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Does the Australian Health Star Rating System Encourage Added Sugar Reformulation? Trends in Sweetener Use in Australia.
Nutrients. 2021 Mar 10; 13(3)N

Abstract

Dietary risk factors, including excess added sugar intake, are leading contributors to Australia's burden of disease. An objective of the Australian Health Star Rating (HSR) system is to encourage the reformulation of packaged foods. Manufacturers may improve a product's HSR by replacing added sugar with non-nutritive sweeteners (NNS). Concerns have been raised regarding the potential substitution effects of ultra-processed foods containing NNS for whole foods, and the long-term impact this may have on population health. The aim of this study was to determine whether the implementation of the HSR system has impacted the use of added sugars and NNS in the food supply. Four product categories were used: products with no added sweetener, products containing added sugar only, products containing NNS only, and products containing a combination of added sugar and NNS. Of 6477 newly released products analyzed displaying a HSR in Australia between 2014-2020, 63% contained added sugars. The proportion of new products sweetened with added sugars increased over time, while NNS use did not, despite a higher average and median HSR for products sweetened with NNS. These findings suggest that at the current time, the HSR system may not discourage the use of added sugars in new products or incentivize the reformulation of added sugar with NNS. As the health risks of NNS are questioned, increased reformulation of products with NNS to reduce the presence of added sugar in the food supply may not address broader health concerns. Instead, supporting the promotion of whole foods and drinks should be prioritized, as well as policy actions that reduce the proliferation and availability of UPFs.

Authors+Show Affiliations

School of Exercise and Nutrition Sciences, Deakin University, Geelong 3217, Australia.School of Exercise and Nutrition Sciences, Deakin University, Geelong 3217, Australia.School of Exercise and Nutrition Sciences, Deakin University, Geelong 3217, Australia. Institute for Physical Activity and Nutrition, Deakin University, Geelong 3217, Australia.School of Exercise and Nutrition Sciences, Deakin University, Geelong 3217, Australia. Institute for Physical Activity and Nutrition, Deakin University, Geelong 3217, Australia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33802024

Citation

Russell, Cherie, et al. "Does the Australian Health Star Rating System Encourage Added Sugar Reformulation? Trends in Sweetener Use in Australia." Nutrients, vol. 13, no. 3, 2021.
Russell C, Dickie S, Baker P, et al. Does the Australian Health Star Rating System Encourage Added Sugar Reformulation? Trends in Sweetener Use in Australia. Nutrients. 2021;13(3).
Russell, C., Dickie, S., Baker, P., & Lawrence, M. (2021). Does the Australian Health Star Rating System Encourage Added Sugar Reformulation? Trends in Sweetener Use in Australia. Nutrients, 13(3). https://doi.org/10.3390/nu13030898
Russell C, et al. Does the Australian Health Star Rating System Encourage Added Sugar Reformulation? Trends in Sweetener Use in Australia. Nutrients. 2021 Mar 10;13(3) PubMed PMID: 33802024.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Does the Australian Health Star Rating System Encourage Added Sugar Reformulation? Trends in Sweetener Use in Australia. AU - Russell,Cherie, AU - Dickie,Sarah, AU - Baker,Phillip, AU - Lawrence,Mark, Y1 - 2021/03/10/ PY - 2021/02/11/received PY - 2021/03/02/revised PY - 2021/03/05/accepted PY - 2021/4/3/entrez PY - 2021/4/4/pubmed PY - 2021/5/14/medline KW - added sugar KW - food policy KW - health star rating KW - non-nutritive sweeteners KW - nutrient profiling KW - ultra-processed food JF - Nutrients JO - Nutrients VL - 13 IS - 3 N2 - Dietary risk factors, including excess added sugar intake, are leading contributors to Australia's burden of disease. An objective of the Australian Health Star Rating (HSR) system is to encourage the reformulation of packaged foods. Manufacturers may improve a product's HSR by replacing added sugar with non-nutritive sweeteners (NNS). Concerns have been raised regarding the potential substitution effects of ultra-processed foods containing NNS for whole foods, and the long-term impact this may have on population health. The aim of this study was to determine whether the implementation of the HSR system has impacted the use of added sugars and NNS in the food supply. Four product categories were used: products with no added sweetener, products containing added sugar only, products containing NNS only, and products containing a combination of added sugar and NNS. Of 6477 newly released products analyzed displaying a HSR in Australia between 2014-2020, 63% contained added sugars. The proportion of new products sweetened with added sugars increased over time, while NNS use did not, despite a higher average and median HSR for products sweetened with NNS. These findings suggest that at the current time, the HSR system may not discourage the use of added sugars in new products or incentivize the reformulation of added sugar with NNS. As the health risks of NNS are questioned, increased reformulation of products with NNS to reduce the presence of added sugar in the food supply may not address broader health concerns. Instead, supporting the promotion of whole foods and drinks should be prioritized, as well as policy actions that reduce the proliferation and availability of UPFs. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/33802024/Does_the_Australian_Health_Star_Rating_System_Encourage_Added_Sugar_Reformulation_Trends_in_Sweetener_Use_in_Australia_ L2 - https://www.mdpi.com/resolver?pii=nu13030898 DB - PRIME DP - Unbound Medicine ER -