ABSTRACT
Questions about the safety of food additives and their consumption have been raised in recent years. The increased exposure to these substances, either by intake of ultra-processed foods or by the broad use and combination of various categories of additives, may be related to higher risks to consumer health. This article comments on the results of a study that quantified and characterized food additives found on the labels of 9,856 packaged foods and beverages available in Brazilian supermarkets. The study adopted a field diary method to record and analyze nonconformities in the lists of ingredients. The objective of this article is to discuss the use of additives identified on the labels and the limitations of Brazilian legislation, which should guarantee the right to information and health.
Food Additives, adverse effects; Nutritional Facts; Food Labeling, legislation & jurisprudence
RESUMO
Nos últimos tempos, questões vêm sendo levantadas sobre a segurança no uso de aditivos alimentares e em seu consumo. verificou-se que o aumento da exposição a essas substâncias, seja pela ingestão mais frequente de alimentos ultraprocessados ou pela ampla utilização e combinação de várias categorias de aditivos pela indústria, pode estar relacionado ao maior risco à saúde do consumidor. Um estudo quantificou e caracterizou aditivos alimentares encontrados nos rótulos de 9.856 alimentos e bebidas embalados disponíveis nos supermercados brasileiros. nele, foi adotado um diário de campo para registro de falhas e inconformidades nas informações presentes nas listas de ingredientes, sendo, por fim, analisadas qualitativamente e descritas de forma narrativa. Com base nisso, o objetivo deste comentário é apresentar e discutir o uso desses aditivos identificados nos rótulos e as limitações da legislação brasileira, que deveria garantir o direito à informação e a saúde da população.
Aditivos Alimentares, efeitos adversos; Informação Nutricional; Rotulagem de Alimentos, legislação & jurisprudência
INTRODUCTION
Food additive is any ingredient intentionally added to food during its manufacture, processing, packaging, storage, transport or handling, without the purpose of providing nutrition, instead modifying the food’s physical, chemical, biological or sensorial characteristics11. Ministério da Saúde (BR), Secretaria de Vigilância em Saúde. Portaria Nº 540, de 27 de outubro de 1997. Aprova o Regulamento Técnico: Aditivos Alimentares, definições, classificação e emprego. Diário Oficial da União, 28 out 1997; Seção 1: página 49.. Additives are widely used in ultra-processed foods and beverages22. Monteiro CA, Cannon G, Levy RB, Moubarac JC, Louzada ML, Rauber F, et al. Ultra-processed foods: what they are and how to identify them. Public Health Nutr. 2019;22(5):936-41. https://doi.org/10.1017/S1368980018003762
https://doi.org/10.1017/S136898001800376...
for various purposes, being considered as one of the markers of ultraprocessing33. Davidou S, Christodoulou A, Frank K, Fardet A. A study of ultra-processing marker profiles in 22,028 packaged ultra-processed foods using the Siga classification. J Food Comp Anal. 2021;99:103848. https://doi.org/10.1016/j.jfca.2021.103848
https://doi.org/10.1016/j.jfca.2021.1038...
. Studies show that many foods and beverages packaged and available in Brazil, Australia and France contain food additives44. Montera VSP, Martins APB, Borges CA, Canella DS. Distribution and patterns of use of food additives in foods and beverages available in Brazilian supermarkets. Food Funct. 2021;12:7699 -708. https://doi.org/10.1039/D1FO00429H
https://doi.org/10.1039/D1FO00429H...
.
The use of additives in Brazil is regulated by the National Health Surveillance Agency (Anvisa), which is based on other regional regulations, such as the Southern Common Market (Mercosur), and by committees of the World Health Organization (WHO) and the Food and Agriculture Organization (FAO) of the United Nations. Anvisa authorizes the use of several food additives11. Ministério da Saúde (BR), Secretaria de Vigilância em Saúde. Portaria Nº 540, de 27 de outubro de 1997. Aprova o Regulamento Técnico: Aditivos Alimentares, definições, classificação e emprego. Diário Oficial da União, 28 out 1997; Seção 1: página 49., but their effects on consumer health have been questioned77. Chassaing B, Koren O, Goodrich JK, Poole AC, Srinivasan S, Ley RE, et al. Dietary emulsifiers impact the mouse gut microbiota promoting colitis and metabolic syndrome. Nature. 2015;519(7541):92-6. https://doi.org/10.1038/nature14232
https://doi.org/10.1038/nature14232...
.
