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. 2021 Mar 26;19(3):e06553. doi: 10.2903/j.efsa.2021.6553

General scientific guidance for stakeholders on health claim applications (Revision 1) 1

EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA)2,
PMCID: PMC7996104  PMID: 33791037

Abstract

Endorsement date 21 January 2021
Implementation date 27 March 2021

The general guidance for stakeholders on the evaluation of Article 13(1), 13(5) and 14 health claims was first published in March 2011. Since then, the Panel on Dietetic Products Nutrition and Allergies (NDA) has completed the scientific assessment of Article 13(1) claims except for claims put on hold by the European Commission, and has assessedadditional health claim applications submitted pursuant to Articles 13(5), 14 and also 19. In addition, comments received from stakeholders indicate that general issues that are common to all health claims need to be further clarified and addressed. This guidance document aims to explain the general scientific principles applied by the NDA Panel for the scientific assessmentof all health claims and outlines a series of steps for the compilation of applications. The general guidance document represents the views of the NDA Panel based on the experience gained to date with the scientific assessment of health claims, and it may be further updated, as appropriate, when additional issues are addressed.The document also aims to inform applicants of newprovisionsin the pre‐submission phase and in the application procedure set out in the General Food Law, as amended by the Transparency Regulation. These new provisions are applicable to all applications submitted as of 27 March 2021. The version of this guidance published in 2016 remains applicable for applications submitted before 27 March 2021.

Keywords: guidance, health claims, general principles, scientific aspects, applications

Suggested citation: EFSA NDA Panel (EFSA Panel on Nutrition, Novel Foods and Food Allergens) , 2021. General scientific guidance for stakeholders on health claim applications (Revision 1). EFSA Journal 2021;19(3):6553, 44 pp. doi: 10.2903/j.efsa.2021.6553

Requestor: European Food Safety Authority (EFSA)

Question number: EFSA‐Q‐2020‐00586

Panel members in 2015: Jean Louis Bresson, Barbara Burlingame, Tara Dean, Susan Fairweather‐Tait, Marina Heinonen, Karen Ildico Hirsch‐Ernst, Inge Mangelsdorf, Harry J McArdle, AndronikiNaska, Monika Neuhäuser‐Berthold, GrażynaNowicka, Kristina Pentieva, Yolanda Sanz, Alfonso Siani, Anders Sjödin, Martin Stern, Daniel Tomé, Dominique Turck, Hendrik Van Loveren, Marco Vinceti and Peter Willatts.

Acknowledgements: The 2015 Panel wishes to thank the members of the Working Group on Claims: Jean‐Louis Bresson, Susan Fairweather‐Tait, Marina Heinonen, Ambroise Martin, Harry J McArdle, Yolanda Sanz, Alfonso Siani, Anders Sjödin, Sean (J.J.) Strain, Hendrik Van Loveren and Peter Willattsfor the preparatory work on this scientific output.EFSA wishes to thank the Panel on Nutrition, Novel Foodsand Food Allergens (NDA) that endorsed this output in 2021: Dominique Turck, Jacqueline Castenmiller, Stefaan de Henauw, Karen‐Ildico Hirsch‐Ernst, John Kearney, HelleKatrineKnutsen, AlexandreMaciuk, IngeMangelsdorf, Harry J McArdle, AndronikiNaska, Carmen Pelaez, Kristina Pentieva, Alfonso Siani, Frank Thies, Sophia Tsabouri and Marco Vinceti. EFSA staffmember Sara De Berardis,LengHeng, Daniela Maurici.

