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Foods, Nutrients and Food Ingredients with Authorised EU Health Claims, Volume 1 PDF

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Foods, Nutrients and Food Ingredients with Authorised EU Health Claims Related titles: Functional foods: concept to product (Second edition) (ISBN 78-1-84569-690-0) Innovations in food labeling (ISBN 978-1-84569-676-4) Performance functional foods (ISBN 978-1-85573-671-9) Woodhead Publishing Series in Food Science, Technology and Nutrition: Number 263 Foods, Nutrients and Food Ingredients with Authorised EU Health Claims Volume 1 Edited by M. J. Sadler AMSTERDAM(cid:141)BOSTON(cid:129)CAMBRIDGE(cid:129)HEIDELBERG(cid:129)LONDON NEW YORK(cid:129)OXFORD(cid:129)PARIS(cid:129)SAN DIEGO SAN FRANCISCO(cid:129)SINGAPORE(cid:129)SYDNEY(cid:129)TOKYO Woodhead Publishing is an imprint of Elsevier Woodhead Publishing is an imprint of Elsevier 80 High Street, Sawston, Cambridge, CB22 3HJ, UK 225 Wyman Street, Waltham, MA 02451, USA Langford Lane, Kidlington, OX5 1GB, UK Copyright © 2014 Woodhead Publishing Limited. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, mechanical, photocopying, recording or otherwise without the prior written permission of the publisher. Permissions may be sought directly from Elsevier’s Science & Technology Rights Department in Oxford, UK: phone (+44) (0) 1865 843830; fax (+44) (0) 1865 853333; email: [email protected]. Alternatively you can submit your request online by visiting the Elsevier website at http://elsevier.com/locate/permissions, and selecting Obtaining permission to use Elsevier material. The views expressed in each chapter are the authors’ own and are not necessarily those of the Editor or Publisher. Notice No responsibility is assumed by the publisher 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. Because of rapid advances in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be made. British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library Library of Congress Control Number: 2013956833 ISBN 978-0-85709-842-9 (print) ISBN 978-0-85709-848-1 (online) For information on all Woodhead Publishing publications visit our website at http://store.elsevier.com/ Typeset by Ann Buchan (Typesetters), Middlesex, UK Printed and bound in the United Kingdom Contents Contributor contact details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii Woodhead Publishing Series in Food Science, Technology and Nutrition. . xvii Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxvii Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxxi Part I Regulatory background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 The regulation of health claims in Europe . . . . . . . . . . . . . . . . . . . . . . . 3 N. Binns, Independent consultant in nutrition and food regulation, UK 1.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1.2 Definitions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 1.3 Development of the list of claims under Article 13.3. . . . . . . . . . . 7 1.4 Regulatory approval procedure for Article 13.5 and 14 health claims . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 1.5 Transition periods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 1.6 Scientific substantiation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 1.7 Community Register of claims . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 1.8 Wording of health claims . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 1.9 Labelling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 1.10 Nutrient profiling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 1.11 Conclusion and future trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 1.12 Sources of further information and advice . . . . . . . . . . . . . . . . . . 20 1.13 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Part II Authorised disease risk reduction claims, children’s development and health claims, and proprietary claims . . . . . . 23 2 Authorised EU health claims for barley and oat beta-glucans . . . . . 25 J. Harland, Harland Hall Associates, UK 2.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 2.2 Authorised Article 13.1/14.1(a) cholesterol claims . . . . . . . . . . . 28 2.3 Summary of substantiating evidence related to cholesterol claims . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 2.4 Other relevant legislation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 2.5 Conditions of use, warning labels and safety issues. . . . . . . . . . . 39 2.6 Consumer issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 vi Contents 2.7 How the claims are being used in practice . . . . . . . . . . . . . . . . . . 40 2.8 Future trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 2.9 Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 2.10 Sources of further information and advice . . . . . . . . . . . . . . . . . . 42 2.11 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 3 Authorised EU health claims for xylitol and sugar-free chewing gum (SFCG) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 K. K. Mäkinen, University of Turku, Finland 3.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 3.2 The chemical profile of xylitol . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 3.3 Authorised health claims. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 3.4 Substantiating evidence. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 3.5 Other relevant legislation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 3.6 Warning labels and safety issues. . . . . . . . . . . . . . . . . . . . . . . . . . 60 3.7 Incorporation of sugar-free chewing gum (SFCG) as part of a balanced dietary regimen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 3.8 Consumer understanding of the wording used in recommendations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 3.9 Use of dental health claims in practice . . . . . . . . . . . . . . . . . . . . . 64 3.10 Medical and other uses of xylitol chewing gum . . . . . . . . . . . . . . 65 3.11 Future trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66 3.12 Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 3.13 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 4 Authorised children’s development and health claims in the EU . . . 73 J. Harland, Harland Hall Associates, UK 4.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 4.2 Authorised health claims. