Analysing the use of the Australian Health Star Rating system by level of food processing

Dickie, Sarah, Woods, Julie L. and Lawrence, Mark 2018, Analysing the use of the Australian Health Star Rating system by level of food processing, International journal of behavioral nutrition and physical activity, vol. 15, pp. 1-9, doi: 10.1186/s12966-018-0760-7.

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Title Analysing the use of the Australian Health Star Rating system by level of food processing
Author(s) Dickie, Sarah
Woods, Julie L.ORCID iD for Woods, Julie L.
Lawrence, MarkORCID iD for Lawrence, Mark
Journal name International journal of behavioral nutrition and physical activity
Volume number 15
Article ID 128
Start page 1
End page 9
Total pages 9
Publisher BMC
Place of publication London, Eng.
Publication date 2018
ISSN 1479-5868
Keyword(s) Behavioural nutrition
Dietary guidelines
Food processing
Food reformulation
Front-of-pack labelling
Health star rating
Nutrient profiling
Ultra-processed food
Science & Technology
Life Sciences & Biomedicine
Nutrition & Dietetics
Summary BACKGROUND: The consumption of ultra-processed foods is associated with diminished dietary quality and adverse health outcomes. The Australian Health Star Rating (HSR) is a nutrient-based front-of-pack (FOP) labelling system that assesses the 'healthiness' of foods on a scale of 0.5 to 5 stars based on their content of 'risk' and 'positive' nutrients. This study aimed to analyse the use of health stars on new packaged food products entering the Australian marketplace by level of food processing. METHODS: The Mintel Global New Product Database (GNPD) was searched to identify the number of stars displayed on the labels of all new packaged food products participating in the HSR system released into the Australian retail food supply between 27 June 2014 (the endorsement date) and 30 June 2017. Products were categorised by the four NOVA food processing categories: unprocessed and minimally processed (MP), processed culinary ingredients (PCI), processed (P), and ultra-processed (UP), and the distribution of the star ratings within each category was compared and analysed. RESULTS: The majority of new food products displaying an HSR were UP (74.4%), followed by MP (12.5%), P (11.6%), and PCI (1.5%). The median HSR of MP products (4.5) was significantly higher than the median of P (4) and UP products (3.5) (all p < 0.05). In all NOVA categories HSR profiles were distributed towards higher star ratings, and the majority (77%) of UP products displayed an HSR ≥ 2.5. CONCLUSIONS: The HSR is being displayed on a substantial proportion of newly released UP foods. Technical weaknesses, design flaws and governance limitations with the HSR system are resulting in 3 out of 4 instances of these UP foods displaying at least 2.5 so-called 'health' stars. These findings add further evidence to concerns that the HSR system, in its current form, is misrepresenting the healthiness of new packaged food products and creating a risk for behavioural nutrition.
Language eng
DOI 10.1186/s12966-018-0760-7
Field of Research 11 Medical And Health Sciences
13 Education
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018, The Author(s)
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Document type: Journal Article
Collections: Faculty of Health
School of Exercise and Nutrition Sciences
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