1

The guidance was adopted on 10 December 2015 by the former Panel on Dietetic products, Nutrition and Allergies. The revision only aims to inform stakeholders of the new provisions set out in the General Food Law (Regulation (EC) No 178/2002, as amended by Regulation (EU) 2019/1381 on the transparency and sustainability of the EU risk assessment in the food chain), and to guide them through EFSA’s Practical Arrangements implementing these new provisions. For this purpose, the revision concerns only the administrative part. The scientific content remains unchanged. The present guidance (revision 1) was endorsed on 21 January 2021 by the Panel on Nutrition, Novel Foods and Food Allergens (NDA): Dominique Turck, Jacqueline Castenmiller, Stefaan de Henauw, Karen‐Ildico Hirsch‐Ernst, John Kearney, Helle Katrine Knutsen, Alexandre Maciuk, Inge Mangelsdorf, Harry J McArdle, Androniki Naska, Carmen Pelaez, Kristina Pentieva, Alfonso Siani, Frank Thies, Sophia Tsabouri and Marco Vinceti.

This Guidance is applicable for applications submitted as of 27 March 2021

References

  1. Aaronson N, Alonso J, Burnam A, Lohr KN, Patrick DL, Perrin E and Stein RE, 2002. Assessing health status and quality-of-life instruments: attributes and review criteria. Qual Life Res, 11, 193–205. [DOI] [PubMed] [Google Scholar]
  2. Chun J and Rainey FA, 2014. Integrating genomics into the taxonomy and systematics of the Bacteria and Archaea. Int J Syst Evol Microbiol, 64, 316–324. [DOI] [PubMed] [Google Scholar]
  3. EFSA (European Food Safety Authority) , 2008. Scientific Opinion of the Panel on Dietetic Products Nutrition and Allergies on a request from Unilever PLC/NV on Plant Sterols and lower/reduced blood cholesterol, reduced the risk of (coronary) heart disease. The EFSA Journal, 2008(781), 1–12 Available athttp://www.efsa.europa.eu/en/efsajournal/pub/781. [Google Scholar]
  4. EFSA (European Food Safety Authority) , 2021a. Administrative guidance for the processing of applications for regulated products. EFSA supporting publication2021:EN‐6471. 10.2903/sp.efsa.2021.EN-6471 [DOI] [Google Scholar]
  5. EFSA (European Food Safety Authority) , 2021b. Decision of the Executive Director of the European Food Safety Authority laying down the Practical Arrangements on pre‐submission phase and public consultations. Available online: https://www.efsa.europa.eu/sites/default/files/corporate_publications/files/210111-PAs-pre-submission-phase-and-public-consultations.pdf
  6. EFSA (European Food Safety Authority) , 2021c.Decision of the Executive Director of the European Food Safety Authority laying down practical arrangements concerning transparency and confidentiality. Available online: https://www.efsa.europa.eu/sites/default/files/corporate_publications/files/210111-PAs-transparency-and-confidentiality.pdf
  7. EFSA (European Food Safety Authority) , 2021d. EFSA's Catalogue of support initiatives during the life-cycle of applications for regulated products. EFSA supporting publication2021:EN‐6472. 10.2903/sp.efsa.2021.EN-6472 [DOI] [Google Scholar]
  8. EFSA BIOHAZ Panel (EFSA Panel on Biological Hazards) , 2013. Scientific Opinion on the evaluation of molecular typing methods for major food-borne microbiological hazards and their use for attribution modelling, outbreak investigation and scanning surveillance: Part 1 (evaluation of methods and applications). EFSA Journal 2013;11(12):3502, 84 pp. 10.2903/j.efsa.2013.3502 Available at http://www.efsa.europa.eu/en/efsajournal/pub/3502 [DOI] [Google Scholar]
