29.10.2008.
of the failed nutrient must be stated on the label close to the main EFSA. 2007. European Food Safety Authority. Panel on dietetic products,
claim. Take a hypothetical example. A whole grain bread could nutrition and allergies. Final scientific and technical guidance for ap-
make a high fiber nutrition claim if it contains 6 g/100 g of fiber, plicants for preparation and presentation of the application for authori-
even if it fails the profile for sodium although the claim would be sation of a health claim. Available online at http://www. efsa.europa.eu
“rich in fiber” with the words “high sodium content” mentioned /EFSA/efsa_locale-1178620753812_12119 02594460.htm.
EFSA. 2008. European Food Safety Authority. Scientific opinion of the
nearby and with equal prominence. If the bread is used in a sand- panel on dietetic products, nutrition and allergies on the setting of nu-
wich that fails the profile on sodium and saturates then it would trient profiles for foods bearing nutrition and health claims pursuant to
not be possible to make any fiber (nutrition) claim. Neither the article 4 of the regulation (EC) no 1924/2006. Adopted on 31 January
bread nor the sandwich could make a health claim about the 2008. Available at http://www.efsa.europa.eu/EFSA/efsa_locale-
bowel health benefits of fiber as to make a health claim, all pro- 1178620753812_1178689506673.htm. EFSA J. 644:1-44.
files will need to be met. Claims for reductions in either saturates EFSA. 2009. European Food Safety Authority. Panel on Dietetic prod-
or sodium or sugars will be permitted, even if the resulting level ucts, nutrition and allergies. Nutrition & health claims. Article 13 data-

Vol. 87, No. 2, 2010 165


base of claims. Available at http://www.efsa.europa.eu/EFSA/efsa JHCI. 2002. Joint Health Claims Initiative. Approved generic health
_locale-1178620753812_article13.htm. claim. http://www.jhci.org.uk/approv/wgrainh.htm.
FDA. 1999. Food and Drug Administration. FDA Modernization Act Richardson, D. P., Affertscholt, T., Asp, N.-G., Bruce, A., Grossklaus, R.,
(FDAMA) Claims http://www.fda.gov/Food/LabelingNutrition/Label Howlett, J., Pannemans, D., Ross, R., Verhagen, H., and Viechtbauer,
Claims/FDAModernizationActFDAMAClaims/default.htm. V. 2003. PASSCLAIM—Synthesis and review of existing process (of
FSA 2009. Food Standards Agency eatwell website: 8 tips for eating well. scientific substantiation of health claims). Eur. J. Nutr. 42:96-111.
http://www.eatwell.gov.uk/healthydiet/eighttipssection/8tips/. SNF. 2003. Swedish Nutrition Foundation. New generic health claim
FSANZ. 2006. Food Standards Australia/New Zealand. Review of high (coronary) heart disease, whole grain. Available at http://www.snf.
level health claim on wholegrains and coronary heart disease. At ideon.se/snf/en/rh/Wholegrain.htm.
http://www.foodstandards.gov.au/foodmatters/healthnutritionandrelated USDA. 2005. United States Department of Agriculture consumer bro-
claims/reviewsforhighlevelc3090.cfm. chure. Finding your way to a healthier you. Available at http://www.
HSS/USDA. 2005. United States Department of Health and Human Ser- cnpp.usda.gov/Publications/DietaryGuidelines/2005/2005DGConsumer
vices and U.S. Department of Agriculture. Dietary Guidelines for Brochure.pdf.
Americans. GPO: Washington, DC. WHO. 2004. Diet, nutrition and the prevention of chronic diseases: Report
IGD. 2008. Institute of Grocery Distribution. IGD’s Industry Nutrition of a joint FAO/WHO expert consultation Tech. Rep. Series 916. WHO:
Strategy Group. Whole Grain Working Group. U.K. Geneva.

[Received August 4, 2009. Accepted January 22, 2010.]

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