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Int J Health Policy Manag. 2022;11(11): 2574-2587.
doi: 10.34172/ijhpm.2022.6127
PMID: 35219283
PMCID: PMC9818094
  Abstract View: 13
  PDF Download: 11

Original Article

Legitimacy of Front-of-Pack Nutrition Labels: Controversy Over the Deployment of the Nutri-Score in Italy

Morgane Fialon 1*, Lydiane Nabec 2, Chantal Julia 1,3

1 Nutritional Epidemiology Research Team (EREN), Sorbonne Paris Nord University/INSERM U1153/INRAE U1125/CNAM, Epidemiology and Statistics Research Center, University of Paris (CRESS), Paris, France.
2 Centre de Recherche Réseaux, Innovation, Territoire et Mondialisation (RITM), Université Paris-Saclay, Paris, France.
3 Public Health Department, Avicenne Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP), Paris, France.
*Corresponding Author: Correspondence to: Morgane Fialon Email: , Email: m.fialon@eren.smbh.univ-paris13.fr

Abstract

Background: Front-of-pack nutrition labels (FoPLs) aim at increasing transparency and consumers’ awareness of the nutritional composition of pre-packed food products in order to improve the nutritional quality of their food choices. Nevertheless, the legitimacy of the Nutri-Score - the FoPL officially adopted in France and several other European countries - is subject to both technical and political controversy, particularly in Italy. In this study, we investigated how and by whom the legitimacy of the Nutri-Score, recognized by several institutional authorities, could be deconstructed within a specific system of norms, values and beliefs among Italian stakeholders.

Methods: A netnography completed with qualitative interviews with eight Italian and French nutrition and public health experts were carried out to highlight the dimensions (pragmatic, normative and cognitive) in which the Nutri-Score’s legitimacy is being challenged among the stakeholders involved in FoPLs’ implementation in Italy. The degree of influence and the position of these stakeholders on the debate around the Nutri-Score were assessed through the Stakeholder Theory (SHT), using their respective level of power, legitimacy and urgency. Furthermore, we compared the Italian and the French contexts on the issue.

Results: The direct implication of political parties and media outlets in framing the Italian debate around Nutri-Score as well as the high influence of corporate unions, led to a different political outcome than in France. Results also show that the deconstruction of the legitimacy of the Nutri-Score in Italy pertained mainly to its pragmatic dimension according to the Italian public health experts. Nevertheless, its two other dimensions (normative and cognitive) are also questioned by high-influence stakeholders.

Conclusion: Due to the limited mobilization of scientific expertise over the issue, the debate in Italy stayed centered around the “attack” of the Nutri-Score to the Italian way of life, mixing up concepts such as Made in Italy products and the Mediterranean diet.


Citation: Fialon M, Nabec L, Julia C. Legitimacy of front-of-pack nutrition labels: controversy over the deployment of the Nutri-Score in Italy. Int J Health Policy Manag. 2022;11(11):2574–2587. doi:10.34172/ijhpm.2022.6127
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Submitted: 11 Mar 2021
Accepted: 12 Jan 2022
ePublished: 20 Feb 2022
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