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76 4.3 Summary of substantiating evidence. . . . . . . . . . . . . . . . . . . . . . . 80 4.4 Other relevant legislation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86 4.5 Conditions of use, warning labels and safety issues. . . . . . . . . . . 86 4.6 Consumer issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 4.7 How the claims are being used in practice . . . . . . . . . . . . . . . . . . 88 4.8 Future trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88 4.9 Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 4.10 Sources of further information and advice . . . . . . . . . . . . . . . . . . 90 4.11 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 5 Authorised EU health claims for water-soluble tomato concentrate (WSTC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 A. K. Duttaroy, University of Oslo, Norway 5.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 5.2 Epidemiology of tomato consumption and cardiovascular disease (CVD) risk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Contents vii 5.3 Human platelets and vascular homeostasis. . . . . . . . . . . . . . . . . . 94 5.4 Isolation and characterisation of water-soluble tomato extract: effects on human platelet aggregation. . . . . . . . . . . . . . . . . . . . . . 96 5.5 Further characterisation of water-soluble tomato extract . . . . . . . 99 5.6 Human trials using the water-soluble tomato extract . . . . . . . . . 101 5.7 EU approval of the health claim of the platelet inhibitory property of the water-soluble tomato extract . . . . . . . . . . . . . . . 103 5.8 Commercially available Fruitflow® products. . . . . . . . . . . . . . . 105 5.9 Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105 5.10 Acknowledgement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106 5.11 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106 Part III Ingredients with permitted ‘general function’ claims . . . . . . 111 6 Authorised EU health claims for choline . . . . . . . . . . . . . . . . . . . . . . 113 K. V. Lukasik, Balchem Corporation, USA 6.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 6.2 Characterization of the substance . . . . . . . . . . . . . . . . . . . . . . . . 114 6.3 Allowable health claims according to Commission Regulation 423/2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 6.4 Other relevant EU legislation . . . . . . . . . . . . . . . . . . . . . . . . . . . 122 6.5 Conditions of use and safety considerations. . . . . . . . . . . . . . . . 122 6.6 Consumer issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123 6.7 Potential of health claims in product development. . . . . . . . . . . 125 6.8 Claims being used in practice . . . . . . . . . . . . . . . . . . . . . . . . . . . 128 6.9 Conclusion and future trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . 128 6.10 Sources of further information and advice . . . . . . . . . . . . . . . . . 129 6.11 Acknowledgements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130 6.12 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130 7 Authorised EU health claims for creatine . . . . . . . . . . . . . . . . . . . . . 139 R. B. Child, Alimentarius Ltd, UK 7.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139 7.2 Creatine characterisation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140 7.3 Authorised health claim. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143 7.4 Legislation relevant to the use of the creatine health claim . . . . 145 7.5 Consumer issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146 7.6 Importance of the claim in product development . . . . . . . . . . . . 147 7.7 Future trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147 7.8 Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148 7.9 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148 viii Contents 8 Authorised EU health claims for intense sweeteners and sugar replacers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151 C. Shortt, Johnson & Johnson EAME, UK 8.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151 8.2 Overview of intense sweeteners and sugar replacers . . . . . . . . . 152 8.3 Applications of intense sweeteners and sugar replacers, related authorised nutrition and health claims. . . . . . . . . . . . . . . 154 8.4 Safety of intense sweeteners and sugar replacers . . . . . . . . . . . . 166 8.5 Conclusion and future trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . 169 8.6 Sources of further information and advice . . . . . . . . . . . . . . . . . 170 8.7 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171 9 Authorised EU health claims related to the management of lactose intolerance: reduced lactose content, dietary lactase supplements and live yoghurt cultures . . . . . . . . . . . . . . . . . . . . . . . . 177 A. K. Kies, DSM Biotechnology Center, The Netherlands 9.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 9.2 Lactose maldigestion and intolerance. . . . . . . . . . . . . . . . . . . . . 180 9.3 Foods with reduced lactose content . . . . . . . . . . . . . . . . . . . . . . 185 9.4 Lactase enzyme, as a dietary supplement . . . . . . . . . . . . . . . . . . 189 9.5 Live yoghurt cultures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198 9.6 Conclusion and future trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . 202 9.7 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204 10 Authorised EU health claims for polyphenols in olive oil . . . . . . . . . 212 S. Lockyer and I. Rowland, University of Reading, UK 10.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212 10.2 Characterisation of polyphenols in olive products . . . . . . . . . . . 213 10.3 Authorised health claim. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 214 10.4 Role of low density lipoprotein (LDL) oxidation in cardiovascular disease (CVD) risk . . . . . . . . . . . . . . . . . . . . . . . 215 10.5 Studies that supported the claim . . . . . . . . . . . . . . . . . . . . . . . . . 216 10.6 Mechanism of oxLDL reduction by intake of olive oil phenolics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218 10.7 Unsuccessful health claims . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219 10.8 Safety issues and conditions of use. . . . . . . . . . . . . . . . . . . . . . . 220 10.9 Consumer issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 220 10.10 How the claim is being used in practice . . . . . . . . . . . . . . . . . . . 