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. 2020 May 26;23(13):2280–2289. doi: 10.1017/S1368980020000336

Table 3.

Proportion of pre-packaged foods not meeting nutritional criteria according to the Pan American Health Association (PAHO)* nutrient profile model

CN (%)
Classification Total fats Saturated fats Trans-fats Free sugars Non-sugar Sweeteners Na 0 CN At least one CN 1–2 CN 3–4 CN
By food group
 Confectionery (n 278) 39·2 34·9 2·9 91·7 24·8 11·1 0·7 99·3 60·8 38·5
 Cakes, sweet biscuits and pastries (n 174) 62·1 66·1 7·5 74·7 9·2 34·4 1·2 98·9 42·0 57·0
 Savoury snacks (n 169) 89·4 58·6 0·0 7·1 0·0 61·5 1·2 98·8 56·8 42·0
 Beverages (n 331) 10·6 7·6 0·6 90·9 35·7 27·5 0·6 99·4 84·3 15·1
 Edible ices (n 7) 85·7 85·7 0·0 100 0·0 0·0 0·0 100·0 14·3 85·7
 Breakfast cereals (n 105) 1·0 4·8 0·0 88·6 7·6 60·0 6·7 99·3 85·7 7·6
 Yoghurts, cream (n 27) 66·7 85·2 7·4 55·6 0·0 11·1 7·4 92·6 51·9 40·7
 Cheese (n 65) 98·5 95·4 9·2 0·0 0·0 95·4 0·0 100·0 6·1 93·9
 Ready-made and convenience foods (n 88) 46·6 40·9 0·0 28·4 0·0 88·6 6·8 94·2 58·0 36·2
 Butter and other fats and oils (n 44) 100·0 84·1 6·8 9·1 0·0 68·2 0·0 100·0 27·3 72·7
 Bread, bread products and crisp breads (n 59) 13·6 17·0 0·0 18·6 0·0 93·2 1·7 98·3 84·8 13·6
 Processed meat, poultry, fish (n 50) 78·0 44·0 0·0 2·0 0·0 100·0 0·0 100·0 56·0 44·0
 Processed fruit, vegetables and legumes (n 148) 17·6 2·7 0·0 45·3 5·4 45·3 10·1 89·9 83·1 6·8
 Sauces, dips and dressings (n 189) 42·3 29·6 0·5 69·8 1·6 94·1 0·0 100·0 62·4 37·6
 Other (n 35) 0·4 5·7 0·0 48·6 0·0 82·7 2·9 97·1 77·1 20·0
By processing degree
 Processed (n 112) 33·9 19·6 0·0 28·6 0·0 66·1 9·8 90·2 69·7 20·5
 Ultra-processed (n 1657) 42·4 34·8 2·1 62·6 13·4 49·9 1·8 98·2 63·8 34·4
 All processed and ultra-processed products (n 1769) 41·8 33·9 2·0 60·5 12·6 50·9 2·2 97·8 64·2 33·6

CN, critical nutrient.

*

PAHO: Products with excessive content of at least one nutrient were considered as not meeting the model’s nutritional criteria using the following thresholds: 30 % of total energy; saturated fats: 10 % of total energy; trans-fats: 1 % of total energy; Na: 1 mg per energy; added sugars: 10 % of total energy; sweeteners: any amount of artificial sweeteners. Free sugars were estimated with the method proposed by PAHO, based on total sugars and food group, taking into consideration if the products contain ingredients with natural sugar, such as fruit or milk(14).

Food groups classification based on the WHO/European nutrient profile model(15).

Processing degree: processed foods and ultra-processed food groups were classified according to the NOVA food classification system(22,23). Only processed/ultra-processed products with declaration of necessary critical nutrients were included.