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Background: Methods and approaches that can be used in food and nutrition research are changing at a faster pace than ever. Whereas animal methods are mostly known for their use in food safety analysis (see Part I), they also play in important role in proof-of-concept and mechanistic studies of products, as well as studying potency, efficacy, and tolerance of foods and food ingredients. Members of the International Life Sciences Institute (ILSI) Europe have formed an expert group to review possibilities, opportunities, and challenges for the potential use of alternative testing strategies in nutrition research and regulatory requirements, supporting the 3Rs principle of Replacement, Reduction, Refinement of animal research, which can ultimately be used in support of regulatory submissions for pre-market authorisation. Scope and approach: For the different areas of food for specific groups and health claims, the acceptability of nonanimal approaches is evaluated in comparison to legislative requirements in Europe. The alternative approaches considered cover emerging tools and methodologies such as organoids, organs-on-a-chip or human in vitro gastrointestinal simulators. Conclusions: In nutrition research, there has been a long tradition of following a certain experimental trajectory for grounding scientific hypotheses starting from in vitro data moving on to in vivo verification in a preferred animal model and finally proving this in a human setting. From a regulatory perspective there is no specific requirement for animal experimentation that justifies the use of the majority of animal experiments in the assessment of nutritional content and value of food products. However, animal data are mostly considered as the standard, and guidance for alternative approaches that would be accepted is lacking. It is therefore important to further build evidence and offer validation for the adequacy of already existing in vitro tools to ensure their suitability for substantiating dose levels and further planning clinical trials. What are we waiting for?

Beer is one of the most consumed alcoholic beverages in the world. Classification of beer helps the consumer to find a preferred beer. Sensory assessments of taste are commonly done by sensory panels and therefore sus-ceptible to subjectivity. Mouthfeel is an important parameter for the total perception of beer flavor. Three di-mensions of mouthfeel are distinguished: contracting, coating, and drying. In this study 24 beer samples were evaluated chemically. The data were matched with sensorial data obtained from a trained panel. Different chemical analyses were performed; total acidity (TA), total flavonoids (TF), total polyphenols (TPC), total sugars (TS), color, pH, carbon dioxide content, ethanol, bitterness units (BU) and total iso-alpha-acids (TIA). The data were analyzed by performing several statistical techniques such as analysis of variance, principal component analysis, agglomerative hierarchical cluster analysis and multiple factor analysis. Sensory data obtained from trained panelists on the different mouthfeel attributes correlated with the data found instrumentally. The drying dimension could be expressed using the TPC, BU, TIA and pH. Contracting compounds correlated positively with TA and negatively with pH. As expected, ethanol was strongly associated with burning sensations and carbon dioxide with carbonation. The results of this experiment indicate that commercial beers can be classified into three mouthfeel attributes: drying, coating and contracting. The Principal Component Analysis (PCA) in this study confirmed the dimensions of the mouthfeel model and identified drying and coating as opposites, con-tracting forces interact on these dimensions. Moreover, these attributes were shown to be quantifiable by instrumental analysis which suggests that a data-driven approach based on mouthfeel could reduce subjectivity in the analysis of taste.

BackgroundDairy alternatives are foods that are made from plant-based milk instead of their usual animal products, such as cheese and yoghurt. Over the past few years, consumers increasingly choose to go dairy-free, which leads to a growth in available dairy alternatives product on the market. Although it is easiest for consumers to identify these products by the use of protected dairy terms (‘yoghurt’ or ‘milk’), these protected terms may not be used by food business operators to designate their plant-based products.Scope and approachThis article will examine the positive and negative impact of the EU regulatory framework on innovation in the dairy alternative industry and its consumers. Furthermore, potential solutions to overcome the identified barriers are explored.Key findings and conclusionsThe EU regulatory framework has positively affected innovation in the dairy alternatives industry by establishing legal clarity, and ensuring a high level of food safety and consumer protection. However, the same legislation negatively impacts innovation in the industry, namely due to: (i) the varying interpretation of the Regulation (EU) 1308/2013 (CMO); (ii) the different level of consumer protection between sectors; (iii) the absence of a legal definition of vegan food; and (iv) the narrow definition of ‘milk’ and ‘milk products’ as defined in the CMO. Either amending the definition of milk and milk products in the CMO, or expanding the list of exceptions to the definitions are identified as possible solutions to deal with the identified barriers.

Children learn to accept novel foods by repeated exposure to these foods. In the current study, we investigated in toddlers whether a contingency management program (The Vegetable Box), comprising repeated vegetable taste exposure with contingent non-food rewards, is particularly potent at increasing recognition of and willingness to try vegetables. A total of 598 children (1-4 years old) recruited at 26 different day-care centres in the Netherlands took part. The day-care centres were randomly assigned to one of three conditions ('exposure/reward', 'exposure/no reward', or 'no exposure/no reward'). At the start and directly after the 3-month intervention period, all children were asked to identify various vegetables (recognition test; max score = 14) and whether they would like to taste and consume 1 or 2 bite-size pieces of tomato, cucumber, carrot, bell pepper, radish, and cauliflower (willingness to try test). Data were analysed with linear mixed-effects regression analyses (for recognition and willingness to try separately) with condition and time as independent variables, and adjusting for day-care centre clustering. Vegetable recognition significantly increased in both the 'exposure/reward' and the 'exposure/no reward' group, relative to the 'no exposure/no reward' control group. The willingness to try vegetables only increased significantly in the 'exposure/reward' group. Offering vegetables to children at day-care centres significantly increased toddlers' ability to identify various vegetables, but rewards contingent upon tasting vegetables appear particularly effective to also increase children's willingness to try (i.e., taste and consume) different vegetables. This result corroborates and strengthens previous findings demonstrating the efficacy of similar reward-based programs.