Questioning such effects is an important task since the consumption of these substances presents variation, as they are combined with other additives, either in the same item or in products consumed over the course of a day. This must be considered a critical issue in the recent scenario of growth in the intake of ultra-processed foods and beverages1818. Martins APB, Levy RB, Claro RM, Moubarac JC, Monteiro CA. Participação crescente de produtos ultraprocessados na dieta brasileira (1987-2009). Rev Saude Publica. 2013;47(4):656-65. https://doi.org/10.1590/S0034-8910.2013047004968
https://doi.org/10.1590/S0034-8910.20130...
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A Brazilian study evaluated the distribution and pattern of food additives on the labels of 9,856 packaged foods and beverages in Brazilian supermarkets, concluding that 1/5 of the products did not contain any, whereas 1/4 had six or more food additives in their formulation. The existence of groupings of additives that were repeated in different food groups was verified, with emphasis on ultra-processed ones44. Montera VSP, Martins APB, Borges CA, Canella DS. Distribution and patterns of use of food additives in foods and beverages available in Brazilian supermarkets. Food Funct. 2021;12:7699 -708. https://doi.org/10.1039/D1FO00429H
https://doi.org/10.1039/D1FO00429H...
. The quantification and characterization of food additives was made from labels44. Montera VSP, Martins APB, Borges CA, Canella DS. Distribution and patterns of use of food additives in foods and beverages available in Brazilian supermarkets. Food Funct. 2021;12:7699 -708. https://doi.org/10.1039/D1FO00429H
https://doi.org/10.1039/D1FO00429H...
and a field diary method was used to record different information available in the ingredients list. The data were analyzed qualitatively, being compared to the current legislation in order to identify non-conformities. The information about these additives on labels was insufficient even when abiding to regulations. Lists of ingredients of ultra-processed foods (with food additives) were compared to the corresponding traditional culinary recipes—details of this step can be found in Montera2323. Montera VSP. Caracterização de aditivos alimentares em rótulos de alimentos e bebidas comercializados em supermercados brasileiros [tese]. Rio de Janeiro: Instituto de Nutrição da UERJ; 2021. (2021).
The objective of this article is to present a critical analysis of information about additives on food labels, aiming to foster an in-depth discussion about the use of these substances and the urgency to improve current legal standards.
Presentation of Food Additives Found on Labels of Packaged Foods and Beverages Marketed in Brazil
Considering the different functions of food additives, flavoring substances is one of the categories in which most flaws were observed, considering their description and compliance with the current legislation2424. Ministério da Saúde (BR), Agência Nacional de Vigilância Sanitária. Resolução da Diretoria Colegiada – RDC Nº 2, de 15 de janeiro de 2007. Dispõe sobre o regulamento técnico sobre aditivos aromatizantes. Brasília, DF: Anvisa; 2007 [cited 2021 Oct 2]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2007/rdc0002_15_01_2007.html
https://bvsms.saude.gov.br/bvs/saudelegi...
. According to the Brazilian norm, it is not necessary to declare the name of each substance that composes the flavoring or its mixture, and it is sufficient to designate them together with the word “flavoring” or “aroma,” identifying its classification as “natural,” “identical to natural” or “artificial.” However, several cases mentioned only “flavoring substances” in the ingredients list of products such as cereal bars, breakfast cereals and frozen meals. This nomenclature indicates a mixture of unidentified and unclassified additives. How to know if that is a mixture of natural or synthetic flavorings? This loophole allows the indiscriminate usage of food additives without consumer knowledge.
Another aspect regarding flavoring substances is that they may appear masked in the list of ingredients. In products such as ready-made sauces and seasonings, the expression “x-flavored prepared condiment,” being “x” some specific flavor, such as cooked meat or four cheeses, without any explanation about what such a “prepared condiment” is. In other products, after the “x-flavored prepared condiment,” an explanation of what the condiment is made of was seen—an example is in the list of ingredients of the “Brand A cream of vegetables (instant soup mixture)” (Chart). In that case, the detailing of the “ready-made condiment” noted the presence of flavoring substances and other food additives. In the “Brand B mashed potatoes and jerked beef mix,” the following information was present “ready-made parmesan flavored prepared condiment,” but no information about what the condiment is made of was available and the ingredients section did not list any parmesan cheese nor parmesan cheese flavoring. This leads us to question where that flavor comes from, since the sentence “ready-made parmesan flavored prepared condiment” may include the presence of other ingredients that confer such flavor.
