Abstract
Many terms for plant-derived food components are commonly used in the literature, but there is a notable lack of standardization and definition of nomenclature. The use of terms is often field-specific, leading to misunderstanding and problems with literature searches and systematic reviews, and results in isolated and divided research; this impacts not only publication quality but also innovation, regulatory compliance, and enforcement. To begin to address this issue, this narrative review describes the current use and definition of terms. The terms are either chemical and/or origin-based, such as phytochemical (chemicals from plants), or function-based, such as phytonutrient, bioactive, or nutraceutical. The ultimate goal is to establish a common harmonized, evidence-based understanding for when to use each term, thereby providing clarity and a specific scientific basis for such nomenclature. Neither the quality nor the quantity of evidence needed to allow the use of functional terms such as phytonutrient or nutraceutical is specifically discussed here; rather, it is simply noted that evidence is needed to apply these terms. The next step would be to define the evidence necessary for a compound to have a functional descriptor. The aim in this article is to establish scientific criteria for definitions that could be applied to clearly define and differentiate commonly used terms and thus ensure their consistent application in the scientific literature.
Keywords: bioactive, carotenoid, flavonoid, nomenclature, nutraceutical, phytochemical, phytonutrient, polyphenol
ISSUES WITH NOMENCLATURE AND TERMS CURRENTLY IN USE
Although vitamins have been well defined and characterized, there are a large number of compounds in the diet derived from plants which may impact health, but are not classified as vitamins. For this class, often referred to as phytochemicals, a variety of terms are used in the research, industry, agricultural, and regulatory communities. Terms such as phytonutrient, phytochemical, polyphenol, bioactive, and nutraceutical are used widely, loosely, and somewhat interchangeably in the scientific, regulatory, and popular literature (Table 1). The lack of standardization may confound literature searches, hamper scientific consensus, and prevent harmonization of results. Since most terms are neither appropriately defined nor officially recognized, use of different terminology to describe the same substances can cause confusion, particularly where ingredients or products are either notified or registered with governmental agencies. In 2004, a federal working group led by the US Department of Health and Human Services began the process by proposing a definition for bioactive food components and then soliciting public comments.1 The proposed definition, “Bioactive food components are constituents in foods or dietary supplements, other than those needed to meet basic human nutritional needs, that are responsible for changes in health status,” (Table 1) was intended to “help in guiding and encouraging future research with these components.” Public comments, including proposed definitions for bioactive food components that were fairly consistent with the proposed definition, have been summarized.2 However, while definitions of these terms do exist in the literature3–7 and some in regulatory documents,8 the definitions remain inconsistent between sources since the criteria upon which they are based have neither been clearly articulated nor wholly founded upon scientific consensus.
Table 1.
Term | Definition and source |
---|---|
Bioactive compound |
|
Nutraceutical |
|
Phytochemical |
|
Phytonutrient |
|
Polyphenol(s) |
|
The aim of this article is to capture a range of terms and nomenclature currently used globally to refer to and describe a range of plant-derived food components, to propose criteria for how these terms should be used, to describe the relationship between the different terms, and to provide some specific examples of how such terms may be applied. Another intended goal is to help eliminate inconsistency and confusion around terminology and definitions that affect interpretation of data, and ultimately, conclusions about the biological effects of the compounds. This will potentially facilitate greater dialogue on, and collaboration around, phytochemical research by providing a harmonized approach. Standardizing the nomenclature would also help streamline innovation and facilitate regulatory compliance.
