Openly accessible

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 10

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, GaryORCID iD for Sacks, Gary orcid.org/0000-0001-9736-1539
Ananthapavan, JaithriORCID iD for 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 Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30110465

Document type: Journal Article
Collections: Population Health
Open Access Collection
Connect to link resolver
 
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
Citation counts: TR Web of Science Citation Count  Cited 2 times in TR Web of Science
Scopus Citation Count Cited 1 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 36 Abstract Views, 12 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.