  9. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2009a. Scientific Opinion on the substantiation of health claims related to vitamin C and protection of DNA, proteins and lipids from oxidative damage (ID 129, 138, 143, 148), antioxidant function of lutein (ID 146), maintenance of vision (ID 141, 142), collagen formation (ID 130, 131, 136, 137, 149), function of the nervous system (ID 133), function of the immune system (ID 134), function of the immune system during and after extreme physical exercise (ID 144), non-haem iron absorption (ID 132, 147), energyyielding metabolism (ID 135), and relief in case of irritation in the upper respiratory tract (ID 1714, 1715) pursuant to Article 13(1) of Regulation (EC) No 1924/2006 on request from the European Commission. EFSA Journal 2009;7(9):1226, 28 pp. 10.2903/j.efsa.2009.1226 Available at http://www.efsa.europa.eu/en/efsajournal/pub/1226 [DOI] [Google Scholar]
  10. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2009b. Scientific opinion on the substantiation of health claims related to non-characterised microorganisms pursuant to Article 13 of Regulation (EC) No 1924/2006 on request from the European Commission. EFSA Journal 2009;7(9):1247, 64 pp. 10.2903/j.efsa.2009.1247 Available at http://www.efsa.europa.eu/en/efsajournal/pub/1247 [DOI] [Google Scholar]
  11. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2010a. Scientific Opinion on the substantiation of health claims related to eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA), docosapentaenoic acid (DPA) and maintenance of normal cardiac function (ID 504, 506, 516, 527, 538, 703, 1128, 1317, 1324, 1325), maintenance of normal blood glucose concentrations (ID 566), maintenance of normal blood pressure (ID 506, 516, 703, 1317, 1324), maintenance of normal blood HDL-cholesterol concentrations (ID 506), maintenance of normal (fasting) blood concentrations of triglycerides (ID 506, 527, 538, 1317, 1324, 1325), maintenance of normal blood LDL-cholesterol concentrations (ID 527, 538, 1317, 1325, 4689), protection of the skin from photo-oxidative (UV-induced) damage (ID 530), improved absorption of EPA and DHA (ID 522, 523), contribution to the normal function of the immune system by decreasing the levels of eicosanoids, arachidonic acid-derived mediators and pro-inflammatory cytokines (ID 520, 2914), and “immunomodulating agent” (4690) pursuant to Article 13(1) of Regulation (EC) No 1924/2006. EFSA Journal 2010;8(10):1796, 32 pp. 10.2903/j.efsa.2010.1796 Available at http://www.efsa.europa.eu/en/efsajournal/pub/1796 [DOI] [Google Scholar]
  12. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2010b. Scientific Opinion on the modification of the authorisation of a health claim related to water-soluble tomato concentrate and helps to maintain a healthy blood flow and benefits circulation pursuant to Article 13(5) of Regulation (EC) No 1924/2006 following a request in accordance with Article 19 of the Regulation (EC) No 1924/2006. EFSA Journal 2010;8(7):1689, 9 pp. 10.2903/j.efsa.2010.1689 Available at http://www.efsa.europa.eu/en/efsajournal/pub/1689 [DOI] [Google Scholar]
  13. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2010c. Scientific Opinion on the substantiation of health claims related to non-characterised bacteria and yeasts pursuant to Article 13(1) of Regulation (EC) No 1924/2006. EFSA Journal 2010;8(2):1470, 44 pp. 10.2903/j.efsa.2010.1470 Available at http://www.efsa.europa.eu/en/efsajournal/pub/1470 [DOI] [Google Scholar]
  14. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2011a. General guidance for stakeholders on the evaluation of Article 13.1, 13.5 and 14 health claims. EFSA Journal 2011;9(4):2135, 24 pp. 10.2903/j.efsa.2011.2135 Available at http://www.efsa.europa.eu/en/efsajournal/pub/2135 [DOI] [Google Scholar]
  15. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2011b. Scientific and technical guidance for the preparation and presentation of an application for authorisation of a health claim (revision 1). EFSA Journal 2011;9(5):2170, 36 pp. 10.2903/j.efsa.2011.2170 Available at http://www.efsa.europa.eu/en/efsajournal/pub/2170 [DOI] [Google Scholar]