223 10.11 Conclusion and future trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . 223 10.12 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224 11 Authorised EU health claims for resistant starch and post-prandial glycaemic responses . . . . . . . . . . . . . . . . . . . . . . . . . . . 229 A. de la Hunty, Ashwell Associates, UK and J. Scott, Ingredion UK Ltd, UK 11.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229 Contents ix 11.2 Characterisation of the ingredient. . . . . . . . . . . . . . . . . . . . . . . . 230 11.3 Authorised health claim. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231 11.4 Summary of substantiating evidence. . . . . . . . . . . . . . . . . . . . . . 232 11.5 Nutrition labelling and nutrition claims regulations . . . . . . . . . . 238 11.6 Conditions of use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239 11.7 Consumer issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239 11.8 Future trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 242 11.9 Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 244 11.10 Sources of further information and advice . . . . . . . . . . . . . . . . . 244 11.11 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 245 Part IV Foods and nutrients with permitted health claims 249 12 Authorised EU health claims for betaine . . . . . . . . . . . . . . . . . . . . . . 251 K. K. Tiihonen, DuPont Nutrition and Health, Finland, K. Riihinen, M. Lyyra and E. Sarkkinen, Oy Foodfiles Ltd, Finland, S. A. S. Craig, DuPont Nutrition and Health, USA and P. Tenning, DuPont Nutrition and Health, Denmark 12.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251 12.2 Characterisation of betaine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 252 12.3 Authorised health claim on normal homocysteine metabolism . 254 12.4 Interaction with other EU legislation concerning betaine. . . . . . 259 12.5 Conditions of use of betaine . . . . . . . . . . . . . . . . . . . . . . . . . . . . 261 12.6 Consumer understanding. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264 12.7 Importance of the claim in food product development and supplement marketing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265 12.8 Future trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 266 12.9 Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268 12.10 Sources of further information . . . . . . . . . . . . . . . . . . . . . . . . . . 268 12.11 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269 13 Authorised EU health claims for vitamins and minerals . . . . . . . . . 274 M. J. Sadler, Rank Nutrition Ltd, UK 13.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274 13.2 Characterisation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275 13.3 Authorised claims for vitamins and minerals . . . . . . . . . . . . . . . 275 13.4 Conditions of use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290 13.5 Consumer issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 291 13.6 Other relevant legislation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 294 13.7 Importance of the claim in product development and potential future trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 294 13.8 Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 296 13.9 Sources of further information and advice . . . . . . . . . . . . . . . . . 296 13.10 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 296 x Contents 14 Authorised EU health claims for the replacement of saturated fats 298 K. M. Livingstone, The University of Reading, UK 14.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 298 14.2 Characterisation of the constituents . . . . . . . . . . . . . . . . . . . . . . 299 14.3 Scientific substantiation for the authorised claim: fatty acids (FA) and cholesterol. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 300 14.4 Dietary recommendations and further considerations. . . . . . . . . 303 14.5 Impact on product development . . . . . . . . . . . . . . . . . . . . . . . . . 308 14.6 Consumer issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 311 14.7 Future trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 313 14.8 Sources of further information and advice . . . . . . . . . . . . . . . . . 314 14.9 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 314 15 Authorised EU health claims for proteins, meat and fish . . . . . . . . 318 U. Arens, Freelance nutrition writer, UK 15.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 318 15.2 Nutrition labelling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 320 15.3 Nutrient claims . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 321 15.4 Health claims. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 323 15.5 Consumer aspects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 326 15.6 Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 327 15.7 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 327 16 Authorised EU health claim for walnuts . . . . . . . . . . . . . . . . . . . . . . 329 T. Poon, Intertek Cantox, Canada and N. Baldwin, Intertek Cantox, UK 16.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 329 16.2 Characterisation of walnuts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 330 16.3 Health claims related to walnuts in the EU. . . . . . . . . . . . . . . . . 333 16.4 Health claims related to walnuts in other jurisdictions. . . . . . . . 342 16.5 Health claims related to other nuts in the EU and various jurisdictions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342 16.6 Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 345 16.7 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 346 17 Authorised EU health claims for carbohydrate-electrolyte solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 349 R. Murray, Sports Science Insights, LLC, USA 17.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 349 17.2 Characteristics of carbohydrate-electrolyte solutions. . . . . . . . . 351 17.3 Health claim evaluation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 352 17.4 Benefits to consumers and use of sports drinks . . . . . . . . . . . . . 355 17.5 Scientific substantiation of efficacy . . . . . . . . . . . . . . . . . . . . . . 357 17.6 Product development issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . 363 17.7 Claim usage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 364

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