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Do Nutrient-Based Front-of-Pack Labelling Schemes Support or Undermine Food-Based Dietary Guideline Recommendations? Lessons from the Australian Health Star Rating System.
Nutrients. 2018 Jan 05; 10(1)N

Abstract

Food-based Dietary Guidelines (FBDGs) promote healthy dietary patterns. Nutrient-based Front-of-Pack Labelling (NBFOPL) schemes rate the 'healthiness' of individual foods. This study aimed to investigate whether the Australian Health Star Rating (HSR) system aligns with the Australian Dietary Guidelines (ADGs). The Mintel Global New Products Database was searched for every new food product displaying a HSR entering the Australian marketplace from 27 June 2014 (HSR system endorsement) until 30 June 2017. Foods were categorised as either a five food group (FFG) food or 'discretionary' food in accordance with ADG recommendations. Ten percent (1269/12,108) of new food products displayed a HSR, of which 57% were FFG foods. The median number of 'health' stars displayed on discretionary foods (2.5; range: 0.5-5) was significantly lower (p < 0.05) than FFG foods (4.0; range: 0.5-5), although a high frequency of anomalies and overlap in the number of stars across the two food categories was observed, with 56.7% of discretionary foods displaying ≥2.5 stars. The HSR system is undermining the ADG recommendations through facilitating the marketing of discretionary foods. Adjusting the HSR's algorithm might correct certain technical flaws. However, supporting the ADGs requires reform of the HSR's design to demarcate the food source (FFG versus discretionary food) of a nutrient.

Authors+Show Affiliations

Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong 3220, Australia. lawrence@deakin.edu.au.Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong 3220, Australia. disar@deakin.edu.au.Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong 3220, Australia. j.woods@deakin.edu.au.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

29303956

Citation

Lawrence, Mark A., et al. "Do Nutrient-Based Front-of-Pack Labelling Schemes Support or Undermine Food-Based Dietary Guideline Recommendations? Lessons From the Australian Health Star Rating System." Nutrients, vol. 10, no. 1, 2018.
Lawrence MA, Dickie S, Woods JL. Do Nutrient-Based Front-of-Pack Labelling Schemes Support or Undermine Food-Based Dietary Guideline Recommendations? Lessons from the Australian Health Star Rating System. Nutrients. 2018;10(1).
Lawrence, M. A., Dickie, S., & Woods, J. L. (2018). Do Nutrient-Based Front-of-Pack Labelling Schemes Support or Undermine Food-Based Dietary Guideline Recommendations? Lessons from the Australian Health Star Rating System. Nutrients, 10(1). https://doi.org/10.3390/nu10010032
Lawrence MA, Dickie S, Woods JL. Do Nutrient-Based Front-of-Pack Labelling Schemes Support or Undermine Food-Based Dietary Guideline Recommendations? Lessons From the Australian Health Star Rating System. Nutrients. 2018 Jan 5;10(1) PubMed PMID: 29303956.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Do Nutrient-Based Front-of-Pack Labelling Schemes Support or Undermine Food-Based Dietary Guideline Recommendations? Lessons from the Australian Health Star Rating System. AU - Lawrence,Mark A, AU - Dickie,Sarah, AU - Woods,Julie L, Y1 - 2018/01/05/ PY - 2017/10/31/received PY - 2017/12/08/revised PY - 2017/12/18/accepted PY - 2018/1/6/entrez PY - 2018/1/6/pubmed PY - 2018/8/7/medline KW - dietary patterns KW - food-based dietary guidelines KW - front-of-pack labelling KW - health star rating KW - nutrient profiling KW - reductionist JF - Nutrients JO - Nutrients VL - 10 IS - 1 N2 - Food-based Dietary Guidelines (FBDGs) promote healthy dietary patterns. Nutrient-based Front-of-Pack Labelling (NBFOPL) schemes rate the 'healthiness' of individual foods. This study aimed to investigate whether the Australian Health Star Rating (HSR) system aligns with the Australian Dietary Guidelines (ADGs). The Mintel Global New Products Database was searched for every new food product displaying a HSR entering the Australian marketplace from 27 June 2014 (HSR system endorsement) until 30 June 2017. Foods were categorised as either a five food group (FFG) food or 'discretionary' food in accordance with ADG recommendations. Ten percent (1269/12,108) of new food products displayed a HSR, of which 57% were FFG foods. The median number of 'health' stars displayed on discretionary foods (2.5; range: 0.5-5) was significantly lower (p < 0.05) than FFG foods (4.0; range: 0.5-5), although a high frequency of anomalies and overlap in the number of stars across the two food categories was observed, with 56.7% of discretionary foods displaying ≥2.5 stars. The HSR system is undermining the ADG recommendations through facilitating the marketing of discretionary foods. Adjusting the HSR's algorithm might correct certain technical flaws. However, supporting the ADGs requires reform of the HSR's design to demarcate the food source (FFG versus discretionary food) of a nutrient. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/29303956/Do_Nutrient_Based_Front_of_Pack_Labelling_Schemes_Support_or_Undermine_Food_Based_Dietary_Guideline_Recommendations_Lessons_from_the_Australian_Health_Star_Rating_System_ L2 - https://www.mdpi.com/resolver?pii=nu10010032 DB - PRIME DP - Unbound Medicine ER -