Other masked flavorings were identified. In the “Brand C oven baked rice with sausage and tomato sauce,” one item in the list of ingredients is “mozzarella-flavored starch.” In “Brand D instant noodles with Bolognese-flavored seasoning,” one finds “meat-flavored textured granulated soy protein.” In these cases, the ingredients list did not contain the foods providing the flavors—mozzarella and meat—and no flavoring substances were described. Starch has no mozzarella flavor, what would that represent in the ingredients list ? A food, a food additive, or both? In the two examples, flavoring substances are certainly present, but consumers are not made aware of which ones or their type(natural, identical to natural or synthetic).
According to the Resolution of the Collegiate Board (RDC) No. 2, of January 15, 20072424. Ministério da Saúde (BR), Agência Nacional de Vigilância Sanitária. Resolução da Diretoria Colegiada – RDC Nº 2, de 15 de janeiro de 2007. Dispõe sobre o regulamento técnico sobre aditivos aromatizantes. Brasília, DF: Anvisa; 2007 [cited 2021 Oct 2]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2007/rdc0002_15_01_2007.html
https://bvsms.saude.gov.br/bvs/saudelegi...
, flavoring substances are synonymous to aromatic compounds, essential oils and other agents (saborizante and essência, in Portuguese). Different technical terms to identify a flavoring substance means that information on this additive is unclear to consumers—as in the case of “Brand E tomato-based sauce” (Chart). The label is not clear in stating that the essential oils mentioned in the list are flavoring substances. Extracts can also be classified as flavoring substances, making their identification difficult—as seen in the “ Brand F pepper sauce with olive oil” (Chart). When reading the ingredients list, it is not evident that the product contains two flavoring substances, described as extracts, in addition to unspecified aromatic compounds.
The issue of extracts is even more complex since they can have more than one function. For instance: rosemary extract works as an antioxidant; yeast extract as a natural enhancer of salty flavor; malt extract, such as sugar syrup, provides color and taste; sage extract acts as a natural flavoring; meat extract as flavoring... But what kind? It is unclear what these extracts represent.
Another problem found was the inadequate description of flavoring substances in the ingredients list, going against the Brazilian legislation2424. Ministério da Saúde (BR), Agência Nacional de Vigilância Sanitária. Resolução da Diretoria Colegiada – RDC Nº 2, de 15 de janeiro de 2007. Dispõe sobre o regulamento técnico sobre aditivos aromatizantes. Brasília, DF: Anvisa; 2007 [cited 2021 Oct 2]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2007/rdc0002_15_01_2007.html
https://bvsms.saude.gov.br/bvs/saudelegi...
. In the “Brand G chicken-flavored corn snack,” the ingredients list notes “aroma identical to natural chicken,” and, in parentheses, the explanation of what it is: “aromatic base, salt, monosodium glutamate flavor enhancer and soy derivative”. This does not represent an aroma identical to the natural. According to Anvisa2424. Ministério da Saúde (BR), Agência Nacional de Vigilância Sanitária. Resolução da Diretoria Colegiada – RDC Nº 2, de 15 de janeiro de 2007. Dispõe sobre o regulamento técnico sobre aditivos aromatizantes. Brasília, DF: Anvisa; 2007 [cited 2021 Oct 2]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2007/rdc0002_15_01_2007.html
https://bvsms.saude.gov.br/bvs/saudelegi...
, this type of aroma actually refers to “chemically defined substances obtained by synthesis or isolated by chemical processes from raw animal, vegetable or microbial materials with a chemical structure identical to the substances in the natural raw materials—processed or not.”
Another important issue is the case of compound ingredients (when an ingredient is prepared from two or more other ingredients), for example, “baiano seasoning”—present in some foods, such as kibbeh, coxinha, salted croquettes—, “curing salt”—found in certain meats and fish—, and “stabilizer”—used in ice cream and chocolates—, the composition can be seen on the Chart. The current legislation requires a description, between parentheses, of each element of compound ingredients in the list of ingredients, with each individual described in descending order of proportion. However, when the name of a compound ingredient is present in a Codex Alimentarius standard or a specific technical regulation, and represents less than 25% of the food, it is not necessary to describe its individual ingredients, with the exception of additives of technological function in the final product. This practice, however, prevents consumers from recognizing the presence of food additives2525. Ministério da Saúde (BR), Agência Nacional de Vigilância Sanitária Resolução da Diretoria Colegiada – RDC Nº 45, de 3 de novembro de 2010. Dispõe sobre aditivos alimentares autorizados para uso segundo as Boas Práticas de Fabricação (BPF). Brasília, DF: Anvisa; 2010 [cited 2021 Oct 2]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2010/rdc0045_03_11_2010.html
https://bvsms.saude.gov.br/bvs/saudelegi...
