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Evaluation of Alignment between the Health Claims Nutrient Profiling Scoring Criterion (NPSC) and the Health Star Rating (HSR) Nutrient Profiling Models.
Nutrients. 2018 Aug 10; 10(8)N

Abstract

In Australia, manufacturers can use two government-endorsed approaches to advertise product healthiness: the Health Star Rating (HSR) front-of-pack nutrition labelling system, and health claims. Related, but different, algorithms determine the star rating of a product (the HSR algorithm) and eligibility to display claims (the Nutrient Profiling Scoring Criterion (NPSC) algorithm). The objective of this study was to examine the agreement between the HSR and NPSC algorithms. Food composition information for 41,297 packaged products was extracted from The George Institute's FoodSwitch database. HSR and the NPSC scores were calculated, and the proportion of products in each HSR category that were eligible to display a health claim under the NPSC was examined. The highest agreement between the HSR scoring algorithm and the NPSC threshold to determine eligibility to display a health claim was at the HSR cut-off of 3.5 stars (k = 0.83). Overall, 97.3% (n = 40,167) of products with star ratings of 3.5 or higher were also eligible to display a health claim, and 94.3% (n = 38,939) of products with star ratings less than 3.5 were ineligible to display a health claim. The food group with greatest divergence was "edible oils", with 45% products (n = 342) with HSR >3.5, but 64% (n = 495) eligible to display a claim. Categories with large absolute numbers of products with HSR <3.5, but eligible to display a claim, were "yoghurts and yoghurt drinks" (335 products, 25.4%) and "soft drinks" (299 products, 29.7%). Categories with a large number of products with HSR ≥3.5, but ineligible to display a claim, were "milk" (260 products, 21.2%) and "nuts and seeds" (173 products, 19.7%). We conclude that there is good agreement between the HSR and the NPSC systems overall, but divergence in some food groups is likely to result in confusion for consumers, particularly where foods with low HSRs are eligible to display a health claim. The alignment of the NPSC and HSR scoring algorithms should be improved.

Authors+Show Affiliations

The George Institute for Global Health, University of New South Wales, Sydney, NSW 2052, Australia. edunford@georgeinstitute.org.au.The George Institute for Global Health, University of New South Wales, Sydney, NSW 2052, Australia. hliping@georgeinstitute.org.cn. Faculty of Medicine, University of Sydney, Sydney, NSW 2052, Australia. hliping@georgeinstitute.org.cn.The George Institute for Global Health, University of Oxford, Oxford, OX1 2BQ, UK. sanne.peters@georgeinstitute.ox.ac.uk.The George Institute for Global Health, University of New South Wales, Sydney, NSW 2052, Australia. mcrino@georgeinstitute.org.au.The George Institute for Global Health, University of New South Wales, Sydney, NSW 2052, Australia. bneal@georgeinstitute.org.au. Department of Epidemiology and Biostatistics, School of Public Health, Faculty of Medicine, Imperial College London, London SW7 2AZ, UK. bneal@georgeinstitute.org.au.The George Institute for Global Health, University of New South Wales, Sydney, NSW 2052, Australia. cnimhurchu@georgeinstitute.org.au. National Institute for Health Innovation, University of Auckland, Auckland 1142, New Zealand. cnimhurchu@georgeinstitute.org.au.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

30103402

Citation

Dunford, Elizabeth K., et al. "Evaluation of Alignment Between the Health Claims Nutrient Profiling Scoring Criterion (NPSC) and the Health Star Rating (HSR) Nutrient Profiling Models." Nutrients, vol. 10, no. 8, 2018.
Dunford EK, Huang L, Peters SAE, et al. Evaluation of Alignment between the Health Claims Nutrient Profiling Scoring Criterion (NPSC) and the Health Star Rating (HSR) Nutrient Profiling Models. Nutrients. 2018;10(8).
Dunford, E. K., Huang, L., Peters, S. A. E., Crino, M., Neal, B. C., & Ni Mhurchu, C. (2018). Evaluation of Alignment between the Health Claims Nutrient Profiling Scoring Criterion (NPSC) and the Health Star Rating (HSR) Nutrient Profiling Models. Nutrients, 10(8). https://doi.org/10.3390/nu10081065
Dunford EK, et al. Evaluation of Alignment Between the Health Claims Nutrient Profiling Scoring Criterion (NPSC) and the Health Star Rating (HSR) Nutrient Profiling Models. Nutrients. 2018 Aug 10;10(8) PubMed PMID: 30103402.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of Alignment between the Health Claims Nutrient Profiling Scoring Criterion (NPSC) and the Health Star Rating (HSR) Nutrient Profiling Models. AU - Dunford,Elizabeth K, AU - Huang,Liping, AU - Peters,Sanne A E, AU - Crino,Michelle, AU - Neal,Bruce C, AU - Ni Mhurchu,Cliona, Y1 - 2018/08/10/ PY - 2018/06/26/received PY - 2018/07/27/revised PY - 2018/08/06/accepted PY - 2018/8/15/entrez PY - 2018/8/15/pubmed PY - 2018/11/27/medline KW - Health Star Rating KW - food composition KW - food labelling KW - health claims KW - nutrient profiling JF - Nutrients JO - Nutrients VL - 10 IS - 8 N2 - In Australia, manufacturers can use two government-endorsed approaches to advertise product healthiness: the Health Star Rating (HSR) front-of-pack nutrition labelling system, and health claims. Related, but different, algorithms determine the star rating of a product (the HSR algorithm) and eligibility to display claims (the Nutrient Profiling Scoring Criterion (NPSC) algorithm). The objective of this study was to examine the agreement between the HSR and NPSC algorithms. Food composition information for 41,297 packaged products was extracted from The George Institute's FoodSwitch database. HSR and the NPSC scores were calculated, and the proportion of products in each HSR category that were eligible to display a health claim under the NPSC was examined. The highest agreement between the HSR scoring algorithm and the NPSC threshold to determine eligibility to display a health claim was at the HSR cut-off of 3.5 stars (k = 0.83). Overall, 97.3% (n = 40,167) of products with star ratings of 3.5 or higher were also eligible to display a health claim, and 94.3% (n = 38,939) of products with star ratings less than 3.5 were ineligible to display a health claim. The food group with greatest divergence was "edible oils", with 45% products (n = 342) with HSR >3.5, but 64% (n = 495) eligible to display a claim. Categories with large absolute numbers of products with HSR <3.5, but eligible to display a claim, were "yoghurts and yoghurt drinks" (335 products, 25.4%) and "soft drinks" (299 products, 29.7%). Categories with a large number of products with HSR ≥3.5, but ineligible to display a claim, were "milk" (260 products, 21.2%) and "nuts and seeds" (173 products, 19.7%). We conclude that there is good agreement between the HSR and the NPSC systems overall, but divergence in some food groups is likely to result in confusion for consumers, particularly where foods with low HSRs are eligible to display a health claim. The alignment of the NPSC and HSR scoring algorithms should be improved. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/30103402/Evaluation_of_Alignment_between_the_Health_Claims_Nutrient_Profiling_Scoring_Criterion__NPSC__and_the_Health_Star_Rating__HSR__Nutrient_Profiling_Models_ L2 - https://www.mdpi.com/resolver?pii=nu10081065 DB - PRIME DP - Unbound Medicine ER -