Nutrient Content and Labeling Status of Pre-Packaged Beverages in Saudi Arabia
Authors: Ruyuf Y. Alnafisah, Nouf S. Alammari, Amani S. Alqahtani
Abstract:
Beverage choice can have implications for the risk of non-communicable diseases. However, there is a lack of knowledge in assessing the nutritional content of these beverages. This study aims to describe the nutrient content of pre-packaged beverages available in the Saudi market. Data were collected from the Saudi Branded Food Database (SBFD). Nutrient content was standardized in terms of units and reference volumes to ensure consistency in analysis. A total of 1490 beverages were analyzed. The highest median levels of the majority of nutrients were found among dairy products; energy (68.4 [43-188] kcal/100 ml in a milkshake); protein (8.2 [0.5-8.2] g/100 ml in yogurt drinks); total fat (2.1 [1.3-3.5] g/100 ml in milk); saturated fat (1.4 [0-1.4]g/100 ml in yogurt drinks); cholesterol (30 [0-30] mg/100 ml in yogurt drinks); sodium (65 [65-65] mg/100 ml in yogurt drinks); and total sugars (12.9 (7.5-27] g/100 ml in milkshake). Carbohydrate level was the highest in nectar (13 [11.8-14.2] g/100 ml); fruits drinks (12.9 [11.9-13.9] g/100 ml), and sparkling juices (12.9 [8.8-14] g/100 ml). The highest added sugar level was observed among regular soft drinks (12(10.8-14] g/100 ml). The average rate of nutrient declaration was 60.95%. Carbohydrate had the highest declaration rate among nutrients (99.1%), and yogurt drinks had the highest declaration rate among beverage categories (92.7%). The median content of vitamins A and D in dairy products met the mandatory addition levels. This study provides valuable insights into the nutrient content of pre-packaged beverages in the Saudi market. It serves as a foundation for future research and monitoring. The findings of the study support the idea of taxing sugary beverages and raise concerns about the health effects of high sugar in fruit juices. Despite the inclusion of vitamins D and A in dairy products, the study highlights the need for alternative strategies to address these deficiencies.
Keywords: Pre-packaged beverages, nutrients content, nutrients declaration, daily percentage value, mandatory addition of vitamins.
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[1] Statista. Non-Alcoholic Drinks - Worldwide (Internet). 2023. Available from: https://www.statista.com/outlook/cmo/non-alcoholic-drinks/worldwide
[2] Singh GM, Micha R, Khatibzadeh S, Shi P, Lim S, Andrews KG, et al. Correction: Global, regional, and national consumption of sugar-sweetened beverages, fruit juices, and milk: A systematic assessment of beverage intake in 187 countries. PLoS One. 2019;14(3):e0214344.
[3] Al-Hanawi MK, Ahmed MU, Alshareef N, Qattan AMN, Pulok MH. Determinants of sugar-sweetened beverage consumption among the Saudi Adults: findings from a nationally representative survey. Front Nutr. 2022;9.
[4] Islam MA, Al-Karasneh AF, Hussain A Bin, Muhanna A, Albu-Hulayqah T, Naqvi AA, et al. Assessment of beverage consumption by young adults in Saudi Arabia. Saudi Pharm J. 2020;28(12):1635–47.
[5] Pyramid FG, Nutrition SS. Economic Research Service/USDA. 2003;1–5.
[6] Wang P, Huang J, Sun J, Liu R, Jiang T, Sun G. Evaluating the Nutritional Properties of Food: A Scoping Review. Nutrients. 2022;14(11):2352.
[7] Tyrovolas S, El Bcheraoui C, Alghnam SA, Alhabib KF, Almadi MAH, Al-Raddadi RM, et al. The burden of disease in Saudi Arabia 1990–2017: results from the Global Burden of Disease Study 2017. Lancet Planet Heal. 2020;4(5):e195–208.