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Some foods do not contain food additives in the list of ingredients, but are composed of foods that typically contain them. For example, “Brand H frozen ham and champignon pizza” (Chart), may not seem to contain food additives, as they would not have been added directly to the food available for sale. However, many ingredients in the pizza are composed of various food additives, such as margarine, tomato paste, mozzarella cheese and ham. Costumers are thus exposed, without knowledge, to a combination of food additives. The situation is recurring in frozen meals or snacks—pizzas, pies, lasagna, pasta, sandwiches, croquettes, among others.
Finally, the differences between the composition of homemade culinary preparations and their non-homemade versions (ready-to-eat products) is worth noting. In a simple example, a homemade béchamel sauce traditionally uses milk, wheat flour, butter, nutmeg, salt and black pepper, whereas another version of the sauce found in “Brand I cheese empanada with caramelized onions and requeijão cheese,” as one of its ingredients (Chart). Another example is mayonnaise, which, in its homemade version contains whole egg, egg yolk, vegetable oil, vinegar, mustard and salt, quite different from the composition of “Brand J ready-made mayonnaise” (Chart).
The claim that ultra-processed foods are simply the result of processing that allows their consumption, similar to what occurs in the domestic environment2626. Petrus RR, Sobral PJA, Tadini CC, Gonçalves CB. The NOVA classification system: a critical perspective in food science. Trends Food Sci Technol. 2021;116:603-8. https://doi.org/10.1016/j.tifs.2021.08.010
https://doi.org/10.1016/j.tifs.2021.08.0...
, is unreliable. In fact, ultra-processed foods and those submitted to domestic processing differ not only by the extent and purpose of the processing, or by the number of ingredients, but also by the types of ingredients that compose them. Food additives found in ultra-processed foods and beverages are not used in homemade preparations. For example, homemade béchamel sauce does not need to be made whiter or have its flavor made stronger with a flavor enhancer.
FINAL CONSIDERATIONS
The information about food additives on the labels of packaged foods and beverages marketed in Brazil is not sufficiently clear, and is often inadequate, to the point of disrespecting the consumer’s right to know the composition of foods and the risks they may present to their health. This prevents the freedom to make conscious choices at the time of purchase. Moreover, the Consumer Protection Code establishes, in Article 6, item III, that “adequate and clear information about the different products and services, with correct specification of quantity, characteristics, composition, quality, taxes and price, as well as the risks they present” must exist in the labels2727. Senado Federal (BR). Código de Defesa do Consumidor e normas correlatas. 2. ed. Brasília, DF: SF Coordenação de Edições Técnicas; 2017. 132 p.. The objective is to ensure consumer safety and prevent suppliers—in this case, the industry of ultra-processed foods—from using strategies to inscribe their product with misleading information. Thus, it is necessary to rethink the Brazilian legislation on food additives to improve the rules of general food labeling.
REFERENCES
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1Ministério da Saúde (BR), Secretaria de Vigilância em Saúde. Portaria Nº 540, de 27 de outubro de 1997. Aprova o Regulamento Técnico: Aditivos Alimentares, definições, classificação e emprego. Diário Oficial da União, 28 out 1997; Seção 1: página 49.