  16. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2011c. Scientific Opinion on the substantiation of health claims related to: dairy products (ID 1140, 1141, 1191), raw or processed food products of animal origin, plus bread and panification products (ID 1193, 1194), herbal yeast plasmolysate (ID 1815, 1816), apple polyphenols (ID 2713), rye flour (ID 1266), tomato juice (ID 1202), whey protein and alphalactalbumin (ID 424, 430, 432, 725, 1433) and “brocco shoots”, “broccoli sprout powder” and “Brassica oleracea var. italica (broccoli)” (ID 1362, 1481, 2844, 2845), honey (ID 1159, 1160, 1318, 4678, 4679), and Cucurbita pepo L. (pumpkin) seed and seed extracts (ID 2029, 2365) pursuant to Article 13(1) of Regulation (EC) No 1924/2006. EFSA Journal 2011;9(6):2243, 33 pp. 10.2903/j.efsa.2011.2243 Available at http://www.efsa.europa.eu/en/efsajournal/pub/2243 [DOI] [Google Scholar]
  17. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2011d. Scientific Opinion on the substantiation of health claims related to arabinoxylan produced from wheat endosperm and reduction of post-prandial glycaemic responses (ID 830) pursuant to Article 13(1) of Regulation (EC) No 1924/2006. EFSA Journal 2011;9(6):2205, 15 pp. 10.2903/j.efsa.2011.2205 Available at http://www.efsa.europa.eu/en/efsajournal/pub/2205 [DOI] [Google Scholar]
  18. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2011e. Scientific Opinion on the substantiation of health claims related to caffeine and increase in physical performance during short-term high-intensity exercise (ID 737, 1486, 1489), increase in endurance performance (ID 737, 1486), increase in endurance capacity (ID 1488) and reduction in the rated perceived exertion/effort during exercise (ID 1488, 1490) pursuant to Article 13(1) of Regulation (EC) No 1924/2006. EFSA Journal 2011;9(4):2053, 24 pp. 10.2903/j.efsa.2011.2053 Available at http://www.efsa.europa.eu/en/efsajournal/pub/2053 [DOI] [Google Scholar]
  19. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2012a. Scientific Opinion on the substantiation of a health claim related to OXY 280 and reduction of body weight pursuant to Article 13(5) of Regulation (EC) No 1924/2006. EFSA Journal 2012;10(12):2999, 8 pp. 10.2903/j.efsa.2012.2999 Available at http://www.efsa.europa.eu/en/efsajournal/pub/2999 [DOI] [Google Scholar]
  20. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2012b. Scientific Opinion on the substantiation of a health claim related to cocoa flavanols and maintenance of normal endothelium-dependent vasodilation pursuant to Article 13(5) of Regulation (EC) No 1924/2006. EFSA Journal 2012;10(7):2809, 21 pp. 10.2903/j.efsa.2012.2809 Available at http://www.efsa.europa.eu/en/efsajournal/pub/2809 [DOI] [Google Scholar]
  21. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2013. Scientific Opinion on the substantiation of a health claim related to the combination of artichoke leaf dry extract standardised in caffeoylquinic acids, monacolin K in red yeast rice, sugar-cane derived policosanols, OPC from French maritime pine bark, garlic dry extract standardised in allicin, d-α-tocopheryl hydrogen succinate, riboflavin and inositol hexanicotinate in Limicol® and reduction of blood LDL-cholesterol concentrations pursuant to Article 14 of Regulation (EC) No 1924/2006. EFSA Journal 2013;11(7):3327, 16 pp. 10.2903/j.efsa.2013.3327 Available at http://www.efsa.europa.eu/en/efsajournal/pub/3327 [DOI] [Google Scholar]
  22. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2014a. Guidance on Statistical Reporting. EFSA Journal 2014;12(12):3908, 18 pp. 10.2903/j.efsa.2014.3908 Available at http://www.efsa.europa.eu/en/efsajournal/pub/3908 [DOI] [Google Scholar]
  23. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2014b. Scientific Opinion on the substantiation of a health claim related to non-digestible carbohydrates and reduction of post-prandial glycaemic responses pursuant to Article 13(5) of Regulation (EC) No 1924/2006. EFSA Journal 2014;12(1):3513, 13 pp. 10.2903/j.efsa.2014.3513 Available at http://www.efsa.europa.eu/en/efsajournal/pub/3513 [DOI] [Google Scholar]