[8] Organization WH. Non-communicable diseases country profiles 2018. 2018;
[9] zatca. Commodities subject to Excise Tax (Internet). 2019. Available from: https://zatca.gov.sa/ar/RulesRegulations/Taxes/Pages/excise-tax.aspx
[10] SFDA. Requirements of nutritional labeling (Internet). 2021. Available from: https://mwasfah.sfda.gov.sa/
[11] Aldhirgham T, Alammari N, Aljameel GM, Alzuwaydi A, Almasoud SA, Alawwad SA, et al. The Saudi branded food database: First-phase development (Branded Beverage Database). J Food Compos Anal. 2023;120:105299.
[12] Sally F. Schakel, I. Marilyn Buzzard and SEG. Procedures for Estimating Nutrient Values for Food Composition Databases. J Food Compos Anal (Internet). 1997; Available from: https://www.ars.usda.gov/ARSUserFiles/80400525/Articles/jfca10_102-114.pdf
[13] SFDA. Mandatory Addition of Vitamins and Minerals in Food Stuff (Internet). 2022. Available from: https://mwasfah.sfda.gov.sa/
[14] Murphy MM, Barraj LM, Toth LD, Harkness LS, Bolster DR. Daily intake of dairy products in Brazil and contributions to nutrient intakes: a cross-sectional study. Public Health Nutr. 2016;19(3):393–400.
[15] Miller GD, Jarvis JK, McBean LD. Handbook of dairy foods and nutrition. CRC press; 2006.
[16] Welch AA, Fransen H, Jenab M, Boutron-Ruault MC, Tumino R, Agnoli C, et al. Variation in intakes of calcium, phosphorus, magnesium, iron and potassium in 10 countries in the European Prospective Investigation into Cancer and Nutrition study. Eur J Clin Nutr. 2009;63(4):S101–21.
[17] O’Neil CE, Keast DR, Fulgoni III VL, Nicklas TA. Food sources of energy and nutrients among adults in the US: NHANES 2003–2006. Nutrients. 2012;4(12):2097–120.
[18] Drewnowski A. The contribution of milk and milk products to micronutrient density and affordability of the US diet. J Am Coll Nutr. 2011;30(sup5):422S-428S.
[19] Coudray B. The contribution of dairy products to micronutrient intakes in France. J Am Coll Nutr. 2011;30(sup5):410S-414S.
[20] Malik VS, Pan A, Willett WC, Hu FB. Sugar-sweetened beverages and weight gain in children and adults: a systematic review and meta-analysis. Am J Clin Nutr. 2013;98(4):1084–102.
[21] Imamura F, O’Connor L, Ye Z, Mursu J, Hayashino Y, Bhupathiraju SN, et al. Consumption of sugar sweetened beverages, artificially sweetened beverages, and fruit juice and incidence of type 2 diabetes: systematic review, meta-analysis, and estimation of population attributable fraction. Bmj. 2015;351.
[22] Huang C, Huang J, Tian Y, Yang X, Gu D. Sugar sweetened beverages consumption and risk of coronary heart disease: a meta-analysis of prospective studies. Atherosclerosis. 2014;234(1):11–6.
[23] Huang M, Quddus A, Stinson L, Shikany JM, Howard B V, Kutob RM, et al. Artificially sweetened beverages, sugar-sweetened beverages, plain water, and incident diabetes mellitus in postmenopausal women: the prospective Women’s Health Initiative observational study. Am J Clin Nutr. 2017;106(2):614–22.
[24] Thaiss CA, Levy M, Grosheva I, Zheng D, Soffer E, Blacher E, et al. Hyperglycemia drives intestinal barrier dysfunction and risk for enteric infection. Science (80- ). 2018;359(6382):1376–83.
[25] Mullee A, Romaguera D, Pearson-Stuttard J, Viallon V, Stepien M, Freisling H, et al. Association between soft drink consumption and mortality in 10 European countries. JAMA Intern Med. 2019;179(11):1479–90.
[26] Organization WH. Fiscal policies for diet and the prevention of non-communicable diseases. 2016. 2015.
[27] Council GC. Common GCC Excise Tax Agreement (Internet) (Internet). 2016. Available from: https://mof.gov.ae/en/lawsAndPolitics/govLaws/Documents/Common Excise Tax Agreement.pdf
[28] Arabia V 2030 K of S. Fiscal Balance Program: Balanced Budget 2020 (Internet). 2017. Available from: https://www.vision2030.gov.sa/sites/default/files/attachments/Fiscal Balance Program 2017.pdf
[29] Alsukait R, Wilde P, Bleich SN, Singh G, Folta SC. Evaluating Saudi Arabia’s 50% carbonated drink excise tax: Changes in prices and volume sales. Econ Hum Biol. 2020;38:100868.