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2Monteiro CA, Cannon G, Levy RB, Moubarac JC, Louzada ML, Rauber F, et al. Ultra-processed foods: what they are and how to identify them. Public Health Nutr. 2019;22(5):936-41. https://doi.org/10.1017/S1368980018003762
» https://doi.org/10.1017/S1368980018003762 -
3Davidou S, Christodoulou A, Frank K, Fardet A. A study of ultra-processing marker profiles in 22,028 packaged ultra-processed foods using the Siga classification. J Food Comp Anal. 2021;99:103848. https://doi.org/10.1016/j.jfca.2021.103848
» https://doi.org/10.1016/j.jfca.2021.103848 -
4Montera VSP, Martins APB, Borges CA, Canella DS. Distribution and patterns of use of food additives in foods and beverages available in Brazilian supermarkets. Food Funct. 2021;12:7699 -708. https://doi.org/10.1039/D1FO00429H
» https://doi.org/10.1039/D1FO00429H -
5Gaines A, Shahid M, Huang L, Davies T, Taylor F, Wu JHY, et al. Deconstructing the supermarket: systematic ingredient disaggregation and the association between ingredient usage and product health indicators for 24,229 Australian foods and beverages. Nutrients. 2021;13(6):1882. https://doi.org/10.3390/nu13061882
» https://doi.org/10.3390/nu13061882 -
6Chazelas E, Deschasaux M, Srour B, Kesse-Guyot E, Julia C, Alles B, et al. Food additives: distribution and co-occurrence in 126,000 food products of the French market. Sci Rep. 2020;10(1):3980. https://doi.org/10.1038/s41598-020-60948-w
» https://doi.org/10.1038/s41598-020-60948-w -
7Chassaing B, Koren O, Goodrich JK, Poole AC, Srinivasan S, Ley RE, et al. Dietary emulsifiers impact the mouse gut microbiota promoting colitis and metabolic syndrome. Nature. 2015;519(7541):92-6. https://doi.org/10.1038/nature14232
» https://doi.org/10.1038/nature14232 -
8Mc Cann D, Barrett A, Cooper A, Crumpler D, Dalen L, Grimshaw K, et al. Food additives and hyperactive behaviour in 3-year-old and 8/9-year-old children in the community: a randomised, double-blinded, placebo-controlled trial. Lancet. 2007;370(9598):1560-7. https://doi.org/10.1016/S0140-6736(07)61306-3
» https://doi.org/10.1016/S0140-6736(07)61306-3 -
9Connoly A, Hearty A, Nugent A, McKevitt A, Boylan E, Flynn A, et al. Pattern of intake of food additives associated with hyperactivity in Irish children and teenagers, Food Addit Contamin Part A Chem Anal Control Expo Risk Assess. 2010;27(4):447-56. https://doi.org/10.1080/19440040903470718
» https://doi.org/10.1080/19440040903470718 -
10Feketea G, Tasbouri S. Common food colorants and allergic reactions in children: myth or reality? Food Chem. 2017;230:578-88. https://doi.org/10.1016/j.foodchem.2017.03.043
» https://doi.org/10.1016/j.foodchem.2017.03.043 -
11Guimarães ED, Caires Júnior LC, Musso CM, Almeida MM, Gonçalves CF, Pettersen KG, et al. Altered behavior of adult obese rats by monosodium l-glutamate neonatal treatment is related to hypercorticosteronemia and activation of hypothalamic ERK1 and ERK2. Nutr Neurosci. 2017;20(3):153-60. https://doi.org/10.1179/1476830515Y.0000000004
» https://doi.org/10.1179/1476830515Y.0000000004 -
12Saadeh M, Ferrante TC, Kane A, Shirihai O, Corkey BE, Deeney JT. Reactive oxygen species stimulate insulin secretion in rat pancreatic islets: studies using mono-oleoyl-glycerol. PLoS One. 2012;7(1):e30200. https://doi.org/10.1371/journal.pone.0030200
» https://doi.org/10.1371/journal.pone.0030200 -
13Sales IMS, Barbosa JS, Santos FKS, Silva FCC, Ferreira PMP, Sousa JMC, et al Assessment of grape, plum and orange synthetic food f using in vivo acute toxicity tests. Food Technol Biotechnol. 2017;55(1):131-7. https://doi.org/10.17113/ftb.55.01.17.4770
» https://doi.org/10.17113/ftb.55.01.17.4770 -
14Saikrishina K, Kumari R, Chaitanya K, Biswas S, Nayak PG, Mudgal J, et al. Combined administration of monosodium glutamate and high sucrose diet accelerates the induction of type 2 diabetes, vascular dysfunction, and memory impairment in rats. J Environ Pathol Toxicol Oncol. 2018;37(1):63-80. https://doi.org/10.1615/JEnvironPatholToxicolOncol.2018017186
» https://doi.org/10.1615/JEnvironPatholToxicolOncol.2018017186 -
15Viennois E, Merlin D, Gewirtz AT, Chassaing B. Dietary emulsifier-induced low- grade inflammation promotes colon grade carcinogenesis. Cancer Res. 2017;77(1):27-40. https://doi.org/10.1158/0008-5472.CAN-16-1359
