NuVal Nutritional Scoring vs. Smart Choices

 

Have you ever wondered what’s inside that tasty TV dinner, instant pudding, or granola bar? How healthy, or not? Theoretically, we can learn a lot about a packaged food item just by reading its nutrition panel. Unfortunately for many of us, the nutrition information, ingredient list, and health claims on the package tend to confuse more than elucidate. As a result, consumers make misinformed purchase decisions. Several labeling initiatives have recently launched with a mission to simplify the nutrition information for consumers. (For some background, check our post about the history of food labels.)

A few days ago we reviewed the brand new Smart Choices Program. Today, a look at another front of package labeling system – NuVal (Nutritional Value Scoring System). NuVal was announced in late 2007 as ONQI (Overall Nutritional Quality Index). It is a scoring system that rates food on a scale of 1-100. The higher the score, the more nutritious the product.

The proprietary system consists of an algorithm that inputs values of over 30 different nutrients (i.e. protein, carbs, fats, vitamins, and minerals), and outputting a single score. The system looks at “nutrients to encourage”, such as fiber and omega-3 fatty acids, as well as “nutrients to avoid” such as saturated fat and sodium.

The NuVal score is displayed at the supermarket on shelf tags and aisle signage, but not on the product package itself. NuVal was supposed to launch earlier this summer with several grocery chains. After a slight delay, Hy-Vee, a midwestern chain out of Iowa, was recently announced as a partner. Price Chopper has joined in the North East. Both are limited launches though – only several stores and several product categories are offered now.

NuVal / ONQI is the brainchild of Dr. David Katz, a Professor of Public Health Practice, and a nationally recognized expert in the fields of weight control and nutrition. He was previously Director of Medical Studies in Public Health, at the Yale University School of Medicine. Dr. Katz assembled a top notch team of researchers to create the ONQI system, and it took them 2 years to do it. The grading algorithm itself has not been disclosed to the public.

NuVal LLC is  a joint venture of Yale university’s Griffin Hospital and Topco Associates, a privately held cooperative of food retailers and wholesalers. Unlike “Smart Choices”, food manufacturers are not part of this initiative, although the ONQI score requires additional information from manufacturers that is not found on food labels.

The good:

1. Simplicity. Everyone can relate to a numeric score of 1-100.

2. Uniformity. A single scoring system across all products enables consumers to compare apples to oranges, literally. (not that it would make any sense – both are nutritious and tasty).

3. Depth. A NuVal score of 1-100 provides more breadth to a product’s healthfulness than a Yes/No benchmark that appears only on selected items. Assuming all products in a supermarket will carry a NuVal score, consumers will readily compare between items in a category and choose the one with highest ranking.

4. Independence. Although not mentioned explicitly, it seems that food manufacturers were not directly involved in defining the NuVal scoring algorithm. Hopefully this sets a higher rating standard, more in favor of consumers than in the interests of manufacturers.

The not so good:

1. Mystery Scoring. NuVal is not disclosing its scoring mechanism. Smart Choices posted their criteria online, and those interested can understand exactly why one product is eligible for a check mark, and the other is not. According to NuVal, its algorithm is patent pending (which means it will be published by the US patent office once it is approved). If so, why not publish it now so consumers can be confident in their choices?

2. Manufacturer Buy In. Some of the nutrients used by the NuVal algorithm do not uniformly appear on food nutrition labels (i.e. omega-3, Total bioflavanoids, vitamin B12).  This means either the algorithm can’t calculate scores uniformly within a product category, or that all manufacturers need to provide additional nutrient information to NuVal, a third party. The chances for that happening are slim, especially for those already comitted to Smart Choices.

3. Retailer Buy In. What happens if best selling products in the supermarket get low scores? Will retailers willingly want to lose sales of soda pop and salty snacks because of their single digit score? Or are they betting that customers won’t care?

4. Placement. This may seem trivial, but in those supermarkets where price is displayed on the shelf instead of on the product, there are always mismatches. Put NuVal indicators on the shelves and you’ve added another level of complexity to bleary eyed associates stocking shelves at 4am. With Smart Choices, the approval seal is on the product package itself.

5. No personalization. This is an issue with Smart Choices as well. A middle aged diabetic has different dietary needs than a healthy teenager or a senior suffering from hypertension and trying to reduce sodium intake. How can a low-fat fruit yogurt have the same score for each of them? Ideally, a person would see a personalized score for each product.

Conclusion:

The teams behind NuVal and Smart Choices have made good headway in simplifying a very complex nutrition label and boiling it down to very simple indicator for consumer decision. Both systems sport some flaws, but having them at a supermarket seems to be better than not having them at all.

As the goal of both Smart Choices and NuVal is to become a nationwide standard, it will be interesting to see how the imminent competition between the two systems will play out. Also interesting to look for are the FDA’s actions. Will the FDA choose to create some sort of uniform benchmark like the UK’s Food Standard Agency Traffic Lights?

What do you think? Comments below.

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  • http://www.davidkatzmd.com Dr. David Katz

    I very much appreciate this thoughtful blog about the NuVal system, which I developed together with a dozen of North America’s top nutrition and public health scientists, including the President of the American Cancer Society; past Presidents of the American Dietetic Association and the American Diabetes Association; the chair of nutrition at Harvard University; the inventor of the glycemic index; etc. You get the idea- really good people! And these experts came together with no ties to the food industry, and with funding from a non-profit, Yale-affiliated community hospital, with a single-minded mission: develop the best nutrition guidance system for the consumer that modern science would allow.