IDENTIFYING- AND ORGANIZING-RELATED TERMS
A list of commonly used, but not exhaustive, terms appears in Table 1, along with definitions that have been proposed and/or used regularly from a variety of sources. In some cases, different terms appear to have nearly identical definitions. Figure 1(A and B) shows the use of these terms in publications in the PubMed and Web of Science databases; Figure 1A includes the year the term was first cited in a publication and the total number of publications citing the terms. Table 2 attempts to simplify the definitions of the terms and organize them according to the basic principles of chemistry, functionality, and intended use. Clearly, use of the prefix phyto (from the Greek word phyton [plant]) refers to substances derived from, or identical to, those occurring in plants. Phytochemicals, therefore, are compounds present in, or derived from, plants. The terms polyphenol and/or phenolics refers to a large class of compounds containing at least one phenolic ring. To avoid the need to combine terms such as polyphenols (multiple phenolic rings) and phenolic (a single phenolic ring), the use of (poly)phenols has been adopted by some authors9–12 to cover both classes. The term (poly)phenols would also include the class of “tannins” – an older term referring to higher molecular weight phenolic polymers with multiple rings and less defined structures (encompassing gallotannins, ellagitannins, complex tannins, and condensed tannins) that are typically complex mixtures but defined by their ability to tan hides and thus produce leather. The basis of these terms is chemical in nature and the context of use is similar to that for other plant-derived compounds, such as carotenoids, organosulfur compounds, and alkaloids.13 All of these terms are chemistry-based and do not change regardless of biological activity, and use of the terms themselves does not denote biological efficacy or health benefit, unless otherwise specified.
Table 2.
Term | Proposed definition | Origin | Intrinsic implication of biological activity | Basis of term |
---|---|---|---|---|
Phytochemical | A compound present in plants (a plant metabolite) | Plant | No specific indication | Plant origin |
Phenolic | A compound containing 1 phenolic ring in its chemical structure | Plant, animal, or chemical | No specific indication | Chemical structure |
Polyphenol | A compound containing 2 or more phenolic rings in its chemical structure | Plant or chemical | No specific indication | Chemical structure |
(Poly)phenol | A mixture containing, or combination of, phenolics and polyphenols | Plant, animal, or chemical | No specific indication | Chemical structure |
Phytonutrient | A compound present in and/or derived from plants that confers a health benefit (including metabolites post consumption) | Plant | Implied beneficial effect on health | Origin and function |
Bioactive | A compound present (in food) that exerts reproducible biological effects at dietary levels (including metabolites post consumption) | Plant or animal | Implied biological effect | Function |
Nutraceutical | A compound or mixture of compounds present in food or food supplements intended to exert a therapeutic effect | Plant or animal | Implied beneficial effect on health or disease | Proposed use |
Strictly, the term nutrient implies that the substance, chemical, or constituent in question is essential for growth and the maintenance of life as, by definition, when removed, its absence results in diagnosable deficiency syndromes.14 On the other hand, the term phytonutrient takes on a somewhat different meaning, and, although not a nutrient in the traditional sense, it implies that the compound contributes to “wellness” or provides a health benefit beyond preventing nutritional deficiency. The “phyto” part, as in phytochemicals, indicates that phytonutrients are derived from plants. The term phytonutrient should not be confused with “plant nutrient,” ie, chemical entities that plants require for healthy growth, survival, and propagation.
Similarly, the term bioactive compound suggests that the substance has a biological activity, which could in theory also include a toxic effect. Although analogous to the term phytonutrient in this sense, a bioactive compound need not be limited to plant-derived substances. In fact, the definitions for bioactive compound clearly suggest that it encompasses a broader array of substances that can be found in the diet or food supply and even encompasses a broader array of substances that can be derived from the environment (including drugs, toxins, pollutants, and endogenous substances) (Table 2). This would include substances of plant and animal origin as well as bacterial metabolites or even synthetic compounds, but the non-plant components are outside the scope of this article.
Another widely used term, nutraceutical, which is a combination of the terms “nutrition(al)” and “pharmaceutical,” has even less-defined and broader use. Both formal and informal definitions indicate that the term covers broadly dietary components with health-beneficial effects, but unlike the abovementioned terms, nutraceutical is a product-based term (as opposed to chemical- or origin-based) and reflects a targeted use in the prevention, management, and treatment of diseases. The terms food factors, protective factors, and NOFS (nutrients and other food substances) have also been used in the literature and by some scientific bodies. These are very general terms, and will not be dealt with further here.
Based on the above, it is recommended that the following definitions of terms are used when referring to plant-derived compounds (Table 2 and Figure 2):
Phytochemical
Phytochemical (plant metabolite) is the umbrella term and encompasses all other terms in use to describe metabolites from plants, but in practice includes mostly plant secondary metabolites, and can be used synonymously. Phytochemical should be used when no further subclassification is possible or required. Phytochemicals can conveniently be subdivided by chemical structure into several major groups, each with further subdivisions (and more fully discussed elsewhere)15: (1) phenols, polyphenols, and tannins; (2) sulfur-containing compounds (including sulforaphane); (3) terpenes; (4) alkaloids (including trigonelline, caffeine, and theobromine); (5) acetylenes and psoralens; and (6) carotenoids (including lycopene, lutein, and zeaxanthin).
