The Scientific Foundation of Health Claims
Health claims on food and dietary supplements are regulated statements about the link between a substance and its effect on health. Determining what health claims are based on involves a review of scientific evidence by regulatory bodies. This process aims to prevent misleading information and build consumer trust. Scientific substantiation can include literature reviews and clinical trials. Regulatory bodies like the FDA and the EFSA set high standards for this evidence. Authorized claims require significant evidence accepted by the scientific community.
The Role of Clinical Trials
Clinical trials are vital for claims related to disease risk reduction. These studies involve human participants to answer health questions. Trials supporting health claims follow strict protocols and ethical guidelines to ensure safety and gather data. High-quality clinical trials help companies demonstrate product efficacy and safety, providing data for regulatory approval and marketing. Evidence must be relevant to the target population and align with scientific norms.
Regulation of Health Claims
Regulatory agencies evaluate and authorize health claims, with scrutiny varying by claim type. The U.S. FDA categorizes claims as follows:
- Authorized Health Claims: These meet the highest standard of evidence, Significant Scientific Agreement (SSA), and are authorized by FDA rule after reviewing studies. An example is calcium and vitamin D reducing osteoporosis risk.
- Qualified Health Claims: Supported by credible but less stringent evidence than SSA. They require a qualifying statement explaining the uncertainty.
- Structure/Function Claims: Describe a nutrient's effect on body structure or function without mentioning specific diseases. Examples include "calcium builds strong bones". Manufacturers must ensure accuracy and notify the FDA, but pre-approval is not required.
Comparison of Health Claim Types (U.S. Regulation)
| Feature | Authorized Health Claims | Qualified Health Claims | Structure/Function Claims |
|---|---|---|---|
| Level of Evidence | Significant Scientific Agreement (SSA) | Credible evidence, but less than SSA | Truthful and not misleading |
| Relationship Mentioned | Substance to a specific disease or health-related condition | Substance to a specific disease or health-related condition | Nutrient or ingredient to the structure/function of the body |
| Pre-Approval by FDA | Required | Required for claims regarding a disease risk reduction | Not required, but FDA must be notified |
| Qualifying Language | Not needed | Mandatory to explain uncertainty | Not needed, but often accompanied by a disclaimer stating "This statement has not been evaluated by the FDA." |
How Consumers Perceive and Use Claims
Regulators aim for clear health claim information due to varied consumer understanding. Many consumers use label information, but the distinction between claim types can be unclear. Consumers may view claims with skepticism. Clear, accurate wording backed by science is essential. Regulators balance communicating benefits with protecting consumers from misleading claims. This includes regulating claim content and ensuring claims aren't on unhealthy products. The European Food Safety Authority (EFSA) also harmonizes scientific assessment of health claims in the EU.
Conclusion: The Evolving Basis of Health Claims
The scientific basis for health claims is dynamic, driven by research and regulation. What health claims are based on includes rigorous scientific evidence, clinical trials, and regulatory enforcement. Understanding claim types and oversight helps consumers make informed choices. As science and public health evolve, so do the standards for health claims, balancing truthful communication and consumer protection.