  24. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2014c. Scientific Opinion on the substantiation of a health claim related to a standardised aqueous extract from white kidney bean (Phaseolus vulgaris L.) and reduction of body weight pursuant to Article 13(5) of Regulation (EC) No 1924/2006. EFSA Journal 2014;12(7):3754, 14 pp. 10.2903/j.efsa.2014.3754 Available at http://www.efsa.europa.eu/en/efsajournal/pub/3754 [DOI] [Google Scholar]
  25. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2014d. Scientific Opinion on the modification of the authorisation of a health claim related to cocoa flavanols and maintenance of a normal endothelium-dependent vasodilation pursuant to Article 13(5) of Regulation (EC) No 1924/2006 following a request in accordance with Article 19 of Regulation (EC) No 1924/2006. EFSA Journal 2014;12(5):3654, 13 pp. 10.2903/j.efsa.2014.3654 Available at http://www.efsa.europa.eu/en/efsajournal/pub/3654 [DOI] [Google Scholar]
  26. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2014e. Scientific Opinion on the modification of the authorisation of a health claim related to plant sterol esters and lowering blood LDL-cholesterol; high blood LDL-cholesterol is a risk factor in the development of (coronary) heart disease pursuant to Article 14 of Regulation (EC) No 1924/2006, following a request in accordance with Article 19 of Regulation (EC) No 1924/2006. EFSA Journal 2014;12(2):3577, 14 pp. 10.2903/j.efsa.2014.3577 Available at http://www.efsa.europa.eu/en/efsajournal/pub/3577 [DOI] [Google Scholar]
  27. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2015. Outcome of a public consultation on the discussion paper for the revision of the guidance on the scientific requirements for health claims related to gut and immune function. EFSA supporting publication2015:EN‐758. 117 pp. Available at http://www.efsa.europa.eu/en/supporting/pub/758e [Google Scholar]
  28. EFSA NDA Panel in 2016 (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2021. Scientific and technical guidance for the preparation and presentation of a health claim application (Revision 3)EFSA Scientific Committee, 2009. Guidance on safety assessment of botanicals and botanical preparations intended for use as ingredients in food supplements, on request of EFSA. EFSA Journal 2009; 7(9):1249, 19 pp. 10.2093/j.efsa.2009.1249 Available at http://www.efsa.europa.eu/en/efsajournal/pub/1249 [DOI] [PMC free article] [PubMed] [Google Scholar]
  29. FDA (Food and Drug Administration Center for Drug Evaluation and Research (CDER)) , 2009. Guidance for Industry. Use in Medical Product Development to Support Labeling Claims, Patient‐Reported Outcome Measures: Available online: http://www.fda.gov/downloads/Drugs/Guidances/UCM193282.pdf. [Google Scholar]
  30. Goris J, Konstantinidis KT, Klappenbach JA, Coenye T, Vandamme P and Tiedje JM, 2007. DNA-DNA hybridization values and their relationship to whole-genome sequence similarities. Int J Syst Evol Microbiol, 57, 81–91. [DOI] [PubMed] [Google Scholar]
  31. Kim M, Oh HS, Park SC and Chun J, 2014. Towards a taxonomic coherence between average nucleotide identity and 16S rRNA gene sequence similarity for species demarcation of prokaryotes. Int J Syst Evol Microbiol, 64, 346–351. [DOI] [PubMed] [Google Scholar]
  32. Standing Committee on the Food Chain and Animal Health , 2007. Guidance on the implementation of Regulation (EC) No 1924/2006 on nutrition and health claims made on foods – Conclusions of the Standing Committee on the Food Chain and Animal Health, 14 December 2007. Available athttp://ec.europa.eu/food/safety/docs/labelling_nutrition_claim_reg-2006-124_guidance_en.pdf. [Google Scholar]
  33. Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM and de Vet HC, 2007. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol, 60, 34–42. [DOI] [PubMed] [Google Scholar]

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