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Foods, nutrients and food ingredients with authorised EU health claims VOL 3 PDF

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Title Foods, Nutrients and Food Ingredients with Authorised EU Health Claims Related Titles Foods, Nutrients and Food Ingredients with Authorised EU Health Claims, Volume 1 (978-0-85709-842-9) Foods, Nutrients and Food Ingredients with Authorised EU Health Claims, Volume 2 (978-1-78242-382-9) Global Legislation for Food Contact Materials (978-1-78242-014-9) Advances in Food and Beverage Labeling: Information and Regulations (978-1-78242-085-9) Woodhead Publishing Series in Food Science, Technology and Nutrition Foods, Nutrients and Food Ingredients with Authorised EU Health Claims Volume 3 Edited by Michele J. Sadler Copyright Woodhead Publishing is an imprint of Elsevier The Officers’ Mess Business Centre, Royston Road, Duxford, CB22 4QH, United Kingdom 50 Hampshire Street, 5th Floor, Cambridge, MA 02139, United States The Boulevard, Langford Lane, Kidlington, OX5 1GB, United Kingdom Copyright © 2018 Elsevier Ltd. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Library of Congress Cataloging-in-Publication Data A catalog record for this book is available from the Library of Congress British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library ISBN: 978-0-08-100922-2 (print) ISBN: 978-0-08-101006-8 (online) For information on all Woodhead publications visit our website at https://www.elsevier.com/books-and-journals Publisher: André Gerhard Wolff Acquisition Editor: Nancy Maragioglio Editorial Project Manager: Karen Miller Production Project Manager: Omer Mukthar Designer: Mark Rogers Typeset by Thomson Digital Dedication Volume 3 of Foods, Nutrients and Food Ingredients With Authorised EU Health Claims is dedicated to Dr Janice Harland RNutr FAfN (1954–2017). Following a successful career in the food industry, Janice set up her own company (Harland Hall Associates, United Kingdom) and worked as a nutrition consultant, lecturer and author. Janice was an enthusiastic contributor to all of the three Volumes of this series, having contributed chapters on barley and oat β-glucans and on children’s claims in Volume 1, on oat and barley grain fibre and on wheat bran fibre in Volume 2 and on sugar beet fibre is this current Volume. This reflects Janice’s specialism in nutrition and health claim legislation, the breadth of her knowledge and experience in the area and her broader aim of wanting to disseminate evidence-based nutrition and health science to a wider audience. Colleagues have reflected that Janice will be missed for her professionalism, scientific acumen, wealth of nutrition knowledge, support and advice which she was always willing to give, and for the contribution she had still to make to nutrition science. Page left intentionally blank Contents List of contributors xiii Preface xv Part One Regulatory Background 1 1 European health claims: regulatory developments 3 Michele J. Sadler 1.1 Introduction 3 1.2 Health claim applications 3 1.3 REFIT evaluation of Nutrition and Health Claims Regulation 9 1.4 Communications to health professionals 10 1.5 Guidance 10 1.6 EFSA developments 12 1.7 Changing political landscape 12 1.8 Conclusions 15 1.9 Sources of further information and advice 16 References 16 2 Consumers and health claims 19 Sophie Hieke, Klaus G. Grunert 2.1 Introduction 19 2.2 Regulation of health claims in Europe and food innovation 20 2.3 Health claims: what is currently on the market? 21 2.4 How health claims affect consumers 23 2.5 A realistic perspective on the effect of health claims on consumers 28 References 28 Part Two Authorised Reduction of Disease Risk Claims 33 3 Authorised EU health claims for calcium and calcium with vitamin D (for low bone mineral density and risk of fractures) 35 Philippa S. Gibson, Michele J. Sadler, Susan A. Lanham-New 3.1 Introduction 35 3.2 Evidence for effect of calcium alone on reduction of post-menopausal bone loss and reduced fracture risk 36 3.3 Effect of vitamin D alone on fall prevention: prevention of bone loss, fracture reduction, and muscle function and strength 38 viii Contents 3.4 Calcium and vitamin D combined on osteoporosis prevention 40 3.5 Current EU health claims for calcium, and calcium and vitamin D combined 41 3.6 Areas for future research 44 References 44 4 Authorised EU health claim for Vitamin D and reduced risk of falls 49 Heike A. Bischoff-Ferrari, Michele J. Sadler 4.1 Introduction 49 4.2 Epidemiology of falls and cost of falls 49 4.3 Mechanistic evidence on how vitamin D is related to muscle health 50 4.4 Clinical evidence on how vitamin D is related to muscle health 50 4.5 Vitamin D and Type II fast twitch muscle fibres and relevance for fall risk 51 4.6 Vitamin D and fall prevention 53 4.7 Fall reduction by type of vitamin D, by gender, and by dwelling 54 4.8 Fall reduction with 800 IU vitamin D by baseline 25-hydroxyvitamin D status 54 4.9 Fall prevention and higher bolus doses of vitamin D 55 4.10 Current guidelines on vitamin D and fall prevention 56 4.11 Authorised EU health claim 57 4.12 Conclusions 57 4.13 Sources of further information 60 References 60 5 Authorised EU health claim for supplementary folic acid 65 Michele J. Sadler 5.1 Introduction 65 5.2 What are neural tube defects? 66 5.3 Characterisation of folic acid 67 5.4 Formulating the health claim 68 5.5 Substantiating the health claim 68 5.6 Authorisation of the claim 74 5.7 Additional data 76 5.8 Other relevant legislation 77 5.9 How the claim is being used in practice 77 5.10 Consumer issues 77 5.11 Future trends: mandatory fortification with folic acid? 80 5.12 EU DRVs for folate intake 82 5.13 Conclusions 82 5.14 Sources of further information and advice 83 References 83 Contents ix 6 Authorised EU health claim for MUFA and PUFA in replacement of saturated fats 87 Katherine M. Livingstone 6.1 Introduction 87 6.2 Characterisation of the substance 87 6.3 Authorised EU health claim: UFA and LDL-cholesterol 88 6.4 Other relevant legislation 94 6.5 Consumer issues 95 6.6 Potential impact of the claim on product development 96 6.7 Future trends 97 6.8 Conclusions 97 6.9 Sources of further information and advice 98 References 98 Part Three Health Claims Based on Emerging Science and Proprietary Claims 101 7 Authorised EU health claim for reformulated, non-alcoholic, acidic drinks 103 Michele J. Sadler 7.1 Introduction 103 7.2 Health claim application 104 7.3 Characterisation 104 7.4 Target group 104 7.5 Evidence substantiating the claim 105 7.6 Authorisation of the claim 107 7.7 Consumer issues 108 7.8 Use of the claim 109 7.9 Related EFSA opinion 109 7.10 Future trends 109 7.11 Conclusions 110 References 110 8 Authorised EU health claim for sugar beet fibre 113 Janice I. Harland† 8.1 Introduction 113 8.2 Characterisation of the ingredient 114 8.3 Authorised Article 13.5 claim 114 8.4 Article 13.1 claim 119 8.5 Other legislation 121 8.6 Conditions of use, warning labels and safety issues 121 8.7 Consumer issues 122 8.8 How the claims are being used in practice and future trends 123 † Deceased

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