    I write to address the “not so good” concerns raised in this post about the ONQI/NuVal system. So, in sequence:

    Mystery Scoring: actually, the full contents of the ONQI algorithm have been posted on-line, presented at numerous conferences, and are included in a scientific paper currently under review. There are some details witheld, just as a food package lists ingredients, but does not spell out its recipe. But we have certainly made public more than ample information for a nutrition expert or scientist to understand quite well how the algorithm works. In a nut shell, it considers over 30 nutrients, compares their concentration in a food to their recommended concentration in a healthy diet, and applies ‘weights’ to each nutrient based on how strongly it influences specific health outcomes, and how important those health outcomes are.

    Manufacturers Buy-in: The company that is bringing the ONQI to market, NuVal, LLC (see: http://www.nuval.com) is very eager to work with food manufacturers, and that is in the works. But their involvement is not needed. ONQI scores are generated from nutrition facts panels and ingredients lists- which are already in the public domain. The additional nutrients are generated by a team of research dietitians and programmers at MIT, using state-of-the-art computer software that fills in the missing nutrients using a method called imputation. This method is used by the USDA in the compilation of its public access nutrient database.

    Retailer Buy-in: Yes, this is needed; the NuVal system is designed to work primarily (although not exclusively) in supermarkets. But it has great retail buy-in. Some 15-20 retail chains, representing more than 5,000 total supermarkets throughout the US, are currently planning to roll out the ONQI system by roughly the middle of 2009. Talks are on-going with other retailers in the US, and with lead retailers in other countries as well.

    Placement: NuVal scores are, indeed, placed on shelf tags; exactly where prices are posted! If you can find the price of a product, you can find the NuVal score. And NuVal scores, like prices, are matched to product UPC codes. The quality control is extremely high. As for placing scores on packages- that can and will occur, too. It will start with store brands, but then extend to those manufacturers who convert to use of the system. But for now, and especially in this tough economy- look for the lowest price and the highest NuVal number, and you will have identified the best nutrition value for your buck!

    No personalization: Because the ONQI algorithm includes not only nutrition science, but a great deal of epidemiology- the science that links variation in nutrient intake to variation in health outcomes- the algorithm is primed for ‘personalized’ use. We are developing derivatives of the ONQI algorithm for diabetes, high cholesterol, weight loss, high blood pressure, etc. The current ONQI, like the Dietary Guidelines for Americans, is indeed designed for everyone. And, as an expert in chronic disease management and prevention, I can say that what’s good for diabetes is good for heart disease and cancer, too. But highly personalized applications of the NuVal system are under development- visit http://www.nuval.com where they will appear for updates.

    Again, my thanks for a thoughtful and balanced post.

    David L. Katz, MD, MPH, FACPM, FACP
    Director, Prevention Research Center
    Yale University School of Medicine
    Principal Inventor, the Overall Nutritional Quality Index

  • Ben Major

    Dr. Katz should be highly commended for his practical solution to an essensientally complex problem of aggrating, distilling & promoting key nutrition data for consumers. That he is succeeding in rolling the system out is, frankly, a marvel. That his team is planning to add the ability to factor in personalized nutrition concerns has the potential to revolutionize consumer behavior. On top off all this, he personally took the time to respond in detail & substance to the thoughtful analysis your blog presented. I am “just” a consumer & no nutritional expert. I try to balance healthy eating with taste preference & price. I am a grateful so I am grateful for any consistent, easy & credible way to choose what my family & I eat. Thank You Dr. Katz!

  • http://www.fitjerk.com FitJerk – FlawlessFitness

    @Dr. David Katz

    Hey Mr.Katz, while what you’ve created is… lets say appreciated on one level, on another it is a little discouraging after seeing some of the scores you laid out for certain foods. Also, your little algorithm isn’t THAT hard to figure out if one uses half a brain.

    For example, take coconuts for example. They get a score of 24?! Are you kidding me? Epic Fail on that one Mr. Katz.

    Not only is coconut oil good for you, but the protein content in coconuts is one of the best that you can get naturally… far superior than the protein in soy OR milk.

    Yes, it’s high in saturated fats, but 50% of the fatty acids in coconut fat are lauric acid. Lauric acid is a medium chain fatty acid, which has the additional beneficial function of being formed into monolaurin in the human or animal body.

    You should know EXACTLY why this is a very good thing.

    This “magic formula” weighs saturated fat quite heavily and obviously punishes the overall score. This is OK most of the time but in this case, I’d say you should reconsider your score.

    On another hand we have Blueberries, which get a score of 100. Hey, I agree, those things ROCK my world. So then we get another clue, you weight antioxidants quite heavily in FAVOR of foods as well.

    See how I did that? Took 10 minutes. Here’s what I think though. I think NuVal has promise, but right now your algorithm is like the “ask.com” search engine. A bit crude IMO. You need to aim for something that is at the Google caliber for people to REALLY trust your rating system.

    Cheers.

  • Emptysandwich

    My wife teaches nutrition & I read labels she’s thrilled with the NuVal system, I’m finding I have huge doubts about retailer application. the simplest & direct example to give is Chicken of the Sea Albacore packed in water
    5 oz can NuVal score 61
    12 oz can NuVal score 52
    All ingredients & nutritional data listed on the label are identical. It seems the only difference may be the profit margin on the smaller can. I’m wondering if this was a nice project that’s already been corrupted in the marketing chain, or is there substantial differences in the two products.

    • http://www.fooducate.com/blog Fooducate

      The serving size specified may be different.

      • Alex

        The serving sizes are the same size, just more of them in the bigger can. Also, the Tuna in Spring Water has the exact same nutrients in the big and small can.

    • Alex

      Here is another one that doesn’t make sense. Something like Red Bull energy drink gets far lower a score than say Mountain Dew (unless they changed it recently). Mountain Dew doesn’t have any Vitamins (Vital Minerals) in it at all but Red Bull does (albeit 100% synthetic vitamins now).

      Makes you wonder…