Background: Pulmonary arterial hypertension (PAH) is a rare, progressive disease of the pulmonary vasculature. Recent advances in pharmacotherapy improved life expectancy of PAH patients and, thus, signified the role of general measures, including diet, in the management of the disease.Methods: In the present narrative review we will briefly summarize information about current and novel PAH therapies and analyze preclinical evidence on the influence of certain nutrients on the pathogenesis of PAH.Results: Although the evidence on the role of dietary deficiencies in the development and progression of PAH in humans is limited, preclinical studies demonstrate that dietary components such as quercetin, genistein, n-3 PUFAs, vitamin D, coenzyme Q10 and resveratrol may influence various aspects of PAH pathobiology.Conclusions: Further research on the role of diet in PAH is needed. Taking into account pleiotropic and subtle effects of dietary constituents as well as the rare and severe nature of PAH, clinical studies on the disease-specific nutritional patterns rather than on single dietary components may help to reveal if diet can be an important tool to improve the efficacy of pharmacotherapy in PAH. (C) 2019 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.

The objective of this study was to investigate the efficacy of lipid emulsions encapsulated in calcium-alginate beads in reducing food intake and appetite sensations. These emulsion-alginate beads were ingested in a yogurt (active) and compared to an equienergetic yogurt containing nonencapsulated nutrients with comparable sensory properties (control) in a randomized placebo-controlled trial with crossover design. Thirty-three healthy overweight volunteers (mean age: 43 years; body mass index: 27.7 kg/m(2); 14 male) received the 2 treatments. Test days started with a standardized small breakfast (t = 0) followed by an active or control yogurt (t = 90 minutes). Appetite sensations and gastrointestinal symptoms were monitored prior to and after consumption of the yogurt, and food intake was measured during ad libitum pasta meal consumption (t = 210 minutes). The hypothesis for this study was that delayed release of encapsulated lipids suppresses appetite sensations and reduces food intake. Food intake was significantly reduced with 51 +/- 20 kcal (213 +/- 84 kJ) (P =.016) after intake of the active yogurt (770 +/- 38 kcal (3222 +/- 159 kJ)) compared to the control (821 +/- 40 kcal (3435 +/- 167 kJ)). The approach that we chose is promising to reduce food intake and could contribute to the development of an easy-to-use product for weight management. (C) 2018 Elsevier Inc. All rights reserved.

Food variety, complexity, and portion size each influence food choice and consumption, but their relative importance is poorly understood. In an online discrete choice-experiment, we investigated the relative importance of variety, complexity, and portion size in consumer preferences by systematically varying ice cream offerings. Complexity was defined as the presence of different components within a scoop (e.g., chunks or flavors), while variety was defined as combinations of ice cream scoops that differ in flavor and/or texture. A choice-based conjoint questionnaire with two sections was presented to 498 Dutch (50.8% females) and 502 American (52.6% females) consumers aged between 18 and 65 years. Section 1 tested the relative importance of complexity and variety in consumer preferences, while Section 2 tested the relative importance of variety and portion size in preferences. Participants chose their preferred option when presented with various ice cream options showing different levels of variety and complexity (Section 1), or different levels of variety and portion sizes (Section 2). Across countries, variety was a stronger driver of ice cream preference than complexity, but the most preferred ice cream options were both varied and complex. Further, across countries, flavor was more important than portion size, and again a variety of flavors was the most preferred. Finally, American participants overall preferred larger portion sizes than did Dutch participants. These data indicate variety is a key determinant of food preference, at least within the context of this study, for consumers in both the Netherlands and the United States.

Background: The evaluation of botanical health claims was put on hold to determine whether traditional use evidence is sufficient to substantiate these health claims. To gain a deeper understanding of the discussion on the substantiation of botanical health claims, a critical review of the stakeholders' arguments was conducted.Methods: The relationships of stakeholders were analysed with a social network analysis and the stakeholders' arguments were critically reviewed with scientific literature.Results: The social network analysis showed that the majority of stakeholders were in favour of using traditional use evidence for botanical health claim substantiation. These stakeholders were however highly interrelated which may explain their similar viewpoints.The arguments put forward by the stakeholders cover a wide array of subjects indicating the discussion's complexity. Various arguments could furthermore not be assessed with scientific literature as these were focused on the unpredictable impact of a decision on the substantiation of botanical health claims. The review also shows that stakeholders interpret various underlying concepts such as consumer misleading differently.Conclusions: This study shows that the discussion is scattered. A political decision on various unclear concepts is required to eventually make a decision upon using traditional use evidence to substantiate botanical health claims.

Although several studies have investigated the influence of nutrition labelling on food intake, the effect of labels indicating a food's satiating power on food intake and sensory-specific satiation (SSS) is poorly understood. We investigated whether providing information about the satiating power of a meal affects intake and SSS. Participants (19 men and 18 women) consumed the same test meal of pasta salad ad libitum on two occasions, once described as 'light' and once as 'filling'. SSS was determined as the change in liking of the flavor and desire to eat the test meal before and after consumption, compared to seven uneaten foods. As hypothesized, intake increased by a mean (±SD) of 31 ± 59 g and 42 ± 81 kcal when the meal was labelled 'light' as opposed to 'filling' (p < 0.01). After eating, ratings for both liking and desire to eat decreased significantly more for the test meal than for the uneaten control foods (p < 0.001), demonstrating SSS. These relative changes in liking and desire to eat did not differ between the label conditions, despite differences in intake. Furthermore, accounting for amount consumed, the magnitude of SSS did not differ between the label conditions, which suggests that it did not explain the effect of the labels on intake. This study shows that labels indicating the satiating power of a meal can affect intake, warranting caution in the use of such labels on products intended to reduce intake.