Most of the confusion and overlap occurs in the literature for the terminology of the first group (phenols, polyphenols, and tannins) and so this will be the main focus of the phytochemicals covered here.
(Poly)phenol
(Poly)phenol is a term based on a structural feature – namely, the presence of an unspecified number of phenolic rings – and can be subdivided into “phenolic” (phytochemicals with one phenolic ring) and “polyphenol” (phytochemicals with 2 or more phenolic rings, which includes the “flavonoids”). To provide as much information as possible, the term (poly)phenol should be used when referring to mixtures of phenolics and polyphenolic compounds. For example, the flavonoids (including isoflavones and the bacterial metabolite equol) and black tea theaflavins and thearubigins are polyphenols, whereas oleuropein, caffeic acid, gallic acid, and hydroxytyrosol are phenolics, but all of these compounds could be included under the umbrella term (poly)phenol. The use of the term phenol alone (instead of phenolic) is discouraged, as it refers to a specific organic aromatic compound made up of a benzene ring bearing a hydroxy group.
Bioactive
A bioactive compound is a descriptor based on a biological activity and refers to phytochemicals or animal-derived components with demonstrated activity in biological systems, usually animals and/or humans, without specifying whether the activity is beneficial or harmful.
Phytonutrient
Phytonutrient is another term based on biological activity, and as such, could also be classified as a bioactive compound. But this term goes beyond bioactive in that the biological activity is “deemed” health-beneficial and so should only be used for phytochemicals that exert reproducible health-beneficial effects or affect physiological functions in randomized and controlled animal or human trials. Neither doses nor the extent of the evidence are specified here, but observations solely from in vitro studies should not be sufficient to allow the use of the term phytonutrient. Strictly, phytonutrient also applies to essential nutrients from plants, such as vitamin C. This meaning does not seem to be in general use, but has the potential to lead to some ambiguity.
Nutraceutical
Nutraceutical is another activity-based term that also belongs to the category of “bioactive compounds.” It should only be used to refer to bioactive compounds (plant, animal, fungal, or bacterial) that exert reproducible therapeutic effects in randomized and controlled animal or human trials. The current literature does not indicate whether a minimum effective dose should be specified, and some efficacy data, safety data, possible side effects, an analytical protocol to confirm identity, precise composition, and precise content of the active ingredients (and for pharmaceuticals, which specific ingredients) may also be needed. With regard to safety assessment, some guidelines in the form of a decision tree have been published.16
CRITERIA FOR USE AND APPLICATION OF TERMS
A key question for all stakeholders is when to use which terms, and under what circumstances. The criteria that should be met for a substance to transition, for example, from being classified as a phytochemical to being classified as a phytonutrient, have not been clearly established or communicated. It is therefore proposed that a decision tool could be used to clearly assign a substance to the respective term based on its chemical structure and efficacy (Figure 2). However, the terms are not mutually exclusive; for example, a phytonutrient will always also be a phytochemical, but many phytochemicals will not qualify as phytonutrients.
The issue of whether recommended intakes, such as dietary reference intakes, could and should be established for phytonutrients has been debated widely.3,17,18 If dietary reference intake values are deemed appropriate, the question is how this might be achieved.19–21 Indeed, authoritative bodies have proposed or established reference intakes for selected phytonutrients or bioactives in China,22 South Korea,23 and Russia.24 Several reports have separately described the components or criteria that should be considered when establishing reference intakes for bioactive substances.20,21 Among the key criteria needed for a bioactive or phytonutrient to be considered for reference intakes are availability of analytical methods, role as a biomarker of exposure or status, presence in food composition databases or equivalent, intake or status assessment, pharmacokinetic data, observational and prospective randomized trials on relevant health outcomes, and biologic plausibility. Which of these, or perhaps others, might be necessary to distinguish between a phytochemical, phytonutrient, and nutraceutical remains to be established. Phytonutrients exist as complex mixtures in foods or as isolated extracts, but the absolute need for a substance to be an isolated, purified compound in order to be considered as a phytonutrient has not been specifically addressed. One complication is that these substances may exert a modest effect that becomes obvious only after a long period of exposure. In addition, some mixtures of phytonutrients may have synergistic health impacts that are lost or diminished when single components of the mixture are tested.