[30] Organization WH. Guideline: sugars intake for adults and children. World Health Organization; 2015.
[31] Camerlingo C, Zenone F, Delfino I, Diano N, Mita DG, Lepore M. Investigation on clarified fruit juice composition by using visible light micro-Raman spectroscopy. Sensors. 2007;7(10):2049–61.
[32] Ruxton CHS, Gardner EJ, Walker D. Can pure fruit and vegetable juices protect against cancer and cardiovascular disease too? A review of the evidence. Int J Food Sci Nutr. 2006;57(3–4):249–72.
[33] Walker RW, Dumke KA, Goran MI. Fructose content in popular beverages made with and without high-fructose corn syrup. Nutrition. 2014;30(7–8):928–35.
[34] Li BW, Schuhmann PJ. Sugar analysis of fruit juices: content and method. J Food Sci. 1983;48(2):633–5.
[35] Guasch-Ferré M, Hu FB. Are fruit juices just as unhealthy as sugar-sweetened beverages? JAMA Netw open. 2019;2(5):e193109–e193109.
[36] Hyson DA. A review and critical analysis of the scientific literature related to 100% fruit juice and human health. Adv Nutr. 2015;6(1):37–51.
[37] You A. Dietary guidelines for Americans. US Dep Heal Hum Serv US Dep Agric. 2015;7.
[38] Pepin A, Stanhope KL, Imbeault P. Are fruit juices healthier than sugar-sweetened beverages? A review. Nutrients. 2019;11(5):1006.
[39] Serafeimidou A, Zlatanos S, Laskaridis K, Sagredos A. Chemical characteristics, fatty acid composition and conjugated linoleic acid (CLA) content of traditional Greek yogurts. Food Chem. 2012;134(4):1839–46.
[40] Lourens-Hattingh A, Viljoen BC. Yogurt as probiotic carrier food. Int dairy J. 2001;11(1–2):1–17.
[41] Morelli L. Yogurt, living cultures, and gut health. Am J Clin Nutr. 2014;99(5):1248S-1250S.
[42] Ballco P, De-Magistris T. Valuation of nutritional and health claims for yoghurts in Spain: A hedonic price approach. 2018;
[43] Wu L, Sun D. Consumption of yogurt and the incident risk of cardiovascular disease: a meta-analysis of nine cohort studies. Nutrients. 2017;9(3):315.
[44] SFDA. Requirements for Health and Nutrition Claims on Food Products (SFDA.FD GSO 2333:2022) (Internet). 2023. Available from: https://mwasfah.sfda.gov.sa/MyStandards?standardCategoryId=&searchbyTitle=Requirements+for+Health+and+Nutrition+Claims+&searchTerm=&standardDocumentTypeId=
[45] Croker H, Packer J, Russell SJ, Stansfield C, Viner RM. Front of pack nutritional labelling schemes: a systematic review and meta‐analysis of recent evidence relating to objectively measured consumption and purchasing. J Hum Nutr Diet. 2020;33(4):518–37.
[46] Shangguan S, Afshin A, Shulkin M, Ma W, Marsden D, Smith J, et al. A meta-analysis of food labeling effects on consumer diet behaviors and industry practices. Am J Prev Med. 2019;56(2):300–14.
[47] Albalawi O, Almubark R, Almarshad A, Alqahtani AS. The Prevalence of Vitamin and Mineral Deficiencies and High Levels of Non-Essential Heavy Metals in Saudi Arabian Adults. In: Healthcare. MDPI; 2022. p. 2415.
[48] Borel P, Caillaud D, Cano NJ. Vitamin D bioavailability: state of the art. Crit Rev Food Sci Nutr. 2015;55(9):1193–205.
[49] Moulas AN, Vaiou M. Vitamin D fortification of foods and prospective health outcomes. J Biotechnol. 2018;285:91–101.