» https://doi.org/10.1158/0008-5472.CAN-16-1359 -
16Martino JV, Van Limbergen J, Cahill LE. The role of carrageenan and carboxymethylcellulose in the development of intestinal inflammation. Front Pediatr. 2017;5:96. https://doi.org/10.3389/fped.2017.00096
» https://doi.org/10.3389/fped.2017.00096 -
17Chia CW, Shardell M, Tanaka T, Liu DD, Gravenstein KS, Simonsick EM, et al. Chronic low-calorie sweetener use and risk of abdominal obesity among older adults: a cohort study. PLoS One. 2016;11(11):e0167241. https://doi.org/10.1371/journal.pone.0167241
» https://doi.org/10.1371/journal.pone.0167241 -
18Martins APB, Levy RB, Claro RM, Moubarac JC, Monteiro CA. Participação crescente de produtos ultraprocessados na dieta brasileira (1987-2009). Rev Saude Publica. 2013;47(4):656-65. https://doi.org/10.1590/S0034-8910.2013047004968
» https://doi.org/10.1590/S0034-8910.2013047004968 -
19Louzada MLC, Martins APB, Canella DS, Baraldi LG, Levy RB, Claro RM, et al. Alimentos ultraprocessados e perfil nutricional da dieta no Brasil. Rev Saude Publica. 2015;49:38. https://doi.org/I:10.1590/S0034-8910.2015049006132
» https://doi.org/I:10.1590/S0034-8910.2015049006132 -
20Louzada MLC, Baraldi LG, Steele EM, Martins APB, Canella DS, Moubarac JC, et al. Consumption of ultra-processed foods and obesity in Brazilian adolescents and adults. Prev Med. 2015;81:9-15. https://doi.org/10.1016/j.ypmed.2015.07.018
» https://doi.org/10.1016/j.ypmed.2015.07.018 -
21Juul F, Hemmingsson E. Trends in consumption of ultra-processed foods and obesity in Sweden between 1960 and 2010. Public Health Nutr. 2015;18(17):3096-107. https://doi.org/10.1017/S1368980015000506
» https://doi.org/10.1017/S1368980015000506 -
22Pan American Health Organization. Ultra-processed food and drink products in Latin America: trends, impact on obesity, and policy implications. Washington, DC: PAHO; 2015 [cited 2018 Dec 28]. Available from: https://iris.paho.org/handle/10665.2/7699
» https://iris.paho.org/handle/10665.2/7699 -
23Montera VSP. Caracterização de aditivos alimentares em rótulos de alimentos e bebidas comercializados em supermercados brasileiros [tese]. Rio de Janeiro: Instituto de Nutrição da UERJ; 2021.
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24Ministério da Saúde (BR), Agência Nacional de Vigilância Sanitária. Resolução da Diretoria Colegiada – RDC Nº 2, de 15 de janeiro de 2007. Dispõe sobre o regulamento técnico sobre aditivos aromatizantes. Brasília, DF: Anvisa; 2007 [cited 2021 Oct 2]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2007/rdc0002_15_01_2007.html
» https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2007/rdc0002_15_01_2007.html -
25Ministério da Saúde (BR), Agência Nacional de Vigilância Sanitária Resolução da Diretoria Colegiada – RDC Nº 45, de 3 de novembro de 2010. Dispõe sobre aditivos alimentares autorizados para uso segundo as Boas Práticas de Fabricação (BPF). Brasília, DF: Anvisa; 2010 [cited 2021 Oct 2]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2010/rdc0045_03_11_2010.html
» https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2010/rdc0045_03_11_2010.html -
26Petrus RR, Sobral PJA, Tadini CC, Gonçalves CB. The NOVA classification system: a critical perspective in food science. Trends Food Sci Technol. 2021;116:603-8. https://doi.org/10.1016/j.tifs.2021.08.010
» https://doi.org/10.1016/j.tifs.2021.08.010 -
27Senado Federal (BR). Código de Defesa do Consumidor e normas correlatas. 2. ed. Brasília, DF: SF Coordenação de Edições Técnicas; 2017. 132 p.
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Funding: Foundation Carlos Chagas Filho Research Support of the State of Rio de Janeiro (FAPERJ – Process: E-26/202.667/2018). Coordination of Improvement of Higher Education Personnel, Brazil (Capes – Funding Code 001). Data collection was funded by Bloomberg Philanthropies (Process: 5104695) via a contract between the University of North Carolina at Chapel Hill and the Medical School Foundation of USP. International Development Research Centre (IDRC - Process: 108166-001). VSPM received a FAPERJ doctoral scholarship.
Publication Dates
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Publication in this collection
20 Feb 2023 -
Date of issue
2023
History
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Received
04 Nov 2021 -
Accepted
08 July 2022