CURRENT RELATIONSHIPS BETWEEN TERMS AND FUTURE DIRECTIONS
The information presented in this article could serve as the basis for future discussions to determine which term(s) to use and under what circumstances. In some cases, terms are synonymous and can be used interchangeably, but in other cases there should be clear distinctions.
In summary, terms can generally be organized according to several basic categories, including origin (eg, plant, animal, bacterial, or synthetic), chemical structure (eg, phenolic acid or polyphenol), functional capacity (eg, confer a health benefit), or intended use (eg, as a product intended to treat or manage a condition or disease) (Table 2). Additional criteria are needed to determine whether, and when, a given substance falls into one or more of these categories. For example, the term polyphenol is based on a chemical structure, and thus compounds that meet this definition (multiple phenolic rings) are polyphenols irrespective of origin, whether they provide a health benefit or have an intended use. In contrast, a phytochemical may or may not be a polyphenol, but must be derived from, or be present in, a plant. As the wording implies, “bioactive” and “phytonutrient” are functional terms. A bioactive may be of plant, animal, or bacterial origin, while a phytonutrient must be derived from, or be present in, a plant.
A biological or health benefit represents a key criterion for determining whether a substance can be referred to as a phytochemical rather than a phytonutrient or a bioactive, ie, transitioning from a chemical basis to a functional basis, but these criteria are not defined here. However, the transition could be based, for example, on published in vivo data demonstrating efficacy of oral consumption of the substance on a relevant health outcome together with a mechanistic understanding. On this basis, carotenoids, (poly)phenols, glucosinolates, stilbenes, tannins, and terpenes are all phytochemicals. However, whether these families of compounds or individual compounds can be considered phytonutrients would depend on the existence of published data adequately demonstrating a health benefit, taking into consideration bioavailability and the biomarkers used to assess efficacy.
Use of the term nutraceutical could be limited to a product in a regulatory context, since its basis is not origin, chemical structure, or functional capacity, but rather proposed use. In other words, any or all of the terms cited in this perspective could be considered a nutraceutical, irrespective of origin, chemical structure, or functional capacity, but would still require efficacy data.
When using the above terms, authors, reviewers, editors, and dictionary compilers should consider the proposed definitions of the terms and the need for precise and specific language in scientific reports. The more coherent and specific the use of these terms, the more information can be conveyed in a single word. It should be noted that the structure-based terms (eg, phenol → polyphenol) and the activity-based terms bioactive and nutraceutical can also refer to compounds of bacterial or animal origin (or even synthetic), whereas phytochemical and phytonutrient exclusively refer to plant-derived substances (Table 2; Figure 3). The non-plant–derived components are outside of the scope of this review.
Standardizing the use of terms – or at least achieving alignment on how to classify different substances – should help to promote research reproducibility and collaboration, reduce confusion, and improve clarity. Importantly, further discussion is needed on the type and amount of evidence necessary to classify a substance as a phytonutrient or nutraceutical, rather than adopting more straightforward chemical definitions for such substances.
Acknowledgments
The authors thank Barbara C. Sorkin, Office of Dietary Supplements, National Institutes of Health, Bethesda, MD, USA, for critical and constructive comments.
Author contributions. All authors contributed to the discussion underlying the concepts presented in this review. A.S. wrote the first draft. G.W. modified this and produced the second draft, together with J.F. and N.K.F. All authors then modified and contributed additional material to the paper. The final version was checked and agreed by all authors.
Funding. No external funding was received to support this work.
Declaration of interest: E.J.J. is affiliated with Ocean Spray (since Dec 2018). G.W. is consultant for Amway/Nutrilite USA. The preliminary draft of the paper was compiled by A.S., at the time a contractor for Amway, USA. The views expressed in this document are those of the authors and do not necessarily reflect those of their affiliated institutions, including the U.S. Department of Agriculture.
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