Cost-effectiveness of product reformulation in response to the Health Star Rating food labelling system in Australia Mantilla Herrera, Ana Maria, Crino, Michelle, Erskine, Holly E, Sacks, Gary, Ananthapavan, Jaithri, Mhurchu, Cliona Ni and Lee, Yong Yi 2018, Cost-effectiveness of product reformulation in response to the Health Star Rating food labelling system in Australia, Nutrients, vol. 10, no. 5, pp. 1-16, doi: 10.3390/nu10050614. Attached Files Name Description MIMEType Size Downloads sacks-costeffectiveness-2018.pdf Published version application/pdf 1.50MB 151 Title Cost-effectiveness of product reformulation in response to the Health Star Rating food labelling system in Australia Author(s) Mantilla Herrera, Ana Maria Crino, Michelle Erskine, Holly E Sacks, Gary orcid.org/0000-0001-9736-1539 Ananthapavan, Jaithri orcid.org/0000-0002-5957-6931 Mhurchu, Cliona Ni Lee, Yong Yi Journal name Nutrients Volume number 10 Issue number 5 Article ID 614 Start page 1 End page 16 Total pages 16 Publisher MDPI Place of publication Basel, Switzerland Publication date 2018-05-14 ISSN 2072-6643 Keyword(s) obesity prevention cost-effectiveness economic evaluation Health Star Rating front-of-pack labelling science & technology life sciences & biomedicine nutrition & dietetics Summary The Health Star Rating (HSR) system is a voluntary front-of-pack labelling (FoPL) initiative endorsed by the Australian government in 2014. This study examines the impact of the HSR system on pre-packaged food reformulation measured by changes in energy density between products with and without HSR. The cost-effectiveness of the HSR system was modelled using a proportional multi-state life table Markov model for the 2010 Australian population. We evaluated scenarios in which the HSR system was implemented on a voluntary and mandatory basis (i.e., HSR uptake across 6.7% and 100% of applicable products, respectively). The main outcomes were health-adjusted life years (HALYs), net costs, and incremental cost-effectiveness ratios (ICERs). These were calculated with accompanying 95% uncertainty intervals (95% UI). The model predicted that HSR-attributable reformulation leads to small reductions in mean population energy intake (voluntary: 0.98 kJ/day [95% UI: -1.08 to 2.86]; mandatory: 11.81 kJ/day [95% UI: -11.24 to 36.13]). These are likely to result in reductions in mean body weight (voluntary: 0.01 kg [95% UI: -0.01 to 0.03]; mandatory: 0.11 kg [95% UI: -0.12 to 0.32], and HALYs (voluntary: 4207 HALYs [95% UI: 2438 to 6081]; mandatory: 49,949 HALYs [95% UI: 29,291 to 72,153]). The HSR system evaluated via changes in reformulation could be considered cost-effective relative to a willingness-to-pay threshold of A$50,000 per HALY (voluntary: A$1728 per HALY [95% UI: dominant to 10,445] and mandatory: A$4752 per HALY [95% UI: dominant to 16,236]). Language eng DOI 10.3390/nu10050614 Field of Research 1111 Nutrition And Dietetics HERDC Research category C1 Refereed article in a scholarly journal Copyright notice ©2018, the authors Free to Read? Yes Use Rights Persistent URL http://hdl.handle.net/10536/DRO/DU:30110465 Document type: Journal Article Collections: Faculty of Health Population Health Open Access Collection Related Links Link Description Connect to published version (open access) Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au. Versions Version Filter Type Mon, 09 Jul 2018, 15:08:58 EST Tue, 10 Jul 2018, 05:02:53 EST Tue, 10 Jul 2018, 08:15:15 EST Fri, 27 Jul 2018, 09:17:05 EST Wed, 01 Aug 2018, 12:56:46 EST Wed, 01 Aug 2018, 12:58:32 EST Wed, 01 Aug 2018, 12:59:14 EST Mon, 13 Aug 2018, 10:04:50 EST Fri, 07 Sep 2018, 19:14:32 EST Filtered Full Citation counts:   Cited 9 times in TR Web of Science Cited 13 times in Scopus Search Google Scholar Access Statistics: 457 Abstract Views, 153 File Downloads  -  Detailed Statistics Created: Mon, 09 Jul 2018, 15:08:58 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.